You obviously have never had your paperwork stuck at OKC. I haven't either, but I've been doing this long enough to know several that have. There is no advocating for yourself if you're stuck in that loop. Best advice I've heard is that if you develop a condition that is going to require a special issuance, go to an AME at the Mayo Clinic in Rochester, MN. That worked wonders for one of my friends. Probably would have been back flying without restrictions years earlier if he had started there.