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

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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.53 21st Birthday Illustrations, Royalty-Free Vector Graphics & Clip Art -  iStock

I celebrate the beginning of 21 years in private practice today! on September 15, 2020 (and they say it’s my birthday too, yeah, I’m going to have a good time)!

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!

Give me a call at 515-778-0634 or email me at amyebotkin@lcpresourcesplus.com  and let’s start a conversation. I promise to value your time!

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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.

Dam! Need Help on a Case? I’ll Search Until I Find It!

Reading Time: 5 minutes

Some days do you feel weird because part of your daily routine has changed? It happens quite regularly with me. Yes both, feeling weird and not having a typical day!

Image result for images feeling weird

Time that follows after finishing work on an in-depth legal case can feel unusual. How about the time after you’ve completed a project or a presentation that you spent hours on, or when you complete a long-term educational goal…and the homework is done?! You know what I’m referring to. You feel different!  And kinda weird, which is okay. In fact it’s great!

After I’ve served as an expert, I can relax and think upon the experience and what I learned about myself and my role in the process. I consider how I did good and how I could do better.

My work opens up experiences where I continuously learn about my work!

My work as an “expert” requires me to research and study the subject matter at hand. So, I make my own homework all the time and seem to like it! Am I or am I not an unusual person? I absolutely love to study and analyze information!

And like my brother Steven enjoyed, I too like to come up with theories and see if I can prove or disprove them to myself. Some of Steve’s theories however, defied gravity, like his skateboard stunts, and his water skiing stunts, I still don’t know how he could fly!

Steve

The meaning is:  Crown, wreath

I looked up “Steven and dare devil” and found out that on August 18th 1985, a Rhode Island bartender named  Steven Trotter made the trip over Niagara Falls in a barrel wrapped in inner tubes. Mr. Trotter was fined a total of $5,503. Then, he did it again.  On June 18th 1995, Steven returned to the Falls and made it another success.

Niagara Falls Facts for Kids

This time he and a female partner (a caterer) made the big drop together. That is all fine and good for them, but what about the rescuers? Somebody had to help get them out of “hot” water. Oh my! I remember as a child visiting Niagara Falls (height of 167 feet!!)  many moons ago with the family. My brother Steven loved it! I would love to visit again.

But instead I only need to travel a short distance to the pedestrian bridge over the Des Moines River. I love to stop on the south side of the Women of Achievement Bridge and gaze down at the beautiful falls from the Center Street dam…the dam height is 15 feet! I love the dam in Iowa Falls too which has a height of 26 feet! Or course the Saylorville dam is fun to visit too, especially when it’s flowing full force and you get splashed! Dams are gorgeous yet dangerous! Dam! 

BudHere’s to you bro! 

I always have a sip or two on July 17th which is my brother’s birth date at a favorite local cemetery and let Randy drink the rest! (Budweiser is not my brand of beer).

Think about “daredevils” and what their personality and temperament are like. Okay, someone similar to my brother! Someone who takes risks, not silly or reckless dares, but a good slightly risky risk. Are you a person who accepts dares? how about risks? Think about your job and your role at work. Think about how I can help you with a legal case. Okay, go ahead and think about drinking a beer!

Water Quality Check in Beer Brewing - LAQUA [Water Quality ...

And make it a Big Beer!

Law involves uncertainties and risks that cannot be quantified. Some cases may be “risky” because of their sheer complexity or because the subject matter cannot be reasonably measured. I recognize that when I’m called upon to help on a legal case everyone has a role in the process. From me you will receive a report that is clear, truthful and comprehensive.

Here’s a little story about me:

I once searched for a solid week for a black pearl that fell out a ring from my finger. It happened one morning as I was leaving my apartment going to work (for the State). The heavy door grazed my hand as it was closing, caught my ring and the pearl fell out. It fell through the deck slats and landed somewhere in a huge mess of leaves, etc. below. I looked briefly yet had to get to work on time. Upon returning home I looked for the pearl. I looked every time I left the apartment to go to work or go where I needed to go. I was determined to find it!

Image result for pearl black and white ring cartoonWhat an incredible ring!

