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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
Culture
War & peace
4 min read

Letter from the Balkans

An audience with a crown prince tells the story of troubled lands and resilient inhabitants.

George is a visiting fellow at the London School of Economics and an Anglican priest.

An orthodox cathedral, with prominent roof domes.
St Sava Cathedral, Belgrade.
Ben Asyö on Unsplash.

It’s only halfway through our supper by Stone Gate, the most ancient entrance to the old citadel of Zagreb, Croatia’s capital, that we realise votive candles are burning in the archway outside. Closer inspection reveals three or four simple pews before a niche shrine to Our Lady and the stone walls covered with inscriptions to the local deceased. 

Families, young and old but mostly young, gather in the gloaming for their dear departed. This is a profoundly Catholic site and the little restaurant, brightly lit and jolly, nevertheless feels reverential and on holy ground. Some 80 per cent of the population of Croatia is Roman Catholic, while just 3.3 per cent are Serbian Orthodox. 

A five-and-a-half-hour bus ride east and we’re in Belgrade, capital of Serbia. Here, the proportions of the faithful are almost exactly reversed – 81 per cent are Orthodox and a little under four per cent Catholic. 

These statistics serve as a grim reminder of the phrase that entered our political lexicon in the first half of the 1990s: Ethnic cleansing. In that civil war, as the former Yugoslavia broke up into its constituent republics, Croatian Serbs and Serbian Catholics – those who survived, that is – were displaced. 

So we’re less likely to see the kind of Marian devotion that we witnessed in Zagreb being honoured in Belgrade. This is essentially a technical, creedal difference between Catholicism and Eastern Orthodoxy, in how the incarnation of the Son proceeds from the Holy Spirit. It’s no big deal theologically and shouldn’t detain us. But it quietly points to the fragility of peace, not to say democracy, in the Balkans. 

A fresco of the Christ in its dome has a bullet hole through the forehead, not so much crucified as assassinated. 

 A mural depicts an icon of Christ with a bullet hole in his forehead.

HRH Crown Prince Alexander, head of the Royal family Karadjorjdevic, which ruled the kingdoms of Serbia and (later) Yugoslavia until the Second World War, carefully refers to it as “democracy at midnight” over coffee in the Blue Room of Belgrade’s Royal Palace. He returned to his ancestral home when Slobodan Milosevic was deposed at the millennium.  

The Crown Prince helped his country return to democracy by uniting the opposition which defeated Milosevic in the elections of 2000. Even today, he calmly states that western democratic leaders often fail to understand how the mindset of eastern autocracy works and agrees that it is “work in progress”. Eternal vigilance is key.  

In this context, the Serbian Orthodox Church is doing well, but it’s also still work in progress. Under communism, a substantial number of Serbian bishops were appointed by the Soviet regime, for purposes of control and information gathering. That culture wasn’t cleansed overnight, nor has the communist legacy been entirely expunged from the Church. 

“You’ll see what I mean when you visit our family chapel in a moment,” the Crown Prince tells me. Sure enough, a fresco of the Christ in its dome has a bullet hole through the forehead, not so much crucified as assassinated. Prince Alexander will not restore it, so its serves as a constant reminder of what can be. His guiding principle is that “only dictators alter history.”  

Elsewhere, our guide points to desecrated icons and the ghostly shadows of Soviet insignia on marble pillars. Alexander is an unassuming and modest man, referring to the 18 Serbian parties he convened at a conference in 2000 as “the democracy by email”.  

When we’re joined by his wife, Crown Princess Katherine, she corrects this, proudly stating that her husband returned democracy to the region. There is probably some truth in both their versions of events. The consequence of that could be a restoration of a constitutional parliamentary monarchy in Serbia – we’ll see, or perhaps our successors will. 

From the Palace, we visit St Sava, called a temple but really the Serbian Orthodox cathedral consecrated to the memory of the founder of the national Church. This, again, is work in progress. Started in 1935 and only now approaching completion, it’s a paradigm of the troubled contemporary history of Serbia. Communists have razed it and Nazis have parked their trucks and tanks in it. 

It is unashamedly modern, though it honours ancient Byzantine mural and fresco methodologies. Its biblical stories in gold leaf use the traditional crafts, linking Belgrade to its ancient past, whatever despots may have done to interrupt its devotional history. We’re linked to the palace we’ve just left by enormous doors, inscribed with multi-lingual prayers of welcome, donated by the royal family. 

Perhaps the allegory it offers is best illustrated by the image of Christ – no bullet hole now – in the dome, which was built and raised, centimetre by centimetre, from the ground. All 4,000 tonnes of it. The metaphor of rising from the ashes of war writes itself. 

And that’s the takeaway from Belgrade. Serbia – and the wider Balkans – suffered a 20th-century of unfathomable bleakness. Its people have endured and their spirit isn’t broken, a moral exemplar for western Europe. Belgrade resonates to its folk music and young laughter over broken bread and wine outpoured (gosh, do they eat and drink – for who knows what tomorrow holds?). 

The phoenix, which naturally shares Greek roots with Serbian royalty, would be the go-to cliché for the cyclical regeneration of Belgrade. But as this city approaches Easter, there is of course something else more fundamental going on. 

Belgrade has faith in itself, as well as the God who has delivered it. It’s a resurrection story really.