Samantha Josephine, Soo Soft and She Smelled Sooo Good!

Reading Time: 3 minutes

Oh SamiJo, how I miss you.   I’ve cried a lot and believe writing this blog and posting pictures of you are healthy for me to grieve, even one year later.  Samantha Josephine Botkin ~ January 10, 2002 to January 10, 2018.

I have many memories of Sam. She’s the only store bought cat I’ve ever owned! We definitely got our money out of that Aqualand purchase, back when the kittens were for sale in the window.

 

16 years is a long time to spend with me, and we both sure went through a lot! Sam’s fur was soo soft and she smelled sooo good!  I loved pushing my face in her coat and taking big sniffs!

I was so proud of my goal: for Sam to be a “lap” cat. It took five years, but here’s my proof. I was such a proud cat owner this day,  December 20, 2007!  I was so proud of both of us! Sure wish I knew where that pink ISU hoodie went.

Here’s My Proof!

After that, she pretty much was always near me! She loved cuddling up with ArinJune too!

Here’s just a few more of the many pictures of Sam I’ve taken over the years. 

Yoga Love, this was a selfie! 

Isn’t she special! As I believe all cats (and cat owners) are! 

I love this shot with Sam lounging on the blue pillow (which I salvaged out of my mom’s dumpster when she cleaned her house out before moving to Florida after dad died in 2016), the colors being a perfect background!

Below is the last photo I took of her, the day I called  my vet and was referred to the Iowa Vet Referral Service on Merle Hay Road (highly recommended by me).

When I look closely into her eyes, I can see me. A week after she was euthanized, I picked up her ashes and on the trip home, I saw a rainbow in the sky!!! It was the Rainbow Bridge without a shadow of a doubt. If you’ve experienced this before, you know what I mean. Believe me, it’s breathtakingly true.

The box for her ashes is beautiful, its’ home in my bedroom is near where she slept.  Her clay paw prints have a special place as well, which I fill with vanilla essential oil for a nice aromatic reminder of the love of my life Samantha Josephine Botkin.

Prrrrrrr

I’ll never ever forget our time together on this earth! Till we meet again girlfriend. 

___________________

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

 

 

 

 

 

 

Alaska and Her Rehabilitation Plan…Patience Beyond that of a “Normal” Cat Owner!

Reading Time: 5 minutes

Okay, another cat blog! Yes, I’m a cat lover and I love all pets and I care for all living creatures! I’m not a cat fanatic, it’s just that felines have been an important part of my life since my teens, and I love cats!

I love to write too. I love my work. I love my family. I love my life! I love a lot actually! Amy means beloved, so it’s reciprocated in many ways : ) Read on please! I’d love it!

Cat Plate
Cat Plate

Little did we know that 3 months after Max my manx was murdered in early 2002 by something in the street, (I don’t love creatures who kill pets, and on the other hand I don’t like it at all when my pets kill creatures), a tiny meow would emit from our neighbor’s garden. Oh my, this long haired kitten was awesome!

Felix! Welcome! (Okay, this blog is not about Felix today!)

Max, (nope this blog not about you either, meooowww) a dearly beloved yet wild cat, found me in ~1987 when I was renting the basement of a brick home in Windsor Heights (it had a pool in the back yard.)

Speaking of cat claws! A word of advice from a long time cat owner, (counselors shouldn’t give advice, but in this case, listen to me!): Don’t think it’d be fun to give a cat a ride on an air mattress in a pool. Trust me. Sure looked like I had open heart surgery!

kitten-3

Alaska, when she was skinny

Now, here’s a blog devoted to Alaska. She’s the cat who strutted on down the street one Spring evening in 2012 (following my son Jacob and his friend Josh) directly into our house and to a bowl full of cat food. Score!

I recall saying “Wow I’ve always wanted a white cat!” She’s all white with beautiful eyes (I love the green one; no, I love the blue one!). Oh dear, upon her arrival she was a very thin stray!

And oh dear, oh my, oh dear, I would have no idea what trouble she would end up causing over the next year or two (…).

You really don’t want to know all the horrid details, but just know her behavior  involved lots of $$$$ due to her destructive nature of clawing at furnishings (another word of advice regarding leather furniture and cat claws, expect your sofa to be a target!) and depositing her scent in various places throughout the house. 

Plus there were even more costs $$$ over veterinary bills due to her actions toward the existing female feline (my love of all cat loves SamiJo.) But Alaska was still a cat I had no plans to give up on! To this day, she’s definitely not the perfect puddy and I don’t expect she ever wants to be in “her eyes”!

When she arrived, she looked like a kitten, however our vet, Dr. Michael Forret, said she was about 7 months old when she decided to ditch being a stray and choose our home. She was hungry and dirty!

Even her ears where filthy. Jacob named her and she has a middle name too, but I don’t think I should let you on to that just yet!

