This instalment of the Sava Wellness Community Interview Series takes a bit of a different form than the previous iterations. In this article the owner of Sava Wellness, Sarah, talks with her good friend Dania! Being friends for many years, the two of them talked long on a video call and were able to get to the core of matters quickly and in some ways more deeply because they know each other so well. There was enough content for many articles, but the heart of their conversation is transcribed below. Please read on to learn more about Dania, her experiences with health care, her scoliosis, colitis, and hip replacement surgery.
Hi, Dania. It’s great talking with you today! Can you tell us a little bit about yourself?
Hi, I’m Dania. I live in Calgary, Alberta right now. I’m a PhD candidate, so I don’t have time for hobbies. But I read and I write a lot. I have a big family, so I spend a lot of time with them. I have a beautiful little bunny named Arlo. He’s the best.
If you have a job outside of your chronic illness and you want to share, can you please share about it. But we all know that having chronic illness or disabilities can be a full-time job in itself.
I’m an instructor. I teach asynchronously which means I teach online and the classes happen asynchronously where I post things and the students do them as they want. I teach three of those at Red Deer Polytechnic and I am a Teaching Assistant at the University of Calgary. I teach literature.
Okay, so let’s talk more now about actually chronic illness and disabilities. So, Dania, do you have a diagnosis for your symptoms?
I have a diagnosis for colitis. It took a thousand years and disagreeing doctors. I still don’t have a real treatment plan. It’s been messy.
You still don’t have a treatment plan?
Oh, I had a treatment plan and it was working but then the side effects were outweighing the benefit. I have a microscopic colitis so it’s not as easy to treat. So I think a lot of specialists, especially now when the health care system is in shambles, only treat higher risk patients who have a risk for cancer and not for all their symptoms. Lower risk patients kind of get pushed out of the specialists because there’s just no access to specialists because of the lack of them. So you end up with your family doctor who tries and puts you on something to kind of manage your symptoms. Specialists are no longer interested in lower risk patients because they just don’t have the time or resources to deal with you until you get more serious. So instead of being preventative care it becomes ‘once you’re at your last resort’ type care which is not ideal. This is what I’m finding in GI specialists and other places too. I also have scoliosis and I was having a lot of back problems. And when I went to see a specialist, which there aren’t many for adults, they said there are worsening symptoms, but I don’t want to see you until you can no longer walk. I ended up leaving that appointment and crying in my car because they were just so mean to me and there was a x-ray with my curved back on in the appointment and they tried to gaslight me into thinking I didn’t have scoliosis, like I was wasting their time. They did say “I guess if you’re having pain, I can send you to a different specialist” and ended up sending me to the hip specialist. Who was thankfully a really nice person and was like “okay, the pain in your back is from the scoliosis you shouldn’t have been pushed aside like that” and found that I also had a hip problem that was contributing to it. So I ended up getting my hip surgery but that’s kind of been my experience with healthcare. It’s just been really difficult. And I’m really lucky because I have a family doctor that cares a lot. You go in to healthcare with a concern about something that isn’t normal, especially women’s issues, and they make you feel like you are wasting their time, even when you know it isn’t normal, like never having a period. It makes you not want to go to appointments because they will just gaslight you.
I think more people need to say that because we all deal with it and we just think it happens only to us.
I worry if I push back I won’t receive any help so you just kind of sit there and deal with it. It’s horrid, right? There’s the power dynamic too of this person is a medical professional, a doctor, and you’re just at their power. They’re the ones that have all the power in any kind of helping you feel healthy situation and you just kind of sit there and you’re like “they must be right” because you know they’re the doctors. It actually was my mom that started pushing back for me to realize, hey, I don’t have to take this doctor’s rudeness and unhelpfulness. My sister is like, just go back and tell them what they need to know, and so I started like going to doctor’s appointments with a sibling.
I think it’s easier to have someone with you, and I’ve spoken about this before, I go to appointments with my Mom and it’s not because I’m a child, it is so that I have an advocate for myself and that if I do forget something she can help me.
It’s easier to stand up to someone when you’re not one-on-one and there’s not the power imbalance. It kind of feels like when there’s two of you, the power balance is almost balanced, right? Because it’s one doctor and two of you. The doctor can’t talk it down to you the same way when I have a person there to witness or stand testimony or something like that. It’s an advocacy thing and you feel safer going in with another person too, especially if you have this kind of experience of being gaslit.
So could you explain what colitis is and what scoliosis is for us?
