Yes, i am also worried about that. I was expecting it since july. My friend who got her open permit in march 2018 received medical after 3 to 4 weeks.The notes seem OK to me, only things is kinda question mark... Why has your medical not started... Was it a typo from your side?
Is this a family sponsorship application?
I am under economic class - LCP.
Thank you for your help! Appreciate it much.