Thank you for your answer. I have found out that my urologist has referred me to another urologist who is about 6 hours away from me. It is at a school. I never asked to be a test tube applicant, so i am so confused. All I know is this muscle invasive cancer has not left my bladder yet but it is basically a ticking time bomb as it is considered the most form of high-grade you can get and now I am put on a triage list. Why won't they just remove my bladder before it starts to spread? Or does it come down to money in the end? Do they get paid for every referral so this school can get patients that can help with research? The pathology report says I have, High-grade urothelial carcinoma with extensive necrosis and squamous differentiation. So yes a ticking time bomb that requires a radical cystectomy immediately before it spreads.