It Happens, Things Go Wrong. Need Help with a MedMal case?

Reading Time: 5 minutes

[Original post date: March 29, 2018] Time for a health update blog, a personal one, difficult to write with a mix of questions and a couple stories about medical practice and procedures. The point is my attorney reader, I want you to think about me as a forensic rehabilitation consultant, and how I can help you help your client who is involved in a medical malpractice lawsuit!

Randy’s heart took a detour late last summer, 2017 when the ticker was running really fast.  Randy doesn’t participate in races (I’m the competitive one!), but his heart sure was! He does however donate blood on a regular basis. In fact, he was donating early on a Saturday morning (he’s donated 14 gallons according to the sticker on our front door!) when the nurse at the blood center told Randy she thought his pulse was “strange.” His precious blood was still drawn (double reds)!  

Randy is a popular Type A- donor.  

Questioning here ??? Should the nurse have continued with the blood draw knowing the pulse was “strange?” Well, she did! Luckily, no harm done. When Randy got home (rode his bike at what speed I don’t know! to/from his blood donation date which is common cuz he’s an avid biker!), I took his pulse and in fact, it truly was “not right”.

A couple days later, he had a doctor appointment (I scheduled it out of wifely concern); and sure enough, we got tachycardia…going 144 bpm. This means a cardiologist is needed. BTW, thank you to the nurse at the blood center for catching this.

Following an array of testing, diagnostic procedures, and preparations, he received an ablation early November 2017. Thank God it worked! Randy’s back down to a regular beating heart and a normal pulse (his BP was never a concern.)

His cardiologist did an excellent job and Randy was back riding his bike in a short period of time. He wasn’t happy to be told not to ride! In fact, I know he disobeyed his doctor’s orders one day.

We expect our doctor to always be right. We expect our nurse to always be right. We expect all our health care providers to always be right. We in fact, expect our bodies’ to become “right” whenever we receive treatment in the medical field.

But things can go wrong and a patient can become injured during the course of treatment. That’s why we have attorneys to help, right!?! And yes of course we expect our attorney to always be right, too!

“Dr. NeverWrong”, the cardiologist who performed the ablation on my husband’s heart has this nickname! Charlie the RN, one of Randy’excellent nurses while hospitalized told me of this nickname and the fact that the cardiologist has a fan base (being only one of few docs in town we were told who performs ablations).  Because the doctor was humble, gracious, and ever so respectful, I’m sure he would not want to be called  Dr. NeverWrong! Can you guess who I’m referring to? What? Attorneys don’t guess! 

Okay, now on to me. Recently, I was involved in a medical situation which could be worthy of a claim. How do you help your clients decide whether to file a claim? If there’s been harm done? Here’s the abbreviated personal story. 

Image result for patient gown cartoonWhen preparing for a mammogram last October 2017 (sitting quietly in a heated gown!) and waiting for the machine set up, I informed the technician of an unusual skin issue I was experiencing thinking it was poison ivy. I’ve had my share of poison ivy issues, even a four day hospitalization for a severe case in the past (contacted through an outdoor camp fire.) Watch out when you burn wood, my reaction was horrible. Anyway, the technician dismissed my concern and we went ahead with the mammogram.

To not go into detail  uggh ; [   I ended up with a severe skin condition I believe was spread by the mammography machine.  Let it be known I truly love big machines, (especially cranes), yet this large machine is not one of my favorites following what I experienced.

I was absolutely miserable and the condition lasted too long. I ended up going to the ER once on a Sunday and urgent care twice during the weeks that followed. I made these visits because I couldn’t stand the physical and emotional toil…and my doctor’s office wasn’t open at the time of my needs!  Not until I went back to my personal MD to finally get the correct diagnosis and a prescription did I begin to feel a little better.  

Image result for skin cartoonBut the prescription did NOT help and in fact the condition worsened. I literally had to just wait this one out and deal over time with the largest organ in my system: the skin. I was so distraught I even sought mental health care. I’m okay now, thank you! Whew!