Until there ya go! 7 days later, I found it!  I am one persistent person when it comes to finding something I absolutely know is there! And that includes something so small as a black pearl! And something so important as facts related to your case.

If there is part of your job that is somewhat risky, convince your brain that you are not scared of said dare or risk, and how proud you will be of your accomplishment. Consider all outcomes, and don’t forget others who are or could become involved. Then gather the courage and just do it! Don’t stop until you are done. Feel the exhilaration! This is similar to serving as an expert witness!

Skydiver

 Be safe, especially if you have a dangerous job (or hobby)

What will I study next? How to sky dive?  I would love to! And I’ve thought about it…hummm, maybe in Brooklyn! Actually I want to get into art. Not that I’m good at drawing or painting. I just like to study and learn new techniques. Not that risky huh! Stay tuned! 

Contact me at amyebotkin@lcpresourcesplus.com for help on a litigated case involving work and disability.  Thank you for reading!

___________________

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

Blending Art and Science…to Help Litigated Cases! I Can Help You Help Your Clients!

Reading Time: 5 minutes

I’m intrigued about the “difference” between art and science. It’s easy to say art is subjective while science is objective. Fundamentally, art expresses knowledge, while science is the system of acquiring knowledge. Yet in many ways art and science are actually connected and related to each other.

Amy & Randy July 17, 2011

Kinda like a couple with waaay cheap sunglasses! 

Randy and I have more differences than similarities. Or do we? Let’s look at a few basic facts:

We often prod each other of our differences. I prefer pepper, while he does salt. Me ketchup, he mustard. He likes corn, me peas. I love apples, he prefers oranges. He likes vanilla ice cream, me chocolate. Hot peppers *me! versus no way to hot peppers *he! I really could go on and on about our taste differences! By the way, I’m a vegetarian! Not Randy the meat eater!

KetchupMustard

But what about our important similarities (that have nothing to do with food)!

Our similarities matter the most. Like how we: Approach life. Share our faith. Explore our world together. Use our resources. Create options. Solve problems. Work hard. Lovingly care for our 3 young adult children. Spoil the pets.  There we meet; well we try hard to meet! 

Keep in mind Randy is much more serious than I am. The better descriptor for him is probably straight-laced (kinda), not one to bend (that many) rules, and he likes to go by the book (mostly).  He prefers to follow instructions, a map, or a detailed plan (he designs power points before we go on a road trip)! And me, well I make my mind up where to go when the time is right for me! But I don’t get lost!

Randy is a teacher with a bachelor degree in Art ~ a BA and he has a ME  ~ Master in Education. I am a counselor with a bachelor degree in Science ~ BS, and my MS is again in Science. But wait!! When it comes to teaching or counseling, what really is the difference between art and science when expressing knowledge in real life?

I would say the main difference between art and science is that art is more focused on the perception of the world through the eyes of a particular individual. Art involves an emotional response, and can be based on personal experience, opinions, preferences, and individual perceptions. Look at a painting and we all see something different!

Art elicits an emotional response while science doesn’t (at least for most people I know)!

Image result for painting

Do You Like This Print?

Science, on the other hand, is regimented and systemic with rules, procedures, and policies to follow. When people perform scientific investigations, the purpose or goal is to find an answer to something in a very planned out and specific way using the scientific method. Easier said than done, and requires planning with purpose and planning with options.

Image result for beauty in the eye“Beauty is in the Eye of the Beholder”

Look at a cell under a microscope and you are supposed to see the exact same thing (assuming you know what you’re looking at) as the next microscope user. BTW, I never could really “see” what my microbiology partner at ISU saw, but I did get excited (an emotion!!) when he said I was close!

I found other ways to look at the topic of blending art and science:

Image result for curveballBaseball pitchers use the science of physics when throwing a curve ball, but actually throwing a good curve is an art form.

Or perhaps medicine is an easier example.  Medical practice is both an art and a science.  The two cannot be separated without destabilizing the system. Do you want physical treatment without discussing what your psychological needs are?

Image result for medicine

A couple lives on the art of marriage AND the science of marriage. And a rehabber relies on the art and science of rehabilitation! There is a balance, although it certainly can tip often.

