Diary of an invisible war

As her journalism career started, Lika Zarkaryan’s home town was invaded. She kept a diary as she reported and recalls the experience of an invisible war.

Lika Zakaryan

Lika Zakaryan is a writer and photographer based in the Republic of Artsakh (Karabakh).

The We Are Our Mountains monument, a war memorial in Stepanakert, the capital of the Republic of Artsakh,

Photo: Marcin Konsek, Wikimedia Commons.

Once upon a time in a faraway corner of the world, there was a little republic. It was mountainous and beautiful, located in the South Caucasus. Here was the ancient Amaras monastery, where the creator of the Armenian Alphabet Mesrop Mashtots founded the first-ever school that used his script - the Armenian Letters, in the 4th century. Many other Armenian Christian monasteries and churches from the 4th, 8th, 13th and different centuries are located in this area.

This is a magical place - the Republic of Artsakh, although you may have heard it called Karabakh. Depending on who you ask that means Black Garden or a Beautiful Garden.

Stalin’s legacy

Nagorno-Karabakh is a disputed territory between Armenia and Azerbaijan, but for me, it is HOME. The conflict over Karabakh dates back to the early days of the Soviet Union when the boundaries of a new empire were being drawn. It was Joseph Stalin’s idea to award the territory of Karabakh, inhabited by Armenians for centuries, to Soviet Azerbaijan, which produced 60% of the oil of the USSR. But Karabakh would remain semi-autonomous and Armenians actually remained a firm majority there even though ethnic crimes increased over the next decades.

In February 1988 mobs of Azerbaijanis in the seaside town of Sumgait began to attack and kill Armenians in the town. That is when Armenians in Karabakh and in Armenia rose after protests

and in 1991, as the Soviet Union was collapsing, the people of Karabakh voted to regain independence, just like Armenia, Azerbaijan and other Soviet countries. Of course, Azerbaijan didn’t like that. That is how the first war started. In the early 1990s, Armenians from all over the world came to Artsakh to fight in an intense ground war. When a ceasefire was brokered in 1994 Armenians were in control of Artsakh and several surrounding regions. So the Organisation for Security and Cooperation in Europe’s Minsk Group, co-chaired by Russia, France, and the United States, was charged with organizing the peace process. But negotiations failed and Artsakh was never recognized. Azerbaijan continued to dream of revenge.

A peaceful capital

This area is not so rich in natural resources, but it seems like heaven on earth. Clean mountain air, green and dense forests, pristine water from the mountains, and kind, smiling people. Here, for example, in public transport, you will never be afraid that someone might steal something from your bag. Such things do not happen in Artsakh. Children can play quietly for hours in the yard, and parents don't even think that someone can harm them. While walking in the capital city - Stepanakert, it is impossible to see any garbage on the street, people keep the environment very clean. People do not usually take their parents to the care home, but take care of them themselves and enjoy the presence of their parents until the last day. Everyone cares about each other and just wants to live peacefully in their homes. I was born in Stepanakert and grew up in just such an environment.

The first day

On September 27, 2020, we woke up in the morning to the sounds of an explosion. At first, I thought it was just a nightmare. But then, when I saw my little sister trembling with fear, I realized that it was real, and the war had begun. Azerbaijan attacked Artsakh and used various prohibited weapons, targeting ordinary people like me. My family and everyone went down to the basements, the first floors of our houses, or wherever we could hide. However, we were aware that we would not be saved in case of a direct hit, of course.

I was working as a journalist in an Armenian media outlet Civilnet at that time and could not sit idly by. My cameraman and I went out into the streets together to see what evidence we could film. I started my work as a journalist only two months before the war and it would be a lie to say that I was the most experienced one. However, at that moment there was no more time, it was necessary to get together and do what you can. Our colleagues from Yerevan, the capital of Armenia, joined us and together we began to tell stories about the war. I turned from a novice journalist into a war correspondent.

The diary of war

All my family was in this war: my mother worked in the hospital and I saw her only several times during those 44 days of the war; my brother was called to the frontline on the first day and was in the war till the end; my father, a veteran and a disabled person from the First Artsakh War, helped transport military equipment. For us it wasn’t like ‘going to war’, for us it was ‘protecting our home’.

I started to write posts - diaries every day and post them online. Here is a paragraph from the first day:

‘I couldn’t just sit around and do nothing. No matter how much my parents insisted, I decided to go out into the city and work. I am not a war journalist, of course, but this is not simply a job. These events are happening in my Artsakh. Today, for the first time, I witnessed the traces of explosions, scattered pieces of rockets, wounded people and a drone flying and exploding in the air… I think that’s enough for a day.’

