The care was next level. Personable, patient, and truly caring for me. A strong recommend to anyone in the area who needs health care at the next level!! read more

I completed my C&P examination with Tunisia Imos, FNP, and I am submitting this review because I have significant concerns regarding the accuracy and thoroughness of my thoracolumbar spine DBQ, along with other DBQs that were completed during my examination. When I arrived for my appointment, no one was present at the clinic, and the examiner arrived late. At the time, I was concerned that my appointment might have to be rescheduled. I understand that unexpected circumstances can occur; however, I was disappointed that there was no acknowledgment or apology for the delay. My primary concern, however, is the accuracy of the DBQ itself. After receiving and carefully reviewing my completed DBQs, I noticed information documented for my thoracolumbar spine that does not accurately reflect my actual level of impairment. For example, my forward flexion was documented as 75 degrees. This does not accurately represent my range of motion or functional limitations. I cannot even bend forward far enough to touch my knees, making the documented measurement extremely concerning to me. Additionally, other range-of-motion findings and sections of the examination indicate that there was no evidence of pain and/or no contributing factors affecting functional loss. I strongly disagree with these findings because they do not accurately reflect the symptoms and limitations I experience. It is extremely frustrating to go through the C&P examination process and then receive DBQ documentation that I believe does not accurately reflect what I experienced during the examination. I am sharing my experience so that other veterans can be aware of what to expect and understand the importance of carefully reviewing their DBQs once they become available. read more

The purpose of this review is to document my firsthand experience during a VA Compensation & Pension (C&P) examination conducted by Family Nurse Practitioner Tunisia Amos of Royalty Community Health and to encourage other veterans to carefully review their completed examination reports. These examinations directly affect disability benefits, healthcare, financial stability, and families. Accuracy matters. When I arrived for my appointment, Ms. Amos was not present. The receptionist had to call her and stated that she had "stepped out." When Ms. Amos arrived, there was no apology for being late. She simply asked, "Who do we have?" even though I was the only patient waiting. The examination area also raised concerns. The office appeared to consist of a single examination space divided into cubicles rather than fully enclosed exam rooms. Given the sensitive nature of a VA disability examination, I expected a greater level of privacy. The most concerning part of my experience involved the range-of-motion testing. I am 6'6" with documented lumbar spine conditions confirmed through medical imaging. During the examination, I attempted every movement exactly as instructed and only moved as far as pain would allow. The examination report later documented my forward flexion as greater than 60 degrees but not greater than 85 degrees. That finding surprised me. At 6'6", even a modest forward bend is visually obvious. My body remained upright, and I only made a slight forward tilt before pain forced me to stop. As I stopped, Ms. Amos laughed and asked, "Is that as far as you go?" When instructed to lean backward, I attempted the movement, but my lower back did not extend because of pain. Ms. Amos stated, "You only moved your neck." I replied, "That's all I can do." I was instructed to lean to the left and to the right. Like my forward and backward movements, I was only able to move slightly before pain stopped me. I do not recall ever being instructed to twist or rotate my torso. After reviewing my completed examination report, I was surprised to see documentation reflecting forward flexion greater than 60 degrees and a combined thoracolumbar range of motion greater than 120 degrees. Based on what I personally experienced, I respectfully do not believe those measurements accurately reflected the movements I demonstrated during my examination. My experience at this office taught me the importance of requesting and reviewing your completed DBQ. If you are examined here, I strongly encourage you to request your report and review it carefully to make sure it matches what actually occurred during your examination. Read every page, verify every documented measurement, and ask questions if something does not match your recollection. To help illustrate why I was surprised by the documented measurement, I've included an image showing approximately what a slight forward tilt looks like compared with a forward bend greater than 60 degrees. This image is an illustration--not a photograph from my examination Because I have significant concerns regarding the accuracy of my examination, I will be requesting that the VA review the documented findings through the appropriate channels. My goal is accountability, an accurate medical record, and to help ensure future veterans receive fair, objective, and professionally conducted examinations. read more

Royalty Community Health - Illustration of range of motion. - Home Health Care Near Me - Barnesville, Georgia

very professional. I believe if you need help, you can really find it here. My overall visit was very comfortable. read more

Royalty Community Health - Home Health Care Near Me - Barnesville, Georgia