Here's what happened: injured my shoulder a while back. I tried various conservative treatments with limited success. It eventually got somewhat better. I took a job as a machine operator, a job I can do although with some pain, because I needed the money. This job is how I have health insurance. I have been employed for less than a year but more than six months. I'm looking into surgery. Before I disclose this to my company I need a plan as they are an at will employer and I do not have a union to support me. I fear losing my job which would result in loss of my health insurance. What are my next steps? I am in my 20's, male, living in the United States, employed in Missouri. I am seeing a specialist tomorrow who I hope can enlighten me as to a possible diagnosis. Any help welcomed.