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For years I have flown under a "Special Issuand" medical! I take my normal Flight Physical in April! My ME sends the paper work to OKC for final approval! Usually recedive the final approval in November! In lieu I am still aurthorized to fly pending final approval. Here it is February and I still have no final approval! Looks like I will be up for a new Flight Physical before I get (if at all) the Final Approval from last year! Gotta love the FAA!