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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.

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Books
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Joy
Music
2 min read

Rick Astley’s contentment is joyous

The veteran popstar’s story strikes more than a musical chord.

Natalie produces and narrates The Seen & Unseen Aloud podcast. She's an Anglican minister and a trained actor.

On a music festival stage, a popstar in a pink stages holds raised hands with his band.
Astley at Glastonbury. 2023.
aph_PH, CC BY 2.0, via Wikimedia Commons.

Last month was the wonderful Cheltenham Literature Festival and I flexed my low-brow muscles by going to see Matt Haig, Miranda Hart and Rick Astley. All three truly brilliant events.  

But the last of these was the final event of the whole festival and the most surprising. I had no idea what to expect as I’ve never heard veteran popstar Rick talk or be interviewed. If I’m honest, I was probably being ever so slightly ironic in choosing to buy the ticket. I didn’t even know he’d written a book – his autobiography, Never.  

He was absolutely sensational. The first question was “I’m sure you’ve been asked before to write your autobiography, so why now?” Answer, “Because I wanted to be completely honest and for that, I had to wait for my parents to die.” Oh, hang on. This is going to be a very different evening from the light entertainment rickrolling we were all anticipating. 

He went on to describe a “very scary” childhood. He spoke with grace and kindness where he could, but he was also completely open about how “scary” his dad was. About living in a Portakabin at the age of 14. That music was his ticket out of that “scary” place. He used the word scary a lot. Which I found really moving. As a word, it vividly conjures up the fear felt by a child, which can get lost in the slightly abstract safeguarding language that we often hear people use when talking about abuse.  

He told lots of fabulous stories about the early days with music producer Pete Waterman) and again, he spoke with respect (“they were just amazing musicians”) but also with candour. He dropped names with affection and disinterest in equal measure. We all know he was stratospherically famous – for a while – and then he wasn’t. And now he is again, at least a bit. He talked openly about all of that. He was articulate and funny; the kind of guy you’d have a great evening with, in the pub.  

But most impressive was at the end, with tears rolling down his cheeks, he said, in his rich Lancashire accent “music was my way out of that scary place. Not my ticket to sex, drugs and a Ferrari. I wasn’t interested in all that. What I wanted to find was safety, to build my own family and have a stable, safe home life.”  Wow. And he’s achieved it. He met his wife in 1987. 

Funnily enough, the day before I went to see Rick I found a meme on my Insta feed – it was putting the words of “Never gonna give you up” into the mouth of Jesus. I don’t think Rick Astley is a Christian and he certainly isn’t the Messiah – but there is real joy to be found in an artist whose music celebrates what is good and beautiful in human relationships. And not just in a soft lens, infatuation dream-state ballad. He’s in it for the long haul. 

In the words of the blurb on the back of the book, “Never” is a “portrait of truth, artistic evolution and the astounding power of contentment.” Now that’s rock ‘n’ roll.