Wow 4months..what’s ur timeline after adding ur spouse and which VO?Congrats. No idea. But I know people that submitted medicals and got ppr three days after... Just be hopeful. They may have decided on extending your medicals..
Cheer up! At least you got medical request. Things will fall in place don't get too worried.
This is the fourth month after submission of spouse documents and my medicals expires next month... We're still hoping.