I didn’t file a claim, should’ve/could’ve I? The time, energy, money and definitely my mental health was compromised and consumed in a fashion that I certainly didn’t choose. The only time I have filed a legal claim was when my parents sued the railroad for their negligence leading to my car/train collision and subsequent injuries, hospitalization and rehabilitation (there’s much to this personal story).I think the key into what makes or doesn’t make a person seek a lawyer when they think they’ve been wronged has to do with respect (or lack of) by a medical provider. Of course, everyone makes mistakes. But negligence, followed by covering up issues and not telling the truth is where the wrongs and not the rights come in to play.  That’s not where I come in just yet, that’s where you, the attorney is on the field. I enter the game by sorting out what the plaintiff needs and the costs of those needs.

If you need a life care plan for a client who has filed a medical malpractice claim, please contact me.  Following a needs assessment and subsequent life care plan, my recommendations are grounded in rehabilitation. I’m not saying I’m always right myself.  But I will tell you I care and I will do what I can do to help you help your client.

Please don’t contact me if you will act more like the red devil lawyer on the left. Sorry, I’m not interested in helping. However, if you are a good attorney like the white angel on the right who truly cares about your clients, contact me! I’m here to help!

___________________

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

 

 

Happy Rehabilitation Counselor Appreciation Day!

Reading Time: 4 minutes

March 22 of each year is designated as a Happy Day to Celebrate Rehabilitation Counseling!   

A bouquet of pink roses, along with dark chocolate layer cake with vanilla bean ice cream help make the day turn even happier!

My career choice is Rehabilitation Counseling, a unique job for high-energy people who want to make a real difference in the lives of people with disabilities.  It’s also a challenging job that requires creativity and vision to see possibilities where others see only problems. 

Here’s a great brochure prepared by the Rehab Services Administration, Department of Education describing the profession, rehab jobs, and information you’ve always wanted to know!  It’s the source for some of the paragraphs in this post.

It seems when I reply that my master’s degree is in “Rehabilitation Counseling” often the person wants to know if that involves drugs and alcohol. The answer is no (although at times a case does involve an individual using some degree of drugs and alcohol in an unhealthy way). 

I explain to my listener that I chose a different path as a rehab counselor and provide consulting services on litigated cases involving work and disability.  Then I usually get a ‘oh that’s cool’ response and I continue the conversation, keeping in mind the context and scope of what I share about my work depends on the nature of the inquisition! (In other words, do I think the person asking really wants to know more about what I do or not?!) I definitely trust my intuition.

EnlighteningRehab Counseling is a High Energy Profession! 

In short, the goal of rehabilitation counseling is empowering people with (or even without) disabilities to make informed choices, build viable careers, and live more independently in their community.

Rehabilitation counseling trains professionals who will be dedicated to working with individuals with disabilities in order to help them achieve productive and independent lives. Just as other counseling tracks, rehabilitation counseling educational programs – in order to produce competent and certifiable professionals – are at the master’s level.

Drake University, School of Education, Des Moines, Iowa offers an excellent Council of Rehabilitation Education (CORE) accredited master’s level Rehabilitation Counseling Program.  This accreditation enables graduates of the program to become Certified Rehabilitation Counselors. The Commission on Rehabilitation Counselor Certification (CRCC) sets the standard for quality rehabilitation counseling services in the United States and Canada.

Image result for spike drakes mascotDrake’s Mascot Spike with a Nice Bike!

Below’s another great bulldog picture. She has experience in Drake’s Beautiful Bulldog contest! Her name is Fat Amy. She owns Jeska Reese Dean, a family friend.

FatAmyFat Amy is Experienced!

I completed all required coursework at Drake University in the Master of Science in Counseling program. In addition, I took extra coursework focusing on job placement and mental health.

I was then eligible to take a national examination which I took on October 30, 2004, and upon passing, I earned the coveted CRC (Certified Rehabilitation Counselor) designation. Since then, I re-certify every five years which requites earning 100 hours of continuing education, 10 which must be in ethics.

