+1(514) 937-9445 or Toll-free (Canada & US) +1 (888) 947-9445
So not IRCC or in any way associated with IRCC and therefore in no way qualified to comment on IRCC approvals and refusals.

Apps can and are refused even if the medical is passed.

I got my passport request today. In my country, 99% of people who get the medical request receive their visa
 
I got my passport request today. In my country, 99% of people who get the medical request receive their visa
You must be a BD applicant? Then yes, this is how it works here for us [Mostly]