Hi, in the exact same situation. Inland waiting for 22 months already. Renewed my medical, and CIC agent said all is finished with my file, but they can't tell when will I get the email. My work permit expired, and my sin expired, applied for extension. It takes now 4!!! months to review WP extension. So I am in the country with expired permits, cannot switch jobs to get a little better wage, my kids and the family are stuck with the expired health cards, what happens if we have an emergency.... I am shocked how they treat inland applicant's who pay taxes, who invest in the country renting and buying properties, who do everything the ordinary citizens do for 6 years !!! ( I got here as an international student), and they keep up in this awkward situation for months.... Do you think we can find someone to raise our voice? Like write a letter to Member of Parliament, or someone higher?