The human cost of the Israel-Gaza war

A veteran volunteer surgeon laments a well lived life.

Tim Goodacre

Tim Goodacre is a reconstructive plastic surgeon, and volunteer at a hospital in Gaza.

AbdulRahman at work.

Tim Goodacre.

The Israel-Gaza war rages on. Every few days a new tragedy hits our dulled senses. The West Bank and now Lebanon are getting dragged into the conflict. Palestinians and hostages continue to die, and hunger and disease threaten Gaza's displaced people as autumn and winter approach.

Yet what is often lost is the human face of this conflict. This is the story of one such life.

AbdulRahman was an intelligent, gentle and diligent young third year medical student in his early twenties, with judgement well beyond his peers. Towards the end of 2023, as the war spread more viciously towards southern Gaza, he was one a group of around 10 students who volunteered to join the team of health care workers at the European Gaza Hospital (EGH). I was volunteering there as a reconstructive plastic surgeon and and met him in the hospital.

Both medical schools in Gaza before the war began were in the north alongside their parent universities. They had been destroyed during the onslaught in the early months of fighting. In the southern town of Khan Younis, the EGH was the sole surviving operational facility to which the wounded could be transferred. It was overwhelmed by the vast numbers of families also taking refuge in what was deemed a safer space than most of the surrounding war zone.

Many of the senior medical staff and surgeons had retreated to scattered parts of the strip, displaced frequently by the ever-moving conflict and driven by the need to support their families and stay together. ‘Live together-die together’ is an understandable feature in the horror show of war. Students, frequently left with no money or resources, started to volunteer to serve in hospitals in exchange for a little food and a sense of worth in the work they could offer. Any functioning hospital, if briefly ‘deconflicted’ so they could provide relatively safe care, found itself staffed by a disparate crew of local staff, displaced students, and an indeterminate number of more senior surgeons from both Gaza and humanitarian agencies.

His desire to learn all that could be learnt, and to try to become the best surgeon possible, was palpable.

It was into this chaotic mix that young AbdulRahman walked having fled his family home in the east of Khan Younis in November 2023. A bright young man, with great aspirations to qualify as a surgeon and serve his community, he had spent the first six weeks of the war at home, unable to attend his medical school in Gaza City to the north, but working hard at his studies regardless, using every online and library resource available to him.

At some point in late November, the battle zone moved south, and his family home was shelled along with many dwellings in the vicinity. Caught in crossfire, he sheltered in his neighbouring relative’s house after his parents and other close family had escaped to Rafah.

Abdulrahman told me the dramatic story of his escape into the house in which he survived for a week alongside his relative’s family when I spoke to him in late January 2024. This young man not only survived an ordeal of indescribable fear and potential slaughter, but he was then arrested and interrogated in brutal fashion by IDF forces.

On his release after a harrowing week, he made his way barefoot to the nearest hospital, which happened to be the EGH. In that place of safety, he was given food and water and after recuperation, volunteered to work alongside a reconstructive plastic and burns surgeon who had recently returned to Gaza after training in the UK.

Although his family were still all alive in Rafah in displaced makeshift shelters, he opted to stay and throw his weight into whatever he could do to support the hospital whilst continuing to learn his profession as a doctor. Travelling occasionally at great personal risk to see and support his family, he devoted all his waking hours to surgical work in EGH operating theatres and wards. His excellent command of English made him immensely valuable to any visiting surgeons who managed to access Gaza during the war months. He was always cheerful, always willing to respond to requests for his time, however stressful the surrounding clamour from desperate patients and relatives might become.

When his working day was done, in the middle of the night he would arrange for his fellow students to have informal teaching seminars from whoever he could cajole to deliver them, and would absorb knowledge and ideas about best practice like a sponge. His desire to learn all that could be learnt, and to try to become the best surgeon possible, was palpable.

I had every intention of supporting this fine young man in achieving his professional aspirations by whatever means I could once a ceasefire arose and he could be brought safely to Europe to continue his training.

