Ken,
Elgin gets you a little closer to Houston than Georgetown! I'd just make sure that he sees plenty of bladder cancer patients. Nothing like experience translating into skill. My guy even went so far as to re-read the CT scan (he actually read it just after transmission to his office, the radiologist misread it as no tumors and he saw the tiny tumor!). Then, as I asked about grade possibly being wrong from the pathology from the TURB a few days later-no sooner as I asked he stopped me and said he personally read them and said it was no mistake-it was high grade. He is thorough. I was actually ready to get a second opinion until these and other examples about him surfaced. He is on his game! Nonetheless, it doesn't hurt to have one especially if you have any doubts or questions. Keep checking/asking. It's a journey but, with lots of hope.