u/Unlikely-Sir-617

So I consult cardiology for Hfpef exacerbation. Its our protocol. Its an EP guy on consults this week. He writes this really passive aggressive note saying how Hfpef is a made up diagnoses and he doesn’t know what the consult is for. Like ok? Your colleagues wrote Hfpef in the echo, ask them. Im just pissed.

Why is cardiology so much more egotistical than other high paying specialists like GI even surgery. The God complex of cardiology is unmatched.

Physician Conrad J waiver:

- July 2025: Signed contract
- Feb 2026: State Department of Health recommendation
- May 2026: DOS recommendation to USCIS
- Sept 2026: USCIS approval 🎉

Overall: 1 year and 2 months since contract signing. Start early, the sooner the better. Good luck all.

So the case is: Im a physician who applied for waiver and got DoS recommendation which was sent to UsCiS in may 2026, usually physician waiver cases take 2-3 weeks for approvals at uscis. Mine has been pending since May.

Nevertheless we applied for H1b PP in July hoping that would cause adjudication of the waiver. It didnt, instead they gave us an RFE asking for waiver approval (like from themselves, its so dumb).

Anyway the RFE deadline is next week, and guess what, waiver approval is still pending. How do we even respond to this RFE, if anything? Waiver approval is supposed to come from USCIS how can we just generate one. This is so bizarre and we are stuck at this RFE deadline.

If we dont respond to the RFE (since waiver approval is pending) does H1b petition get cancelled? Can we apply for a new petition? Should we respond to the RFE by saying hey waiver is under you guys so you approve? Let me know

This was the response to congressional inquiry. Is this generic or could mean adjudication will be soon?

Greetings,
Thank you for your inquiry, relating to the petition/application filed with U.S. Citizenship and Immigration Services (USCIS).
USCIS is conducting further review of your case. We cannot provide a timeframe for completion of this additional review. However, once this additional review has been completed, USCIS will take adjudicative action on your case. USCIS appreciates your patience during this process.
USCIS recognizes the difficulties that arise while awaiting a final decision and will make every effort to proceed as soon as possible with the adjudication of your constituent's case.
Your constituent can remain updated as it progresses by entering their receipt number in the "Check Your Case Status" portal, which is also located on our website at:
https://egov.uscis.gov/casestatus/landing.do
We hope the information provided is helpful. If we may be of assistance in the future, please let us know.
Respectfully,
USCIS Congressional Liaison
USCIS California Service Center Congressional Team

Any leads? Thanks

Any leads? Im a US fellowship trained cardiologist

DoS sent FR to USCIS in May, been over three months and its pending still. Any email for USCIS where I can followup?

Hello,

Im an IMG who completed IM residency + Cardiology fellowship in the US. Fellowship completed this year. As we all know US immigration has been a mess so Im looking into Canada BC. Please let me know any leads. Thanks

Ok so the situation is: I am a physician signed with a conrad waiver job, DoS recommended me for waiver back in May to USCIS and the waiver has been pending since then. We applied H1b PP and got RFE for pending I-612 waiver.

I called uscis today and the tier 1 officer escalated to tier 2 for expedited request under humanitarian reason as hospital starting date has been affected pushing patient appointments on an already physician deficient medically underserved community. I am awaiting a tier 2 call now, what should I say when they do call? Is this a strong reason to expedite? Thankyou.

So i have this uncle aunty like door ke rishte daar type in nyc, when i first came to US from pak like ten yrs ago i lived with them for a while so we were very very close like my parents ki tarah hain woh. Idk they’ve been asking me to come meet them and all and i really want to but like idk i obviously cant tell the truth about me or my partner. Like they wont be ok with it.

My issue is if i tell them the truth i genuinely risk losing them in the sense theyll just stop talking or associating with me. And if i dont tell them the truth it will come to a point where ill try to avoid them because i cant stay away from my partner too. what if in future we have kids, like itll be just messy i cant pretend to be away from my chosen family to be with my actual family that doesnt get it. And i mean its my uncle and aunt not my parents ke itne mein jatan bhi karun. But u get it i hope, the pain of slowly losing ppl, who, if reality was different, might not have happened.

So my last post was removed because I called out a toxic person from my residency program to make other imgs aware. I personally think naming and shaming people is the right thing to do especially if they are toxic/racist etc for the betterment of all imgs.

So im an old pakistani IMG. I’ve completed my training and now am an attending. Anyway wanted to share this story of my short but traumatic time at APPNA house chicago.

For those who know, appna is this pakistani physician organization of NA they had or maybe even have a house in chicago, i visited it in 2016 for my CS. I literally entered the house for five seconds and got out lol. It was a mess.

About 10-12 guys living in a single room sharing a single bathroom. Mattresses, dirty clothes everywhere. Literal cockroaches everywhere and this was like 2pm. I legit got out within 5 seconds with my bags like im not staying here. Booked an airbnb nearby and it went thru then the woman asked if im coming from appna house. I was dumb enough to say yes and she cancelled my booking saying she had issues with bed bugs from ppl from there. Ugh. I think booked a hotel in downtown and legit escaped.

Moral of the story: facilities for IMGs are shit, and maybe they are made shit with no upkeep because ppl are desperate. Please dont be, have worth and demand decency. Always reach out to your peers and name and shame. These ppl have gotten away with less than bare minimum because no one shames them. Appna house chicago was a disaster, no idea if it still even exists. What a time.

DOS recommendation May 26.
Uscis still pending.
Applied H1b: got. RFE for pending waiver.

J for board extension will expire in Nov. IF by that time waiver approval doesn’t come (who even knows) what are my options? Can I switch to O visa in time? Will that be consular processing?

Hi guys! I recently came across this sub and thought I would share something here. I graduated from Albany Meds IM program back in 2010s, have gone on to become a cardiologist since then. The IM program as amazing but I want to talk about this one toxic person who iykyk. She is truly the second incarnation of devil.

Sulagna (suzie) Mookherjee.

A vile POS.

She is indian, but hates anything and anyone who isn’t white. She is racist (openly), demeaning to IMGs in the IM program who even slightly like cardiology and actively discourages them. If you have been in Albany Med or associated with her you’d know the evil she truly is. During rounds once, she told my co resident to not “try to impress her”, the guy was just presenting a patient doing his job. She has done numerous other stuff, she once said “all these arabs and indians” need to remain in their countries. She is extremely sick. Some tea on her: she had the hots for the interventional attending there but never got to marry him so she married someone else instead who is ten times less hotter. The place is very incestuous and weird. Glad I got out when I could.

So it seems like vermont center is the issue with delays. Texas seems to be moving normally. USCiS has internal workflows to redirect cases based on workloads and staffing. If anyone is stuck due to their waiver being in vermont, do you think its a reasonable ask to have the application internally transfer to another center for adjudication? Has anyone done this, heard of it? Asked lawyer about this?

So it seems like vermont center is the issue with delays. Texas seems to be moving normally. USCiS has internal workflows to redirect cases based on workloads and staffing. If anyone is stuck due to their waiver being in vermont, do you think its a reasonable ask to have the application internally transfer to another center for adjudication? Has anyone done this, heard of it? Asked lawyer about this?

So it seems like vermont center is the issue with delays. Texas seems to be moving normally. USCiS has internal workflows to redirect cases based on workloads and staffing. If anyone is stuck due to their waiver being in vermont, do you think its a reasonable ask to have the application internally transfer to another center for adjudication? Has anyone done this, heard of it? Asked lawyer about this?