Newly diagnosed t1g3

Thank you very much for the response. We are in Ontario in Canada. he had his 4th turbt yesterday and is doing fine. 

1st was Ta3g 
2nd was T13g
3rd was Ta3G
and his 4th yesterday the doctor said was very small and a quick 10 minutes to get it out.  The turbt procedures are approximately 4-6 months apart. We are booked for a scope in 2 months at which point the doctor says if there is no tumour we will start BCG. He says they let the bladder heal after turbt before starting BCG. if another tumor has grown then we will turbt and do it over again. It seems he doesn’t want to do BCG unless the bladder has a bit of time to heal and is free from any growths? 

he has many co-morbidities. He is diabetic, has a circulation problem that required surgery, has heart issues, has minor kidney issues, has been a heavy smoker for most of his life and recently quit but he has a tough time not smoking. He’s lived a hard life. I don’t see him dealing with RC very well at his shape and age, but I am concerned why he has not had BCG yet even after requesting it multiple times. 

My first post on the forum. Been reading since initial diagnosis. 

my dad got diagnosed in dec 2020 and had a turbt that came back TaG3 as well as some cis. He had a cystoscope showing recurrence at 3 months and His second turbt about 3 months later (6 months after initial turbt) showed T1G3. He’s had another recurrence and is about to go in for another turbt. 

I am confused as to why the doctor waits so long between turbt procedures, and also why they haven’t suggested BCG, even though I have been asking about it at each appointment. He seems to just be fine with doing repeated turbt while it is clearly progressing. I feel as if the doctor has seen this thousands of times so knows where it’s headed and that’s why he hasn’t offered BCG or more aggressive treatments. 

my dad turns 80 soon, so the options are limited and preservation should be front and centre. RC would be very hard on him, or maybe not even possible. I guess this post is half venting/half wondering if this process is normal? Seems very lackadaisical. I’m guessing because of his age the doctors are just carrying him along. 

thanks for whoever reads this.