Ecas can drive you nuts!!! ??? Trust me, I know. I used to check it multiple times a day. I didn't see a change on ecas for 11 months!!! And that was when we received notice from the VO via email that they were sending out a letter to redo medicals...ecas then changed to "in process". I really had to ween myself off of checking it so much, eventually, it became only once per month which helped! All in all, I really do think it depends on the IO handling the file if they want to use this tool or not, I think it would be very helpful if they did!