drjavi
I went through same misery not long ago.
The health departments approval does not mean anything.
ITs USCIS which decided. I did not even talk to my health department.
Be creative and definitely use a lawyer. Talk about how ur fatigue could jeopardize patient care. I even attached Physician fatigue articles.
To boost you, I talked to 4 lawyer. First one hung up onme telling me no you dont have case (Robert A), second one told me there is 50% chance, thrid one todl me i definitelyhad a case but i cannot trasfer out of the state i am originally in. The forth one told me i had strong case, i can go anywhere i want, even to a VA hospital!!
I used the 4th one and ia m happy