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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.

Article
Ambition
Comment
3 min read

Hopes and fears for the year

Standing on the cold threshold of a new year, Graeme Holdsworth recalls past audacity and whether his aspirations are too timid.

Graeme is a vicar of Marsden and Slaithwaite in West Yorkshire. He also cycles and juggles.

A starry night sky below which a signpost is silhouetted.
Luca J on Unsplash.

Standing in the Vicarage garden, under the clear winter sky, I feel cold to my bones, as though Jack Frost has thrown his coat over my shoulders. I’ve been successfully shedding body-fat since early October when I began to cut out ‘added sugar’ foods from my diet, but it has come with a downside: I need some third-party insulation, preferably lightweight, breathable, wind, and waterproof. I love cycling under clear night skies, pausing away from towns and lights to let my eyes adjust sufficiently to see stars more in number than the sands of the sea, but my enthusiasm for winter riding is dampened by this bitter cold. 

My first truly long-distance bike ride was an overnight cycle across the North Pennines, about 300km. A good friend had turned 40 and invited me to his party at a nightclub in Glasgow. I lived in Teesside at the time and thought it would be great fun to cycle there. I loaded my bicycle bags with party clothes, a change of shoes, and an appropriately expensive bottle of whisky as a gift, then set off into the early evening sunshine. By Bishop Auckland it was raining. Passing across Yad Moss to Alston at midnight, it was snowing. 

I’m older now and experienced enough to know that there is a point where the discomfort of endurance tips over into the endurance of pain, but I still long for the adventure. Like Tolkien’s elderly Bilbo Baggins torn between the comfort of his hobbit hole, and his yearning to see mountains again: my mind returns to summer cycling and riding through the night in shorts and short sleeves. Bilbo’s first journey was one of inexperience and unpreparedness, but he faced his dragon and returned home with tales to tell. Moreover, he didn’t do it alone, he also shared the journey with those who were older and wiser, those who knew what to expect but travelled anyway. 

Will I limit my resolutions for the new year to those that can be achieved beside my metaphorical fireplace? 

As I reflect on this, I think about our church community: those whose faith has been tested by experience, and those who are afraid to take their first steps into a wider world. A mixture of people who tell stories of spiritual wonder and joy, and others who seek comfort and refuge in the familiar. I’m also reminded of the people in this local community who have needed comfort during times of suffering. My soul has become filled with experiences, and I know that there are more frightening ‘dragons’ out there than those I encounter on a long bicycle ride. 

As I stand in the Vicarage garden, shivering, I wonder if I’m at risk of becoming timid. Do my experiences, and those I’ve learned from others, teach me to tread more carefully in the year to come? Will I limit my resolutions for the new year to those that can be achieved beside my metaphorical fireplace? Do I hang up my cycling shoes for those furry lined Crocs my son bought me this year? 

As I type this I realise, I have no desire to surrender to slippers just yet: my aspirations for the year ahead are to fly recklessly in the face of my own painful experiences, to embrace boldness in cycling, faith, and ministry once again. I pray for joy in my heart, and youth in my soul. I hope that my faith filled foolishness will be infectious in our church and our community as I stand hand in hand with the Divine, on the edge of eternity… and jump together. And as for wisdom born of experience: next time I take the dog into the garden, I’ll put a jumper on.