Remember it well. 13-14 years ago, me and 2 buddies on the upper Gauley on a summer release, running a pretty high level as they needed to dump some water. Next day, shoulder was killing me (I was pretty a pretty good paddler back then, but running a low volume play boat in some bigger water gave my shoulders a pretty big workout).
Next week went in for the pain, arthritis in the shoulder. Hmmm...6-8 years ago, full shoulder replacement was the recommendation from two different guys. 3rd time and 3rd x-ray, the guy didn't even have to look hard to tell me my shoulder is shot.
The issue is I've been told I'm a bad candidate because I can still get by and I may not be pleased with the operation afterwards because for the most part, as long as I watch myself, I can deal with the pain.
However, found out a while ago when I'm working a chainsaw or kayaking or any other heavy "regular" lifting, I'll be in pain at night to the point where it's hard to sleep.
At my age (late 50's), I'll most likely wait until I hit my mid to late 60's. By that time, figure I'll still work part time doing stuff I love, but I won't be expected to go up on commercial buildings anymore LOL