QUOTE(Jersey Girl @ Sep 6 2006, 07:48 AM)

As far as I can see, everybody does: medical, interview, visa, enter, and in that order. Maybe by "permission" the doc meant having an approved visa (and not just a medical) before entering the U.S. Don't worry.
You might be right. Maybe the physician thought he was thinking Darcy was coming for good without having the approved visa. He is only coming for a vacation then going back for the interview.