Don't worry. I haven't seen any change post medical yet!USA residents seem to get their PPR around 54-55 day mark these days, however I am still stuck on IP1 . My AOR is 25th August, MEP passed 18 th September and no update after that. Maybe single applicants are getting their PPRs faster because they just have to do the background check for one person. I am applying for me and my spouse. But then I have seen cases on August tracker getting ppr even if they are applying for 2-3 people, so not sure whats up.