As Maxmoore said order GCMS.. You will see more details in it and find the cause of Medical Results is open by VO for Update or not... I think the way VO send File for Medical to be in progress is based on Eligibility.. I am not offending anyone here... Positive Eligibility(include Recommended Pass and minor review) than VO send for Medical to start.... Questionable Eligibility(unclear about Job Duty or NOA or T4 or other information required) VO hold the file till review complete.Anna2013 said:My medical was done 88 days ago (Feb 18 will be three months). No change or update on Ecas. If that's the case, why my review has taken so long?!