For background purposes, there are two main sections of the CRC exam:  Counseling and Rehabilitation/Disability.  A statistical procedure called equating is used to ensure all examinees demonstrate the same level of ability in order to pass the exam. Here’s my results:

Counseling Section:

Amy E. Botkin’s Scaled Score:       598        

Passing Scaled Score:   500

&

Rehabilitation/Disability  Section:

Amy E. Botkin’s Scaled Score:       628            

Passing Scaled Score:   500

TaDa

Here’s a copy of my CRCC Certificate (I know it’s a bit blurry): I love my career and every day try my hardest to use my talents wisely!

Please let me know if you have questions about the profession, my education, or the professional  associations and groups I belong to. It may be a good career option for someone you know!

If your career is in law, please contact me at 515-778-0634 or by email at amyebotkin@lcpresourcesplus.com to ask me questions regarding how my work helps attorneys help their clients!  BTW, when is Attorney Appreciation Day?

__________________

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

 

Got Questions? Ask the Vocational Expert!

Reading Time: 4 minutes

My work is helpful during litigation following an injury or condition that leads to disability.  In any type of litigation, if the disability or limitation is significant, more than likely there will be questions about work and future earnings. In fact, a multitude of questions will arise as the case develops. As a well-trained and open minded vocational expert, I love to answer (and come up with) questions!

Do you have questions regarding a person’s future in the workforce?

Answers

 I’d love to find your answers!

Solid and detailed answers will describe employment related issues relevant in workers’ compensation, wrongful death, medical malpractice cases, personal injury, family law and many other areas of civil litigation.

It is important to quantify the loss, but how about going further to qualify it and define the best course of action to remedy it? Let’s characterize what is really going on by providing the facts, then finding help in the best places and describing everything in detail! Keep in mind, I pay particular attention to rehabilitation, health and safety!

Questions involve a multi-layer approach & so do Answers!

PuzzlesQs

What, Who, How? Where, Why, When?

Start with concrete observations (What):

Continue on to the specific people involved (Who):

Move to understanding (How):

Describe the locality and environmental issues (Where):

Step out on a limb of interpretation (Why):

Specify timelines and approaches that make sense  (When):

QsI know, I know, as an attorney you don’t like to ask questions that you don’t have the answer to! But you need the facts backed up by an expert, like me!

Qs
Fire Away!

These are randomly generated great questions! Remember, your answer will be multi-layered!

What occupation(s) is this person qualified to do?

Is this person employable? Where?

What is the outlook for certain occupations over the next 5 years? 10 years? etc.

What are transferable skills and how are they applied?

What are this person’s key transferable skills? How in demand are they?

How many jobs has this person held? Is that “normal”?

What did the person’s job involve? (Is there a need for job description and/or job analysis?)

What was the real reason for termination? Why did it happen?

Why has the worker not found employment?

Is the job search reasonable and effective? How can you be sure?

Is the quality of the job search material (eg: resume and cover letter) effective? How?

Are there specific criteria when targeting key occupations? If so, what are they?

How long does a job search take in a particular field? Why?

Why is motivation a factor in a job seeker’s vocational goal?

QsIs this person motivated to find work? How is that so?

How is a person’s employability assessed?

Are there places this person could work? How does one connect to that type of work?

Has this person sustained any career damage? How?

Are job seeking skills critical to the job search? Why?

What barriers influence this person’s hireability? employability? placeability? *Key Placement Factors*

What factors influence compensation and/or earnings?

What vocational services are available to assist with return to employment?

Why is this person underemployed? Will retraining for a different occupation help? How?

What are Soft Skills? (See Soft Skills Matrix) Does this person have many?

What motivates this person to work? (See Motivational Assessments)

What is the wage range for a particular occupation (or field/grouping of jobs?)

What are the statistics reporting in on this particular job?

