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

Reading Time: 3 minutes

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

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

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

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

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

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

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

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

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

Happy New Year! Do You Know Where This Sculpture is?

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A few years back, I took this photo while hanging out downtown on a Sunday morning after Mass. I’ve always been fascinated with this bronze sculpture that revolves like a globe! To find out more about it, I did a little research to share with you:

Sphere Within a Sphere

“Sphere Within a Sphere” by Amaldo Pomodoro, 1999

The sculpture “Sphere Within a Sphere” (Sfera con sfera) was placed in 1999, the same year my business, “Vocational Resources Plus, LLC” was born. The sculpture is intended as a metaphor for the coming of new and a promise.

If you didn’t watch New York City’s time ball drop on t.v. because you fell asleep or if you didn’t watch it at all because you had other interests in mind, enjoy this blog as my gift!

Do you know where the Sphere is located and yes, it’s in Des Moines, Iowa, but do you know where it specifically resides? Just fyi: another “Sphere Within a Sphere” by this same Italian artist can be found in the Vatican; and he has another sculpture like it in New York City, too.

But wait! Stay here in town with me, and let me know, did you get my question correct? The sculpture above is located at the American Enterprise Art Park 601 6th Avenue and Watson Powell Jr. Way in downtown Des Moines, Iowa.

 

Here’s my daughter in the East Village…DSM not NYC!

Enjoy our beautiful city’s artwork! Here’s a link where you can learn more about our city’s public art Des Moines Public Art Foundation

Cheers to your legal work and to our New Year!Champagne GlassesI can only handle one glass of bubbly, if that!

I’m not sure where I found this, but it rings true ~ Visual art is the expression of an emotion in a particular language—words, sculpture, paintings, photographs, ceramics—so that we come to understood the emotion better.

Enjoy art and embrace how your emotions can shape your new year!  Btw, did you know of the plans for steel art work on the 6th Avenue bridge over the Des Moines River on our city’s North side? Looks very cool to me!

Enjoy, embrace, and reminisce about this past year. And after that, I hope you make time to think about me and how I can help you help your client on a case involving work and disability!   

I look forward to hearing from you this year!

Give give me a call at 515-778-0634 or email me at amyebotkin@lcpresourcesplus.com to start our discussion about your case.

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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.

 

Here to Help The Passionate Attorney Help Your Client ~ Life Care Planning Services

Reading Time: 4 minutes

Along with vocational consulting services, I offer you life care planning services. Life Care Planning Services are valuable to passionate attorneys such as yourself: One who works to your fullest potential for your clients; One who truly cares about your client; and One who strives to maximize the best outcome for your client.

A Life Care Plan will help you help you help your client.

cartoon lawyer  Are You a Passionate Attorney?  Image result for woman attorney cartoon

Comprehensive Life Care Planning Services focus on the individual who sustained a personal or catastrophic injury, has a congenital disease or acquired illness, or suffered a traumatic event that altered his or her life leaving them with a disabling condition. The individual and his or her family is in need of planning how to live with these ongoing life changes.

Image result for passionate attorney cartoon   Are You a Passionate Attorney? Image result for group of attorneys cartoon

A Life Care Plan outlines an individualized holistic program that documents your client’s specific healthcare needs and a projection of what it costs for that care over their lifetime. An economist reviews the plan to determine the present value of the costs.

Even more, a Life Care Plan  helps prevent medical complications, enhances community and society participation, considers quality of life issues, and assists in maintaining emotional and psychological health. 

The person’s life now has important healthcare needs and significant costs are associated with those needs. How can you, the person’s caring and passionate attorney prove this, or show this to others, and why would you need to do so?

A Life Care Plan is helpful in many ways, here are three,

  1. to facilitate decision making relating to the individual’s health care, long-term care, and special needs; and perceive the related costs;
  2. to identify and obtain good care in the individual’s community, whether at home, an assisted living facility, or, if necessary, a nursing home; and perceive the related costs;
  3. to help move the litigation process forward, and ultimately to settle or win a case justifiably at the highest level possible using real data!

A Life Care Plan involves a systematic process (I do that part!) of developing a “road map” of the care, goods and services the person will need to ensure optimal health, safety and life satisfaction. A plan also highlights what it is the person will need to restore or improve their life activities to their maximum potential.

Keep in mind that while most Life Care Plans are developed for people who have suffered a traumatic injury, Life Care Plans are increasingly used for older adults with chronic conditions to anticipate their health and financial needs in later years. Do you have a client in this elite category? If so, be prepared for more future that focuses on healthy living! (Hint: Get a Life Care Plan!)

