The IRS is backlogged when it comes to paper-filed returns. It would be wise to avoid that if possible.
If you e-file and the return is flagged, you will be in no worst shape than if you had paper-filed with the itemized medical expenses.
Attaching the medical expense statement would not streamline the process.
As stated before, we can't speak for the IRS, but it's pretty good advice to say "e-file if at all possible".
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