Thanks for Thinking of Me! Why Wait to Place Me Into Action? Need A Vocational Expert on Your Case?

Reading Time: 3 minutes

I enjoy consulting with attorneys. It involves learning about your questions; then using my expertise to provide an answer or two!  The fact is consulting work involves extraordinary amounts of mental processing.  Let me tell you, my brain gets a lot of action and yes, I work out physically, too! 

I don’t know about your specific style of learning or pattern of thinking is (give me time!), but for me, when I accept a case assignment, I don’t want to feel rushed about researching and finding solid answers to good questions.  No, I meant to write great questions, those formed to help you with answering your client’s difficult problems, surrounding certain situations, while considering all necessary detail.

In my eyes, “problems” are opportunities in disguise. Something “thinks” it needs  a solution. The thinking could be well thought through or it could be downright faulty, and that’s why education becomes a consulting strategy.  A good way to look at a problem is to compare it against an opposing problem and ask, which “opportunity” presents first? Will there be an order that makes sense? Is it really a problem or just defined as one?

For every problem under the sun, there is a solution or there is none. If there be one, think til you find it. If there be none, then never mind it!” ~ LeGrand Richards

My problem solving approach develops as the research is gathered relevant to the situation. How a situation is defined is just as important in the problem equation, considering virtually every situation can be defined in more than one way. Because of this fact, tremendous opportunity to educate becomes available, and negatives turn into positives resulting in the implication of how one feels and acts toward the situation!

I find that pulling too quickly for an answer or a fact won’t turn up the best results.  Pulling carefully yet relentlessly on the stem/root system will produce reliable, intact, organic results to share with others.  Through testimony, I can educate others on how to understand the specific facts I gathered and why they are important to this case, facilitating the information and helping them to “figure out” their own solution.

Thanks  for thinking of me (as Eeoyre says)!  Please contact me to get me involved early in the proceedings. Do so before you plant any seed, and I’ll help with preparing and weeding the ground, the hard part of the action! Even if you only need a file review, I can offer recommendations. And, we’d be better off to a good start!

I believe it’s always healthy to think of the humor in most situations. Truly, our emotions will benefit. Contact me at 515-778-0634 to discuss your case needs, and learn about my consulting style and policies. Again, thanks for thinking of me and for reading! I look forward to helping you help your client!

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 My professional rehabilitation counseling practice is focused on helping people participate in the world around them, particularly in their own world of work.

Working on a Litigated Case Involving Work & Disability? A Job Analysis Can Help!

Reading Time: 3 minutes

Are you working on a litigated case involving work and disability? If so, I believe a job analysis can help you and your client, and in many ways!  A job analysis involves the process of gathering and recording objective data about a specific job.  

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Capturing what the job is all about helps to evaluate what an employee does, why the work is done, how the work is done, results of the work, the skills, knowledge, and abilities required to perform the work, and the context in which the work fits into the organizational structure.

And, as an analyzing kinda person, I’ll find direct connections to ways of the trade, and possibly record direct comments from incumbents or a worker who knows what’s going on!

Think Before You Ink - | Keercutter and Associates

A job analysis is helpful in many ways. Plus they’re fun to perform!

A complete analysis involves visiting the job site to witness the job being performed and interviewing supervisors and employees about the accuracy of existing job descriptions. (And that’s a story in itself!) It sure can be an interesting tour and communication experience! 

For me to find out what actually takes place on a pertinent day to day basis (without being there obviously because I have my own job to do), consulting with management and incumbents of the job along with digital video recording, if helpful, allows for a critical analysis of the parameters of performance at a work place, including common physical demands of duties of a job. And trust me, a video can produce some humor too when’s it’s needed  at work! 

Video Clip Laughter Practical Joke Funny Animal, PNG, 1024x1024px, Watercolor, Cartoon, Flower, Frame, Heart Download FreeOnce the job analysis describing the critical duties of the job, an evaluation of the work environment is completed, and a report written is prepared and presented, there, hopefully will be a greater understanding of the essential functions of the job. And to each person the job can be functionally different. It depends on how one goes about doing it!

JA Matrix

This understanding allows me as a vocational expert to make recommendations for reasonable accommodations and to testify to the efforts of the employer to provide reasonable accommodations.