What resources are useful for a job seeker?

Is the work physical demanding? How so?

Are there ergonomic issues in regards to this work? What are they?

What assistive technology or work tools would allow the work to be performed differently?

Qs

What markets employ this vocation? Is it viable?

What is the effect on smoking and pain? Or to overall injury recovery? Why?

Is age discrimination occurring? Why is this?

Is this person’s mobility in the workforce good or not good? Why?

What accommodations are available for work? How are they accessed?

What are the job requirements or essential functions of this work?

Does the work environment affect productivity? How?

What does this person’s future employment outlook look like?

Has this person sustained any career damage? How?

What is this person’s earning capacity? How is that calculated?

Qs

Just one more question…

Why not call me ~ Amy ~ at 515-778-0634 or email me at  amyebotkin@lcpresourcesplus.com for help? 

FREEFree 15 minute consultation offering!

If you have questions on a case that have anything to do with work and serious disability, you need solid and detailed information to base your decisions!  Additionally, life care planning that encompasses forensic vocational rehabilitation consulting is a unique concept. It offers you, the judge and jury with information guaranteed to help your litigated case move along. 

If I could help you help your clients, please let me know! Contact me at 515-778-0634 or amyebotkin@lcpresourcesplus.com. 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.

Randy and Abe’s Work Ethic…Pretty Impressive! Plus a Kiss!

Reading Time: 4 minutes

Randy has taught the wonderfully well-behaved youth in our community (hee hee) since 1992 as an instructor for the Des Moines Public School District. He teaches at Scavo High School (which as of this writing on 2/17/2020 will soon be dismantled) and Randy will be moving on to a new program(for sure) at a new location (we think!).

The goal for any teacher is to promote learning. The goal for any student is to earn enough credits to graduate and move on in life.  It takes a lot of time, effort, energy and strategy to teach a learner. 

At times in all our jobs we work with people and coordinate, consult,  encourage, motivate, teach, etc., those who care a lot or on the other hand, those who do not care at all.  It could be about the subject matter, a project, finding a job, changing a bad habit…on and on and on. You get my point. It’s really about how to effectively roll with change. At times, wouldn’t it be easier to throw in the towel?

There you go, plop to the floor

I believe when you sustain pride in your work ethic you don’t “throw in the towel” or feel defeated when it’s not about you, it’s about another’s lack of motivation.

To keep on trying to get through to people who are difficult to teach/or work with, it helps to add humor or creativity into your approach.  Randy has been known to dress up as characters when he taught a history lesson. For example, he has dressed as Mark Twain to teach about (ahh, I don’t really know*); and as Abe Lincoln (to teach about Abe Lincoln I guess*). If I can track him down, he (Randy, not Abe) will be asked to fill in both the parenthesis. 

Abe

I also need to track down a picture from ~1993 of Randy dressed as Abe because I know I took one!

*Please let it be known I’m not the type of person who says I don’t really know or I guess very often, if at all, because of this forensic mind of mine.

Randy’s teaching endorsements in U.S. Government and U.S. History are well used especially regarding what Presidents did or didn’t accomplish during their terms. His favorite President is Abe Lincoln.

I often hung out with Abe and his son Tad during my lunch break when I worked for the State of Iowa (Do you know where this monument is found?)

I am pretty certain Abe had a fantastic work ethic and took great pride in his work.  Like Abe, I do too; and so does Randy. I hope you do too!  Here’s an article that will help you grasp the concept of taking pride in your work from the get go.

Recall from my previous blog that I believe you get your work ethic from your parents. Yet, what about the person who didn’t have great role models yet still exhibit qualities and traits of a hard worker/a person with good work ethic? 

I’ve found that it can be easy to exceed the expectations of others simply by being someone who is reliable, on-time, diligent and professional. I think these are all hallmarks of people with a strong work ethic.

Here are a few questions to ask (and if you’d like, answer for yourself) about work ethic:

Attendance ~ Are you dependable, stable and willing to take responsibility for your actions?

