Article
Comment
Gaza
Middle East
5 min read

The human cost of the Israel-Gaza war

A veteran volunteer surgeon laments a well lived life.

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

A young doctor wearing scrubs smiles.
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
Comment
Leading
Politics
War & peace
3 min read

This security lapse signals much more about character

Sharing inflammatory emojis with the bros doesn’t inspire trust.

Krish is a social entrepreneur partnering across civil society, faith communities, government and philanthropy. He founded The Sanctuary Foundation.

Screen grab of messages with text and emojis.
The Atlantic

I have - on more than one occasion - sent a sensitive message to the wrong person. It makes me cringe even to recall those mistakes, and so I have a certain amount of sympathy with senior US government leaders who, this week, have been caught out by private messages that got into the wrong hands.  

The messages at the heart of this scandal were sent on a Signal chat between National Security Adviser Michael Waltz, Secretary of Defence Pete Hegseth, Marco Rubio, Secretary of State, J.D. Vance the Vice President, and Tulsi Gabbard, Director of National Intelligence. What none of them had realised was that inadvertently included in the group was Jeffrey Goldberg, editor of The Atlantic.  

Needless to say, screenshots of the chat went viral. The problem, however, wasn’t just what was overheard, - which by itself amounts to a major security breach, - but about what that revealed about the participants – which, I believe, signals a much deeper problem: a breach of character. And there, my sympathy ends.  

The White House team was discussing the recent bombing campaign targeting Iran-backed Houthi rebels who have been disrupting navigation in the Red Sea and the Bab-al-Mandab strait. According to reports, the strikes left at least 53 people dead and injured almost 100 more. Some reports say that civilians and children were among the dead. But in the confines of the walls of power of Washington, these lives were written off in a crude series of emojis: a raised fist, the US flag and fire.  

Dehumanisation is a dangerous path. Once we stop seeing one another human beings with intrinsic value, dignity and worth our world becomes a far less safe place. It seems a dark day where people on one side of the planet can launch a drone attack on people on the other side and then brag about it on a messaging platform in emojis, like a bunch of mates celebrating a board game win.  

The messages on Signal were not just dismissive of those deemed to be enemies – but also of those they call friends. The comments highlight the disparaging way that members of the highest-ranking leaders in the US government view Europe, their faithful and long-term ally. “I fully share your loathing of European freeloading. It’s PATHETIC” writes Pete Hesgeth, US secretary of defence.   

As a European and British person, these are difficult words to read.  It seems our transatlantic relationship has descended into a transactional relationship. Viewing our historical partnership as some kind of profit / loss accountancy does not bode well for world peace. Anyone whose commitment to you is based solely on financial return is an unreliable ally, and that is why Hesgeth’s words are toxic for global security. 

Having recently divorced ourselves from Europe with Brexit, now it feels as though we are on the other end of annulment proceedings. The longstanding bonds between Europe and the US that once seemed unbreakable are now fragile, and the global landscape is shifting in ways that may leave us isolated at a time when cooperation and solidarity are more crucial than ever.  

It is difficult to hold those in power to account, as Jeffrey Goldberg of The Atlantic, knows only too well. It would perhaps have been easier for him to refrain from going public with the compromising information he found in his possession. However, when public servants are not who they seem, it is time for private individuals to speak up and demand better.    

We need to speak up in outrage not only about the security lapse, but about the character failings, not just about the breakdown in international relations, but in the breakdown in the ethical fabric of leadership. We must expose those who view human life as disposable, those who view friends as pawns in a financial game. We must hold those in power accountable for the values they uphold, or risk further erosion of the principles that underpin peace. Only by demanding higher standards from our leaders can we hope to restore the trust and integrity necessary for a more secure global community.  

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