The human cost of the Israel-Gaza war

A veteran volunteer surgeon laments a well lived life.

Tim Goodacre

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

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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Comment

War & peace

27 February 2024

3 min read

Letter from Lviv

Loss, resilience, and a hope one day to count blessings not missile intercepts.

Iryna Dobrohorska

Iryna Dobrohorska is Christian Aid’s Country Response Director for Ukraine.

A woman stands at the back of an armoured military vehicle, the door of which is open.

Iryna stands by a displayed military vehicle.

Ukraine is only two years older than I am. My personal history is intertwined with Ukraine’s history. Instead of the carefree fun I should be having as a young Ukrainian woman, on Saturday I was reflecting that my last two years have been dominated by war since Russia began its full-scale invasion. Over those 730 days, I have witnessed the best and worst of humanity.

I was evacuated from Kyiv to the sounds of explosions nearby, fearing I would be raped or murdered by Russian soldiers if they entered the capital. I’ve wept over losing university friends in combat. I’ve despaired at how Ukrainian writers are being deliberately targeted by the Kremlin.

But I also observed the speed that we Ukrainians built trust and social connections with unknown people. I was proud of the warmth of my hometown, Lviv, which welcomed people from the east of the country - it crushed the myths that Russia was trying to ooze into our national life that we were a divided country that didn’t have the right to exist except as part of Russia.

Not just in Lviv but all over Ukraine. This month in Odesa I felt the same warmth extended to elderly displaced people when I hosted a visit to our local humanitarian partner Heritage Ukraine by the Archbishop of Canterbury, Justin Welby. He saw for himself how the team, funded by the Scottish faith charity Blythswood, had opened their doors and their hearts to these traumatised strangers facing an uncertain future.

One of those displaced people, Nadia, told me: “We want to go home, but our home is being shelled. At least here we stay with dignity.”

The violence inflicted by Russia is not becoming any easier in the prolonged war we now face.

t’s a scene of resilience I’ve grown accustomed to as I’ve crisscrossed the country to play my small part in the astonishing humanitarian effort powered by the UK public’s incredibly generous donations.

The Iryna I saw in the mirror in 2021 wouldn’t recognise the young woman I see looking back at me today.

In Kherson, I was recording the stories of illegal detention of civilians to the sound of artillery fire. In Mykolaiv, my window view was an apartment block with the roof blown off and clay-coloured water was the only drinking option.

I never thought that I would learn the types of weaponry used in modern warfare. Now I know the difference between the motorbike sound of a drone from the missile whistle above my head followed by the clank when it detonates nearby.

Security awareness is an everyday reality in Ukraine. We often debate during an alert whether choosing to sleep in our own beds instead of going to a shelter may turn out to be our last night. A six-months pregnant teacher friend of mine in Kyiv was killed in her sleep from a drone strike.

The violence inflicted by Russia is not becoming any easier in the prolonged war we now face. Yet I also sense the paradox that we’ve accepted the war becoming everyday normality and so has the rest of the world.

Global attention today is not focused only on Ukraine. A host of other crises are taking precedence in the need for a humanitarian response. My biggest fear is that the long-term nature of our crisis reduces global actors to sympathizing observers.

What I do know is that my generation of young Ukrainians who have lost so much will not allow that to happen. More than ever, I feel the need for a just and resolute peace for Ukraine. With the help of our international friends, the day will come when those who have suffered can go back to rebuild their homes and communities.

As I move on to engage further in Ukraine’s recovery efforts, I feel privileged to have worked for Christian Aid as part of the humanitarian response. I’m most proud of our role in being a catalyst for local people to help themselves by setting their own community priorities in the kind of support they need, giving them a sense of dignity and self-worth.

It’s that kind of world that I dream about - where one day I will count my country’s blessings instead of how many drones and missiles were intercepted the night before.