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
Ambition
Comment
Death & life
Economics
4 min read

Forget the Rich List, wealth needs deeper foundations than money

Your neighbourhood might be cool or gentrified now, but where will you go when you die?

Jamie is Vicar of St Michael's Chester Square, London.

A red Ferrari parked on a posh London Street
Parked Ferrari off Belgrave Square, London.
John Cameron on Unsplash.

To drive from Clapham to north of the river in London, you go past a warning sign. It's not an LED flashing one, instead it's painted on a Victorian building in uneven serif lettering:  

'For what shall it profit a man, if he shall gain the whole world, and lose his own soul?'  

It implies that the man (or the woman) on the Clapham omnibus, whatever their wealth, ignores it at their peril.  

I recently made that same journey from living in Clapham – a place of relative wealth to one of alleged extreme wealth, in Belgravia. My initial reflections are that people are people, and that wealth doesn't resolve all our problems. There's actually far more poverty, both physical and spiritual, than meets the prejudice. 

But that Victorian sign speaks to our aspirations, for those with a little, and those with a lot. We think that more is more. Cities feed the striver, and in that pursuit of wealth some argue that our cities are losing their souls. While South-West London might not be the most drippingly cool places in London, they have historically been places for those who are in professions that are cool-adjacent. Of those involved in academia or journalism, Josiah Gogarty wrote in the New Statesman:  

'These professions never promised luxury, but they did deliver a respectable middle-class lifestyle for even the moderately successful. But try buying a house in centralish London today off an income that isn’t made in, or by servicing, the City.'  

As it happens, this week I heard one journalist on the radio saying a comfortable amount to have in his bank would be £7 million. How much is enough? 

But for grads in service professions with healthy cashflows and bonuses, you can still rent in ‘centralish’ London. No doubt the affluent who house-share have buoyed Clapham Common Westside into the position of having the highest average household wealth of anywhere in the UK, at over £100k. Gogarty continues:  

'Call it Claphamisation, after the London neighbourhood of choice for graduates with dependable jobs and straightforward tastes. Gentrification took your money, or forced you to care about money more than you would’ve done otherwise. Now Claphamisation is coming for your cool.'  

In other words, gaining the world means losing your soul. 

Both riches and coolness are irrelevant as the casket is lowered into the ground. 

But even those markers of mainstream wealth and its own version of cool are uncertain as the annual Sunday Times Rich List over the weekend reflected. Your heart mightn't bleed for those falling off their perches, with a threshold of £350 million. But economic turbulence also unsteadies the presumed foundations of wealth. 

Wealth needs a deeper foundation than money. And soul needs a warmer foundation than cool. Harvard Professor Dr Arthur Brooks, says that love is 

 'what the human heart really, really wants. And a lot of people are thinking, you know, if I have the money, and I buy the stuff, then I'm going to get more love.'  

Wealth, and I would argue coolness, are intermediaries to this love. 

Tending to our souls means opening ourselves to a love that is far richer than what's on the surface. That's not to say that Christian theology denies the physical, however. It teaches an embodied understanding of our souls. I was all too aware of this standing by a coffin, taking a funeral this week. We are material beings and made of material. But our inner settled-ness in what drives us and what we are devoted to far outweighs the trappings of life. 

I have seen people dazzled by their own wealth and others seriously unimpressed by it. And while most of us would quite like the chance to find out for ourselves that wealth is an imposter, both riches and coolness are irrelevant as the casket is lowered into the ground. 

Those serif letters on that sign on the edge of Clapham are easily ignored. They seem out of place as the cars and Lime bikes zoom past. But the words aren't disembodied: they were spoken by someone. When a rich young man, sure in his own good living and upstandingness, turned his back on Jesus, he was sad, holding onto his wealth. The eyes that looked on him still loved him. 

Celebrate our 2nd birthday!

Since Spring 2023, our readers have enjoyed over 1,000 articles. All for free. 
This is made possible through the generosity of our amazing community of supporters.

If you enjoy Seen & Unseen, would you consider making a gift towards our work?

Do so by joining Behind The Seen. Alongside other benefits, you’ll receive an extra fortnightly email from me sharing my reading and reflections on the ideas that are shaping our times.

Graham Tomlin
Editor-in-Chief