Richard Fournier (l) with his son Brian, his granddaughter Denee, his daughter Cindy, his wife Florida and his brother, John. July 2003
Richard Fournier is a self-made workaholic. Richard isn't happy if
he isn't working. In their 44-year marriage, his wife Florida doesn't
think he has sat down for more than five minutes. Richard's idea of
fun is going over to a friend's business and helping him out on his
days off. He worked on his vacation days because there was just nothing
else he would rather do.
Richard's only hobby is cooking and baking. Richard bakes won-derful
breads and was once begged to go into the bread making business with a
partner in Florida. A definite no was the answer. He told his family that
he just didn't want his cooking and baking to become "another
During his fifty years of working, Mr. Fournier has held a variety of jobs,
including as a photo-finish camera operator at a grey-hound race track.
When the dog track began using computer-operated equipment in 1996 for
the photos at the finish line, Richard continued to work there first as
an associate judge and later on a part-time basis.
In the late spring or early summer of 2002, Richard began to be unusually
fatigued. At 68-years of age, one might think it was time for Richard
to slow down a bit. But not Richard. A dedicated employee, he continued
to perform his duties as an office assistant with the State of Connecticut.
As a clerk with the Plainfield Greyhound Park, Mr. Fournier is responsible
for recording the names, dates and results of urine specimens taken from
the dogs participating in the races at the track.
In early December, he noticed that his navel was "starting to pop
out." He consulted with his primary care physician who diagnosed
a likely umbilical hernia. Same-day surgery was scheduled for December
19. During the surgery the doctor removed tissue measuring two by two
by two and one-half centimeters and forwarded the same to the Pathology
Department. Microscopic examination led to a working diagnosis of adenocarcinoma,
with possible sources of the primary to be considered, including the pancreas,
biliary tree, stomach and lung. The Pathology Department forwarded a paraffin
block of the material to Impath in New York City for immunohistochemical analysis.
Richard and Florida, "cutting the rug."
In a report dated December 24, 2002, Impath stated that the array of antibodies
and tests ran favored a diagnosis of mesothelioma. During a follow-up
consultation on December 27, Richard's doctor advised that tests upon
the excised tissue were positive for malignancy, and referred Mr. Fournier
to an oncologist in Norwich, Connecticut. The oncologist ordered CT scans
of the head, chest and abdomen, as well as a bone scan. The CT scan of
the head was negative for any metastatic lesions. The CT scan of the chest
and abdomen revealed "bilateral pleural plaques with calcifications
consistent with asbestos-related pleural disease", as well as ascites.
(Such a finding is in fact consistent with heavy exposure to asbestos).
A definite primary site could not be identified by the exam, although
the pancreatic head was incompletely delineated. The bone scan revealed
no evidence of metastatic disease.
Based upon the Impath report and the CT scans, the oncologist diagnosed
Richard with malignant peritoneal mesothelioma. The oncologist believed
that the mesothelioma was early stage and in the abdominal cavity and
possibly originated in the chest. The tumor which had metastasized in
the navel was on the right measuring approximately two by five inches.
The oncologist told Mr. Fournier that this cancer is very rare, that only
around 2500 Americans are diagnosed every year, and that Richard was his
first patient with mesothelioma. Even though the grim statistics pointed
to a survival period of only nine months, the oncologist arranged for
Richard to enroll in a clinical trial utilizing Alimta plus Cisplatin.
Mr. Fournier began this chemotherapy on Monday, February 10, 2003. The
process of intravenous administration of Alimta, Cisplatin, saline and
other solutions takes five and one half hours. Medication administered
during the process kept Mr. Fournier from suffering nausea or vomiting.
But the fatigue was overwhelming for him. It really threw him for a loop.
After each treatment, Richard would sleep constantly for two or three
days on the couch. He literally had to "force" himself to get
up and go to work. It became so difficult to work immediately after receiving
chemotherapy that he rearranged his schedule or switched days with coworkers
so that he would not miss any work. Richard has never officially missed
a day of work because of his cancer or treatments.
Richard in July, 2003
After a few sessions of chemotherapy, the Cisplatin was removed from the
cocktail because it seemed to be compromising his kidneys. Although Richard
never complains of the pain to Florida, he admits that he has constant
pain at level three on the right side. He also has suffered from loss
of appetite, ascites, and night sweats.
The fluid continued to build up in his abdomen and created an uncomfortable
pressure when he attempted to sit for any length of time. He was plagued
with severe indigestion. Finally, on July 16, the fluid was drained from
his abdomen. Approximately two quarts were removed, and to Richard it
was like he was given a shot of adrenaline. He was able to sit upright
longer and move around much easier. He wondered why his doctors had not
done this earlier. He plans to ask them to drain the fluid again during
his next visit. Richard feels that if more fluid is removed he may be
able to go for an evening walk with Florida.
Right now, Richard is in limbo. He is not receiving chemotherapy. He has
had blood tests run and is soon to be scheduled for a CT scan. Once the
results come back, Richard and his doctor will sit down and talk about
his future and treatment options.
Recently, family and friends celebrated his 70th birthday with a huge picnic
which included some surprise visits from old friends. Florida just tries
to make his life a little easier and a lot more pleasant. She has taken
on the responsibility of the yard work and as she puts it, "leaves
him alone" at the end of the day, so that he can get the rest he
needs. For the first time in his life, Richard must sit still for more
than five minutes. We are all pulling for him to recover, to regain his
old life where he never ceased moving about. We will keep you posted on
this indomitable Connecticut Yankee.
POSTED SEPTEMBER 17, 2003
An Update -- 9/25/03
Richard recently completed three treatments of chemotherapy utilizing Taxol
and Carboplatin. As Richard puts it, "The chemo knocked me flat on
my ass." One of the potential side effects of the chemotherapy is
neuropathy, and unfortunately both of Richard's feet feel cold and
numb, so much so that he cannot walk. Yesterday he met with his oncologist
Dr. Dhami, who discontinued the chemotherapy. Dr. Dhami said he "might
have one more trick up his sleeve," and Richard hopes his oncologist
can offer new treatment at their next consultation three weeks from now.
A couple of weeks ago, Richard had gotten his weight up to 160 pounds;
his normal weight was 175 to 180 pounds. Now, Richard has no appetite,
and he weighs 145 pounds. He has lost his appetite; food does not taste
good to him. He has tried Ensure, but it has too much sugar, which gives
him heartburn, and it "stays with me too long." Also two weeks
ago, Richard's hair started coming out by the handful. He had his
hair razor cut, and shaves the sparse stubble from time to time.
These developments and the ongoing buildup of fluid in his abdomen followed
by drainings have left Richard dispirited. He wants to get back on his
feet and do things again. He remains determined to do so.
Mr. Richard Fournier passed away on October 7, 2003