Alaska Our Putty TattyI rehabilitated Alaska TF into one big healthy white cat!

Part of Alaska’s rehabilitation included a lot of touch. She didn’t like being touched much, probably because she had not experienced much touch. To this day, she still will allow being touched only upon her terms and conditions, but I like to make her think she loves being petted which she really does but tries to hide it (cats).

kitten-in-toteAJ & AK bonding!

ArinJune figured out a way to carry her around in a tote bag (and to this day I often find her lounging in one of these she found!) to feel safe. With ongoing rehab,  regular vet care, good food and water, and lots and lots of love and attention, she thrives! Treats are nice too!

AK is much calmer of late into her more mature cat years. She loves the freedom to do what felines do (….sleep…and read above [hunt]…). She continues to be “a wild one” however and she herself does her share of “killing and delivering….” But, how can I stop a cat from that? Her hunting is actually of value to where we live because of an unkept property or two in the hood. But the dismembered gifts by the back door, come on! Enough. I purchased her a new collar with a loud bell that will hopefully help plus she only goes outside about once or twice a day.  

Update, Alaska has not gone outside for the last several years, so, no more worrying about what she’s killing, whew! Plus, after that one cat fight many moons ago (which lead to another visit to the vet, and resulted in stitches and a chipped ear), she prefers the indoors! And that’s where I like her to be! She’s a homey!

2012-09-23 13.29.36

Alaska helping me on a case!

Good communication and problem-solving skills are required in order to counsel others. In my role as a rehab counselor, I truly want to be empathetic and reveal my desire to help people fulfill their goals. Counselors need good listening skills, compassion, and patience while working with individuals who have suffered serious injury and disability.

2012-09-23-13-29-43

She found this case interesting and pauses to reflect!

I know I have patience beyond that of a normal cat owner! Thank you my felines for teaching me how to listen and show my true self.

If I can help you, my attorney reader, help your client with a life care plan that includes vocational rehabilitation, please let me know! Contact me at 515-778-0634 or email  amyebotkin@lcpresourcesplus.com

Thanks for reading! I hope you “loved it!” If you have a cat, maybe I’m motivating you to cuddle up now! Prrrrr

___________________

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

Need an Expert Witness on Your Litigated Case? Choose Me!

Reading Time: 4 minutes

Happy Turkey-less Day to those who won’t be gobbling a gobbler this Thanksgiving!  I personally won’t because I continue as a pescatarian! My two younger adult children Jacob and ArinJune continue their vegetarian lifestyle. Not my oldest son Nick, for he’s an incredible meat eater! Although the no meat eating rubbed off on me many moons ago, I still enjoy eating fish (tuna mostly). In fact, I remember eating ham at my last meat filled Thanksgiving meal in 2010!

Thank you Jake and AJ for showing me a lifestyle I probably wouldn’t have gone for had it not been for you two. But then again, I may have become really fantastic at grilling steaks (no, that’s Randy’s area.) 

Image result for turkey cartoon

I love the taste of turkey and found a delicious vegetarian roast that to me tastes just the same! My opinion counts!

For this post, I want to write about a way to chose your own path. I’ll start with a link to a post when my daughter Arin started a new job at Walgreen’s.

Over the two years she worked at Walgreen’s (she resigned earlier in 2014 to move on in different ways with her lifestyle), Arin had many customer experiences (including her days working as a host at Okoboji Grill as her first job, she knows a thing or two about customers) and I value her opinion

She’s shared many interesting retail shopper stories from her Walgreen’s days.  The worst was one day, she turned around while at the cash register to get perfume out of the locked glass cabinets for a customer, when she turned back, “the customer” was racing out the store with Chanel No. 5 in her hands, along with other stolen items, and right out the front doors.

Some shoppers are kind with good intentions…get in the store, find what you need, pay and get out of the store…all while being grateful and appreciative you found what you were looking for!  Then there are other shoppers who seem to float around in a bubble without realizing their bubble is more of a brick! Some shoppers are demanding, have no regard for other shoppers or the retail clerk, and are even down right rude. Yuck!!We all are continuously affected by the energy of other people in both positive and negative ways. My daughter quickly learned that the less you respond to rude, critical, argumentative people, the more peaceful your life will become and the more productive you’ll be on the job!

AJ’s goal at work: Help customers find, buy, and get out of the store with minimal distraction…along with an idea or two of how to get the customer to spend more money (especially products with incentives found within her own department, which gave Arin more in her paycheck!) This knowledge, my dear daughter, takes a certain level of emotional intelligence. Good for you!

Emotional intelligence is a huge factor in my work as an expert witness.

A very helpful and proactive way to limit how much we are affected in many settings and situations by where others are is a simple technique called being in your bubble.  Using your bubble when you need to, or realizing others are using their own bubble, takes a level of emotional intelligence, kindness and grace.

