I applied Nov. 2004, got an update sometime 2009 to the point of undergoing Medical exam but was later refuse due to a subjective decision by the visa officer.
I can't take the refusal, so I filed a Judicial Review in the Federal Court of Canada which I ultimately won.
To date, I have a new file no. E000XXXXXX and were done with our Medicals since Jan. 2012. Our ECAS shows Medicals received.
Hopefully, a PPR will be issued.
The proposed refund is not yet final and it has a condition. Only those application, for whom an immigration officer has not made a decision based on selection criteria by March 29, 2012. http://www.cic.gc.ca/english/department/media/releases/2012/2012-03-30a.asp