Goodness gracious Tyred, do relax
As we agree, the idea is to reassure OPs where possible. You and I both know that if Wannabedriver had rolled up for some major operation we would have gone ahead without any further investigations. He pointed out he has had an echo so we have the data!
As you quote, I noted the AME had to refer to the CAA, but that doesnt prevent us from chiding the system for being slow, bureaucratic and inflexible. I certainly can give you evidence that people have been waved through a Class 1 at Gatwick without referral but patient confidentiality prevents me naming them here.
IMHO the new system whereby a pilot can only contact his or her AME who then has to pas the message is not an improvement. When the issue is relatively straight forward and accompanied with the necessary data, as appears to be the case here, I dont think it unfair to suggest OP could be handled faster and better.
Anyhow, I am glad you agree the system needs improving. And I am not having a go at the AME whoever it was.