[throttle]

Each railroad seems to be different.
In todays case, you have the medical department that must clear you and from what I've seen with guys around here, you have NO RUSH. There is no rush to get you back to work, there is no rush to push your papers through. There is also a policy that if anything isn't of the "norm" then you are red flagged which can take much longer as other people will review your case file before hand. And if you have anything that is really off from the norm then its handled via a "medical lawyer". No, not a doctor!

So, to answer your question. I doubt you can push it through any faster then you are!