Ann, I am so sorry it ook me this long to reply back... usually I get a notification on my email but not this time. the RFPR before issuing medical instructions is typical. In my case the VO sent me an email with the RFPR and the same day they sent me medical instructions. My visa office was originally Buffalo since I was living in the USA at that time under a working visa, for some reason my application was rerouted and ended up being processed in the Trinidad and Tobago office, weird but it was super fast. I had to resubmit pretty much everything again but within 8 months everything got approved.
We moved about two weeks ago, and was able to find a job in my field within the first week. I saw your NOC is 2154, what is your field? MY NOC is 2151-Architecture, maybe I can help you out. Where are you planning to move to? If you have any additional questions, send me an email i think it works faster than this system: jorge_palos @ mac.com
Hope everything works out for you.... hang in there it will come!