Need help with a litigated case involving disability and work?

I help with plaintiff/claimant and defense cases! I am not one sided

Contact me, Amy E. Botkin, to discuss your client’s claim. I’m here to help you help your client!

Vocational Resources Plus, LLC * lcpresourcesplus.com * 515-778-0634  * amyebotkin@lcpresourcesplus.com

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My professional rehabilitation counseling practice is focused on helping people participate in the world around them, particularly in their own world of work.

Randy and His Perpetual Flip Off! Need an Expert on Your Case Involving Work & Disability?

Reading Time: 4 minutes

This is edited a bit from original post! The evening before my dad’s funeral in May 2016, my husband Randy walked our dog Bella (who gracefully crossed her rainbow bridge 9/1/21) while holding his cell phone in one hand to talk to my mother about his part in the service, the other hand held the leash. Bella’s a big Aussie girl, weighing in around 60.5 pounds;

and from what I hear, a huge raccoon made an appearance near a sewer opening down the street just as they were walking by. This appearance led Bella to lurch towards the coon…pulling hard on the fingers grasped around the leash, and breaking husband’s finger in the process. Ouch.

Early the next morning, we had to hit the road to make the trip to Iowa Falls and, well, experience what would transpire during my father’s service…and beyond in this world for those of us who loved him and enjoyed his company.  

Here’s a favorite photo of my dad!

Randy never saw a doctor for his finger injury. I wish he would’ve though. I performed my version of physical therapy and Healing Touch on him, but to this day…well, Randy has a broken middle finger that sticks up in such a way it resembles the image below!

Get my drift?

The funeral service was nice, and my mom did a great job choosing the readings and what to sing! Randy read the first reading, my sister Julie the second and Father Tony the Gospel, of course. I was a communion minister for dad’s friends which was very meaningful to me!

Many of dad’s church friends were involved in the Mass and he would’ve loved that! In fact, one of his buddies told me my dad was like a brother to him. At that moment, my heart grew stronger knowing my dad was very special to another person because clearly there’s not much better in life than having a good bro. This was another Godly presence for me; one of many experiences I feel during life!

Good thing my dad was cremated, so no handling of a heavy casket with a broken finger!  Afterwards, we had a nice lunch that my dad would’ve enjoyed thoroughly. He would’ve made and then ate many sandwiches pre and post funerals as he volunteered much time to his Church.  I Love You Dad. You helped a lot of people with their funerals!

To this day, Randy’s finger exhibits a perpetual flip off!  Pretty cool huh?  When certain people, like a friend he hasn’t seen in a while questions why he’s flipping them off, instead of going into detail, he just says “I dunno”.  Recently, he came home from his job and remarked one of his fellow teachers wanted to know why he flipped her off.  He smiled and replied ~

 dunno!

A great memory from a Sunday noon game in October of 2016 and most recently another one in September 2021 is of Randy driving into and out of the parking area of the Kansas City Chief’s Arrowhead stadium gripping the wheel. We knew his flip off in front of many people, staffers, and cops went unnoticed! 

It’s a “I do know” factual concept for me to tap into emotional intelligence when I’m being deposed or testifying. btw I believe it’s okay to flip someone off under a table or in your mind as a form of mental exercise!!

Go ahead and contact me, my Attorney Reader, for my help as an expert, and I’ll offer my complete time and attention  as a consultant and an educator too for your case.

Keep me in mind as I also offer consulting services to help attorneys come up with good questions to help you prepare for a deposition and / or cross examination in a courtroom on cases involving work and disability.

I’m Here to Help You Help Your Client!

The best way to contact me is by email at  amyebotkin@lcpresourcesplus.com. Send a message and I’ll get back to you!

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 My professional rehabilitation counseling practice is focused on helping people participate in the world around them, particularly in their own world of work.

 

Happy 22nd Anniversary Vocational Resources Plus! Time to Stop and Smell The Roses!

Reading Time: 4 minutes

Over the years, I’ve received many a rose and enjoy taking pictures of my favorites.  My original idea was to find exactly 22 single rose pictures to celebrate the beginning of 22 years in business, which officially is September 15 of each year. It became quite a project to go through so many photos I’ve taken and make decisions about my selection to post!

