Same case with me. I applied in April 2011, and still RBVO in Buffalo office.
Another friend of mine applied through London office a few days later than me, and already has got Medicals and PCC!
I wish if Buffalo office could be faster than other offices, as it is processing applications for the applicants who are already in Canada!
Also, looking at the immigration tracker (https://docs.google.com/spreadsheet/ccc?key=0AiJy8Qu8lcQbdGxiSnNhME5sVi1uRlZtUWNhOEFwemc#gid=0), app the applicants who applied to Buffalo before September 2010, have got the Medicals within 8 months of their application submission. Any applicants after September/October 2010 and onwards haven't received anything yet and still in RBVO! Since past two months, we didn't hear anyone getting Medicals/PCC from Buffalo. Does that mean, they are done with the processing for this year (2011)? Their quota for this year is over? Will they start processing further applications next year (with the start of 2012)?
Is there any way, we can request Buffalo office to process the applications faster, as it was announced that the applications under new rules will be processed within 6 to 12 months...
Waiting, waiting and waiting ...