Thank you... yes I provided the visa office regular update. I also sent an email to my visa office and I got a response today advising me that my medical examination result had been accepted hence no need to oblige the panel physician with any other report.
Thank you...
Thank you...
Unless they ask for it then no. You seem to have been providing regular updates so that is likely why you were approved. Is the panel physician requesting the update based on instructions from IRCC? If yes, then I would call and ask if you need the update or do the update.