By Ember
Write the shoulder limit. Do not diagnose it.
A left shoulder that cannot press overhead belongs on the in-home ticket as a programming note, not as a medical opinion.
In a client's living room there is no front desk and no chart. The trainer learns the shoulder when the client winces on the first press, unless somebody wrote the limit down before the knock.
Ember's question is plain: what can you not do in this room today? The useful answer is specific and small. No overhead on the left. No jumping, right knee, since March. Lying on the floor bothers the back, so the session stays on the bench they already own. She records the words. She does not rename them as a tear, a diagnosis, or a clearance.
That boundary matters because the trainer is not the clinician. A mobile hour is programming: which patterns to skip, which loads are already in the apartment, which side to start on so the client is not demonstrating pain for the neighbor. The person who treats the shoulder stays the person who treats the shoulder. If the client has not been cleared to train, the hour is not a place to find that out.
The note also travels. A substitute covering the route should not hear about the shoulder for the first time while the client is on the floor between the coffee table and the sofa. The doorway is a bad exam room.
The trainer swapped the press for a landmine the client already owned. Nobody on that call pretended to be a physician.