Instead, I changed my mind and decided to come close with my count and not worry about the math, especially when at this time it’s time to

Stop and Smell the Roses!

And be satisfied with my efforts because I gave it my all at this time, as I always do for my work! You too? I’ll bet you do (even though I’m not into betting)! Enjoy the photos that follow and read on!

Tiny Orange Rose
Orange Rose
Beautiful Rose yes

All beautiful, yes, I hope you agree! Go ahead and vote on your favorite. I wish you could scratch and sniff each to also let know your thoughts on which you believe smells the best! 

And to be totally honest, the next rose picture was not taken by me!  Incredible, isn’t it? Would’ve you guessed correctly that this was a find on an internet search or actually taken by me? I’ve received blue roses in the past, and my pictures are just too blurry…even when editing. My disclaimer explains

I’ve named this beauty Ghost Rose!

Just to summarize this “author special” post, what’s important to point out is my business has developed for over 22 years. Because my work is important it needs to be clear, simple and pass the “smell test”. 

At times, if an answer to a question or a report on a particular individual or issue is not “perfect”, a decision of what to do next can be unnecessarily stressful. My “best bet” is giving my cases my full attention, and be satisfied with the fact that I put forth my best effort. I’m okay with that with other professionals.

That’s worth, in my opinion, every dollar paid for all the roses Randy’s hand  delivered to me over the years! Hey you my attorney reader, wouldn’t it be nice to have some rose beauties of your own, or to hand deliver to a great friend? That would make a valuable  impression on both hands! Here’s one last link regarding my forensic services fyi and reading pleasure!

Contact me 515-778-0634 or amyebotkin@lcpresourcesplus.com to discuss your case and how I help attorneys help clients. Thank you for reading my blog. I appreciate the time and the attention!

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 My professional rehabilitation counseling practice is focused on helping people participate in the world around them, particularly in their own world of work.

 

 

Free Initial Consultation on Personal Injury Litigation, Give Me a Call!

Reading Time: 4 minutes

Free is always my favorite Word of the Day! What about you? Does free rank right up there for you? If you’re not aware, Zombie Burger makes excellent milk shakes, and what’s really special is on your birthday, your shake is free!  Image result for free

The chocolate wedding cake shake is my favorite although it’s really “only a chocolate shake” because Zombie’s wedding cake shake is actually made with a vanilla base.

But, I like to imagine it as a unique shake made by my only daughter (who works there) to help me celebrate my birthday, my wedding anniversary,  and my work anniversary all mixed together deliciously chocolately!Image result for free

Image result for chocolate milkshakeSpoil me, don’t spill me! 

Actually when you think about it, I’m a basic, simple customer considering how many different shakes are available in the shake lab!

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Image result for chocolate milkshakeYou and I, my Attorney Reader, can meet and I can offer you free initial consultation to discuss your litigated case and how I might help you help your client!

Free Initial Consultation on Personal Injury Litigation!

I may not foot the bill for your meal (let it be known we can equally share in the cost), but I will offer you a free steel straw to drink your shake! Trust me, any shake tastes better through a steel straw rather than plastic.  

If it’s not your birthday on the day we meet, I will buy you a shake of your choice! And during sips, we can talk about details, how you see my work as helpful, my bill rate, and other business policies and procedures pertinent to involving me on your client’s case. 

If you have questions on a case that have anything to do with work and disability, you need solid and detailed information to base your decisions. I am here to help you design questions and build your case.

Image result for jalapenos cartoonKeep in mind that when we meet (if at Zombie in the East Village), I may even try to motivate you to try my favorite sandwich with extra jalapeno just the way Arin knows I like it ordered!  And I can introduce you personally to the front hosts, a fine, upstanding couple! 

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Excuse me, I’m losing a bit of focus between thinking about eating ice cream and hot peppers with zombies, and I’m hungry! So at this point in my post, I want you to know I can also help your client by designing a life care plan.  

A plan helps determine lifetime needs and costs of care to address serious injury resulting in permanent disability while highlighting the medical recovery process, current problems and potential complications.

