I haven't received my notes from October yet. September notes showed the file was at cio-meds in sydney. I have called cic every week recently and they kept saying my medical is expired and an officer has not made a decision to extend it or not.I did my first medical in May 2016, But in august 2017 CIC send an email for re medical of my wife as she is not in canada and for my medical they extend it till 2018, even I exit canada multiple times for few weeks during my application process.
I think its not about exit and entry , actually CIC sydney office send a request to CIC Ottawa to review for extension if they approve so they will extend it other wise re medical should be requested.
You can also check the status of your medical in GCMS notes.
In my GCMS notes they extend it to August 2018 but last month I was on vacation and exit canada for few weeks so I receive an email from MP that your medical is extended till March 2018.
I don't know the reason why they reduce the time of my extension may be I exit the country..
Even though it is anot her 500 bucks to r do the exam, I just booked my exams for this week anyways. I'm tired of waiting for every single step being excessively delayed. I'm hoping to use it for my new ee application which I'll submit this week. I was going to wait until they extend the existing one to avoid redoing the exam on my own. But I'm just going to do it. I figured doing something (even useless) is less damaging than waiting endlessly.