You seem to have already "renewed" everything that needed to be "renewed" and "updated'
Behar Intl. Counsel 619.234.5962 Kindly be advised that the answer above is only general in nature cannot be construed as legal advice, given that not enough facts are known. It is your responsibility to retain a lawyer to analyze the facts specific to your particular situation in order to give you specific advice. Specific answers will require cognizance of all pertinent facts about your case. Any answers offered on Avvo are of a general nature only, and are not meant to create an attorney-client relationship.
In addition to my colleagues suggestions, a medical expires after one year. Here in the USA when my clients have such a problem the physician usually updates the medical at little or no fee.