My sister Janice has told me to get out of her bubble more than once!Bubble

Bubble Me Up

I can’t find the source for what follows, but I’m sure whoever it is would be happy to share! Being in your bubble goes as follows:

1.) Spend a few moments with your eyes closed, quieting your thoughts.

2.)  In your imagination create a big clear soap bubble all around you that is about a foot out from your body.

3.)  Notice yourself within this bubble, and acknowledge that any type of energy you don’t want to experience in your own body will be unable to get through the bubble, and will just bounce off.

4.)  Walk through your day within your bubble. Take a look at the bubble periodically just to affirm that it is there, and recreate it whenever you want to.            Bubble

 Bubble Me Down 

There’s great reasons to use this tool to manage the energy that bounces around us all of the time. It frees you up to create the experience(s) the way you choose, while leaving others free to their own expression. You won’t need to get into the struggle and discomfort of resisting what others are doing or thinking, because it happens outside of your bubble and doesn’t need to affect you.

I hope your work week is productive, and you enjoy experiencing the energy that surrounds your work and home environments.

And if you need an expert for your litigated case, I’m here to help you help your client. In fact, I value the opportunity to help.  The choice is yours! 

So was it your choice to read my blog and I thank you my Attorney Reader!

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

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.

When, Where & Why You Need a Life Care Planner for Your Litigated Case & Who Can Help? Me!

Reading Time: 3 minutes

When Do You Need a Life Care Planner?

Typically a life care planner is helpful for legal cases involving catastrophic injuries or chronic health conditions.Related image

  • Lawyers, physicians, and insurance companies can hire a life care planner to research, analyze and develop life care plans for patients who experience catastrophic injuries or chronic health conditions related to birth, brain injury, spinal cord injury, stroke, amputation, trauma, burns, and other serious injury.

Where Do You Need a Life Care Planner?

A life care planner is useful in a variety of jurisdictions.

  • In legal cases that include workers’ compensation, personal injury, medical malpractice and marital dissolution
  • A plan is also useful to protect assets when aging, disability or chronic disease raises tough questions about estates
  • Other civil lawsuits, estates and probate needs

Why Do You Need a Life Care Planner?

A life care planner is beneficial for individuals, families and funding sources for many good reasons.  A good planner is able to ~

  • Provide the individual and the family with an outline of future care
  • Guide people through the complex maze of rehabilitation and long-term care coordination
  • Assess diagnoses and work-related disabilities
  • Network and make connections with health care providers and holistic practitioners
  • Educate, motivate and support the family regarding their loved one’s needs
  • Help insurance companies set reserves

Who Can Help? How About Me?! Amy!

Amy Pic 9-29-15Amy E. Botkin, MS, CRC, CLCP,

Certified Rehabilitation Counselor & Certified Life Care Planner

With my extensive training, experiences and knowledge, I am able to zero in on vocational rehabilitation needs. These needs are often a key component when attorneys and insurance companies are settling or trying a legal case involving an individual of working age.

Please take into account a child deserves the opportunity to work and make money in their future, and if permanently and totally disabled, many factors come into play when assessing their potential earning capacity.  It starts with assessing the child’s parent’s working background! 

I can help you help your client and your client’s family.

CLCP Certificate expires 2-28-21

Contact me at 515-778-0634 or amyebotkin@lcpresourcesplus.com for more information about my approach to life care planning and 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.

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!

___________________

 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: 3 minutes

The evening before my dad’s funeral in May 2016, my husband Randy walked our dog Bella.  Holding his cell phone in one hand while talking 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 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 one of my favorite photos 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!

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. Clearly, that was God’s presence, and one of many experiences I feel during life!

One good thing was 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 as well. Love You Dad!

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 October of 2016 was of Randy driving into and out of the parking area of the Kansas City Chief’s Arrowhead stadium pre-and post game (they won!).  Soo many people, staffers, and cops too! Well, they all got the flip off! But, no one noticed, which to me made it quite comical! 

It’s a “I do know” factual concept for me to tap into emotional intelligence when I’m being deposed or testifying (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 an 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!

___________________

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

 

Happy 56th Birthday Randy! Get on Your Bike and Ride!

Reading Time: 3 minutes

Happy 56th Birthday to my husband Randy!

September 29 is also Randy’s mother’s birthday. Marylin would’ve turned 76 today. She’s been in heaven for 20 years now. How many women have babies on their birthdays? Pretty cool, huh! I’m curious of the odds.

The lines from from the Beatles Birthday Song from the White Album ring true with mother and son!

You say it’s your birthday,
It’s my birthday too, yeah;
They say it’s your birthday,
We’re gonna have a good time;
I’m glad it’s your birthday,
Happy birthday to you.