The balance is found in creating the work of art marriage / or the work of art rehabilitation is supposed to be, in a natural sense. It involves digging your heels in and applying the science of either of these (marriage/rehabilitation) when times get rough.

Keep in mind, I’m not a marriage counselor, I’m a rehabilitation counselor! And also keep in mind, I’ve been married for close to 30 years. In August of 2020 we’ll be a-celebrating!

So applying a sense of balance to my own work activities using art and science  to help you help your case sure makes sense to me!  My reports will not parse other’s reports, use wild statistics, or make blanket statements based on literature with no direct relationship to the individual’s  health condition and/or future work.

In my reports, I will make sense of what I believe to be the best options for your case and focus on connecting the results of my research to support my helpful recommendations and conclusion. This is blending art and science in a meaningful way. This is helping you help your client. This is why I do my work.

I appreciate the sound of blending art and science!  

I can help you with your case involving work and disability, the employment aspects of a divorcing couple, or a case involving the need for life care planning

Additionally, let me know how I could help you with a case with conflicting opinions! There’s always a way to blend the best and come to the truth.

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

___________________

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.

 

It Was 41 Years Ago…and I Made It Through. Thank You Teri!

Reading Time: 4 minutes

On June 15, 1979 I was in a car accident…and I made it through (duh, I’m writing this!). Just a remember to myself how important rehabilitation following an injury really is. And a shout out to you my attorney readers to realize rehabilitation is so important for so many people for so many reasons.

Thank all rehabilitation counselors and all the people who care about other people’s life!

Read more about it (the car accident) here How did I Get into Rehab Counseling? Here’s a Little Story  posted November 21, 2011.

What makes my story even more special to me is that I “ran” into the woman who saved my life a few years back on a Saturday (June 6, 2015) at the Iowa Falls Boat Club for a memorial service (for a friend of many who committed suicide).

I was sitting across from a woman at a banquet table with my sister Janice and two other people. After chatting with the two, I asked the woman directly across the table what her name was (silly me). 

Teri  knew who I was and after it dawned on me (because my sister whispered to me) I stopped, thanked God, thanked Teri, and asked her if I could give her a hug! Which I did.

I did visit her back in 1979 and brought her a thank you gift after I was feeling okay to do so, but I hadn’t seen her for a long time so I didn’t recognize her.

2015-06-06 14.34.18Thank You Teri

Upon considering all that happened that day, I was 15 and Teri was 17 or 18, and she literally saved my life!  Teri came upon the scene that night, called 911 and  stayed with me until the ambulance arrived, even riding in the ambulance until we arrived at the hospital in town. She didn’t leave me until I was transported to another hospital out of town (Mason City). From what I heard later, the medical staff and others involved in my early care thought she was a nurse!

Green Gran Torino

Green Gran Torino

I was riding in the car behind the passenger seat of a green Gran Torino, and I was not wearing a seatbelt. I used to despise Gran Torinos, especially green ones, until Randy pointed out the bulk of the front end of the vehicle was another huge part in saving my life.

While at the Boat Club (the club on the river has an interesting history and continues to store memories), before the lovely boat ride on the Scenic City Empress, I took a picture of a picture. Here’s Arthur, my neighbor in Iowa Falls for many years, skiing many moons ago. He really was talented!

Arthur Skiing
Arthur Skiing

2015-06-06 17.37.14

I also took a picture of this chair made of old skis. Pretty cool, huh! 

Here’s the waterfall on the Iowa River, (shh, it’s “man” made)! Janice, my sister, is the blonde with her hand over her face.

2015-06-06 Waterfall Iowa River

Life really brings surprises, talent and beauty. Live it to it’s fullest and you won’t be disappointed. Each and every day is a new beginning. I know what it’s like to almost lose your life.

Use What You Got! If you click here you’ll read a 2011 article about me from the Des Moines Register (and see another picture of the Iowa River.)

So, in closing of this blog, I stray from my loving attitude and will end this post as such:

Rock Island Flip Off

You can find this train car in Hampton, Iowa and flip it off if you’d like…for me!

