My wife and I renewed at Dumaguete LTO a few weeks ago. We did the CDE online and printed out the certificates.
Went to a medical place near LTO and we were in and out in 20 minutes with our medical certificates, as the glass misted up when I breathed, and they managed to wake up the elderly lady to sign the certificates.
At LTO when we arrived next day at 0745, the line was very long. They filed everyone in and after 15 minutes waiting, approached me to ask if I was senior (even though I only look 36!!). I said 'Yes' and they ushered me to the guard at the door. My wife came with me and we managed to convince him to let her inside at the same time, as I needed her to accompany me, in case I needed my incontinence pad changing. We had our PLASTIC licences about an hour later. I had been fretting about this for many months, needlessly, as it turned out.