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you can travel, you need to buy private insurance from your pocket it will cost you a lot. Second 20 hours work you cant start until your classes will not start. you cant open bank account. and you cant avail student discounts etc.....
 
Generally a medical last for 12 months, you need to land within 12 months otherwise repeat it.
As I already got my visa approved with my last medical .
Now if I repeat medical , should I need to inform embassy regarding this new medical ?