In the last week of August, AbdulRahman was sheltering in a relative’s house in Khan Younis. In the small hours of the morning an Israeli attack was launched on the neighbourhood and the house took a direct hit. AbdulRahman was killed instantly.

He knew, as does every Gazan in these troubled times, that nowhere was safe, and all lives in that tragic zone are at risk. His is a story of a life tragically cut short, of the randomness and destructiveness of war. His death strikes right at the heart of my hopes for the remnant of the fine young population of such a desperately sad nation state. He, and those like him, could have been at the heart of the re-building of Gaza, able to live in what now feels a far-off peace. I cannot translate this into anger, as AbdulRahman himself had a passionate concern for peace and reconciliation, and never once spoke to me in many conversations of support for Hamas, or of hatred for those who had destroyed his country.

What can be done however, is to honour his life and commitment with similar tenacity in supporting the pursuit of peace, justice for his people, learning and education for the remnant of the nation, and reconstruction of a Palestine that can proudly and honourably reflect the finest values it possesses. AbdulRahman was a great Palestinian, and his all too short life was one which I want to celebrate as one of the finest I have seen in many students of the next generation of doctors. May he rest in peace, and may a lasting peace come quickly to Gaza, to all of Palestine and the whole of the Middle East.

Article

Christmas culture

Creed

Middle East

Royalty

13 December 2024

6 min read

Magi: where did the wise men come from?

The origin story of the Middle East's ancient king makers.

Mark Gilbert

Mark is a research mathematician who writes on ethics, human identity and the nature of intelligence.

An arts and crafts image of the three kings adoring the new born Christ.

The Adoration of the Magi.

Edward Burne-Jones, Public domain, via Wikimedia Commons.

You’ve probably heard they weren’t really kings, but the wise men or magi had some impressive royal connections. Far from being one-off royal visitors to the infant Jesus, the magi had a long history of involvement with monarchy, crossing paths with illustrious kings including Cyrus the Great of Persia, Alexander the Great and the Roman Emperor Nero.

Originally a tribe of the Medes who lived in Northern Iran 600 years before Jesus’ birth, the Persian magi were hereditary priests. Writing around 425BCE, Greek historian Herodotus tells us how these magi became known throughout the ancient Middle East for their ability to interpret dreams and knowledge of the stars. They were followers of the Zoroastrian religion, and were responsible for the holy fires central to Zoroastrian worship.

To the Greeks, the Zoroastrians and the magi were exotic objects of fascination. Many later Greek written philosophical and occult works claimed Zoroaster (or Zarathustra) as their author. Much like some twentieth century Western conceptions of Hinduism and Buddhism, the Greek and Roman conceptions of Persian religion often had only a passing resemblance to the original. This may have included the "mystery cult" of Mithras that would become popular throughout the Roman Empire in the first century. This also means that references to 'magi' may not refer to the Persian magi, but to other astrologers or dream interpreters who lived to the east of the Mediterranean.

A hundred years before Herodotus, we find the first mention of magi in the bible, in the Book of Daniel. This was the period of Jewish exile and captivity in Babylon. Jehoikim, King of Judea and descendent of Kings David and Solomon, was defeated in battle and killed by Nebuchadnezzar II of Babylon. Jerusalem and its temple were destroyed, and many Judean nobles were taken as prisoners. Daniel was one of these hostages and is taken to the Babylonian court, where God gives him the ability to interpret the king’s dreams. Impressed by his abilities, Nebuchadnezzar puts Daniel in charge over all his wise men. It’s unclear what relationship these Babylonian ‘magi’ had with the Medean ones, but strong Medean influence on the Babylonian court suggests that the Babylonian wise men could well have included Zoroastrian magi.

Daniel remained in the Babylonian court, until the Babylonians were invaded by Cyrus the Great, who allowed the Jews to return from exile and to begin restoring Jerusalem.

Cyrus' Persian Empire lasted for two hundred years, until it was invaded by Alexander the Great and his army in 331BCE. Alexander sought the advice of magi, but had many of them violently killed and extinguished their holy fires when he razed the Persian capital, Persepolis in revenge for the Persian destruction of the Acropolis by Xerxes 150 years earlier. Alexander’s Greek successors were characterised by bloody rivalries and in-fighting and were later overthrown by the Parthian empire, which would become Rome’s most formidable rival to the east. The magi consolidated their king-making reputation during the Parthian period, with a council of magi (the Megistanes) responsible for choosing Parthian kings.

