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.

Column
Comment
War & peace
4 min read

Looking evil in the face

After viewing a new documentary on the Holocaust in Ukraine, a harrowed George Pitcher ponders his duty not to look away.

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

A mother cradles a child while another stands close by. They wear winter clothes of the 1940s and are amidst others waiting.
A Jewish family at Lubny, Urkaine, prior to the massacre there.
Hamburger Institut für Sozialforschung.

It’s a commonplace to remark that Ukraine has a troubled history. It’s almost a means of assimilating its current Russian conflict; Ukrainians are used to suffering and fighting, so here we go again. 

But, lest we forget, it’s as well to be reminded on a regular basis of the nature of Ukraine’s suffering. This week, Channel 4 broadcast a documentary called Ukraine: Holocaust Ground Zero, which traced through contemporaneous photography, academic commentary and survivors’ witness how Ukrainian Jews suffered and died in their hundreds of thousands, perhaps as many as 1.6 million, at the hands of Nazis, Soviets and Ukrainian nationalists. 

Vocabulary fails. Harrowing doesn’t begin to touch the experience of watching a programme like this. But, I think, watch it we must, especially those with a religious faith who use words like hope and faith. 

The “problem of evil”, known in scholastic circles as theodicy, has been a stumbling block for the Christian faith for centuries. If God is all-powerful, the problem states, he cannot love us if he allows this to happen; if he loves us, he cannot be all-powerful for it to happen. Ergo, he cannot both be all-powerful and all-loving. 

Counter-arguments, which needn’t detain us here, are many and varied: That the gift of free will includes the freedom to abandon God for evil; that the light of love shines brightest in darkness; that the world is fallen – lapsarian – and has to find its way back to the Garden; that God is joined to the suffering of humanity on the cross. 

After Channel 4’s film, I have to say that I’m less interested in all that than in what it actually means for us in a practical sense. I’m left wondering less why than how. I don’t want to know why God allows it. I want to know how we respond. 

Allow me to say, as honestly as I can, how I literally responded to this documentary. I had to watch it alone, on Channel 4’s website. I wonder why that is. Perhaps watching it with someone else is too much like entertainment. Perhaps there’s a fear that the act of sharing is dissipating in some way. Perhaps it’s a dirty little secret that I wanted to watch it, through clenched fingers. 

The second literal reaction I’d record is that when a photograph appeared of one of the most grotesque (though relativity here is invidious) perpetrators of the mass-murders, SS-Obergruppenführer Friedrich Jeckeln, I found myself saying at his image on the screen “rot in hell”.  

I find it hard to believe in a place of unending torment to which a benign God despatches human souls. I do believe in the hells, like this one in Ukraine, that men like him can create on earth. But I knew I’d found the limit of a human forgiveness and this was infinitely beyond it. And somehow I wished there was an eternal damnation to which Jeckeln could be consigned. 

A third reaction to identify is more passive. I had to watch it – or, rather, I couldn’t look away. Please God, may that not be said to be curiosity. Surely not, when you know how scarring it will be.  

It contained (and here perhaps I should issue a trigger warning for the rest of this paragraph) details of how the death squads moved on from men of military age to women and children, because they were too expensive to feed; how 90 orphaned children were murdered in one massacre for the same reason; how Jeckeln developed a system of execution to maximise space in mass graves called “sardines”. 

I’m conscious of the title of the site for which I’m writing when I say that what is seen can’t be unseen and the horror must stay with anyone who watched this programme. To look away is to conspire with a pretence that it isn’t there or couldn’t have happened.  

I wonder whether that means the Christian bears a duty not to look away, any more than we can look away from an innocent, naked young man left hanging in the midday sun, nailed to a cross. In witnessing these horrors, we’re not being brave, we’re acknowledging human reality. 

And that human reality means that it really is no good saying “never again”. From the ethnic cleansing of Muslims in the Bosnian war, to the Rwandan genocide of the Tutsi minority in the Nineties, to the Iranian mass graves of dissidents being revealed even today, that is a failed resolution. 

So is a faith in vain? It’s hard to argue a case for the divine in the face of 91-year-old Janine Webber, who says quietly on Channel 4:  

“They killed my brother. They buried him alive. He was seven.”  

Meanwhile, 86-year-old Bella Chernovets says of that countless million-plus:  

“God keep them in paradise.”  

Perhaps, we pray like that. I don’t know. 

It’s impossible to conclude a column like this without being glib, or fumbling for closure. Because there are no conclusions. So I’ll just stop here.