Image result for quality of life

The standard definition of a Life Care Plan is a “dynamic document based upon published standards of practice, comprehensive assessment, data analysis and research, which provides an organized, concise plan for current and future needs with associated costs for individuals who have experienced catastrophic injury or have chronic health care needs. (IALCP – International Academy of Life Care Planners, 2003. Definition established during the 2000 Life Care Planning Summit.)

Please visit Dr. Deutsch’s webpage for much more information on Life Care Planning. Dr. Deutsch was on my training team!


Above is my most recent CRC Certificate and below is my most recent CLCP  Certificate

I am a Certified Rehabilitation Counselor (CRC) and a Certified Life Care Planner (CLCP).  As a professional in rehabilitation, I am able to develop a plan using  advanced knowledge of specific disabilities, established treatment care resources, and a consistent objective approach toward the practical and functional elements involved in providing the treatment of catastrophic injuries and diseases. 

Communication and negotiation skills are essential (so true) while working with patients, families, caregivers and treatment teams. Keep on perusing my website, which is mainly a relationship building blog, and read my writings. I’d be happy if you would truly consider how Life Care Planning Services will help you help your clients.

Contact me ~ Amy Botkin, MS, CRC, CLCP ~ at 515-778-0634 or by email at amyebotkin@lcpresourcesplus.com  so we can start discussing your case.

I’m here to help you help your client!

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

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

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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.

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  • 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! 

Thank you for reading my blog post!

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

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! And, 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!

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.

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

Reading Time: 3 minutes

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

Image result for data

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

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

JA

A Job Analysis is helpful in many ways. Plus they’re fun to perform!

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

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

Image result for humor job

Once the job analysis describing the critical duties of the job, an evaluation of the work environment is completed, and a report written is prepared and presented, there, hopefully will be a greater understanding of the essential functions of the job. And to each person the job can be functionally different. Right yes, so it just depends on how one goes about doing it!

JA Matrix

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

Need help with a litigated case involving disability and work?

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

Contact me, Amy E. Botkin, to discuss your client’s claim.

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.

Hello Attorney, I’m Here to Help Your Client With Shoulder Injury!

Reading Time: 3 minutes

At the beginning of the year 2017, my left rotator cuff was injured during a combination of physical activity, but I’m not sure how it happened.  Being the type of person who always wants to, no, needs to have answers!, I just had to go with the fact that I hurt!

It took a long time for my shoulder to heal and during that time, my physical and mental capacity were diminished. So in that way, I can empathize with what a person with a shoulder injury experiences. 

The first six months are critical to any injured body part that wants to heal. Proper care, nutrition, stretching, exercise and relaxation are essential components of rehabilitation.  A “don’t give up attitude” is too. I can relate to the limited movement, the pain, and the frustration from my rotator cuff injury!

Nice Biceps!

What’s good is that my shoulder (arms and entire core for that matter!) are much stronger than before because, well simply put, I care about my shoulders and exercise with purpose so they can work hard for me! 

I was offline for maintenance, but I came back stronger than ever!

Remind your clients of the fact that they’re your only shoulders, and if there’s injury, encourage them to do everything possible allowing the healing process to do the work.  If you want a vocational rehabilitation consultant on your side, contact me! If you have a lawsuit that needs to draw attention to the costs of the injury, contact me!

Practicing yoga, or focused stretching and faithfully paying attention to what your body is saying is incredibly valuable during any healing process. If an injury becomes chronic and a decision to perform surgery is made, physical rehabilitation is paramount. 

Rehabilitation also includes body and mind. Speaking of mind, I am grateful to hear of the change in the Iowa workers’ compensation law to provide workers who have a serious shoulder injury and can no longer return to their existing job with vocational rehabilitation benefits.

After July 1, 2017, if in the workers’ compensation system for a shoulder injury, the individual may receive career vocational training at a local community college…and we have good ones here in Iowa!  The employer or the employer’s insurer is required to pay financial support for participation in the program up to $15,000 for tuition, fees, and required supplies. I have plenty of experience helping Veterans return to school and commence with a new career when I had a contract with the VA to provide vocational rehabilitation services.

Also in January 2017,  I worked with a vocational rehabilitation client, Gerald. He had a serious rotator cuff injury with multiple shoulder surgeries and wasn’t expected to be able to return to his job as a roofer. I met with him and performed a vocational evaluation. He expressed interest in work as a heavy machine operator, so upon research and contact with local resources, I prepared an in-depth report to support our findings to help him move into a new career. Please let me know if you have a need on a case involving a shoulder injury as this information is fresh!

Gerald the Cat…Studious, Quick, Very Orange & Very Cool!

In 2018, I was assigned two interesting shoulder injury cases (one involved a dentist, the other a truck trailer unloader/consolidator) and I learned a lot about  surgical options, costs of care and vocational outcomes. I’d be happy to share what I’ve learned if it’d benefit your client!