The lawsuit against Rock Island Railroad was a failure. Maybe we chose the wrong attorney, perhaps the timing was bad as the railroad went bankrupt, perhaps we should’ve settled, or perhaps the jury simply wasn’t given all the information or didn’t understand the case.

There were no cross bucks….the train had parked for the night until the conductor or whoever realized the few box cars (no caboose) were covering the tracks. You see that’s why the train moved, dragging that green car with me (my head that is) implanted on one of the bolts of the box car…. Thank goodness the car stopped right before the ravine.

It’s ironic to me that in the earlier years of my career (as a self-employed rehabilitation counselor), I worked on many railroad cases involving disability (the workers’ compensation cases were assigned to me from a rehabilitation counselor out of Omaha).

I learned a lot of the nature of the work involved and to this day, I am prepared, willing and able to do all I can to help you represent your client. Let me know how I can help you with your legal cases. 

515-778-0634 or amyebotkin@lcpresourcesplus.com

___________________

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

Image result for self care cartoon

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. 

Shoulder Cartoon Clipart | Clipart Panda - Free Clipart Images

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. Followup 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

___________________

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

 

 

 

 

 

 

 

 

Here’s a Dum-Dum Post! Want an Expert too?

Reading Time: 4 minutes

In February 2020, at the beginning of the awareness of Covid-19, I attended a large conference with well over 200 people in attendance. During lunch, I sat at a table next to an intelligent man and we had a conversation about our jobs and serving as an expert “in the field”. His field is neuropsychology and mine is forensic rehabilitation.

Buy Dum Dum Pops Assorted Mix in Bulk at Wholesale Prices Online ...

Both interesting jobs involving brainwork, don’t you agree?

During our conversation, I explained how I want my courtroom testimony to be communicated to the jury in plain language so it is understand the first time they hear it.

The audience I’m communicating with is in no way, shape or form dum-dum, they simply don’t have “forensic expertise”. They do have good listening skills! I deliver my opinion using a matter of fact strategy that makes sense. This is rather easy for me, because I am a simple, basic person who has studied the case indepth.

I’m no dum-dum either

We continued to discuss how some experts use complicated language in court. It seems that expert wants the jury to believe the expert has incredible intelligence and cryptic knowledge of a complicated subject matter. I see this as a misguided attempt to manipulate the audience about how to view the facts. And I’m pretty sure each juror can see through the muck too! My lunch mate seemed to know the type of expert I was referring to. 

Perry Mason designs, themes, templates and downloadable graphic ...

I love it when Perry Mason eviscerates a pompous, stuffy “expert” on the witness stand!

My belief is that jurors deserve to hear the facts in a truthful, clear and simple manner. Yes, my lunch mate agreed. He summed it up by saying “jurors know the difference between corn and soybeans.” In other words, give us the facts and let us decide which is which because that’s our job in this case.

For fun, I did a little research on Dum Dums

The spherical lollipops originated from Akron Candy Company in Bellevue, Ohio, in 1924. The sales manager of the company, named them, thinking “Dum Dums” was a phrase any child could say.

Initially, there were 7 flavors: lemon, lime, orange, coconut-pineapple, cherry, grape, and butterscotch. Dum Dums are now made in 16 flavors, with new flavors rotating into the mix every so often.

Ewzzy — Once in generation a Mystery Flavor Dum Dum will...The “Mystery Flavor”

The “Mystery Flavor” is the result of the end of one batch mixing with the next batch, rather than stopping production to clean machines in between flavors.  Source:  https://en.wikipedia.org/wiki/Dum_Dums_(lollipop)

You can tell this decision saved time, and allowed the company to be creative with their product which likely increased interest and ultimately sales! Talk about not being a dum-dum!

Also, just FYI; if you have any Dum-Dums wrappers left, send them in ASAP because (after nearly 70 years), Dum Dums lollipops will be ending its program to exchange wrappers for toys and prizes. The company’s mail in program, which began in 1953, will come to an end on May 31, 2020!  (Sorry, that was yesterday, missed the timeline, but you could try!)

No more regulation-size rubber baseball and metal wastebasket that could be acquired for 15 cents and 15 wrappers…the “Dum Dums Wastebasket Deal”. I’m sure you’ve seen, or even had one similar, to play basketball in your office space.

