Review of M5 assessment

[Iezspice]

Hello experts

I am pnp ee candidate and my aor is 6th Dec 2019.
Upfront medicals were completed on 13th Nov 2019, it was then found that my husband has creatinine levels above the normal range. He has a history of diabetes type 2 and hypertension, which we disclosed to the panelled physician.
On 4th Dec 2019 , my husband got the mail for 1st furtherance test which included these tests 1) serum creatinine, 2) serum creatinine albumin ratio 3) ultrasound and 4) nephrologist visit.
This was completed on 21st Dec including the nephrologist's visit. The nephrologist was of this view that it's just the starting of CKD and need not to worry much, just bring some lifestyle changes and advised to keep sugar levels and bp under control with the help of oral medication. (My husband is NOT on insulin till date)
After this on 4th Jan we got another mail for 2nd furtherance test which was the IGRA test for latent TB , which came negative.
Since then the Medicals for husband are under review. Through gcms notes (updated on 15th June 2020) I found that the Medicals for my husband are rated as M5.
Presently as per the notes 1 of gcms the text says "referred to DN for review of M05 medical assessment"
Kindly guide

 

[k.h.p.]

Here is information on the medical coding: https://www.canada.ca/en/immigration-refugees-citizenship/corporate/publications-manuals/operational-bulletins-manuals/standard-requirements/medical-requirements/assessing/medical-assessment-coding.html

It appears that M5 is not a good code to get from the medical assessment.

 

[Iezspice]

Here is information on the medical coding: https://www.canada.ca/en/immigration-refugees-citizenship/corporate/publications-manuals/operational-bulletins-manuals/standard-requirements/medical-requirements/assessing/medical-assessment-coding.html

It appears that M5 is not a good code to get from the medical assessment.

Yes I do agree and that's what I m worried abt. I have already gone through the link which u have sent. But what I wanna know is where exactly is the public policy applied and by whom

 

[k.h.p.]

Yes I do agree and that's what I m worried abt. I have already gone through the link which u have sent. But what I wanna know is where exactly is the public policy applied and by whom

By the visa officer, based on the medical assessment.

Essentially, your husband's medical report has said that there would be excessive demand on the Canadian healthcare system to treat his medical conditions. The visa officer has flagged this for supervisor review (that's what "review required") means.

You must now wait to see the outcome. Unless you think the medical reports were incorrect (chronic kidney disease/kidney failure isn't exactly a treatable, low-cost medical condition), there isn't much you can do but wait.

 

[Iezspice]

By the visa officer, based on the medical assessment.

Essentially, your husband's medical report has said that there would be excessive demand on the Canadian healthcare system to treat his medical conditions. The visa officer has flagged this for supervisor review (that's what "review required") means.

You must now wait to see the outcome. Unless you think the medical reports were incorrect (chronic kidney disease/kidney failure isn't exactly a treatable, low-cost medical condition), there isn't much you can do but wait.

But his condition is stable and maintaining lifestyle changes and also keeping his blood sugar levels and bp under control. No where it seems that he requires dialysis or heavy medication anytime sooner. Even the nephrologist we visited during the furtherance tests also said the same thing.
Have u come across anyone with a similar condition and who has overcome public policy and got the ppr.

 

[k.h.p.]

But his condition is stable and maintaining lifestyle changes and also keeping his blood sugar levels and bp under control. No where it seems that he requires dialysis or heavy medication anytime sooner. Even the nephrologist we visited during the furtherance tests also said the same thing.
Have u come across anyone with a similar condition and who has overcome public policy and got the ppr.

Unfortunately the panel physician disagreed with the specialist. You may wish to ask them.

 

[Iezspice]

Unfortunately the panel physician disagreed with the specialist. You may wish to ask them.

So as of now u mean to say that the immigration officer is reviewing the case and trying to apply the public policy if the cost of treatment is under the threshold ?

 

[k.h.p.]

So as of now u mean to say that the immigration officer is reviewing the case and trying to apply the public policy if the cost of treatment is under the threshold ?

The initial reviewing officer has determined that the applicant is inadmissible under M5. A decision like that is reviewed by higher level officers.

 

[Iezspice]

The initial reviewing officer has determined that the applicant is inadmissible under M5. A decision like that is reviewed by higher level officers.

Sorry but I m still confused, who applies the public policy, the initial reviewing officer or the high level officer who is now reviewing the case ?? Sorry for all the confusion

 

[k.h.p.]

All of them. They all apply the public policy. One decides it applies, another reviews the decision. The doctor does too, as does IRCC medical.

 

[Iezspice]

So therefore I can be a little hopeful if the public policy applies and to get through with positive response and not receiving a rejection or pfl ?

 

[k.h.p.]

If your panel physician has highlighted excessive demand, and the visa officer has flagged that, your hope is that somewhere IRCC medical's team disagrees. So I suppose there is some hope somewhere.

 

[Iezspice]

If your panel physician has highlighted excessive demand, and the visa officer has flagged that, your hope is that somewhere IRCC medical's team disagrees. So I suppose there is some hope somewhere.

Thanku so much for all the quick responses and keeping my hopes alive.
God bless u
One more question, file was marked for review on 22nd may 2020, how much time approximately do they take for review?

 

[k.h.p.]

I have absolutely no idea.

I have to warn you that while you are free to keep hope alive, CKD is an expensive condition, often requires transplants, and both of those are grounds for excessive demand inadmissibility. You can be hopeful but you need to temper it with reality.

 

[Iezspice]

Yeah I agree to what u said. Hope all goes well. Thanku so much