Reliability ~ Are you hard working and conscientious about the quality of your work?

Rules of Compliance ~ Are you likely to obey company policies and procedures?

Trustworthiness ~ Do you feel you are trustworthy and trusting of others?

I hope you feel good about answering these questions. When I interview people and find they have a good work ethic (and I often do as it runs deep here in good ole’ Iowa), I know that the person has what employers look for when they hire.

I found a couple shots of Randy and his buddy Abe. Do you know where this sculpture is found? Good Friends

He Kissed Me Back!

He Kissed Me Back!If you have a case where work ethic is in question, or certain work traits are paramount in respect to your client’s vocational background, please let me know and I can point this out. My number is 515-778-0634. I want to help you help your client tell their vocational story realistically, persuasively and yes, even creatively! 

Answer to Question 1: West of the Capitol building

Answer to Question 2: Jordan Creek Mall near Scheels

___________________

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

 

Vocational Resources Plus LLC Disclaimer, My Very Own Personalized Version!

Reading Time: 3 minutes

My Very Own Disclaimer!

The website I own and maintain www.lcpresourcesplus.com is a personal blog with stories and views all written and edited by me; and it is always in transition! Just like me, too! Note: the URL address stands for l~life c~care p~planning resources plus. I should someday obtain a domain that is easier on the thinker! Reflected in those 3 letters, LCP, is my love to prepare life care plans for people. 

SunflowersMy blog is a medium for me to connect with my readers and build relationships. I enjoy creative writing and sharing my talents!

The information I publish, mostly on work and life, while offering ways to help attorneys help their clients, does not reflect the views of anyone else but me unless I’ve won you over! (And I will!) All opinions are my own! I treat my site like gold and do whatever I can to protect it and sincerely don’t want any content to be nothing other than a masterpiece. Because sources, information and links change over time, I’ll do what I can to track the natural evolution of content on my site.

Sunflowers

I’m a rehabber and it’s in my nature to improve things…absolutely every single day!

If a post or something on my blog just doesn’t make sense to you or you see a typo or a problem referenced within my writing, please let me know. Provide me the information and I’ll see what change needs to happen. I do accept responsibility for the personal views and information I have control over, but as you and I both know, what really is under our control?

And of course, I like to add and display media ~ pictures, images, downloads, etc. Although some of these creative beings are mine, many are not, and those that are not, I do not own although I’d like to feel as though I do as they help me feature my blog. I certainly don’t make any money off this blog…because there is nothing for sale!

Sunflowers

My intention is to of course do no harm, and again it’s my opinion and advice, not counsel.

Although I am a counselor, my blog is not used to convey a fact nor absolute nor shape a counseling relationship with my readers. (Sorry, that doesn’t sound too nice, but this is a disclaimer!) Whatever advice, tips, techniques, and recommendations I make are meant solely to help others. I am not responsible nor will I be held liable for any unapproved or inappropriate comments. Further, I am also not responsible for mistranslation or interpretation of my site’s content.

And once again, the content on this blog is the opinion of the blogger, who is me, Amy! and it is not intended to “malign any religion, ethnic group, club, organization, company, or individual,” or anyone or thing, especially those with the ability and desire to fight back! If there is concern or any copyright issue, again, let me know and I’ll make amends.

Sunflowers

Whew, and I thought a couple of sentences would do it!

I’ll continually edit this disclaimer and re-post as time progresses and I learn more about myself and my work, as well as the world of small business blogging and website maintenance. Thank you for reading! ~ Yours truly, Amy E. Botkin

__________________

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

 

 

 

Happy Martin Luther King, Jr. Day ~ Thank Our City Workers!

Reading Time: 3 minutes

A few years back, Des Moines Public Schools had planned to use MLK day as a snow make up, but it was overturned by the school board based on good speaking and listening skills of many people.

MLKDr. King  would be proud of the process involving our community and his holiday!

