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I have photographs of two children who were each shot with extreme precision in the chest and head. It's impossible for a toddler to be shot twice by mistake, especially by a sniper. In just my first week in Gaza, the carnage against civilians surpassed all the disasters I've witnessed in 30 years of mission trips, including ground zero and earthquakes. The victims are almost exclusively children. I've never seen anything like it. I've seen more incinerated and shredded children in one week than in my entire life. Shredded means missing body parts, often from buildings collapsing or bomb explosions. We've removed large shrapnel from children and have seen kids shot multiple times by snipers.

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Hamas has taken control of a hospital, seizing fuel and medicine. This has left me with no resources to treat patients, like a 5-year-old boy who needs a fracture fixed but lacks morphine due to Hamas taking it. I plead with anyone listening to leave and not stay here.

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I'm exhausted and losing my voice. The team has been working nonstop for three weeks without a break. It's heartbreaking to see so many lives destroyed, especially children. We can only do so much to help them, and it's frustrating not having the right equipment. If we had better materials, we could treat more patients. It's overwhelming to see so many people with terrible injuries in such a short time. Today, we had to amputate someone's shoulder because it was shattered. I hope this ends soon, and I'm sure the whole team feels the same.

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This hospital is a disgrace. It is so dead. People in the country are desperately waiting for treatment, cancer treatment, heart disease. This is making me so angry. There is a completely empty hospital. Looking into a ward, a mine injury unit, all the people this time of year that would normally be in here are being denied treatment. This is a disgrace. It is quieter than expected. There's absolutely nobody around, no security. The medical block was less than half full. The wards were half empty.

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Hamas has taken control of a hospital, seizing fuel and medicine. The speaker, a medical professional, expresses their frustration at not having the necessary resources to treat patients, like a 5-year-old boy with a fracture who had to be treated without morphine. The speaker pleads for anyone listening to leave and run away from the situation.

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Doctors are reusing single-use medical equipment like external fixators meant for fractured bones, taken from deceased patients for use on living ones. This grim reality is difficult to grasp. Melanie shared a bleak picture of the situation, shedding light on the challenging circumstances. Thank you for sharing your insights.

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Last visit to hospital: thousands sheltered, medical staff worked tirelessly. Children with war wounds received exceptional care. Now, silence of death, no care for children, doctors unable to help.

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Hamas has taken control of a hospital, seizing fuel and medicine. The speaker, a medical professional, expresses frustration at the lack of resources, specifically mentioning the inability to provide morphine for a 5-year-old boy with a fracture.

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In February, a medical worker in Gaza reported primary care clinics lacked sufficient medications and supplies, including antibiotics. Multiple cases of suspected Ricketts disease were observed, along with children unable to walk due to severe malnutrition. One acutely malnourished child, aged 9-10, displayed neurological decline and had not eaten for four days. The only available treatment was IV fluid hydration. The speaker claims necessary conditions for life were intentionally withheld, disproportionately impacting vulnerable populations. A 10-month-old child developed paralysis from polio, the first case in 25 years. The speaker asserts this is genocide by weaponizing previously eliminated diseases to cause permanent disability and death, and that they are an eyewitness to genocide in Gaza being committed by Israel. The speaker demands an immediate lifting of the blockade of humanitarian aid, a two-way arms embargo, and compliance with the International Court of Justice decisions. They accuse Justin Trudeau, Melanie Jolie, and the Canadian Medical Association of complicity in genocide through inaction and silence.

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Since my return, I feel like I'm in a crazy world, having to explain that people are dying. In 2024, with social media and the media, I have to say that there are children dying. I appeal to all of you who can do something, we need to stop this. It's already too late, even if we stop today, it's already too late. Patients arrive already dead on stretchers carried by their families. We've had patients arrive on carts pulled by donkeys because there's no more fuel to transport the dead or because the ambulance drivers are too scared to move in certain areas. We've had patients arrive already dead, and families bring their deceased loved ones. The mortality rate is high, and the lack of resources is a problem. We need to talk about the indirect victims, the lack of means, and the healthcare workers who are also grieving. The children in Gaza are suffering physically and psychologically, and it's heartbreaking to see them play amidst death. We need to do something for the hospitals and especially for the children. It should be the limit for any human being to doubt the innocence of a child. Is it normal that a seven-year-old is paralyzed because of a bullet? Is it normal that a diabetic mother's baby dies because she couldn't receive treatment? We need to open our eyes and acknowledge the inhumanity of it all.

