Agreed - and I got a referral for someone else closer to me. When the time DOES come to fix the torn shoulder - and that time will come I think - I need someone who isn't 30 miles away.
What's interesting is that even most of the informational websites on full shoulder replacements refer to the same age/activity level issue (some in more detail than others). I think this is an even more complex replacement than either knee or hip - and as good as they've become at those things they still have much room for improvement.