I also think he would appreciate students being in the classroom on the 3rd Monday in January learning and growing! He obviously had a passion for education, as did his wife Coretta, and knew how important learning is at every age. I totally agree!

At the end of July of 2019, my husband and I visited the Martin Luther King National Civil Rights Museum at the Lorraine Motel in Memphis and found it to be a special place filled with thoughtful, soulful and educational experiences. 

Dr. King and his life continues to evolve throughout communities across our country. 

The evening before he was assassinated, Dr. King was preparing to lead a protest march to help support striking sanitation workers.  Dr. King was hard at work doing his job to help others do their hard jobs.

Green garbage truckThankfully, every Tuesday morning the garbage in my hood gets picked up!

Thank you to the city sanitation workers and thank you to the city street sweepers. I appreciate your work. Des Moines is a beautiful city filled with people who care about our community and I’m proud to live here.

Street sweeperI hear the sweeper on my street quite a few times throughout the year and rush to watch it pass by my house!

Thank you Dr. King for all you’ve done, especially for your call to service helping working people across the nation. I’m particularly fond of this quote:  

“If a man is called to be a street sweeper, he should sweep streets even as a Michaelangelo painted, or Beethoven composed music or Shakespeare wrote poetry. He should sweep streets so well that all the hosts of heaven and earth will pause to say, ‘Here lived a great street sweeper who did his job well.” ~ a quote by Dr. Martin Luther King.

Be the best you can be at what you do as an attorney. Let me know if you’d like my help to help you help your client on a case involving work and disability!! I’ll strive to be of valued service to 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.

 

Central Value of Consulting with Me, What An Attorney Will Find!

Reading Time: 2 minutes

I provide forensic vocational rehabilitation consulting services and work with attorneys with passion; those who truly care about their clients. Trust me, I care about my customers and you will find that I too am passionate about my work. I will help you as much as I can so you can help your client.

You’ll find we make a nice pair when we focus on your client!

Please take your time to review information about my professional services. Life care planning and forensic rehabilitation counseling are unique to vocational rehabilitation. That’s why I chose to work in this field! It takes a lot of knowledge yet common sense to truly help others.

Work Hard Stay HumbleYou’ll also find I work hard for you and just as hard for your client!

If you, Attorney Person, need help with how to quantify and qualify an individual’s earning capacity within a life care plan, I am the consultant you’re looking for. If you need a report explaining a person’s vocational background and earnings potential, I am the consultant you’re looking for. If you need an expert to serve on the stand in your case, I am the consultant you’re looking for. Want me to continue on about my work and why you need my help? 

I believe work is central to the existence of adult functioning. It provides funds needed to live and supplies status and security for an individual. You’ll find value in how I approach my own work in a qualitative way. You’ll see I’m grounded in neutrality, sincerity and resolve to never give up until the facts make sense.

Ask me some questions and learn what I, Amy E. Botkin, can do to help you help your clients.

Amy Pic 9-29-15

You’ll receive a humble reply!

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

amyebotkin@lcpresourcesplus.com

 

Thank you for reading my post and checking out my website where you can read about my services and find my disclaimer for your reading pleasure!

__________________

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

People and Their Pets…Got Cat? A Good Vocational Assessment Question to Ask

Reading Time: 5 minutes

Originally published on: Dec 17, 2012 And updated on December 17, 2019

When I meet with an individual to perform a vocational assessment, I ask questions to gather information about their work and life background. One question I ask, underlying other questions regarding psycho-social factors, is about pet ownership. Asking about pet ownership during an evaluation can tell me a lot about a person!

Got Cat? Dog? Rabbit? Snake? Fish? Iguana? Bearded Dragon? Horse?

Of course pet ownership is not for everyone, but if the individual is a pet owner, and a discussion develops about the topic, it offers me insight about the person. Pet ownership allows for psycho-social benefits accruing within an individual from the one-to-one type interactions with their pets.

