My workers compensation claim was made in the State of: Nebraska. I was injured and filed a claim in august of 2017. I tried PT and eventually had a Capsular reconstructive surgery done in Jan. 2018 The surgery is new to the United states and has only been preformed for the past 1 1/2 yrs. There are 4 rotator cuff muscles in the shoulder. My top 2 were completely severed and had atrophy from waiting too long to get medical attention. The front one was torn as well and the back one was thinned to the point that it was almost detached. The bicep had been rubbing for several years on the exposed bone and had become shredded. They had to use cadaver skin to try to build a bridge for the 3 rotator cuffs to try to graph too. The bicep was cut but unable to be reattached because it was too shredded to be reattached. The front rotator was repaired. The Dr. has said that MMI is 1 year out. He said that he can not tell me that I can't return to my job but he recommends against it. It is very labor intensive and he said that there is no way of knowing if the shoulder will hold up 2 months or 20 years, because of the lack of statistics. He has also said that he can see the atrophy in my other shoulder as well. So, returning to work at a heavy labor job, is probably not the best idea. One of them will probably go. My job doesn't offer anything to me unless I can go back with no restrictions. They will not put me back to work with light restrictions. Also, I'm salary plus commission, I'm a milkman. So, becoming injured in August they went back over the summer months to get my average, but I lose 1/3 of my income during the summer. So right now I'm only bringing home about 52% of my average income. My wife is disabled due to genetic spine diseases. So , we are struggling. I've been offered a job from a friend that would potentially pay better than my old job and it is just sales, no labor at all, and I have to let him know this week. I understand that I would lose my wage reimbursement but what happens then? What if I have a permanent impairment that keeps me from ever returning to manually labor or even being able to use my arm? 6 months out and I'm still unable to lift a glass of water to my mouth. Would I still go through the process and be offered a settlement for my impairment and loss of wages? We have 3 kids of our own and have taken on 2 foster kids, I really need to be making more money but I don't want to get a new job and let them off the hook, if I will have to have this permanent impairment for the rest of my life. I am 45 yrs old. Thanks for any advice.