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EAD (WorkPermit)

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February Filer(NBC) / Expedite?
Hello everyone,
I recently receive a response from USCIS regarding my second SR and their reply is that:

Type of service requested:
 -- Outside Normal Processing Times

The status of this service request is:

Due to workload factors not related to your case, USCIS anticipates a delay in completing your case. USCIS is committed to adjudicating immigration benefits in the order received and in a timely and efficient manner.

PD: February 12, 2019
Biometric: March 13, 2019. Marriage based NBC. Local office is San Francisco, CA.

I submitted a SR on August 7 and they did not reply that. I called uscis on September 6 and tier 1 agent submitted a SR for me and this is the reply I got. What does that mean? Did anyone have a similar experience?
I am not working now and having a health problem for 7 months(tendonitis/cubital tunnel syndrome) that prevent me living without help(I can’t lift, drive etc.) but we do not a huge medical bills to pay. Since my condition doesn’t improve more than 6 months, the hand surgeon wanted me to have elbow surgery but I do not have any relatives here and only my husband can take care of me. This surgery recovery will take 6-8 weeks. Since my husband cannot take many days off from work and I’ll have be by myself most of the time, I am worried to have the surgery here. I would like to go to my home country and have the surgery there and want to recover in my parents home. I would like to expedite my case but since we do not have a huge medical bills to pay, can I do that? Or how can I expedite my case? On the otherside, we are tight at budget since i am not working.
I really need your suggestions and help.
Thank you so much for any feedback.
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