The knowledge they have is broken, it’s a messy blend of wacky occultism, astronomy, maths topped up with an unhealthy obsession with royalty. The knowledge we have is broken too.

By Jesus' day, there were ‘magi’ throughout the Middle East, and it was in this context that Roman historian Pliny the Elder records the journey of Armenian magi to visit Emperor Nero in 66CE. By this time Parthia and Rome were a century into their protracted struggle and had just fought a five-year war over the Armenian succession. Despite suffering a humiliating defeat, Rome saved some face through a very one-sided treaty that had Parthia choose the next Armenian king, but with the Roman Emperor getting to place the crown on his head! Nero turned this to his advantage by having the new King Tridates I come to Rome to receive his crown. Tridates, who was a Zoroastrian priest as well as a king, came with a huge retinue including other magi and thousands of horsemen to receive his crown. The huge procession culminated in the magi king bowing before the emperor and acknowledging him as his god.

The visit of the Armenian magi has clear resonances with the familiar account of magi visiting the infant Jesus found in Matthew’s gospel. Given the many embellishments added to the magi story over the centuries, it's hardly surprising that some have suggested that the magi story was a fabrication and a remixed version of King Tridates’ visit to Emperor Nero. It’s a compelling theory, but I’m not convinced by this. If magi were stock characters in the ancient near east, and were also really interested in monarchs (who were often also treated as gods), then it wouldn’t be that surprising that there’d be more than one royal magi visit with emotionally charged religious overtones. What makes a fabricated magi story less likely to me is what the gospel writer Matthew’s Jewish audience would have thought of the magi. Although the Greeks and Romans were enthusiastic about foreign gods and exotic wisdom, first century Jews were not. To them and to early Christians, the magi would have been charlatans and followers of a false foreign god. A visit from some foreign astrologers would have been an embarrassment rather than the type of story you'd choose to make up.

So, who were the magi in Matthew's gospel? The two dominant theories have been that they were either Persian or else they were a later fiction. More fanciful theories include origins in India, China and even Mongolia. Another perhaps more realistic possibility, convincingly argued by Fr Dwight Longernecker in The Mystery of the Magi is that the magi were from the Arabian kingdom of Nabatea. The Nabateans were known for using irrigation to farm the desert and for controlling the trade routes across the Arabian desert. Two cash crops in which Nabatea dominated trade were frankincense and myrrh. The wealth generated from this lucrative trade was used to build Petra, the world-famous valley city of rock-face monuments. The Nabateans had close connections with Israel and may have been familiar with the prophecies of Daniel and Isaiah. They would also have been interested in the Judean monarchy and would have been natural visitors to the paranoid king Herod. Herod's mother was a Nabatean princess and the Nabatean king Aretas IV needed to shore up favour with Herod so the Nabateans would have had an interest in any new King of the Jews.

Barring some improbable Indiana Jones style archaeological discoveries, we’ll never know for sure who the wise men from the east were. But to me there’s something deeply fascinating about these mysterious visitors to the infant Jesus. Partly they seem to represent higher things – with their wisdom and wealth correctly put in divine service. It can seem as though their excellent learning and astronomical skills have cracked a cosmic puzzle, with the magi following the star and dodging a despot to find the baby at the end of the treasure hunt. This doesn’t hold up - the magi’s knowledge isn’t the object of wonder. The knowledge they have is broken, it’s a messy blend of wacky occultism, astronomy, maths topped up with an unhealthy obsession with royalty. The knowledge we have is broken too. But God uses the foolish things to confound the wise, and inside the crackpot mess of horoscopes and divination, God leaves the magi an invitation. To accept the invitation is to take a risk – to risk the long journey, the wrath of Herod and even to risk being wrong. But as they accept this invitation, they realise its an invitation to meet God Himself.