Life care planning that encompasses forensic vocational rehabilitation is a unique concept and I am able to provide this service.  As a certified life care planner, I guarantee I will comb through the healthcare and vocational complexities of your case,  prepare the most comprehensive plan I can for your client, and come prepared to educate a jury should it go to trial.  

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Contact me at 515-778-0634 or email me at    amyebotkin@lcpresourcesplus.com

 Let’s talk briefly and set up a time to meet!

I’ve uploaded an updated resume along with a sample plan, and brochures on my co-companies, Vocational Resources Plus and Life Care Planning Resources Plus, which you can access at the links on my website. Any questions are welcome!

By the way, Zombie Burgers’ knowledgeable staff  is used to working with various dietary preferences and restrictions, so let your voice be heard (comes naturally doesn’t it?!) when you require specific food and drink or you have interest in requesting something new!

I am a vegetarian; and I tend to order the same food and drink (boring I know) when I eat out at my restaurants! But that doesn’t mean I’m not a creative person!

Most importantly, always be sure to leave good servers a good $$$ tip $$$.  Word of the day: douceur   pronounced:  doo sur    a gratuity; tip. 

Here’s my counseling “tip” for the day:  Practice yoga at home, it’s free!  I hope to hear from you soon and look forward to helping you help your client (that’s why I’m here!). Thank you for reading my post!

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My professional rehabilitation counseling practice is focused on helping people participate in the world around them, particularly in their own world of work.

Need to Retain a Vocational Expert? I’m Here to Help!

Reading Time: 3 minutes

As a forensic rehabilitation consultant, I could be available as your next retained expert!  rp_Professional-Expert-Witness1.jpg

My unique consulting services help attorneys identify insights into litigated case while first-hand testimony helps others to understand it.  In fact, listing me as an expert may spark movement in the litigation process.

I’m here to help you help your client! The sooner, the better! 

When you involve an expert like me on certain cases early in the process, you’ll be in a good position knowing you have a professional on hand for the duration of your case.

My companies Vocational Resources Plus LLC and Life Care Planning Resources Plus LLC lovingly co-exist.

Happy 22nd Anniversary! Meow Get Back To Work!!! - Business Cat | Meme Generator

I celebrate the beginning of 22 years in private practice tomorrow on September 15, 2021 and they say it’s my birthday too, yeah, I’m going to have a good time!

40+ Birthday Wishes for Myself: Happy Birthday To Me! - WishMessage

Happy Birthday To Me!

Although I’ve been in the field of vocational rehabilitation from the start…that’d be 1999, forensic rehabilitation and life care planning are both new specialties within my career!

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In celebratory style, I’m reaching out to attorneys who are passionate about helping clients.

Here on this website you’ll find various links to my writings about serving in various capacities within my field, such as my focus on life care planning (with a vocational rehabilitation component), vocational consulting, placement, and serving as an expert witness.  

I like to blog about why my work is important and to help people identify how to use my services. Further, it’s fun to write and I like to showcase my credibility, methodology and expertise. Read my disclaimer!

LightbulbWant to help your clients even more? Consider tapping into my creative resources!

My analysis and opinion of how I can help your case will be straightforward, honest and grounded in rehabilitation. As such, this may or may not support your case. I can usually determine whether or not I can help your case within the first few hours of research, and will limit such fees based on our agreement.

FootballIf I have to pass on a case, I’ll do what I can to offer recommendations.

Keep in mind that permission to use my name, or in any way indicate that I am an expert witness or consultant for your side of a case, either informally or formally with other parties, is not granted until a retainer is secured. Contact me for information on retaining me!

Call me at 515-778-0634 or email me at amyebotkin@lcpresourcesplus.com  and let’s start a conversation. I promise to value your time! Thank you for reading!

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My professional rehabilitation counseling practice is focused on helping people participate in the world around them, particularly in their own world of work.

I’m A Lot Like A Mole…Fortunately to Help You on a Legal Case!

Reading Time: 5 minutes

Okay, so I do something I’m not so sure many other people chose to do and it’s clearly an inherited trait.  Dad did it too. Okay, it’s…it’s…I’ll just come out and tell you. I use bar soap and I use the soap until it is totally gone. And I mean totally! 

