Luckily, my brother is 14 and I'm almost 18, so nobody needs to stay with us. In the old days, our grandmother would have done it. (She is the relative who lives closest to us, only a ten-minute walk.) Before my brother started going to kindergarten, my mom was at home with us, but she worked from home at night. When my dad was out of work this year, he'd be the one to take my brother to appointments. We just went with whoever happened to be available at the time.
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