Please let me know if you have a need for a vocational expert like me to help you help your client.  Just FYI: a few years back, my sister Julie experienced a bad elbow injury when she tripped and fell at work, which required elbow replacement surgery. I learned about elbow procedures and rehabilitation while helping her!

Thank you and I hope to hear from you soon! BTW, I enjoy using cool cats to support my work!  Contact me at 515-778-0634 to discuss your case, or email me at   amyebotkin@lcpresourcesplus.com and let me know the best time to contact you!

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

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 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!

So, 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”.  Just 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!!). So contact me, my Attorney Reader, if you need an expert and I’ll offer my complete time and attention  as an consultant and an educator 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

___________________

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

 

How to Handle Conflicting Medical Opinions? With a Forensic Approach, of Course!

Reading Time: 8 minutes

Upon referral of a vocational case, I review a variety of  medical data (for example: treating physician reports, Functional Capacity Evaluations, Independent Medical Evaluations) and/or psychological data (for example: psychometric testing, psychological evaluations, psychiatric evaluations) found within the file. During a workers’ compensation litigated claim, and for that matter, any claim that involves work and disability, it’s important for me to understand the individual’s medical situation based on the data contained in these records.

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Good thing I’ve had medical records training and enjoy the review!

If a file contains more than one FCE and/or IME, I can expect the reports to have conflicting opinions. For example, one physical therapist will recommend the claimant has the physical capacity for light work, while the other physical therapist says medium work. Often the therapists also have conflicting information about the individual’s maximal (or lack of) effort put forth during the evaluation.

I Did My Best

The claimant needs to say honestly and sincerely  “I Did My Best!”

Assisting the individual (who can be referred to as the injured worker, the claimant, the patient, the testee, the evaluee, and potentially the client)  in returning to work following an injury is a central role in my specialty of placement. This involves finding the best occupational match within the individual’s own labor market. A person’s “doctor imposed restrictions based on an FCE” should not direct the provision of placement services. A person’s knowledge, skills, interests and abilities should!

Image result for opinionWith conflicting opinions from professionals, what data should I rely upon to perform a beneficial service?

I understand conflicting opinions are influenced by components of context and can be derived from subjective views. 

To resolve discrepancies I first ask myself, why is an FCE being used for this specific claim? The utility of this type of scientifically based evaluation, the training sources, performance methods, test protocols and standards to measure them are numerous. Professionals may have opposing views for their own reasons but I must be able to articulate their reports into vocationally-relevant terminology and tell a story about meaningful and gainful work. And it can be challenging to do this if I don’t understand the conclusion of the FCE report to begin with!

WORK

I love reading medical data rich in detail about a person’s world of functioning!  And I love writing reports rich with detail about a person’s world of work! 

A functional capacity evaluation is actually a term with various definitions, purposes and constructs. The purpose is to  evaluate an individual’s capacity to perform work activities related to his or her participation in employment. It seems that in essence, by having a functional capacity evaluation a person is likely to be put in an unfortunate position of deciding whether he or she is willing to return to work.  If willing, there’s a way. If not, there’s no way.

From what I know, there are approximately 10 different types of commonly used functional capacity evaluations. Here in Iowa, I am most familiar with FCEs with names like the Isernhagen Work System, the Blankenship, Matheson, WorkWell and X-RTS. The reliability or validity of any system is somewhat irrelevant to me because the testing is already entered into “evidence”. What is relevant to me is whether or not I comprehend the results and recommendations contained within the evaluation.

Sometimes I can, sometimes I cannot. I always use a “Does This Make Sense to Me? test!

Image result for conflictingIt’s up to the dualing physical therapists to make their best points during litigation, I’m not in that ring!

I feel fortunate of connections with several physical therapists allowing insight into their clinical practice. I attend continuing education programs, and recall one that helped me understand various approaches to FCE’s specifically the X-RTS Lever Arm.

Thinking Cap

The X-RTS Lever Arm passes my make sense test!

So within the context of my vocational consulting work while cautiously putting any judgment aside (which seems hard when I know I know certain things), I analyze and compare each FCE while considering the testing results.

I analyze and compare FCEs! Whoa!

I note whether the FCE report is readable and user friendly. I assess if I understand terminology and methods used, how long testing was administered, what actually was administered, the claimant’s behavior during the test, and how the evaluator came to his or her conclusions. Does it make sense?

I look for descriptors regarding the results of testing in relation to real jobs. Are there concrete and realistic recommendations regarding strengths and weaknesses in relation to performing physical demand levels of various work situations? I definitely look for the goals and expectations for the evaluation, and whether maximum and consistent effort was made by the evaluee. Comments on the suitability of the testee’s future employment options along with the evaluator’s observations are valuable and should be included.

