Ryan,
What to say?
I read as much as I could.
From what I've read, you have many issues currently.
I think that you need an official advocate to work on your behalf.
It will be a task for anyone to take on such duties, but that is what they train for.
I think personally that when a person with your number of issues tries to get help from the NHS, its just too much for them to deal with. They maybe want to brush you off.
It's not right. In the first instance, you need to get an advocate who can be your witness at important conversations instead of this doctor/consultant tennis battle.
You are getting damaged internally by the ongoing failures that you have written about in this paragraph. Any proper advocate could read your writings and get a good idea together of the complexities.
They seem to be
1) Your transexual status and the fact that you need hormone replacement without fail.
2) Your urine/infection/kidney/urination pain/Tuberculosis/white cells/blood cells issue
3) Communication issues and medical personnel hoping to brush you off because you might be perceived as hard work during communication attempts. This is why letters in writing, witnessed or delivered by an advocate are important.
This would help to stop the lazy ones from playing see no evil, hear no evil games, thusly ignore you because it suits them.
4) Your high cortisol issues. This is hypercortisolism and if it gets extremely high, it would be called cushings syndrome. Addisons syndrome or addisonian episodes are whereby cortisol is too low and crashes a person. Cortisol is one of many stress hormones and it is needed to a degree, produced by the adrenal glands on top of the kidneys. If your body is overstressed by nutrition/hypersensitivity/anxiety issues/ chronic stress of worries, it will not come down to acceptable levels.
You need to get the advocacy to liaise properly with doctors who can treat this properly. Once documents are logged and "recognised" it is harder to be ignored (I think)
The above is my interpretation of your situation, based on knowing your writings these last 2 years or so.
Remember that my interpretations may not be perfectly clear lol, as I have ADD symptoms amongst other things..
Also note that repeated antibiotics will leave you more vulnerable or could lead to other infection vulnerabilities.
I also note your note that the NHS seems to play the stupid game by not being proactive unless made to. It's always the reactive game, ie only when shit hits the fan. Poor, totally poor.
You need an independent, professional witness for everything official. Family members don't have the same impact.
By the way, bladder cystoscopy/camera investigation, needs to be done sensitively as you will probably be acutely aware.