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Doctors from Australia describe catastrophic conditions in Gaza. At a lifestyle hospital they faced 'there was no water, no food.' with 'most of our patients are kids and pregnant women.' They were 'not allowed to bring any baby formula, any money' and 'cards don't work,' with equipment down to the basics and patients on the floor, mass casualty. They moved to Al Shikhar Hospital and call it a nightmare as bombing continues; attacks included 'Apache, F-thirty five, F-sixteen, rowboats,' and more than 1,500 people still dead under rubble in the hospital. There was 'no Internet and no electricity,' and staff worked forty eight hour shifts. They demand unimpeded medical aid and an arms embargo, noting 'the F-thirty five parts are not non lethal, They are absolutely lethal.' They describe delivering 'a beheaded lady who's nine months pregnant that we had to deliver her by an emergency C-section in the ER.'

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Most people died due to malnutrition, starvation, or lack of blood. Directors could only breathe when fuel, medicine, and food arrived, which always felt last minute. Now that supplies are cut off, the situation is desperate. Over 1,000 children are alive but amputated. One girl was buried alive for 12 hours next to her dead parents after an airstrike. Another 5-year-old girl arrived with mangled legs after an explosion. A 7-year-old girl came in with her arm blown off. A surgeon broke down in tears after 6 months. The psychic scars are the hardest to heal. Everyone in Gaza has a horrifying story of loss: home, loved one, limb, or eye. Every day brings more of it.

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40% of the cases I've seen involve children who have lost one or both parents. Today, I treated a 5-year-old girl who suffered severe injuries to her arms, hands, and back. These contaminated wounds will require multiple surgeries and extensive reconstructive procedures. Tragically, a missile strike hit the hospital at night, resulting in a massacre. Around 500 people were killed, and many more were injured. I was in the operating room when the missile struck, causing the ceiling to collapse. There were numerous amputated body parts and patients with severe injuries. One patient with a neck injury was transferred to another facility and is currently in intensive care.

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The speaker witnessed a tangible increase in starvation and emaciation of patients during their three weeks in Gaza. They recount mass casualty events, including people being killed in tents in green zones. A healthcare worker friend was followed by a quadcopter drone and killed with his three children in their tent. The UN reports over 1,500 healthcare workers have been killed, including ten scrub nurses at Nassau Hospital. Staff members are starving and losing family, yet continue to work. Before the war, about 500 trucks of aid entered Gaza daily, but since then, it's been less than 10%, despite Israel controlling all entry points. Gaza, a quarter the size of London, has been reduced to 14% of its landmass, holding 2,000,000 starving people with no resources, which is the equivalent of the population of Exeter. The speaker reports that the Israeli army bombed the WHO medical warehouse on July 22, endangering international volunteers.

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Since October 7th, 9 health facilities were evacuated, including Naso Hospital a week ago. Attacks with deadly weapons in populated areas have caused many deaths and injuries. Patients have severe injuries requiring specialized care and rehabilitation. Hospitals lack beds, medications, and supplies. Surgeons are performing amputations on children without anesthesia due to shortages. Pregnant women lack medical care, giving birth in makeshift facilities.

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A surgeon was feeling depressed about the situation in Gaza when a colleague invited them to join a trip there. In the hospital, they saw a high number of injuries, with 50% being children. The European Hospital had turned into a refugee camp with around 20,000 people. People had no place to go after treatment, so they lived in the hospital. The suffering was worse than expected, with starvation, lack of water, and overcrowded makeshift shelters. The trauma surgeon had to make difficult decisions about who to prioritize for surgery due to the lack of medical supplies. Working with Palestinian doctors was an honor, and leaving Gaza was emotional for everyone involved. They hope the media will show the reality of the situation, where a child is killed every 10 minutes.

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In Gaza, a colleague witnessed a heartbreaking scene of a young girl with a severe injury having her leg amputated without anesthesia. This cruelty has been inflicted on thousands of children in the past 84 days by the Israeli occupation, causing immense pain and suffering. Many couldn't bear the agony and lost their lives, including a father who had to amputate all four limbs of his own 8-year-old child. This is the tragic reality we face as we enter the new year.

