Good Evening, I am looking for advice. My first class medical and special issuance expired in 2017 and I stopped training because life happened. My special issuance is a cardiac valve replacement and I have not had any issues at all. I’m now at a point in my life where I’m able to afford my training again. I was curious if anyone has experience with the process of re-applying for a first class medical w/an expired special issuance. My special issuance letter stat “Not valid after ...”. I sent a copy of my echocardiogram CD to OKC and have my stress test and ame scheduled within the next six weeks.