I don’t waste soap

Like dad, I also save and reuse paper napkins if possible (but prefer cloth!) and keep paper towels (ditto) the same way he did, until they’ve been totally used up! He’d toss, recycle or burn what he had to.

Waste Not, Want Not

(Learned the saying from dad) and ya, it’s a proverb: if you use a commodity or resource carefully and without extravagance, you will never be in need, or, if one is not wasteful then one will not be needy. You get the point, and so did I back then and I still do today.

Dad would also say things like “It’s your nickel” back when the home phone rang in the 70’s with the cost increase to “It’s your dime” in the early 80’s! Which really both made no sense at the time. But the point is: my dad was cost conscious (boy oh boy am I too)! Dad was not wasteful and I greatly appreciate inheriting certain traits from him.

I miss you so much dad! I know you are a part of me that I will have forever.  Here’s a picture recently uncovered. It’s of my dad Dick and his baby Amy! I have no idea where we are and why I’m wearing silly glasses! Pretty cute though, huh! My dad, always a good looking man!

I still look like this!

I am also quite cognizant of what I throw away. I don’t want to be wasteful and I don’t want to worsen any landfill with un-recyclable garbage (read: plastic packaging). I know plastic has many very practical and very useful purposes. But when it is used once and thrown away…that bothers me. Especially when I’m at a conference in a “green/sustainable building” and they serve all food items on single use disposal yet non-compostable products.

I recycle everything possible (and feasible considering time and other factors) and started composting (thank you to my sister Julie who gave me her used Earth Machine)! To me, the smell of good natural composition of kitchen and yard waste is incredible and to think of how it was made by helpful microbes, worms and other organisms!

When mixed with your soil, compost will revitalize it, make it healthier and more productive, and increase moisture retention! Can’t go wrong there, huh!? So, I use compost and spread it out in my yard and garden. I don’t use chemicals and pick weeds by hand!,  plus I’m into the No Mow method of lawn maintenance (although Randy isn’t).

Viola! Beautiful lawn and it smells so fresh!

However, and much to my chagrin…we got moles. They must really like their meals found in our front and our back yard. The good can seem not so good when now my lawn is disfigured with raised soft ridges and scattered holes. So, this is all natural and meant to be, right??!

Have you ever seen a mole close up?

A mole is really interesting looking, lives underground and is nearly blind. There’s been a couple deaths ~ a baby and an adult mole ~ with corpses delivered by most likely my cat Alaska in the driveway and later buried by my animal loving  husband Randy. Yes, I made him dig a hole and bury. 

I read that although a mole can detect light it does not hunt using its eyes. Instead, it relies on smell (hence the interesting snout!) and on touching wriggling prey (hence those crazy nails) using sensory hairs on its face. So a mole is good for underground life.  Based on my research : )  A mole is also territorial, strong, a hard working solitude industrious digger, and a natural engineer (just like my brother Michael).

So to safely say, I’m a lot like a mole. Yes I need to get new prescription glasses, there’s nothing wrong with my sense of smell, my nails are natural, and I have a somewhat fuzzy face according to my husband. There may be other similarities, but I’ll let you make them on your own!

I’ve talked to people, including my sister Julie, who have attempted to wage all-out war on moles without success. What I’m realizing is that molehills are signs that the soil is in good shape.

And I can celebrate that fact!

But there is lingering doubt and some anguish over the mighty, mysterious and resilient mole. And I’ve concluded a mole deserves respect, and as often as I can offer it, tolerance.

I see value and purpose in everything that surrounds me.

That’s because I’m a natural rehabber!

So, with this post, I ask you, My Attorney Reader, if you could use help in helping your client through the difficult maze of their claim, please let me help.

I won’t come to court looking like a mole, but I will show up acting like an industrious mole:  ready to dig in, make use of forensic skills, realize the work won’t be easy, and never stop aerating!

I’m here to help you help your client. And, I love to help out using my forensic rehabilitation services! Thanks for reading my post. If you would, please read it again, and consider what I wrote from a metaphorical perspective. The point is the goal of my work is to discover new ways to highlight facts of your case.  Thanks for reading again!

Give me a call at 515-778-0634 or email me at amyebotkin@lcpresourcesplus.com to discuss your case.

___________________

My professional rehabilitation counseling practice is focused on helping people participate in the world around them, particularly in their own world of work.

