I just got back from a trip to Baltimore, where I visited the same floor as usual, but this time it was to see the orthopedic surgeon at Hopkins.
When I fell and broke my arm a local surgeon fixed the break by inserting a nail down through the top of my humerus. The nail occasionally causes me some discomfort particularly when people help me move my arm. There was a concern from the folks in the ALS clinic that as ALS progresses this may be exponentially harder to contend with.
I'm really not sure if I'll proceed with the surgery, as it will involve two more trips to Baltimore, additional expense, and all for something that doesn't really affect me on a day to day basis. As the doctor said, there is no guarantee that removing the nail will rid me of discomfort.
Food for thought.