Can any one please advise on my case. I am new on this forum.I and my family did medical on Seprember 23 2010, and my ecas still reads in "process" till present. I applied to CIO in November 2009 and all documents were submitted to Moscow VO in April 2010. I contacted the visa office and they replied me in August 2011 that my file awaiting "bacground decision". In september I wrote the VO, CIO to inquire about my application and received a reply in October 2011 that my file is now with the visa officer "under review" and added ' we will inform you if another medical is neccessary'. Now I am confused, my wife and children also are fruastrated. We don't know what is awaiting us next.