 

How Much Does Wisdom Teeth Removal Cost? How About Shoulder Surgery? Need Cost of Care During Litigation?

Reading Time: 6 minutes

The first part of this blog is about an experience many of us endured in our early-to-mid 20s: have your wisdom teeth removed! If you’ve been through this type of medical procedure, it is something you do not forget. I remember sitting in “the chair” having mine being removed way back when I was young!

wisdom teeth | The Daily Trip

In May of 2019, I took my Arin to have her wisdom teeth removed. I also remember taking my son Nick to get his out too awhile back. I can’t remember the date, but I’m sure he does. I do remember how he reacted to the “laughing gas” it was hilarious!  Jake, are you next? I promise I’ll be there for you, too!

Some quick research found that scholars say (I  personally don’t know who these scholars are), we have wisdom teeth as the evolutionary answer to eating raw meats, vegetables, and roots. (Well now, I did eat meat back then!) These third set of molars grow in some people between the ages of seventeen and twenty-five, or the wisdom years. 

Checkbox Pt. 2 "Check Wisdom" — River Fellowship

Did you feel you had wisdom between the ages of 17 and 25?

I don’t believe during those years in my life I was wise!  In fact, I’m hoping that to this day, every day I become a little closer to being considered wise. Here are ways for me to practice: put things in perspective, balance my world, keep my power, and think before I speak! Like Mr. Rodgers (AKA Tom Hanks) reminds us to always use the acronym: 

WAIT: Why Am I Talking?

However, when teeth aren’t being to kind to their neighbor, and the time to go has come, they need to be pulled out! So, what will this procedure cost and what will rehabilitation look like? 

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From a quick review of costs found online, a simple removal can cost $75–$200 per tooth. Sometimes the teeth are impacted and cannot break into the jaw through the mouth. If impacted, removal can cost $225–$600 per tooth. So the cost range here is (x 4 teeth) $900 – $2,400

Luckily, none of AJ’s were impacted! She was quite pleased the clinical staff saved her pulled out teethers as a gift she could bring home, display, and brag about!   Image result for teeth as gift cartoon

I found out some surgeons will offer a discount for removing all four teeth at once, which can save $1,000 or more on the average cost of wisdom tooth removal surgery.  Now, can you see where and why the costs can vary?

There are a few additional costs associated with wisdom tooth removal, including the initial consultation, which for Arin’s procedure cost $100, and prescription medication for pain, and a special mouthwash for pre-and post procedure care, total cost ~$10, I was surprised in our Rx plan 20 Hydrocodone pills cost less than $2 (specifically the cost was $1.82.)

Out of pocket costs are different alright

Keep in mind when I’m costing out care or prescriptions, I’ve been trained to rely upon what a person would pay out of pocket (which means no health plan insurance, no collateral resources such as Medicare/Medicaid, nope, not even VA benefits). However, I can refer to these resources if it makes sense to do so.

My daughter agrees, and I somewhat recall from way back when I underwent the procedure in my early 20s, the recovery process is “a lot worse” than the actual procedure. Your face will enjoy lots of ice compresses.

Rehabilitation involves time and follows basic self care, including how to de-stress your body when it’s trying to heal itself

I believe rehabilitation is the care that can help an individual get back, keep, or improve abilities needed for daily life.  

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Coloring does relieve stress!

Thankfully, we have a good dental plan through my husband’s employer (and Arin is still on it); and just as importantly, she is really good with making and saving money.  Using her debit card the morning we arrived for the procedure, she paid the $750 that insurance didn’t cover. A few weeks after, the explanation of benefits from Delta Dental arrived in our mail box; and I noted the total for the procedure:  $2,015.  

One reason I’m costing wisdom teeth removal in this post is to let you  know I like doing it (costing out care and writing about it!). I can help you help your client who does not need a full blown life care plan. Perhaps, a  specific cost of care report would serve beneficially during litigation.

Need costs of care during litigation?

Here’s a little bit about a recent case I was involved in:  I was hired by an attorney to help him help his client. His client was a dentist (an oral surgeon) who had (because I’m not a doctor, I’ll describe the diagnosis in lay terms) ended up with: one bad shoulder. To not go into any detail, it was a lawsuit because the bad shoulder was caused by getting broad-sided at an intersection while driving in traffic. 

