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Elder law attorney Patrick Kelleher addresses the process of amending an estate plan, including wills, trusts, and disability planning. He emphasizes that amendments are typically driven by three factors, referred to as the "three Ls": 1) changes in law, which can be influenced by Congress and tax code updates; 2) changes in personal circumstances, such as health, finances, or family relationships; and 3) changes in knowledge within the elder law field. Kelleher highlights the importance of communication between clients and their attorneys, ensuring that attorneys provide updates on legal changes while clients share personal updates that may necessitate revisions to their estate plans.