If your application was received July 25th, it doesn't start for processing that same day. I would think you should hear something very soon. Check ecas with your receipt # or your emails.
It seems as they may have approved the sponsor, but until you get the sponsor approved email, it's not a guarantee as it just says decision made.
The whole pr application is now in process so that itself has not been processed yet and can take up to 12 months. So far, it looks like you are on the right track. Expect to hear more regarding medical request after getting the sponsor approved email. Good luck.