On Sunday when the van broke down, we were fortunate to have my cousin, Michelle, at the same event we were at so she came to pick us up. While transferring Ian from the van to lay on Becca and I in the back seat of her car, Ian's arm got postioned behind his head. He immediately started complaining about his shoulder. We calmed him down and didn't really think much of it. Sunday night he complained a little bit of pain but nothing his pain medicine didn't take care of. Monday was a good day and no complaining of any shoulder pain. He slept well on Monday night. Tuesday was a different story, Ian did a lot of complaining of shoulder pain. After many doses of pain medicine, which did not seem to touch the pain and a conversation with his hospice nurse, we decided to take Ian to Hopkins ER for X-rays. I guess I'm glad we did. Ian has a fractured humerus, upper arm. So we are in a sling and keeping it immobilized. Hoping for an easy few weeks while he heals.