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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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From northern Gaza, it's late at night, and I want to highlight the recent surgery we performed. A young man suffered an explosive injury, resulting in penetrating trauma to his chest and paralysis in his right arm. During the procedure, I discovered a tungsten cube had penetrated his skin, damaging critical nerves and leaving him likely with permanent paralysis. These small, lethal projectiles are designed to cause maximum indiscriminate harm. If he had been in a different location without access to medical help, he could have easily died. The continued use of such weapons constitutes a war crime, and this case is a tragic example of the devastation they cause.

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The ceasefire is over and the bombing has resumed in Gaza. I am at the largest functioning hospital, which is already overwhelmed at 200% capacity. The health system here cannot handle any more children with war injuries. There are children everywhere, some sleeping, after a bomb exploded just 50 meters away. The hospitals have been severely impacted in the past 7 weeks, unable to treat more children with burns, shrapnel wounds, and broken bones. The inaction of those with influence is allowing the killing of children. This is a war on children.

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In Gaza, Dr. Perlmutter witnessed unprecedented levels of civilian carnage, mostly children, with severe injuries from bombings and sniper shootings. The IDF denies targeting children but acknowledges risks in combat zones. Over 80% of Gaza's population is displaced, with emotional scars on children. Doctors report a shortage of supplies, including basic hygiene items. Starvation threatens all children in Gaza, with accusations of a deliberate campaign by Israel. Despite claims of aid delivery, challenges persist in providing essential resources.

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In Gaza, children are being shot by snipers, with some suffering fatal injuries. Doctors have seen numerous cases of children with gunshot wounds, including to the head. The level of devastation in Gaza surpasses all other disaster zones combined, with civilians, especially children, bearing the brunt of the violence. Emotional scars are immeasurable, as children witness their families being killed. The impact on children's well-being is severe, with many left orphaned.

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In August, a doctor found that 80% of patients treated were under 16, a higher percentage than in March. All injuries treated were explosion-related or burns. The doctor treated 3rd degree burns covering 30-40% of the body, lower limb trauma resulting in amputations, upper arm amputations, and facial injuries. One 7-year-old patient had most of his nose blown off and a hole in his lip. Another girl lost skin down to the bone on her forehead. Explosions caused burns, shrapnel wounds, and soft tissue wounds, sometimes with underlying bone injuries, from building debris. The doctor stated they had never seen anything like this before.

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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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Children in Gaza are being shot by snipers with deadly precision. I have seen two children shot directly in the chest and head, which is not a mistake. In my 30 years of experience and 40 mission trips, I have never witnessed such a level of civilian carnage, particularly among children. The devastation I observed in just one week in Gaza surpasses anything I've encountered before. The number of incinerated and shredded children is staggering and unprecedented in my lifetime.

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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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The ceasefire is over and the bombing has resumed in Gaza. I am at the largest functioning hospital, which is already overwhelmed at 200% capacity. The health system here cannot handle any more children with war injuries. There are children everywhere, some sleeping, but they have been affected by the recent bomb that exploded just 50 meters away. The hospitals have been severely impacted in the past 7 weeks, and it is heartbreaking to see more children with burns, shrapnel wounds, and broken bones. The lack of action from those in power is allowing the killing of innocent children. This is a war on children.

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The ceasefire is over and the bombing has resumed in Gaza. I am at a hospital that is already overwhelmed and operating at 200% capacity. The hospital cannot take in any more children with war-related injuries. There was a bomb explosion just 50 meters away from here, and the hospital's capacity has been severely reduced over the past 7 weeks. It is heartbreaking to see children with burns, shrapnel wounds, and broken bones. The inaction of those with influence is allowing the killing of innocent children. This is a devastating war on children.

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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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Gaza is a dire situation for its one million children, worsening daily due to airstrikes and military operations. A recent encounter with a 7-year-old girl named Kamar illustrates this tragedy. She was injured in an attack and taken to a maternity hospital under siege, where doctors had to amputate her leg due to infection. Kamar, her mother, and her injured sister were then forced to evacuate on foot, living in a tent surrounded by stagnant water. The trauma from constant bombings adds to Kamar's suffering, and there are no prosthetics available in Gaza. Her story is not unique; many children face similar fates. Despite the overwhelming evidence of suffering and urgent pleas for aid, action to alleviate their plight remains inadequate, and the situation for children in Gaza continues to deteriorate.