Keep in mind, I was not asked to help this case vocationally because the bad shoulder didn’t impact the dentist’s vocational earnings. Think about it: dentists need strength in both their arms to perform their job duties.  His income was not negatively affected because several months prior to the traffic incident, he had stopped performing surgical procedures.

To explain, he was referring out or having another dentist in his practice perform surgical procedures. This dentist was more or less a clinic administrator and he was making very good money.

I was asked to help on this case and to find costs of a shoulder surgery and any associated future care. This information was needed for litigation purposes.

Image result for costs of health care testing cartoon

Cost of care adds up quickly!

During my initial research, I found out that leading up to a shoulder replacement procedure involves several steps and communication to determine if the person would be a good candidate for an outpatient program, considering the person goes home the same day.

The treating doctor prospected the dentist would require a left shoulder reverse total replacement surgery (within 10 years) and more than likely it would be outpatient.  Here’s where I came in, to cost out what this surgery and the rehabilitation. I’m not going to give you all I found because I was paid to do that work. I will give you a you a bit of my report and what I found, for free here on my blog!

There is a pre-assessment teaching appointment with a joint coordinator included in the $18,000 outpatient procedure cost. A simple online health admit walks the patient through their medical history (for anesthesia purposes).

The pre-operative physical exam is usually with the PCP and could include a standard physical with a CBC, BMP  and EKG. X-rays at pre-op and post-op may not be necessary, and an MRI may or may not be. 

All testing and recommendation depends on the patient’s needs, and is dictated by the surgeon. Follow up would likely involve physical therapy and home-based exercises. 

What did I do next after gathering this information? Did I cost it all out!? Yes, you are correct! And I also included research on the surgical procedure and expected rehabilitation goals.

Want more examples of cases? Let me know!  Want my help in helping your client with a case involving work and disability? Again, let me know!

Contact me at 515-778-0634 to discuss your case. I’d love to help you help your client. That’s what my job is all about! Thank you for reading.                 amyebotkin@lcpresourcesplus.com

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 My professional rehabilitation counseling practice is focused on helping people participate in the world around them, particularly in their own world of work.

 

 

 

 

 

 

 

 

Rights of the Expert Witness ~ I’ll Take a Veggie Slice, Please

Reading Time: 3 minutes

Rights of the Expert Witness

expert

I continually assess and evaluate (there I go again!) my rights, values, professionalism, and of course ethics (which I really enjoy!?!) and am hopeful to write more on these topics and my career in the field of forensic rehabilitation consulting.

As far as rights, I found this great listing online (website is referred to below), and yes I added the graphics! I agree with the following essential considerations for taking on the role of expert witness:

  1. I have the right to be paid for my work.  Dream of Getting Paid
  2. I have the right to be prepped in advance of my testimony.
  3. I have the right to ask questions about the case.
  4. I have the right to work for either side, without fear of retribution.
  5. I have the right to change my opinion from previous testimony, as long as my opinion is evolving (based on new information, science and/or experience) rather than revolving (based on which side I’m working for). 
  6. I have the right to say “I don’t know”, if in fact, I don’t know. Just because I’m the expert doesn’t mean I have all the answers. I am clearly okay to say “I’m sorry, that’s outside my scope of practice”.
  7. I have the right to solicit objective feedback about my testimony from  the attorney who has called (and of course, they have the right to  decline to give it).
  8. I have the right to set limits with counsel about the scope of my testimony. 
  9. I have the right to disagree with another expert’s practices or  conclusions, even when I perceive that expert to be: a.) more educated;  b.) more famous; or c.) more experienced. 
  10. I have the right to disregard the initial instinct to view opposing counsel’s expert as the enemy, but instead recognize everyone’s role in the process and share pizza and a bottle of wine with that expert after trial is over.

Pizza

I’ll take a veggie slice and a glass of Chardonnay please. You?

I am glad my career continually evolves! I accept responsibility when providing forensic services to be clear, truthful and comprehensive in my evaluation and report products, and in my role as an expert witness. Thank you for reading!

 Truly, it’s all good work!

