How important is fast removal vs. good doc?

Ginny,

FWIW if my memory serves me properly, I believe Mass General has a great reputation dealing with bladder cancer.

I faced a.situation similar to yours ten years ago. I so wanted the thing out I went with a Uro who I knew was uncaring. What followed was a nightmare that only ended when I went to a doctor and facility that dealt with a high volume of bladder cancer. Remember skill can save you a lot of time and pain. You need someone who will get good margins who knows the ends and outs because that is what they do all the time. You also need a facility that have pathologists that see a lot of bladder cancer there again experience counts.Studies find that outcome is better when you see a doctor and use a facility who does a high volume of bladder cancer. My Father always told me that if it did not feel right don't, good advise I have always found.