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The ceasefire is over and the bombing has resumed in Gaza. I am at a hospital that is already overwhelmed and operating at 200% capacity. The hospital cannot take in any more children with war-related injuries. The impact on hospitals in the past 7 weeks has been severe, with children suffering from burns, shrapnel wounds, and broken bones. The lack of action from influential parties is resulting in the killing of innocent children. It is clear that this is a war on children.

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I went on a 5-week medical mission to a field hospital on the border of Chani Yunus and Rafa. The devastation was beyond what I expected. We managed mass casualty incidents, performed surgeries with limited supplies, and saw many children with shrapnel and gunshot wounds. It was heartbreaking to treat so many innocent victims.

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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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I witnessed the devastating impact of war in Gaza, where many young children are suffering. The attacks have led to numerous casualties, including 166 children dead and 1310 wounded. The images of injured children, like Maha at Shiva hospital, are haunting. It's a tragedy that demands our attention and action. We must not turn a blind eye to the suffering in Gaza. Together, we can make a difference.

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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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I've heard heartbreaking stories of forced displacement in Gaza. Families have minutes to flee before bombings. Many aren't warned. Children are left injured and traumatized. There is no safe place in Gaza.

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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.

This Past Weekend

Gaza Doctor (Aziz Rahman, MD) | This Past Weekend w/ Theo Von #602
Guests: Aziz Rahman
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Dr. Aziz Raman describes a two‑week medical mission at Gaza’s last functioning hospital, Nasser Hospital. He explains he was selected through Rahma Worldwide from Milwaukee; twenty-two applicants competed, six were approved, 12 hours before departure. Travel involved Jordanian and Israeli checkpoints, turning a three‑hour link into a 14–16 hour journey. At the hospital, there were many international doctors; European General Hospital had been destroyed, forcing specialists to Nasser. He emphasizes Gaza’s scarce resources: medications, surgical equipment, blood, and ventilators, forcing difficult triage decisions. He is an interventional radiologist, the first IR to Gaza, using image-guided, minimally invasive procedures. The ER runs green, yellow, red zones and a black zone for those unlikely to survive. In MCIs, the red zone becomes the trauma hub. The daily caseload includes gunshot wounds to the head/neck, blast injuries, burns, and shrapnel. He recalls an MCI with brain matter and exposed intestines, and chaotic arrivals as families carry patients through double doors into care. Staff slept in an international doctors’ lounge; locals cooked for them, while news circulated via balcony view. He notes UN data: about 500 health workers killed, 1,000 injured, 300 in custody. A pediatric hospital director, Husam Abu Safia, was jailed since December and then disappeared. The toll is personal: he lost 15 pounds; a 30‑year‑old pregnant woman required emergent surgery to remove a bullet; a 15‑year‑old survived after a pericardial drain; a one‑year‑old with 85% burns died. He describes morgue scenes: families identify the dead; a gazebo near the ICU housed unclaimed bodies; grief is constant. Gazans express gratitude to outsiders who come to help; the reality, however, is that many feel unseen. He argues the Gaza Humanitarian Foundation (GHF) is militarized, with private security contractors and oversight by American and Israeli governments, bypassing UN channels. He mentions allegations of aid diversion by gangs like Abu Shabab, while others dispute that. He calls for flooding Gaza with aid and reasserts that UN aid routes should be restored to keep Hamas from leverage. He critiques international politics: a June 2025 UN Security Council permanent ceasefire resolution was vetoed by the United States, despite 14 of 15 members voting in favor. The conversation ends with acknowledgment of the humanity of Gazans, thanks to Theo, and a pledge to return if possible. Raman remembers a story of a smiling survivor, a reminder of personal moments of hope amid catastrophe, and emphasizes that the world must listen and that doctors and nurses deserve support to treat the uprooted population.
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