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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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Character
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5 min read

Daunted by dad-hood, encouraged by dad

Imminent parenthood pushes Nick Brewer to pause and consider what sort of Dad he needs to be.

Nick Brewer is a critically acclaimed rapper and recording artist. He is a patron of Anxiety UK, and runs Talk About It - helping young people explore creative writing. 

A dad hovers with open arms ready to catch a baby taking first steps
Peter Dlhy on Unsplash

I’m about to become a father for the first time.  

While there is excitement and joy as my wife and I prepare to start this new chapter of life, I’m not sure that I feel qualified to be a dad. As someone with an anxious disposition, I like to be as prepared as possible for any task ahead. However, just six weeks from the due date, I could quite easily do with another nine months to get ready for the new arrival.  

I’ve been reading books about parenting, listening to podcasts, attending classes with my wife, all to try and equip myself with the necessary skills. I’ve also tried to do as much DIY as my limited skillset allows me, to make the house ‘baby ready’.  

Yet, I can’t get away from this nagging feeling that I might not have what it takes to be a good dad. Watching my wife flourish over these last few months, building a strong connection with the baby and preparing for motherhood, is quite astounding. Honestly, I can’t say I have that same feeling of connection with the baby. 

What do I say to a bump? I’m rarely at a loss for words in life, but I was stumped. 

This lack of connection became clearest to me when my wife first suggested that I speak to the bump, so that the baby could get to know my voice. As I hesitantly stooped down and got in position to talk, my mind went completely blank. What do I say to a bump? I’m rarely at a loss for words in life, but I was stumped.  An awkward ‘hello’ and ‘how are you?’ wasn’t cutting it.  

Suddenly, I had an idea to sing a song. My song of choice was ‘All My Loving’ by The Beatles. This isn’t a song that I’ve listened to in at least ten years, and my wife had never even heard it. So, why did this song come to mind at that moment? Some sort of distant memory had crept in, of my own father singing this to me as a child, most nights before I went to sleep. As this memory came back to me, I started to think, what can I learn about the role of a father from the example set by my own father? 

Can I reach the incredibly high bar that my dad has set for parenting? I’m not so sure, but I’ve got no excuse not to, as I’ve had a near perfect example in him. 

My dad is a very different character to me. While I often overthink and worry about everything, my dad just seems to have an ability to get on with life, regardless of what he might be going through. He’s not the most outwardly emotional man. It would be rare for him to answer the question ‘how are you?’ with anything other than ‘fine’.  

He’s much more of a ‘man’s man’ than me; one of those guys that just seems generally good at most handy things. He’s the type of guy that you would want to help install laminate flooring or rewire a lamp. He’s reliable, having been with the same employer for nearly 40 years, and he gives great financial advice. He is not hypermasculine in any way, but he’s solid. Dependable. He would do anything to help anyone, no matter what it may cost him.  

He has a lot of qualities that a good father needs, and as his son I’ve reaped many rewards from having a dad like this. I’ve grown up feeling safe and reassured. And while I’ve picked up some of my dad’s traits, I’m not sure how similar we are. I’m a lot more emotionally wired than he is. I worry about things that I imagine have never crossed his mind. I’ve spent a lot of time chasing creative pursuits and sought work opportunities that I believed would fulfil me. I’ve spent countless hours trying to figure out my ‘purpose’. I’m extremely unskilled when it comes to DIY. I worry that I’m just a lot more selfish than he is. Can I reach the incredibly high bar that my dad has set for parenting? I’m not so sure, but I’ve got no excuse not to, as I’ve had a near perfect example in him. 

While I could go on about my dad’s various qualities, when I think of the ways in which he has impacted me most, one of the most important things he did was create a safe environment for me to grow up and develop in.  

Through his willingness to patiently let me become myself, with the parental guidance that was required of him of course, he demonstrated love. 

From a young age, I just had this feeling that I could express anything to my dad. Over the years I’ve asked countless questions, expressed numerous fears, and explored several different interests with him. Looking back as an adult, I imagine that I’ve frustrated my dad on several occasions; pondering and worrying about things that he knew I didn’t need to. But he didn’t shut me down, he created space for me to express those things.  

There’s a piece of advice from James, one of the leaders of the early Christians, way back 1,900 years ago. He encouraged his reader to be ‘quick to listen, slow to speak, and slow to get angry’. That’s what my dad exhibited to me. He didn’t bat away my worrisome thoughts or ignore my silly questions. He didn’t show frustration, although I’m sure at times he might’ve wanted to. The way that he interacted with me communicated that I was safe and loved. I’m sure he didn’t get everything right, and I imagine if I asked him, he would be able to detail all the things he did wrong. But through his willingness to patiently let me become myself, with the parental guidance that was required of him of course, he demonstrated love.  

For me, the love my father showed me is a picture of God’s love for his children. As I spend these last few weeks to prepare in whatever way I can to become a dad, I rest assured that, even though I am guaranteed to get things wrong, I will have ample opportunity to love my child. St Paul described love as, among other things, patient, kind, the opposite of self-seeking, and always protective.  

As I embark on a journey where I will try and fail and try again to be a good father, I know that I don’t need to be perfect, I just need to show love in tangible ways. My favourite line of ‘All My Loving’ by The Beatles is: 

‘All my loving, I will send to you.’  

I can’t wait to get the opportunity to do that with my unborn child.