The diaries became quite popular by that time, especially after some days, when my cameraman was also called to the frontline. I couldn’t make video reports myself, and then I started to write and photograph more. I understood that I don’t want to write about politics, but rather about human beings, who suffer, hope, smile, cry, lose, and love.

‘Today my friend Mike from the USA, also a reporter, asked the five-year-old boy Marat what he would do if he had a lot of money. We met the family of Marat in a basement of an old school. He replied, “I would buy a watch and sunglasses.” Mike took his Lacoste glasses out of his bag and gave them to Marat as a gift. “Try them on!” And Marat, not knowing how to put them on, wore them backwards. We all laughed and helped him to do it properly. They were too big for him but he was incredibly happy. We looked at the boy and said, “Marat, you have to be careful, they cost a fortune!” We all had a good laugh…’

Sometimes it was very difficult to stay resilient…

‘Day 15: October 11, 2020

It already feels like Groundhog Day. Stepanakert isn’t being bombed, at least that is how it seems so far since I’m still in the basement. The drones flew and fell, but I did not hear talk of victims. The weather was great today, but it was scary to go outside. Sometimes, it feels like I will never be able to go out into the street. I woke up at midnight and I couldn’t sleep the rest of the night from yesterday’s heavy bombing. We already can distinguish the sounds—when it’s a Smerch, when it’s a drone, when it’s cluster bombs, and when it’s us hitting their drone. It is sad that we can distinguish these sounds. But what can we do? This is our reality for today.’

During the war, I and my diaries experienced a lot. I heard that the hospital where my mother works was bombed. I headed there and found her, thanks to God, safe and sound. I saw a man repairing his garage as cluster bombs were falling; a woman making tea between an intermission of the bombs; the targeting against the civilian population; a human rights defender who could not see asking the world not to be blind; soldiers being baptised in the middle of the war; a man dying in a hospital; houses without faces; closets abandoned; toys left behind; mothers who lost the meaning of the lives - their sons…

The war was over with our loss… We didn’t win, although we thought we will… Azerbaijan conquered nearly 70% of Artsakh. Thousands of people lost their lives, and thousands lost their homes and became displaced persons. The war continued for 44 days and 150 000 Armenians of Artsakh and millions of Armenians in Armenia and Diaspora will never forget those bloody days.

Writing the diaries for me was a way to express myself, as sometimes it seemed that I could go insane. I also felt that by doing that I am useful to others. And that is a very important factor for me. I, like everyone else, wanted to be useful. Mostly the women and children left for Armenia, to a safer place, than Artsakh. They went there to wait until the war is over, and later they came back home. I felt that people who are outside couldn’t really know what happens there. That is why I wanted to give them information first-hand.

During the war, I met many wonderful people. I also met a director, Garin Hovannisian, who came to Artsakh from Armenia to film the war and my diaries. After the war, he supported me in publishing the diaries as a book: 44 days: Diary From an Invisible War. Together we made a documentary on the Artsakh war - Invisible Republic, which is now, after taking part in film festivals, available for watching.

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Change

26 July 2024

6 min read

Are we forgetting how to care?

The profound act at the heart of nursing.

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A nurse bends beside a bed and talks to a patient

Marie Curie.

Recently, at a nursing leadership programme in Oxford, attendees focused on the fundamentals of care. Have we forgotten how to care? What can we re-learn from those who pioneered an ordinary yet profound act that affects millions?"

Anam Cara is an old Gaelic term for ‘soul friend’, a person with whom you can share your innermost self, your mind and your heart. It is a term that Tom Hill, former chief executive at Helen House Hospice in Oxford, used to describe the relationship between his staff and the thousands of children and their families who passed through their ‘big red door’ in its first twenty-five years. The hospice (or ‘loving respice’ as it became known) had been founded by Sister Frances Dominica in 1982.

Other care in this country can also trace its religious roots. Between 1048 and 1070 in Jerusalem, the Order of St. John was founded for the purpose of helping pilgrims (“our Lords, The Sick”) who had become lost, weary, or beset by other difficulties while on their way to the Holy Land. Today, in the United Kingdom, the British Association of the Order has extended care to older people first in almshouses and later in care homes. A trustee for ten years was John Monckton, a man of ‘considerable talent, enormous integrity and deep religious conviction’; his tragic murder in 2004 led to the creation of the John Monckton Memorial Prize, which recognised and rightly celebrated commitment to care by care workers.