Dum Dums Garden

Any legal decision is all about: what can be done to answer questions, solve problems, use time wisely, and make or save $$$ in a lawsuit. Because I work on the plaintiff or the defense side, my forensic work helps in any court case. Contact me and we can discuss your case. I’m here to help attorneys help their clients.
 
Special Order* Hot Pink/ Watermelon Dum Dums | All Distributed ...
If you want a dum dum, I’ll be happy to provide one on a stick (watermelon flavor is tasty!) If you want an expert, I’ll be happy to send you information on retaining me as an expert.
 
Thank you for reading my dum dum post!  Here’s another post titled Don’t be a Dumb Bunny! In this post, I write about using your soft skills…another valuable skill to use in a court room!
 
 

Vocational Resources Plus, LLC * 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.

 

Like Mother, Like Daughter, One Tough Cookie! Want One in the Courtroom?

Reading Time: 6 minutes

Thursday, May 28th, is my daughter’s 24th birthday. I am proud of her in every way (currently she’s into gardening)! She’s physically and emotionally strong, independent, and One Tough Cookie!  Off the top of my head, here’s a few memories of my daughter and her “toughness” over the years. 

One Tough Cookie!

Before she was born, let alone named, her birth cord was wrapped around her neck while she was being delivered. As I was pushing down as one is to do during natural child birth, the doctor told me to STOP!

What? Stop? So I did and, (not knowing what was going on) he very quickly cut the cord from around her neck, and blood shot above me onto the ceiling. Nice, huh, and yuck! My new baby girl scared her parents alright! She was just fine though and had a good APGAR. Rather quickly, the housekeeper came in the room and cleaned the blood off the ceiling with a mop as I was still lying in the bed. Yuck again! She was doing her job and it was much appreciated!

Pin on blouse mtrl

Arin was a calm baby!

I remember the first day of her life, Arin seemed to care more about how the nurses felt when holding her than actually being the new baby in the room. And her eyes were (and still are) so huge, she kinda looked like an alien with eyes on both sides of her head! 

Later in her babyhood, heck, I cut her toenails too short and they bled. I felt horrible, and this was my 3rd child, but she didn’t cry.

Around age 3,  Arin fell from a chair at the babysitter’s kitchen table while she was eating lunch. Upon facial impact with the floor, her  front tooth was knocked out, and said tooth landed down in the heater vent, where it potentially could have trace elements today.  She was whisked to the ER by her sitter, but there isn’t much one could do for this injury, other than wait! 

Baby With One Tooth ClipartIt took years for her new tooth to come in.

Last year around this time, she had four wisdom teeth removed. She was tough with that surgery and the healing time involved…and her poor face was so swollen. This link takes you to a blog for a bit on costs of the procedure!

When she was a little older, around 8ish, we were working in the basement and somehow the iron got knocked off its board and landed on her foot. Her big toe sure bled a lot and a deep bruise definitely developed and stuck around. Luckily the toe wasn’t broken and the iron wasn’t hot! Yikes!

Here’s another story of my dauther’s toughness: As were in the process of remodeling our house (in 2009), Arin would’ve been age 13, she was cleaning our new windows (with water and an ecloth!) and the larger kitchen window suddenly fell down (the type of windows that fold into your house), whacking her head.  Her head broke the glass, and the glass shattered on to the floor. Arin immediately felt a headache, but there was no blood involved and we didn’t take her to the doctor, but I certainly cared for her closely and watched like a hawk for any concussive symptoms! I informed the salesperson who sold us the windows of this mishap, and he showered her with gifts. He was probably pretty darn grateful that we didn’t, gasp: sue! But no we did not, and her strong head was fine. 

With New Nordic Emojis, Give Your Texts That Finnishing Touch ...

Moving on into her middle school years, from what I was told by said daughter, she went snow shoeing on recess. Somehow her tongue landed on a metal pole, got stuck and she had to pull away from the pole. Yep, her tongue ripped and yep it bled and yep it hurt like he double toothpicks. 

