I got my response to my email and here it is.
Dear Sir/Madam,
This is in response to your recent enquiry to the Immigration Section of the High Commission of Canada in Port of Spain.
The application is currently in process at our office in Port of Spain, however, you should wait until medical instructions are issued by our office before you complete the medical exam.
We trust that this information will be of assistance.
Immigration Section | Section de l'immigration
High Commission of Canada | Haut-commissariat du Canada
3-3A Sweet Briar Road, St. Clair | 3-3A, rue Sweet Briar, St. Clair
Port of Spain,Trinidad & Tobago | Port d'Espagne, Trinité-et-Tobago
PSPAN-im-enquiry @ international.gc.ca
I guess its good that they state we are in process. It would be nice if they updated ECAS to show that. Oh well, at least they responded, right?!