Thinking Cap

Continuing on with analyzing and comparing FCEs! Whoa! It’s important to note what body part/extremity the therapist focuses on in relation to what body part/extremity was injured. For example in one report, the therapist discussed lower extremity activities, when in fact it was an upper extremity injury. If the report cites examples or uses too many percentages, it’s important to understand how the therapist justifies examples. I’m familiar with a therapist who changes the percentages of the same examples from report to report. That doesn’t make sense to me.

I try really hard to make sense of most things and situations!  No sense

If I am able to square an FCE in my mind after careful and prolonged study, is it possible the claimant could do the same? That  would be  fortunate, especially if the therapist offers good recommendations that make sense!

How does the evaluee, when not truly the therapists’  patient when referred for an FCE by their own work comp attorney; with an additional FCE visit to a different physical therapist by the defense attorney  (that makes 2 different reports prepared by 2 different therapists) perceive discrepancies in the results? Sadly, in my eyes the FCE often gets “interpreted” through an attorney. The repeated pattern of thinking of one’s functional capacity as “poor” does not help anyone return to work.

If there is an IME (Independent Medical Exam), it may seem more geared towards one of the FCEs. Regardless, I try to comprehend all reports, noting the one I understand the most. I’m not so sure that an IME is really a “fresh set of eyes” in the workers’ compensation cases I’ve worked on. This topic is another blog in itself.

Putting both, or multiple opinions in a vocational report and making use of other documentation to support my ultimate and final opinion is a great idea, however I have to be cautious to not put myself in a role that isn’t mine (which is making a medical opinion which I can’t do).

If I am able to provide a doctor (ideally the most recent treating occupational health or rehabilitation doctor) detailed information directly related to a specific occupation or line of work and any resources that could help the doctor understand how such work is performed in a smart, safe and effective manner, many benefits arise.

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Clean your lenses!

There’s a clearer understanding of the vocational rehabilitation process and with agreement from all involved, there’s a higher likelihood one could see a successful common outcome (return to work). This certainly helps solidify my vocational opinion and make reasonable recommendations. Yet, this type of opportunity is not frequently available (it is for me to though through processing a life care plan!). Please know I always search for a way to best express my vocational opinion.

In my reports, I document what medical records I’ve reviewed and then use the actual words from the individual during an interview (or deposition review) describing how s/he details their physical impairment.  Often I hear verbatim what one doctor wrote in their restrictions. The evaluee will respond to my open questioning about any physical limitations (sometimes after the evaluee refers to his/her doctor’s letter) and read or have it memorized saying: “no lifting over 20 pounds, avoid twisting, bending, stooping, sit and stand as needed.”  No sense

What do those words really mean in real life? The individual doesn’t seem to know either. Ask an employer if they have a job that involves no lifting over 20 pounds, no twisting, no bending, no stooping, no this, no that…and that’s not talking their language!

The evaluee who responds to me in this fashion (using verbatim restrictive words) needs future vocational counseling. Vocational counseling (which may or may not be provided depending on the nature of the litigation) helps to gain a clearer understanding of how the person’s medical situation has changed their daily living (especially in the context of their own world of work). This understanding leads to the ability to articulate the individual’s capacity for success to others (family, friends, job interviewers, etc.).

Please keep in mind, the term “restriction” is not conducive to a successful job search. The ability to explain who you are and what you can do from a functional perspective to help a business make or save money is what is conducive to a successful job search. Restrictions should never be the focus of job placement. Skills are!

Rehabilitation counseling is especially important if the individual is searching for a job, requiring job seeking skills training on how to or (how not to) disclose disability or any functional limitation. The personal attributes gained from training helps the placement process move forward with common goals avoiding getting stuck within a few words that don’t apply to working reality.

WORKWhile staying true to my convictions and firm beliefs that a person can work if the person wants to work and has the capacity to work, I need to understand the dichotomy between science and clinical practice is more imagined than real.

If healthcare professionals submit conflicting reports on the same individual, I need to be able to resolve inconsistencies to better understand and appreciate the opinions offered. It is not my role to determine which opinion is correct. It is my role to utilize available information, provide a beneficial service, and make a sound vocational opinion regarding the individual’s strengths and weakness in relation to work capacity and employability.

Matching People With Their World of WorkIt’s rewarding when I can clarify a person’s sense of their own world of work.

I strive to extend the value of FCEs in the litigation process. I am trained not only in understanding a client’s functional abilities at work, but at home and at leisure. (Need a life care plan?) Together my knowledge with those of other experts, contributes to decisions about the economic losses, or damages, for which the person receives compensation.

Thank you for reading this long post! I’m here to help attorneys like you help your client. Contact me at amyebotkin@lcpresourcesplus.com  and let me get to work for you!

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

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

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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 your 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. I celebrated the beginning of 20 years in private practice on September 15, 2019 (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.