159 days after submitting medical is frustrating but still happens. Post-interview delays can be background checks, supervisor review, medical matching, or final adjudication queue. If you are outside normal processing time, submit a service request and then consider congressional inquiry. Otherwise, keep proof that the medical was delivered/received. If you have any other questions, feel free to ask them in our next Lawfully office hours session! - Attorney Rashmi Bishnoi (All information shared here is for general educational purposes only. It does not constitute legal advice or create an attorney - client relationship. Your situation may require fact-specific guidance. For personalized legal advice, please consult an immigration attorney directly.)