She said this was a dare; the sticking her tongue out purposely onto a cold pole in the middle of winter. But in reality, I believe she fell into the pole because she wasn’t very good at snow shoeing. Again, nothing really you can do for this injury but give the tongue time to heal!Image result for tongue pierced cartoonA while later she got her tongue pierced anyway! She also pierced her septum; eyebrow too. Don’t forget thee belly button piercing! (I actually did that once, but let it grow back because it bothered me when I did a yoga pose or exercised on my stomach).

And speaking of, both her ears have pretty good sized gauge holes! I’m not including the numerous tattoos Arin has received.  To me, getting a tat seems a little too drawn out painful.

ColorColorful AJ

Colorful AJ

One last story off the top of my head at this time, and I’m not happy at all with how this happened. In early March 2019, Arin was at a birthday party held at a hotel for her friend Taylor. Arin was picked up and thrown (grrrr) into the pool. Kassidy, who she landed on, hurt not only her head, but bit down and injured her tongue; and Arin ended up breaking two ribs.

Image result for xray ribs cartoonHowever, Arin didn’t find out her ribs were broken until almost a week later when she was in much pain and having problems at work. On a Sunday she had to be taken to the ER which included x-rays and a pain prescription.  Again, this involved a long rehabilitation / healing period.

Okay, enough writing for now. Like mother, like daughter!  Yep, considering I was able to live through hitting a train headfirst!  I believe this “toughness” is heredity, and comes from my mom.

Last year (2019), my mom was experiencing an acute medical condition while visiting us from her home in Florida. As we were waiting at the airport for her and her new husband’s flight home departure, she took a dive (right in front of the drinking fountains by the rest rooms on the main level) on to her face, breaking her glasses. She ended up in the ER for numerous stitches rather than on the flight home. Mom didn’t cry or wince, or even complain a bit.

The bottom line of this post is to let you, my Attorney Reader, know that I am a strong “tough-minded” resilient person who has the capacity to face difficult facts and long odds with resolute optimism.

I define a tough-mind as having the resources, mental skills, and physical capabilities to confront difficulties of all kinds. And then afterwards, the resiliency to slow down and relax.

I know if I succeed, I caused it and if I failed, yep, I caused that too. (Don’t worry, I won’t say yep during testimony.) I will be tough for you and I will be tough for your client.

I won’t be so tough you may choke, but I will be tough enough with your case where it counts: in my reports and in the courtroom and in my resolve to never give up. I got this strong “tough minded” trait from my mom and have passed it on to my daughter and I am proud of it!

Thank you for reading my post. Let me know about a case I can help you with that involves disability and rehabilitation. I believe rehabilitation is the care that can help an individual get back, keep, or improve abilities needed for daily life. I’m a rehabilitation counselor who cares.

Contact me, Amy Botkin at 515-778-0634 or 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.

Hello My Attorney Reader! Want to Buy Some TIME From Me…a Consultant and an Educator?

Reading Time: 3 minutes

You’re a good attorney, and you care about the people you represent. You’re busy working on cases and spend a lot of time on time. In fact, you even buy TIME! I’m writing to help you make a more comfortable TIME purchase from me, a consultant who is also an educator!

MoneyTime

I fully realize attorneys buy TIME

Time – Because you bill by the hour (and so do I), I promise to help you be more productive and, thus, more successful by providing value laden services.

Pinky SwearI promise to always respect your time.

 

Information – Because I totally understand why you HATE looking stupid (and so do I), I will provide accurate information that you want or need.

Pinky SwearI promise to always ensure you have a good reason for working with me.

 

Money – Because saving money and making money are the goals for almost every law firm (and for every consulting firm too), I will effectively use all the resources available to help with your case.

Pinky SwearI promise to be accurate and fair with my billing.

 

Education – Because lawyers always need continuing education (and so do I) to maintain your license, I am available to present to any group that would benefit from learning about my work and rehabilitation consulting. In addition, as I’m a well-trained educator and counselor, I can help you and your client in many ways throughout the case and onto trial, where my educational background is useful in front of a jury.

Pinky SwearI promise to bring new light to your litigation strategies.