Please contact me Amy Botkin for more information ~ 515-778-0634 or amyebotkin@lcpresourcesplus.com

Source for Rights: http://www.forensichealth.com/2011/07/13/10-things-the-fho-expert-witness-bill-of-rights/

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 My professional rehabilitation counseling practice is focused on helping people participate in the world around them, particularly in their own world of work.

Cross Examination is Like Playing Ms. Pac-Man & I Like it!

Reading Time: 4 minutes

I know that a good attorney who excels at cross examining an expert witness is thoroughly knowledgeable of their case. There’s volumes of information and data that needs to be absorbed and analyzed before going to court! 

You my attorney reader, use intuition and instinct to discover weak points in the witness’ presentation, and in a fair and calm manner, formulate and ask clear questions to elicit precise information. This requires patience and self-control, especially when you’re working on the spot! Job well done!

I’ve been a vocational expert witness during workers’ compensation court proceedings about 12 times over the last 16 years. I have served in courtrooms (mostly conference rooms with a workers’ compensation deputy commissioner presiding) with up to eight people present. 

Recently, I’ve also testified in divorce court proceedings, personal injury and medical malpractice cases. For a copy of my most recent litigation history, please inquire and I’ll be happy to provide it to you.

From my side of the stand, I better be familiar with rough courtroom conditions!

I’ve experienced verbal assaults on my work, my credentials, my vocation, and even my personality (I’m too nice, huh? hahaha!!) by the opposing attorney. I learned a lot from prior mistakes but I learn even more from recent successes.

I remember my first court appearance many moons ago. I was the primary job placement specialist on a case when the opposing attorney stabbed my body language in an erroneous and made up way.  Because there was nothing to see because human bodies speak for themselves, he undermined his credibility not mine. And I remember that well.

Image result for old fart cartoonI have no idea what the old fart was trying to do, but the judge didn’t care for it either!

I remember another court case (this was in Council Bluffs) that involved typical cross examination, starting out with repeating basic questions to get different responses from me…then the pressure was applied! I used first-hand knowledge and communication skills to respond to his questions, remaining true to my convictions while expressing strong belief in my work.

Hopefully I revealed to everyone in the room that being confident, calm and polite is a respectful way to answer difficult questions (even personal attacks). The judge on this case was newly appointed at that time. I don’t know the decision nor have I reviewed the transcripts on that case. I suppose decisions and transcripts could help me to some degree, but I don’t ever have direct access to them plus to me it’s likely they are not pertinent to any future case other than learning from miscue or miscommunication errors.

My goal as an expert witness is to win over the people in the courtroom.

To prepare for cross, I think of all the factors that may arise on a case and pay close to attention to what I want to say about 5 to 7 main issues or circumstances most likely at the meat of the matter, commonly being extent of loss of earnings. I realize the cross examiner will try very hard to prove his or her theory of the case, while devaluing mine. The opposing attorney wants to discredit me, and will eat away at any potential weakness in what I said or reported.Ms Pac-Man

I’m  pretty good at Ms. Pac-Man! Wanna play?

I rely on my expertise, research on disability and rehabilitation, objective evidence, direct placement experiences, the principles of ergonomics along with the provision of reasonable accommodation to help determine an individual’s work potential.

I understand how worker profile changes may impact access to the labor market and wage earning capacity. I can respond creatively by highlighting the constructive and favorable strengths of how my work brings successful results and focus on the positive nature of change, motivation, and choice.

I educate everyone in the courtroom about the scope of my practice and how it works when the individual agrees with my approach. Most importantly, I match people within their own world of work which takes time, attention and a great appreciation for the jobs people do everyday.

Image result for jobs cartoon

Need help with your litigated case involving work and disability? Let me know what you see as the most important aspects of the case and I’ll let you know if I believe I’m the right person to help you help your client.  

I’ll view my  interests, do a conflict of interest check and consider whether or not the case is in my area of expertise. And keep in mind I work on both sides of the fence

Need an expert?  Contact me, Amy E. Botkin at 515-778-0634 or      amyebotkin@lcpresourcesplus.com

Thank you for reading!

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 My professional rehabilitation counseling practice is focused on helping people participate in the world around them, particularly in their own world of work.