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How can she can tactfully refuse to shake a proffered hand without going into medical detail?
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Cooke was requested as flag captain by Admiral Sir William Young at Plymouth, but Cooke tactfully refused, instead applying for active service.
Assistant Secretary of State Johnnie Carson "tactfully but categorically refused" U.S. support at the time, the cable notes.
— D.F., New York You should tactfully decline such requests.
Vogue advised that if a "girl hopes that a beau will become a fiancé," she must "refuse and return as tactfully as possible" any major gifts and, "definitely, any underclothes" offered by him as gifts.
Carluccio's is heavier, yellower, with almost a touch of retsina; Blanc's is dry, clean, elegant, and in my view obviously better but they both refuse to say so - Blanc says tactfully that Antonio's wine would be great with pasta.
They refuse.
Politely refuse.
It suited me then, so it would suit me now, I reasoned, tactfully forgetting the day I decided to retrieve my old biker jacket from the loft and my wife refused to walk on the same side of the road as me.
The patient refused surgery.
Almond refused.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com