We present a novel method that extends the self-attention mechanism of a vision transformer (ViT) for more accurate object detection across diverse datasets. ViTs show strong capability for image understanding tasks such as object detection, segmentation, and classification. This is due in part to their ability to leverage global information from interactions among visual tokens. However, the self-attention mechanism in ViTs are limited because they do not allow visual tokens to exchange local or global information with neighboring features before computing global attention. This is problematic because tokens are treated in isolation when attending (matching) to other tokens, and valuable spatial relationships are overlooked. This isolation is further compounded by dot-product similarity operations that make tokens from different semantic classes appear visually similar. To address these limitations, we introduce two modifications to the traditional self-attention framework; a novel aggressive convolution pooling strategy for local feature mixing, and a new conceptual attention transformation to facilitate interaction and feature exchange between semantic concepts. Experimental results demonstrate that local and global information exchange among visual features before self-attention significantly improves performance on challenging object detection tasks and generalizes across multiple benchmark datasets and challenging medical datasets. We publish source code and a novel dataset of cancerous tumors (chimeric cell clusters).