Correct me if I'm misunderstand but I believe a SSDI medical consultant does not have the last word, the SS judge does. At least that's the way I understand it. The consultant submits a report to the lawyer and judge. The judge then bases him/her judgement on evidence. My wife got a favorable report from a SSDI medical consultant. She received the report from her lawyer around 2 weeks later. About a month or two later her date to appear before the judge came in the mail. She did receive a very good judgement on the spot.