Today, across the world, seen and unseen, nurses, carers and families continue to provide compassionate care. “Assisting individuals, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” is the very essence of nursing, captured by ‘architect of nursing’, researcher and author Virginia Henderson in 1966. Meeting more than basic needs such as breathing, eating, drinking and eliminating bodily waste (which are of essential importance), Henderson recognised the role of the nurse in enabling humans to communicate with others, worship according to their faith, satisfy curiosity and sense accomplishment.

In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care?

An uncomfortable truth brought out in healthcare reports such as the Final Report of the Special Commission of Inquiry (The Garling Report) 2008, and the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (The Francis Report) 2013 is though that this type of nursing is too often done badly or even missed, leading to pressure injury, medication errors, hospital-acquired infection, falls, unplanned readmission, critical incidents and mortality. According to nurse scientist and scholar Professor Debra Jackson, “missed care occurs much more frequently than we might think”. She cites a systematic review in which ‘care left undone’ on the last shift ranged from 75 per cent in England, to 93 per cent in Germany, with an overall estimate of 88 per cent across 12 European countries’.

In one offensively-titled paper, “Shitty nursing - the new normal?” (in which the authors apologise for the title but not the questions raised), real-life pen portraits are drawn of patients lying for hours on hospital trolleys, immobile through infection or injury, ignored by staff. Whilst acknowledging contextual factors for poor care, such as a shortage of nurses and resources, the authors argue that circumstances cannot be the sole cause of missed nursing care.

A report published by the University of Adelaide, School of Nursing, has called for nurses to ‘reclaim and redefine’ the fundamentals of care. It asks whether the cause of the problem (of missed nursing care) lies “deep in the psyche of the nursing profession itself?” “Has something happened to the way modern nursing views and values caring?” it continues. “Indeed, is nursing in danger of losing its claim to care? In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care? Or is this a broader social pattern where individuals are less inclined to show kindness, compassion, and care for others even if it is a necessary requirement of the job?”

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness.

Writing in the British Medical Journal, Professor of critical care medicine Peter Brindley and Consultant in intensive care Matt Morgan wonder whether doctors also “too often default to high-tech and low-touch” when patients are dying – a time “when community and connection matter most”. They powerfully begin with a mother’s comment: “Humans are gardens to tend – not machines to fix.”

Professor Sir Al Aynsley-Green, the first National Clinical Director for Children in Government and former Children’s Commissioner for England, and past president of the British Medical Association, suggests that we as a society need a “momentum for compassion”. Struck by the extremes of compassion witnessed during his wife’s treatment in the last years of her life, Sir Al wants to see a cultural transformation in healthcare: for compassion to be a key operating principle in NHS and care settings, led by the Chief Nurse’s Office; for every organisation to promote the importance of compassion at the professional level; for the views of patients and families to be sought regularly; for much earlier and better focus on compassion in undergraduate and postgraduate teaching programmes for all staff; for compassion to be inspected against by the Care Quality Commission; and for a willingness to encourage staff at all levels to expose poor practice as well as celebrating excellent care.

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness. “It’s putting yourself into somebody else’s shoes – and doing something about it.” Recently appointed the UK’s first Visiting Professor in Compassionate Care at Northampton University, at the age of 80, Sir Al certainly is doing something about it. He has made it his new purpose in life to “embed compassion into every aspect of care”.

Like Sir Al, Queen Elizabeth II, the UK’s longest serving monarch, espoused compassion, in word and deed. Living a life of compassionate service, the Queen made clear that her Christian faith was her guiding principle. She speaks of Jesus Christ as ‘an inspiration,’ a ‘role model’ and ‘an anchor’. “Many will have been inspired by Jesus’ simple but powerful teaching,” she said in her Christmas Broadcast, 2000. “Love God and love thy neighbour as thyself – in other words, treat others as you would like them to treat you. His great emphasis was to give spirituality a practical purpose.”

When nurses do unto others as they would have done unto themselves, and act as role model to colleagues, not only do patient experiences of care and their outcomes improve – but so does job satisfaction for nurses: a critical factor in nurse recruitment and retention – the biggest workforce challenge faced by healthcare organisations. Across the UK, there are currently more than 40,000 nursing vacancies, and thousands of burnt-out nurses are leaving the profession early. Whether nurses decide to stay or go is driven in part by their daily experience at work. The late Kate Granger, Consultant in medicine for older people, inspired Compassionate Care Awards in her name, envisioning that such a legacy would drive up standards in care - and surely also help retain nurses, through restoring a sense of pride, achievement and fulfilment to the nursing workforce.