To access Part One of my 2025 health update click here.

Part Two of my three-part health update may be found here.

I left you hanging yesterday. Sorry.

March and the early part of April this year proved to be the most painful period I have experienced in my life since October 2016, with my first cancer.

In early March, upon arriving home from a week’s vacation in Halifax visiting her mother, Kelly texted me from the airport to ask how I was doing. I told her I was in a great deal of pain, but I was going to tough it out. Despite having been up since 4:30am that morning, flying across the country, arriving back in Vancouver at 4pm, rather than drive home to be with her children, Kelly drove directly to my home, telling me, “Get in the car. I’m going to take you to UBC Hospital,” which she did.

UBC Hospital Admitting considered my situation to be an emergency, proceeding to immediately wheel me onto an emergency room bed, where I was seen by a doctor, who ordered the first of many CT scans, diagnosing me with a particularly severe case of diverticultis — which had hospitalized me in the autumn of 2023.

Diverticulitis can be, and proved to be in my case, a particularly painful gastrointestinal disorder characterized by inflammation of abnormal pouches — diverticula — that develops in the wall of the large intestine, causing severe lower abdominal pain, and could and would in my case worsen in intensity over the next week.

By the time I was diagnosed — with a distressingly painful catheter now inserted (which would remain in place for 6 weeks), I suggested to Kelly, as she sat by my side, that she must be beat, it was 1:30am Nova Scotia time, over the past 15 hours she’d flown across the country, and spent the last 5 hours by my side.

Given that I was now admitted to hospital, I assured Kelly that I’d be fine, and well cared by the attending physician, nurses, hospital staff and by my family doctor, who would visit me the next morning. As the hospital had provided with me with medication to lessen the pain, now was the time, I suggested to her, she return home to her family, and we’d talk the next morning.

Over the next two weeks, following a series of new CT scans, UBC Hospital changed its diagnosis to nephrolithiasis.

Nephrolithiasis specifically refers to calculi in the kidneys, commonly referred to as kidney stones. Renal calculi and ureteral calculi (ureterolithiasis) are often discussed in conjunction. Ureteral calculi originate in the kidneys, and as they grow can be lodged in the ureter. Genetic, metabolic, and environmental factors can contribute to stone formation. The majority of renal calculi contain calcium. The pain generated by renal colic is primarily caused by dilation, stretching, and spasm because of the acute ureteral obstruction.

I was told I would need surgery to remove a plethora of large kidney stones that were not only lodged in my intestines, but impacted and in my urethra, as well. That surgery occurred on April 9th at the Vancouver General Hospital. The attending surgeon removed a large kidney stone lodged in my uretha. Within the next hour, I passed 20 large kidney stones, and 20 somewhat smaller kidney stones.

Ocean Dental in Cancún, Mexico, providing high-quality dentistry (considered to be the best in North America) at a fraction of the cost, from 50% to 70% lower than in the United States and Canada.

The next day I got on a plane to fly to Cancún, Mexico for dental surgery, as I had arranged months earlier, that in Canada would cost me between seven and nine thousand dollars, but in Mexico — including air fare, accommodation, dental surgery preparation, X-Rays and examinations, extraction of an infected molar, periodontal surgery to repair infected gums, and the insertion of a state-of-the-art titanium tooth implant, the total came to $2700, while my companion, Nick Ellan and I, enjoyed wonderful four or five star Mexican cuisine each morning and evening. Although not particularly restful, I was grateful for the cost saving.

Note in passing: yes, I know many would consider it near insane for me to get on a plane, fly to another country for invasive dental surgery, following six weeks in bed / in hospital in Canada, and surgery to remove very painful kidney stones, that while still in pain, and very weak, nowhere near recovered, I would travel 6,333 kilometres away from home, from my doctors in Vancouver, and from safety.

I will write about my incredibly wonderful experience in Cancún, and a first rate relationship with Ocean Dental in another post. Suffice to say, I was very pleased.

In the months since mid-April, I have continued hormone treatment for my prostate cancer, with Jonathan Ma, and my uro-oncologist, Dr. Miles Mannas, had another biopsy (I’m still recovering), have worked with my skilled dentist / dental surgeon, Dr. Sandy Ko, who last month built a bone graft to facilitate the placement of another tooth implant this upcoming January — as a 31 year very appreciative patient of Dr. Ko, and given my impecunious circumstance, Dr. Ko is matching the price for the tooth implant charged by the UBC Dental Clinic. Next month, Dr. Ko will place a crown over the tooth implant I received in Mexico. Next June, I will have a crown placed over the tooth implant that will be inserted in January.

In addition to the above, I suffer from debilitating neuropathy, that makes it both difficult to walk, and to keep my balance (I have an almost complete loss of balance, standing in the shower is difficult, I am unsteady … no fun, let me tell you); have arthritis in my hands that makes it difficult to type; my Type 2 diabetes and once high A1C / blood sugar count is now pretty much under control; high blood pressure that is, for the most part, now under control; my two concerning heart conditions; and the ever concerning cancerous state of my prostate, with attendant constant fatigue and woeful lack of energy, intermittent pain — gastrointestinal distress (a near constant upset stomach leading to an utter lack of appetite, a concerning weight loss, a 60 pound weight loss in the past year) — such that I have to force myself to eat in order to remain healthy, headaches, hives, gastroesophageal reflux disease (GERD), ever worsening atopic dermatitis, and more. 

Let me leave you with two thoughts, one quite bracing, the first one from my daughter Megan, the person who loves me most in this world.

“Any discussion of your health is nothing more than a morbid plea for undeserved sympathy.“

From my friend, Vancouver School Board trustee, Christopher Richardson …

“Raymond, you and I suffer from the same malady. On the surface, both of us look healthy, when that is far from the case. From my COPD — which often makes it hard for me to breathe, or catch my breath, and the lack of energy attendant to my health disorder — and your prostate cancer and heart conditions, the two of us couldn’t look more healthy, when both of us know that is not our reality.

Both of us are high energy men, we’re driven, in our daily lives we set about to accomplish much, to contribute. But we do that because that’s who we are, despite our various debilitating health issues that make our work in the community ever more difficult. Still, how spiritually satisfying it is for the both of us that we can, and feel we must continue in our work to make a difference for the better.”

This year I am seventy-five years of age. At one time that was considered old. But not any more. Dr. Brad Fritz tells me I’ve got another 15 good years in me, that I will make it through my current troubling health circumstances to live a long and productive life, I should not worry, that I am in good hands, receiving the best of care, whether it’s with him, Dr. Miles Mannas or Dr. Sandy Ko. Vivas tempore et bene sit.