The patient is a 95-year-old gentleman who fell approximately 5 days prior to presentation. He was found at the curbside after he fell trying to throw his carbage away. He was seen by his primary physician on the 4th, had a severe hematoma of the right shoulder, was sent for x-ray studies and referrals made for visiting health services and home health aide services. When the official results arrived it was noted that he had comunated fracture of the clavicle rotator cuff injury and some possible rib fractures on the right side. The patient ambulates with a cane and basically uses his right hand to ambulate so he presented great difficulty and he does live alone so he was referred inpatient for further evaluation. His medical history is