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Stories of a Life | Oct. 31st | Raymond’s Surgery Day


Saturday, October 31 2025, Raymond is admitted to VGH for a radical prostatectomy

As I’ve written previously, on Friday, October 31 2025, I was admitted to the Vancouver General Hospital for a radical prostatectomy, in response to my Stage 4 prostate cancer. My prostate would be removed over the course of a 3½ hour surgery.

My friend Susan Walsh drove me to the hospital, leaving at 8:45am, arriving at VGH at 9am, where she dropped me off.

I climbed the stairs on the west side of the Jim Pattison Pavilion, just off Laurel Street, and upon entering the building walked down the long corridor towards the Admitting desk, where a woman behind a glass enclosure told me that my arrival was expected. Next, I was directed to an elevator leading to the third floor,  and ushered into a carrel, with curtains on three sides, and given a blue gown to wear, a new, softer gown construction less given to exposing a patient’s body. I then climbed into what I found to be a quite comfy bed, the back of the bed tilted up.

No sooner was I comfy in my bed than a young woman in her 30s approached the carrel, my bed and me, introducing herself as Jen, the lead nurse on my upcoming prostate cancer surgery, that was planned to start 75 minutes hence.

Staring directly at me, Jen said …

“Cholangeo, huh?” ‘Yep’, I replied. “You know, Raymond, every other patient I’ve worked with who had been diagnosed with cholangeo died, yet here you are, looking pretty darn fit, and in good shape and quite ready for your upcoming cancer surgery. Why is it that you are here, lying in your comfortable bed, full of vim and vigour, when all of the other cholangeo patients who suffered from your cholangeo diagnosis are long gone, expiring within weeks or months. Gone. Dead.”

“A miracle,” I said. After which I explained what had occurred in the year of my discontent in being diagnosed and treated for my Hilar cholangeocarinoma.

“Well, I’m glad you’re still with us,” Jen said. “I’ll see you in the operating room in about an hour. I’ll be the one keeping an eye on the doctors to make sure that all goes well. You can count on me.”


An Explanatory Digression

Hilar cholangeocarinoma. A bit of background. On October 7th, 2016 I was diagnosed with Hilar cholangiocarcinoma by Dr. Fergal Donnellan.

Weekly for the next six months I attended at VGH where Dr. Donnellan installed a stent in my bile duct. By Christmas, I was in palliative care at St. John’s Hospice at the University of British Columbia. Apparently, I was a goner, the tests definitive.

Problem was, I felt pretty great (October 2016 was the worst month of pain I had ever experienced), in January 2017 attending the Women’s March — with Gwen Giesbrecht, currently running with COPE for a position on the Vancouver School Board, and longtime DTES community activist Wendy Pedersen, and her then 11-year-old daughter — to protest the election of Donald Trump as U.S. President.

Long story short, my family physician, Dr. Brad Fritz, assigned me to meet with VGH urology specialist and surgeon Dr. Andrzej  Buczkowski to review my case.

In early January 2017, Dr. Buczkowski showed me the results of several MRIs, CT scans and PET scans, which showed from the neck down,  the lymph nodes in my body were a flaming red, the bile duct cancer having spread throughout my body. Dr. Buczkowski expressed surprise that I looked healthy, and fit, when given the surfeit of tests I had been subjected to for months indicated I should be dead.

Over the course of the next two months, I was tested and re-tested, ending up on an operating table at Vancouver General Hospital at 6am on Friday morning, March 7 2017, where from 6am to 3pm, Dr. Donnellan rooted around in my body looking for the cancer spread — the results of the tests conducted by Dr. Buczkowski indicated that my bile duct cancer had disappeared. At 3pm, I was wheeled to a ward, still fast asleep, and still under the effects of the anaesthetic I had been given.

At 4:30pm, standing at the foot of my bed, Dr. Donnellan voiced what he told me later were the three most difficult words he had ever expressed: “It’s a miracle!” My cancer was gone, there was absolutely no trace of my cancer anywhere, not in my liver, pancreas, gall bladder, lungs, or bile duct. And so it has remained until, and I expect beyond, this day.

My friend Margery Duda, a longtime community pools advocate (whom Kareem Allam must meet), picked me up from the hospital to ferry me home.

I’ll write about the entire journey of my Hilar cholangeocarinoma in days to come.


Jen and I spoke for about 10 minutes, after which she departed, where upon three of her nurse colleagues who would be attending at my surgery approached my carrel to introduce themselves. Next up, my surgeon, a cheerful Dr. Miles Mannas and three of his urologist colleagues dropped by my carrel, as well as two oncologists who had been supervising my case, three anesthesiologists and the two doctors who would be conducting my upcoming, precise, robotic surgery.

At 10:25am I was wheeled into the operating room for my radical prostatectomy that, unlike the “photo” above (created with Gemini AI), appeared to be the size of a football field. I was approached by the lead anesthesiologist, with whom I had met previously, in preparation for my prostate cancer surgery. “I am going to apply the anesthetic now,” he said. And I was out like a light.

The surgery lasted until late afternoon, after which I was wheeled to a recovery ward, where I was attended to for the next 12 hours by an absolutely tremendous nurse — with a wry and wicked sense of humour — and very well cared for.

