Try sending email to CIC manila manil.immigration@international.gc.ca ask them for a medical refferal, dont worry as soon as your mom recieves a letter from CIC here, Its already her PR interview. And yes unfortunately we are covered by the 38 months processing times now. We cant do anything but wait and pray. Im sure you will be reunited with your mom very soon. Im Nov 2010 applicant and i just receive my first stage approval last week also. 26 months of waiting my dependent did not receive a kit yet.