Tamie Gittens’ journey with colorectal cancer began with what seemed like a routine annual physical. She had no symptoms — no fatigue, shortness of breath or bowel issues. But when her bloodwork revealed severe anemia and low iron levels, she was referred for further evaluation.
Since Tamie worked in a hematology/oncology office — Atlanta Cancer Care in Stockbridge, Georgia — she chose to see colleague Dr. Gurinderjit Sidhu, who promptly ordered additional tests.
“At first, Dr. Sidhu had a tough time believing that I was anemic,” Tamie recalled. “I agreed with her assessment because I did not have any physical signs of anemia.”
However, bloodwork confirmed otherwise, leading to an urgent referral for an endoscopy and colonoscopy. The procedures revealed shocking results — close to 500 polyps throughout Tamie’s colon.
The gastroenterologist asked her if anyone in her family had ever been diagnosed with colon cancer. Tamie was not aware of anyone.
“He told me that he biopsied several areas and was particularly concerned with the right ascending colon. That area suggested concern and that I need to get a genetic test done ASAP.”
Genetic testing confirmed Tamie had a mutation of the adenomatous polyposis coli gene, the marker for familial adenomatous polyposis (FAP).
According to the National Cancer Institute, FAP is an inherited disorder. It indicates a very high risk of developing colorectal cancer at an early age, as well as other cancers of the stomach, small intestine, pancreas, bile duct, liver, adrenal gland, thyroid and brain.
Even at 49 years old, Tamie was asymptomatic, active and healthy. “I would travel, exercise, maintain an ideal weight, no bowel issues, go on hikes. … The last hike I did in late October 2023 in North Georgia was 1,099 steps one way, and I was able to do it.” But the genetic diagnosis meant her children would also need to be tested.
A CT scan on Jan. 19, 2024, brought more devastating news: stage 4 colorectal adenocarcinoma with metastases to her liver, lungs and possibly the retroperitoneal area. Tamie received the news from colorectal cancer surgeon Dr. Cici Zhang.
“Because of her tone, I asked Dr. Zhang if I should sit down, and she said yes,” Tamie recalled. “I braced myself for what I was going to hear.”
The news was overwhelming. “I interrupted her with some choice words. … I was in my supervisor’s office and could not feel my legs.”
Tamie’s initial reaction was a rollercoaster of emotions — anger, sadness, confusion — but ultimately, she turned to her faith. “I went to my source of comfort and relief and asked and pleaded with God to give me strength, not to let my emotions rule me because I know He is in full control and that I am not alone.”
Tamie began treatment immediately with a combination of immunotherapy and chemotherapy. “I completed 12 cycles of Avastin+FOLFOX, my CT and MRI scans showed significant improvement, and the treatment was working.”
However, by December 2024, scans showed progression in her liver and lungs, leading to a shift in treatment. “My current treatment is MVASI+FOLFIRI. I have completed 4 of 12 cycles,” Tamie explained. The hardest parts? “Fighting to eat because taste buds are stripped, constipation, dehydration and fatigue.”
Despite these challenges, Tamie has continued working as an oncology infusion and educator nurse. “Being at work also helps me not to focus on my journey but to help others go through it. The ability to work in oncology brings immense joy and empathy.” She helps patients articulate their symptoms, reassuring them that “chemo brain is a real thing.”
Throughout her journey, Tamie has leaned on an incredible support system. “My husband is my greatest supporter — being my caregiver, making sure I have everything I need, attending doctor’s appointments, praying with me and for me.”
Her children, extended family and friends have rallied around her, offering encouragement, prayers and practical help. “I have a host of family praying for me in Australia, the Philippines, Haiti, England, France, Kenya, Japan and more.”
Tamie credits Northside Hospital with providing exceptional care.
“Every doctor’s appointment has been absolutely the best. Each doctor took their time to explain not only to me but to my family.”
She gives special thanks to Dr. Sidhu and the staff at Atlanta Cancer Care, her “family,” who have helped her balance work and treatment.
Even while navigating cancer, Tamie continues to find joy.
“Movies, journaling, hanging out with my family for game night or movie night, spending time with my pooches, night out fun with the hubby, listening to live music, bowling, reading …” she listed.
Her message to others facing cancer is clear: “Don’t give up no matter what. … Look for the positives through this journey, leave the old self behind and embrace the new you. You have new memories to make, places to see and people to spend time with. JUST DON’T GIVE UP!!!!!”
Learn more about colorectal cancer treatment at Northside Hospital Cancer Institute.
*The health story shared here is for informational purposes only and is not medical advice. Patients should consult with their own physician before making medical decisions.
