Routine physical leads to lifesaving discovery

Joe Hutchmacher thought he had indigestion, but gallstone surgery revealed cancer

Routine physical leads to lifesaving discovery

Joe Hutchmacher is strong.

At home, he’ll ride on a motorcycle and handle it with ease. At the gym, he’ll stack on 45-pound plate after 45-pound plate – bench pressing it like it’s a pencil.

Routine checkup, rare diagnosis

But his strength was put to the test in a different way last December. He was experiencing frequent indigestion, and at first, he didn’t think much of it.

Two of his three sons play college football. Both are starting centers. One at The University of Nebraska, the other at Northern State University.

When your weekends are usually booked up with college football, tailgating is part of the experience. Hutchmacher thought the indigestion might’ve been from frequent game day food and didn’t give it a second thought.

However, at a routine physical with his primary care provider at Sanford Chamberlain, Hutchmacher discovered he had a gallstone partially blocking his bile duct.

He and his team scheduled a procedure in Sioux Falls, South Dakota, to get the gallstone removed.

“And I’ll never forget waking up from the procedure. He said we got that gallstone out. Everything went good. And the next words he said, ‘but you have some surgery in your future, my friend,’” recalled Hutchmacher.

He learned he had high grade dysplasia, a precancerous condition where there are severely abnormal cells in the inner lining of the stomach.

Mouhanna Abu Ghanimeh, M.D., a gastroenterologist at Sanford Health, took a biopsy during the procedure and would call Hutchmacher with the results.

Hutchmacher was walking his dogs along the banks of the Missouri River when he got the call revealing he had ampullary cancer.

Ampullary cancer is an aggressive form of cancer that manifests in the ampulla of Vater, a small opening in the small intestine where the pancreatic and bile ducts meet.

He and his wife were scared.

“I was a total wreck,” said Laura Hutchmacher, Joe’s wife. “And of course, you go to Dr. Google and then everything spirals from there.”

Hope through fear

But there were two reasons to be optimistic.

Because Joe was proactive and sought care right away, they caught it before it had any time to spread.

Sanford Health is one of the only health care systems in the Midwest that has a robotic option for Whipple surgery, the kind of surgery Joe would need. This procedure is done exclusively in Sioux Falls, South Dakota.

Thavam Thambi-Pillai, M.D., is a transplant and hepatobiliary surgeon at Sanford Health in Sioux Falls. He said the benefits of the robotic Whipple procedure can’t be overstated.

“It’s more precise and more finer movements. And of course, you do this all through a smaller incision, so patients recover faster and go home faster, feel less pain, and they can start chemotherapy sooner,” said Dr. Thambi-Pillai.

Hassan Turaihi, M.D., is a colorectal surgeon at Sanford Health in Sioux Falls, and partners with Dr. Thambi-Pillai. He said they’re able to fully operate through eight-millimeter port sites – making the incredibly complex procedure, that takes six to eight hours to complete, minimally invasive.

“Hospital stays anywhere between five to seven days. People stay in the ICU for about one to two days, and then in terms of recovery it takes about six months before people feel like they’re back to normal. So, it is a physically demanding operation, not just on surgeon, but also on the patient,” Dr. Turaihi explained.

‘I just can’t thank him enough’

During recovery, Joe’s aforementioned strength was tested greatly. He said he metaphorically leaned all of his 350 pounds on his wife Laura for support.

“She was the rock. I don’t know what I would’ve done without her. She was there every step of the way. I found out how much she really loved me,” Joe chuckled.

“It’s a gut punch hearing the words (you have cancer). Talking with my wife, she was pretty insistent that I can make it through the whole process. She wasn’t having it any other way.”

Laura’s worries were eased in part through Dr. Thambi-Pillai’s confidence. If she could tell the doctor one thing today, it would be:

“Thank you so much for the care that you gave him, for your abilities, for not doubting that you’re going to be able to do this, the reassurance you gave me and how you would be able to do it,” she said through tear-filled eyes. “I just can’t thank him enough, never.”

Today, Joe and Laura are back to doing the things they love: riding the motorcycle, lifting weights, and tailgating – with the occasional Rob Zombie concert thrown in here and there.

Joe said his take home message is don’t wait to seek care. He’s alive today because of it.

“Dr. Thambi and Dr. Sumey both said that was a good gallstone you had because it quite literally saved your life.”

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Posted In Chamberlain, Digestive Health, Family Medicine, General Surgery, Healthy Living, Sioux Falls