Did you order GCMS notes ? Did your security Screening and background check complete ?
I find MP was not helpful at all , this one in my riding basically telling me wait 18 months once it get transferred to local office is justifiable. On top of that pandemic is ongoing so don’t expect anything comes out during this time.
By the way, I saw you're still waiting for a medical request? Strangely I have never been asked for a medical check, according to the agent from IRCC call center, some ppl will be exempted from medical b/c public policy. They waived my meds check. I saw some older posts they get PR without a medical MRI check.