 

Time on HandsHow much TIME would you like to have on your hands, especially when working on a complex case that has to do with work and disability? So there it is!  But wait, there’s more:

I, Amy, promise to Always Be True at My Core, Apple Butterflybecause that’s all I have ever had and have ever needed and I’m willing to share what I know is true.

Enjoy a piece of quality fruit (I love organic apples) and then contact me, Amy E. Botkin, to discuss your case. I’m here to help you help your client!

Call me at 515-778-0634 or email me at amyebotkin@lcpresourcesplus.com to connect so we can discuss your case and how I might help! Thank you for reading.

___________________

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

Balance Your Case With Your Client’s Real Story. I’d Love to Write it!

Reading Time: 4 minutes

In her teen days my sister Janice (the Floridian) was quite adept at gymnastics, particularly on the balance beam where she made great use of her balancing skills.

When Janice moved on to college, dad cut up the balance beam he previously made for her to practice on for a new use as exit steps from a sliding glass door to the back patio during a home renovation project!

Balance Beam

Dad constructed a balance beam and re-purposed it as well!
Balancing is involved in many areas of day-to-day living and is critical to an abundant life. People balance tires, bank accounts, relationships, priorities and work, we eat a balanced meal….we try to keep a balanced state of mind.

In my life, finding balance is an ongoing lifetime project. I’ve heard comments like: It’s good to fall / fail because it means you were trying. If you think about your success, you will be successful. If you think about your falls or your failures, you’ll learn to improve.

My dad’s balance had not been good lately, although he was working on improving it. He was receiving in home physical therapy through the VA and moved continuously during each day.

But a stroke and a fall down his basement steps lead to no return to life on earth. Before he was airlifted to the hospital in Mason City, my mom called and we drove in the middle of the night to be with him in the hospital room. And to help him die.

Highway Balance

Richard R. Prochnow

4/26/33 – 5/5/16

Dad died a week after he turned 83 in the morning on 5/5/16. I’ve blogged about Death as Part of Living, and can now fully realize one has to die from many things in order to move through life and live fully….and there’s always a story to tell.

As my dad aged, he never stopped working hard and to his best ability. There was a balance in how he lived his life, and I’ll never stop learning from him! I can calm my mind and simply hear his voice when he called on the phone….

“Hi Amy, this is your dad.” [Like I didn’t know it was him on the other end!] Then he’d talk about what was happening! And it was real, interesting and well-balanced for the soul.

In whatever situation you’re in, keep on practicing finding balance, and you’ll find a way to not fall; or a way to increase your sense of balance at its core.

You may lose direction or momentarily become blinded, but you’ll find your way again. Trust yourself. Just like my dad did driving thousands if not millions of miles on the road traveling to participate in the world around him.

On a lighter side (yes, I cried writing this, but I want you to think about your own life with no tears involved), as part of my personal story, I remember an incident a long time ago while I was working as a temporary banquet server for a hotel.

As I was walking into the room full of diners with a large tray of full drinking glasses (lemonade, tea and water)….well, never mind. Let’s say there was an imbalance that could’ve been disastrous!

Spilled Water

I learned to readjust the next tray and focus on my goal: just to get the glasses on the table safely without spilling any!
We balance our bodies in many, many ways. Balancing skills make use of poses and states of mind to focus attention on work, yoga, aerobics, tabata, healing touch, hiking, golfing, bike riding…being with the person you love. You get the drift, physical activity that involves any number of exercise moves or mental positions.

Yes, simply thinking with a sense of balance is very, very good and helps avoid failure (and falling). Jurists use a balancing test to weigh the importance of multiple factors in a legal case. If you want to highlight these factors, especially those that involve work and disability, let me know.

I will be prepared to help you bring a balanced case to court. I will write a report that tells your client’s real story, with a concentration on their vocational background and potential future. If you need a life care plan for your client, again, I can help write about why the plan is needed and the likely costs for the person’s care.

The Chinese Symbol for Balance
Please know my work is my life calling and I continuously learn and practice balancing all to help you help your client. I’m actually really good at balancing and am pretty happy with my physical and mental states of mind.

Call me at 515-778-0634 to tell me about your case. A vocational evaluation or a life care plan may provide just the balance you were looking for to tell your client’s real story.

___________________

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