Yes, we’re goin’ to a party, party.
Yes, we’re goin’ to a party, party,
Yes, we’re goin’ to a party, party.

B Boy

 56 years ago the stork delivered boy Botkin to Marylin & Jim

Randy’s mother, Marylin was one great lady. We love and miss her dearly (and her husband Jim too…also “up there in heaven”.)

When Randy was a teenager growing up in Saylorville Township, his mom worked 8:00 PM-4:00 AM as a data processor for Banker’s Trust downtown Des Moines. When Marylin arrived back home from her shift (yes, 4:00 in the morning!), she’d wake Randy up so he could get going on his paper route (Des Moines Register & Tribune).

Randy and my dad – who had a rural paper route, his method was by truck delivering the papers to customers who lived in the country, while Randy rode his bicycle and walked to delivery in his own neighborhood – have their exciting paper route stories!

Randy tells me he delivered (and yes, from time to time, we have to relive the days by traveling his route, he being the tour guide), the daily paper to ~56 homes each morning before school. He had to finish delivering and arrive back home so he could get on the bus on time to get to school. To this day, Randy is an early riser, and brags he doesn’t use an alarm clock. This is true.

Paper boy

 Read All About It!

Randy recalls how most of his customers requested the newspaper to be placed inside the door as opposed to the typical throw it and hope it ends near the door method, which actually made his route longer, but he complied with their wishes!

He remembers getting tips. And he remembers when it was really, really cold…read early mornings in Iowa…brrrrr, makes me shiver just thinking about it. I would not have made it long as a paper boy.

Although you are no longer a paper boy Mr. Botkin, I know those days were valuable to develop your work ethic. In early 2013 I wrote several blogs about Randy and his work ethic!

Okay, now get on your bike and ride Mr. B!Biking BoyRandy uses pedal power most days during the week to ride to school. 

Trivia: The scales of justice is the symbol for Libra (Randy’s one), and is the only zodiac sign that is not represented by animal or human.

Zodiac Birthday Card for Libra (Sep 23 - Oct 22) | Birthday & Greeting Cards by Davia

Did you know that my attorney reader? Let me know if you did. And also let me know how I can help you help your client with a case involving work and disability. I’m here to help! Contact me at 515-778-0634 or amyebotkin@lcpresourcesplus.com

I hope your work week is great. Thank you for reading.

 ___________________

My professional rehabilitation counseling practice is focused on helping people find a place in the workforce

Working on a Case Involving Work & Disability? I’m Here to Help You…Depose & More

Reading Time: 3 minutes

I can help you, my Attorney Reader, in a number of ways with a case you’re working on that involves work and disability, whether it be medical malpractice, personal injury, wrongful death, workers’ compensation or any other litigation along these lines.  Legal Case FilesActually, disability doesn’t have to be involved, yet when is tends to make a case more complex! 

One way I can help you is to design creative questions skillfully as part of the discovery process allowing a much deeper inquiry into the person’s “world of work”.

My goal is to inspire you even more to do what you love to do which is ask questions, right!? And to be the best attorney you can be, double right!!

Depo

I’m sure questions you ask a deponent include those to: determine the nature of previous jobs; amount of money making; for whom s/he was working; why employment was terminated; and what qualifications and experience s/he had for the type of work s/he was doing [when injured].

You also question what work the individual has done, if any since the disabling condition, describing job duties; and determining previous employers and earnings.  Questions posed to encourage a deponent to detail what it is s/he can and cannot do are important, too.

These are all good questions from you yes, and critical of course (although kinda boring in my humble opinion!). Would it help you to have at your fingertips specifically designed questions (based on evidence to date) at deposition that will produce a much deeper inquiry into the person’s vocational background? I get excited when I think of sooo many other questions you could ask that really get into the meat of the matter!

meatAnd I don’t eat meat!

I’ve heard 90% of malpractice cases are settled before trial, and the deposition often is the turning point in those cases. I’d like to help you prepare questions that will lead to responses offering plenty of material for you to work on your case. My aim is to help you skin that cat in many ways and be ready for the most likely responses from your witness.

Object

My hope is that my help with your deposing techniques is valuable pre-trial as well as if the transcript is used for court. Plus, please keep in mind, I can definitely help you in more ways to better understand the individual’s disabling condition. A life care plan is perfect for that! Expert witness and testimony services are available as well.

I am here to help you help your client!

Call me ~ Amy Botkin at  515-778-0634 or send me an email message at amyebotkin@lcpresourcesplus.com and I’ll get back to you.

 

Good luck with your legal work. Keep me in mind for to help you during any depositions involving work and disability. I’m Here to Help You…Depose & More!

Thank you for reading! Do you want to really know that you love your job as an attorney?  Here’s a link to an assessment titled why-do-you-do-your-work-you-may-be-in-love that can help you find out!

___________________

 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? 

Related image

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.