Call Oklahoma City a lot. Frequent callers seem to get expedited, though
it's still a weeks-long process. And don't assume that once you have it, the
matter is over. Be prepared to get a letter from Oklahoma City every time
some new guy finds your file, sees you once had a problem, and demands that
you prove your case all over again. Keep a friendly relationship with an
aviation physician and keep your paperwork in order.

Kathy