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My friend, a doctor in Gaza, shared that children there are experiencing severe trauma due to ongoing bombings. Lack of sleep and intense fear are causing cardiac arrests in kids. Malnutrition is also a concern. The situation is so dire that 1,000 children had amputations without anesthesia, many without parents for comfort. In comparison, my child seeks comfort for a paper cut.

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We're two doctors from Australia. We're here in Gaza at the moment. most of our patients are kids and pregnant women. there was no water, no food and people living in the hospital everywhere. no internet and no electricity. the bombs outside the hospital front door. The f 35 parts are not non lethal. They are absolutely lethal. at least 10 to 20 dead on arrival or GCS three that we can't do anything about. The only thing that we have is ketamine. There was zero internet. We've got no WiFi.

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A surgeon in Gaza describes the worsening conditions and the ongoing attack on Al Shefa Hospital. The hospital is under siege, surrounded by Israeli tanks, with no access to food, water, or electricity. Decomposing bodies lie on the ground, unable to be buried, and the morgues cannot preserve the bodies. The intensive care unit has been targeted, leaving patients without oxygen. Dialysis patients are unable to receive treatment, leading to a slow and painful death. Leaving the hospital is dangerous, and even humanitarian corridors are targeted. Doctors Without Borders struggles to contact staff and provide relief. Dead bodies are seen on the streets, but it is too dangerous to help.

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The situation was worse than expected, with many injuries, especially in women and children. Despite the narrative of targeting Hamas militants, more women were treated than men. Many children with severe injuries arrived, some beyond saving. Lack of morphine and proper care meant they often died without dignity, left on the floor of the emergency department.

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I spent 2 weeks at Al Aqsa Hospital and witnessed horrific atrocities, especially towards women and children. One child with severe burns had no morphine for pain relief, facing a painful death. The lack of resources meant she was left on the floor to die. These experiences haunt me.

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I volunteered in Gaza and witnessed extreme carnage against civilians, mostly children. I've never seen so many incinerated and shredded children in my 30 years of disaster relief work. Children are being shot by snipers, with some even shot twice in critical areas. Other doctors in Gaza have also reported numerous children with gunshot wounds to the head, some captured on video.

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Since my return, I feel like I'm in a crazy world, having to explain that people are dying. I've seen children die and have helped extract bullets from their heads. I appeal to everyone who can do something to stop this. Patients arrive already dead, carried by their families or on donkey-drawn carts because there is no fuel or ambulances are too scared to go to certain areas. The mortality rate is high, and the lack of resources leads to amputations and infections. The children in Gaza suffer physically and psychologically, and it's heartbreaking to see them play amidst death. The world needs to open its eyes and realize the inhumanity of it all.

Breaking Points

Doctor BANNED From Gaza Tells All

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A Gaza crisis unfolds behind hospital doors, and Dr. Muhammad Mustafa describes it with stark clarity. He treated patients in Gaza after October 7 and speaks from the UN context about advocacy. He argues that recognizing Palestine alone fails to address the humanitarian catastrophe, with a million children starving and a quarter of the population in stage 5 famine, where food relief must be matched by medical staffing and infrastructure. Inside Gaza's medical system, he calls it a 'first aid kit' lacking basics: burns treated with improvised dressings, 60–80 percent burns, no anesthesia, and skinning a child alive to change dressings. One hospital had three ventilators, no ICU, no MRI, and the lone CT scanner was in the north. Staff work 24-hour shifts amid collapse. Supply chains and borders worsen the crisis. Doctors buy medicines at local pharmacies when possible, yet patients cannot afford them; banks are destroyed; aid workers bring limited funds. Equipment is restricted, stethoscopes confiscated, and some doctors arrested for bringing baby formula. Mass casualty reality means CT scanners are overwhelmed and people die waiting; many doctors have hepatitis from dirty water. Beyond the hospital walls, he frames Gaza as a litmus test for international law and justice. Recognition without consequences risks a future where might trumps law. Gaza is a symbol in debates over ceasefire, aid access, and a hospital plan. He supports Doctors Against Genocide and plans to join lobbying on the hill, despite travel hurdles.