Pet ownership can also influence broader social interactions and perceptions, experiences of sense of community (you recognize the dog going for a walk in your hood!), and social capital at the neighborhood level.  (Ever been to a dog park? Or even to the pet store that allows pets! You’ll know what I’m referring to!) In addition, a pet owner’s sense of health and well-being often emerges as a valuable and positive feature of daily living.

SamiJo The Love of My Life!
SamiJo The Love of My Life!

This is SamiJo, the Love of My Life!

Okay: At one point in my life, just a few years back I had 3 cats (Felix, SamiJo and Alaska*), a dog (Bella*), a guinea pig (Peggy), and a fish (Bluebee). Oh, and a hedge hog (Sandslash). My beloved rabbit, (a mini rex named Patches) died last week.

*Update as of 12/17/19: Alaska is now the #1 puddy in the house, and Bella has penetrated the interior as well (she used to be an outdoor dog). And along with these two loves, I’m also the pet mother to a fish named Focus and a rabbit named Mollie.

It’s a big responsibility to own a pet. You must provide basic care which includes food, water, shelter, veterinary care, and exercise for your pet. And you must abide by the City’s bylaws around pets and animals.  Another view into pet ownership is that of having the physical ability or mental capacity to care for something other than yourself. In fact, this could change in a positive or a negative way based on experiences in your life.

For Bella’s 5th birthday awhile back, she received a dog pass to the Riverwalk Dog Park!  Another update as of 12/17/19: Bella  no longer likes dog parks…at age 15 she mostly just likes to be fed treats, be petted and beloved by those who she knows and likes how they smell!  In May of this year, she experienced an old dog condition and was diagnosed with idiopathic vestibular disease.  (Inner ear problem leading to dizziness…just like a human can experience.)  It was very distressful to witness my dog going through the acute stages of this condition, because I thought she was experiencing a stroke. I had to take her to the emergency vet clinic where she received this diagnosis, and then back to our vet for follow-up. Currently she is on medications as needed. Whew!

Patches
Patches

Patches was a grateful rabbit

Patches had plush, velvet like fur and a happy personality. He was a mini rex, a small rabbit, weighing 3-4 pounds. A mini rex is known as “The Velveteen Rabbit”.  Patches liked to lunge out of his wooden hut when his cage door was opened. Some people (like my husband) got a little frightened of this burst out, thinking they were in danger! But I saw his behavior as a great show of energy! I also loved his happy hops!

Patches loved rose petals…He ate them! 

Patches always was thankful when he was fed (and especially when he received a treat!) with a little snorty sound. I had noticed he was getting very thin, however he still was eating. And then one morning, he was not lunging out of his hut, and he was very still, yet he was breathing. I checked on him several more times.

Later in the afternoon he did lunge out, although it was a very unusual lunge. He bonked off his litter box and landed on his side. I started to pet him…continuing to stroke his very soft fur…until he died. And the whole time this was happening, my daughter was also experiencing this loss. She, in fact, took on the responsibility (age 15 at the time) to plan a service and bury him.

Think about pets you’ve known and understand why I find it important to ask about pet ownership. Back to the dog park experiences, you learn the dogs’ names, but never ask the owners for theirs, right!? How about the observations of the behaviors (both dogs and the owners) you arrive at to compile evidence about your theory of dog parks!?!

In a previous post on April 2nd 2012, I blogged about another question I ask about the person’s nutritional intake and habits. Want to Heal that Injury? Focus on Your Nutrition!  Healthy nutritional intake is just as important for your body as it is for your pets. Please feed everyone well!

For You Patches. I Loved You!

Image result for purple grape

And for you Mollie, she prefers grapes!

Let me know if you have questions about how I perform a vocational assessment. You can also click over under documents for download to see a sample vocational assessment and evaluation report.

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

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. 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!

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 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!”

___________________

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

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

Reading Time: 3 minutes

Rights of the Expert Witness

expert

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

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

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

Pizza

 Truly, it’s all good work!

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

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

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

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

___________________

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