So, colitis. This is similar to Crohn’s disease where you have an inflamed colon and it can cause ulcers and increases your risk of cancer as well. It often gets misdiagnosed or like shoved aside as IBS because the difference can only be told by doing a scope of the colon, which doctors don’t want to do now because it is too expensive. Symptoms are actually quite wide-ranging. They could be: diarrhea, constipation, blood in the stools, nausea, or night sweats. Fatigue is a big one that is difficult to deal with especially because you’re not absorbing nutrients the same. Bloody stools is the big one that will cause the doctors to do something. But there’s a lot of really uncomfortable symptoms that they’re just like, oh, it’s IBS, there’s no treatment. And so you’re like, no human is normally living like this; sometimes it is really embarrassing, but like excessive diarrhea which is not a normal adult human thing to deal with. A person in their twenties should not have to think about where all the bathrooms are in case of emergency. It’s stressful.
And does it kind of feel then like you’re trapped? Because you’re not sick enough, but you’re still dealing, and may I say suffering, with these symptoms?
Yeah, it’s exactly that. And then every time I develop a new symptom my family doctor, I’m really lucky and I know that a lot of people don’t have this, really advocates for me a lot. But, you know, it’s tough because you really feel like you’re not sick enough. But you’re still having all of these hideous symptoms and I don’t get any care because they aren’t bad enough and it feels like I just have to convince myself that I am probably fine. If you’re having a really tough day and you feel like dying, I think “I’m not that sick technically” so I can go to work, and then go and feel awful the whole time.

Would you call yourself chronically ill or disabled or something else?
No, because the system doesn’t really allow for me to have that kind of understanding, I guess just by a difference of label.
It’s interesting how much difference a label can change how you’re treated.
Yeah, and then it changes how you see yourself too. So if I’m having trouble being awake, sometimes when you get fatigued and it’s difficult to just open your eyes and then all your limbs are really heavy, and I tell myself “I’m so lazy” that there’s just like this voice in my head if I have to take a nap that I’m so lazy, you should be doing something, etc. So I think that the way that you’re labeled or the way that you’re diagnosed really changes you mentally, it allows you to give yourself a break if you have that diagnosis, but I have such a hard time doing that because I’m like, “oh, they say you’re fine.”
I think that is an even worse form of gaslighting because now they’re making you question your wellbeing and, I don’t want to say identity because I know we don’t all identify as our illness, but it kind of changes the way you think of how you function with your illness every day.
Yeah, totally.
Okay, would you mind now talking a little bit about scoliosis?
Oh yeah, so there is curvature in my spine, my spine didn’t grow straight and it’s usually something that comes up during your growth spurt. It’s actually funny, I was in Lebanon when I was like fifteen and I was wearing a bathing suit, and my mom was like, what is going on with your hips? The way scoliosis looks, is that one hip is bigger than the other. So when we got back to Canada, my doctor said that’s scoliosis and sent me to a specialist. There’s different severities, I’m in the middle—meaning it’s noticeable, but it’s not hugely dangerous. It causes pain. And it’ll cause pain while aging. There’s really no treatment for people that don’t have severe cases. Severe cases can get surgery and physio.
Now, because I know you well, how does your hip and hip surgery come into that?
I’ve had pain in my hip area and my lower back, I always thought that it was connected. And then if I was laying down on the ground, for example, I would get like stuck. My brother would have to come and pick me up. The scoliosis specialist sent me to the hip specialist who was different than your usual specialist because he is really interested in preventative care. So he saw me and then did a bone scan on my hips, which involves a large needle and injecting stuff into your hip joint. My hip joints are not sitting correctly in there sockets. So that’s what was causing like the clicking and stuff and I had a torn ligament, which was because the joints weren’t sitting in the socket properly. It was actually nice to have some sort of preventative care so that I won’t have so much to dread when I get old, like a hip replacement.
I know for you it took a while as there’s a pretty big recovery time for hip surgery. I know in London, UK, you were using a cane. How was that experience for you?
