So, he had to stay a few more days after my last post. They sent someone inexperienced to remove the chest tube. The hole in his side made an audible sucking sound and it collapsed his lung again. Apparently there is a process that must be followed to remove a tube and they didn't do it.
After a few days of oxygen therapy his lung reinflated and his body absorbed the trapped air and he came home. His side looks like he was speared. Very mangled looking. I'm somewhat questioning the job they did.
The ortho decided not to do the surgery. Unfortunately the shoulder is no longer attached the clavicle so healing will be slow and painful