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What does 'go down with' mean here?

http://www.rd.com/true-stories/love/widow-rafting-husbands-ashes/

What was I doing down there? My sister Kathryn, who had seen me through his death, loves the Grand Canyon, and she arranged the trip.

She said, “Come on, Neshama. It’s the trip of a lifetime. You weren’t able to go down with John, because it was too far from medical help [for him]. So come.”
-- from www.rd.com

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  • You're generally encouraged to wait longer before accepting an answer. :)
    – Em.
    Commented Aug 7, 2016 at 5:14

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In this instance, we don't consider "go down" together, but separately.

down
2. b : to or toward a point away from the speaker or the speaker's point of reference

In this example,

You weren’t able to go to [the Grand Canyon] with John

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  • Another example: "I am going down to the store". It is not downhill, just away from where I am now.
    – user3169
    Commented Aug 7, 2016 at 17:40

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