Hi @michzn,
I am being treated at Moffitt Cancer Center, Tampa, FL. The uro/oncologist had the pathology analysis done. I had never previously heard of Vesta and there was no discussion beforehand except to say the sample had been sent off and I would have to wait three weeks for the result, from which biomarkers indicated that BCG would not work for me. I'm pleased with the choice of treatment, so far.
I'd like to correct my diagnosis from a previous post: it's Ta, high risk, NIMBC, CIS, not high grade.
Thank you for your kind wishes and I wish you the same.

@michzn
One reason why Gem/Doce might not be used by some Centers is because the treatment room is occupied for longer than for BCG. It takes about 45 minutes for the pharmacy to prepare the doses in syringes and they don't start to do this until I am in the room. Preparation and insertion of the Foley catheter and the introduction of Gemcitabine takes another 20 minutes or so. Then I lie for an hour and the Gem is then drained off. My bladder is flushed with saline and the Docetaxel is introduced. I lie for another hour, then pee it out and go home. So, over three hours. If I didn't live an hour's drive from the Center I could go home with the Doce in me, but I prefer to stay. Apologies if I'm repeating myself from previous posts. I have an excuse - I am 85:-)