Being a twenty-something year old with a cane is different. I felt like walking but I couldn’t. In the airport I needed assistance while all the vibrant old people didn’t. At the airport they put me in a wheelchair because I can’t walk distances and they just put me somewhere and forget me for so long. I don’t know, I thought I’d be embarrassed or something, but I wasn’t at all. And I had this neighbor across the street for me in London and she’s this older Greek lady. And her husband walked with a cane and he had like a health care aid come to his house and take him for walks. He had to get a hip replacement. And she was like, don’t be like my husband, go do your physios. She would yell at me every day to do my physios so that I wouldn’t end up like her husband who had a really bad recovery. A guy once, this was one of the earlier times, I think it was actually the first time I went out by myself without my cousin or anything, and I took the train in London. I was in the station and a guy was in a rush and shoved me. And I fell and he turned around, saw me, saw my cane and just the look on his face was just priceless, it’s like he was pretty sure he was going to hell. He was like, I am so sorry. It was so funny. So I mean it was a bit scary and it was hard because I like to go around and walk and explore. But I was really lucky to have been in London while I was recovering because there were so many little walks I could do without having to drive or take transit or anything like that. So I think I was really lucky with where I was and the place I was and what I was able to do and my cousin was helping me for the first year, I was pretty lucky.
You didn’t have to worry about ice either, right?
Yes, this is the thing with physio, there were so many warnings about like watch out for ice because if you fall your bones are not healed it’ll just pretty much snap. I was so happy that I didn’t have to think about ice just because of how much people were telling me to worry about ice.
So when did you first realize that you had a chronic illness? And how has your journey been since then?
I would say probably around seventeen when I was like “this is not normal.” My doctor has been advocating for me for a long time. My family doctor is the same person that delivered me, so I’ve had the same doctor for my literal entire life. And I’ve had issues with my digestive system my whole life, I couldn’t drink breast milk when I was a baby, for example. From the start I’ve just not had the greatest tummy. So when I started having symptoms he said the symptoms are very clearly colitis. He put me on an anti-inflammatory medication and it worked. So once that happened, it was basically a diagnosis and sent me to a specialist and then it’s just been like specialist after specialist since then with them changing their minds, and trying new things. Lots more tests, just so many things. So many things. It’s just been long and no one listens. It’s really exhausting. And I don’t care anymore, I’m like if I die, I die. Like that’s how I feel I don’t want to go anymore. I don’t want to go to any more specialists. I don’t know if this is like the right term, but it’s almost like health care fatigue.
How has your experiences of the world changed since your symptoms started?
I mean you’ve always got to think about how tired am I going be tomorrow if I do this thing today? In my culture we stay up late and you’re just like out with your family all night kind of thing and sometimes I’m like on the verge of death but I’m not going to not go to that. I don’t know, it’s tough. I think I also live like a pretty simple life. I don’t drink and I don’t smoke and avoid things that I know would irritate my stomach so I kind of do things that are preventative. And sometimes I hear people telling me about their weekends and I’m like I would have died like I literally would have not woken up. You’ll have to think about where there are bathrooms all the time. That’s scary.
Yeah, that makes a lot of sense. I think your word of ‘preventative’ made sense, you do a lot of preventative work.
Yeah, and it’s just reflexive at this point. Like I don’t even really think about it. I want to eat something like a piece of cake for example. I’m like, I don’t have anything tomorrow so I can eat this piece of cake. Not a normal thing that people have to do or think about.
Which of your symptoms do you find the most debilitating and why?
Probably the really intense nausea and diarrhea because you can’t go anywhere. You don’t want to eat and you have to eat to get well. But it is so hard to get anything inside of your body. And then when it gets in it just goes out right away. It’s just exhausting and it causes a lot of fatigue because you’re not getting electrolytes and you’re low on iron. And that causes such fatigue, it’s just hard to have something that makes you so tired when you’re in your twenties. And tired is the wrong word for fatigue because it’s like your body has powered off while you’re still trying to be awake, but your body is not responding, like the Wi-Fi is not connected.
What has been the most helpful for you as you’ve gone through this journey?
Well, I’ve mentioned my family doctor before, so him advocating for me has been the best. It’s just so nice to have an actual health care professional on your side. And my siblings. And my mom came with me to appointments as I said. So just having people that are concerned for your well-being. And when I’m always giving up on getting any kind of treatment, my sister makes sure I stay on it. My brother is just like the gentlest soul and now he’s in medical school, but he has been and still is very, very good at caring for me and others. So the most helpful is having a support network, without them I don’t know what I would be like.
Thank you Dania! Dania is an amazing English Literature instructor and is very close to completing her PhD at the University of Calgary. She is also a creative writer and has a book in the works, so stay tuned for that! Her writing focuses on global literatures, particularly Arabic speculative fiction. Her work often presents Arab, Muslim women as agents in themselves outside of the harmful Western narratives.