Alasdair and Fergus walking down Waterloo Street towards Almond Park

At 10am on Saturday morning, my friend Alasdair and his son Fergus (about whom I wrote on Tuesday) arrived to pick me up and take me home, where I remained bed-ridden for the next three months, continuing the worst part of my recovery through early June, cared for by Nick Ellan, Alasdair, his bride Meaghan (and their two children, Fergus and Elliott), my neighbours Heather, Judi, Kevin and Laurie — and all other members of my housing co-op, for that matter, about which circumstance, I will write several times over the coming weeks and months — my good friend Kelly Ryan, and the dog we share, Teague the schnauzer wonder dog.

Teague the schnauzer wonder dog, my constant and much loved companion

Health Update: Raymond Goes Into VGH today for Prostate Surgery at VGH

Fourteen months after being diagnosed with Stage Four prostate cancer — as is the case with former U.S. President Joe Biden — today I was admitted to the Vancouver General Hospital for a three and a half hour radical robotic prostatectomy, after doctors at VGH discovered — following an MRI, a bone scan and a biopsy (more than one actually — that, like Joe Biden I had a Gleason score of 9 …

For the past 9 months, I have been subjected to a number of biopsies and regular injections, and participated in the Gun Study — a multi-centre North American clinical trial headed up by the Vancouver General Hospital’s Dr. Martin Gleave, the head of the Prostate Clinic at VGH.

Early on, it  was determined that I must have my prostate removed employing the radical robotic prostatecomy procedure.

Over the past months, I have taken a variety of medications — Apalalutamide, Zytiga and Prednisone — which has effectively removed my sexuality and turned me into a eunuch, which is to say a male who has been chemically castrated, and with the removal of my prostate surgically castrated.

This morning after being transported to Vancouver General Hospital by my friend, Susan Walsh — spouse of my friend, the late Michael Walsh, who for 50 years was the lead film critic at The Province newspaper — who accompanied me to Admitting, after which I was escorted to a bed in a ward in the south tower of the Jim Pattison Pavilion, on floor T6.

As you read this, I will be in surgery, a three and a half hour major surgery where an extensive, complex procedure will see my abdomen “opened up”, which is to say, my surgery involves entering a major body cavity ( in this case the abdomen). My anaesthesiologist told me that, under his supervision, I will be given a general anesthesia that will require an at least initial 72-hour long recovery period, requiring an overnight stay tonight, or if complications arise, an extended hospital stay. In any event, my anesthesiologist told me that, “Raymond, you will be ‘stoned’ for at least 72 hours.” Fun times ahead, I guess.

I will be left with three incisions — a three and a half inch vertical incision at the bottom of the public bone, and two more somewhat lesser incisions, top right and top left. I was told I must not lift anything heavier than 10 pounds post surgery, less the incisions rupture, creating wound dehiscence, which occurs when a surgical incision reopens, where internal organs might protrude through the wound.

https://images.squarespace-cdn.com/content/v1/59ee0eecb10598d866c226de/1530884809264-3QUPXRQ5V372MQSDFE8K/Pubic-Bone-1.jpg?format=1500w

Should things to well with the surgery — which my family physician, Dr. Brad Fritz, Dr. Mannas, my surgeon (and other of his colleagues in the Prostate Clinic), and my anesthesiologist believes is most probable — I will be picked up from hospital at 10am on Saturday, by my friend the every beauteous, incredibly bright, politically astute, accomplished and loving Meaghan (and her incredibly great football (British football) loving husband Alasdair, and their two children, Fergus and Elliot, who are the most zen children I’ve ever met — needless to say, I love both children (a reciprocal affection, it would seem), as I do Alasdair and Meaghan.

Count me as one very lucky and grateful individual.

I will spend the weekend in bed at home, attended to by Susan, by my Co-op neighbours — again, count me as the luckiest man in the world that Jason, Heather, Laurie and Kevin, Tatiana, Judi, Jette, Alex, Alexandra and Jordan, and all of my other fellow Broadview Housing Co-op members are possessed of an uncommon humanity, and a dedication to building a better and more loving world.

Post surgery I will have a catheter inserted, for a period of one week — rather than the five plus weeks I had a very painful catheter inserted in March and April. Like ouch. Julia, the registered nurse who has given me regular injections over the past 9 months (“Pants down, Mr. Tomlin. Bend over now.”) will remove the catheter on Friday, November 7th. My friend, and personal health saviour, Kelly Ryan (we provide “co-parenting” of Teague) will travel with me to the Gordon and Leslie Diamond Centre for removal of the catheter, and then ferry me home.

Teague the dog, only the most loving dog in the world

There will be a one-year post surgery recovery period during which I will have to wear incontinence underwear. Friends of mine who have had prostate surgery tell me that the worst of the incontinence occurs during the first three or four months.

Now that I’m off the prostate medication, it is likely that my energy and vitality will return, affording me the opportunity to provide more intensive coverage of next year’s Vancouver municipal election.

My support for 46-year-young Vancouver Liberals Mayoral candidate Kareem Allam — Vancouver’s Zohran Mamdani (ssshhh, don’t tell anyone) remains strong, as I hope to write (extensively) in the months to come.