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After a lifetime of working in construction, Tom Trama’s shoulders could no longer carry the load. At 69, he could no longer lift his arms to do simple things like wash his hair or put on a shirt. In 2015, Tom had total shoulder joint replacement surgery on both shoulders at AdventHealth Palm Coast and is so happy with the results that he wears them — literally. He had a T-shirt made that features the X-rays of his new shoulders.