“Man-Made Hell On Earth”: A Canadian Doctor on His Medical Mission to Gaza

“I saw scenes that were horrific and I never want to see again,” said Yasser Khan, a surgeon from Toronto.

Jeremy Scahill, Intercepted, March 23 2024,

THROUGHOUT THE PAST five and a half months, Israel has waged a full-spectrum war against the civilian population of the Gaza Strip. The United States and other Western nations have supplied not only the weapons for this war of annihilation against the Palestinians, but also key political and diplomatic support.

The results of the actions of this coalition of the killing have been devastating. Conservative estimates hold that more than 31,000 Palestinians have been killed, including 13,000 children. More than 8,000 people remain missing, many of them believed to have died in the rubble of buildings destroyed in Israeli attacks. Famine conditions are now present in large swaths of the Gaza Strip. The fact that the International Court of Justice has found grounds to investigate Israel for plausible acts of genocide in Gaza has not deterred the U.S. and its allies from continuing to facilitate Israel’s war.

The massive scale of human destruction caused by the attacks would pose grave challenges to well-equipped hospitals. In Gaza, however, many health care facilities have been decimated by Israeli attacks or evacuated, while a few remain open but severely limited in the care and services they offer. Israeli forces have repeatedly laid siege to hospital facilities, killing hundreds of medical workers and taking captive scores of others, despite thousands of internally displaced Palestinians sheltering in the health care complexes. This week, Israel again launched raids on Al-Shifa Hospital, reportedly killing more than 140 people.

For months, doctors across Gaza have performed amputations and other high-risk procedures without anesthetics or proper operating rooms. Antibiotics are in short supply and often unavailable. Communicable diseases are spreading, as hundreds of thousands of Palestinians are forced to live in makeshift shelters with little access to toilets or basic sanitary supplies. Many new mothers are unable to breastfeed and infant formula shortages are common. Israel has repeatedly blocked or delayed aid shipments of vital medical supplies to Gaza. Basic preventative medical care is nearly nonexistent, and medical experts predict that malnutrition will condemn a new generation of young Palestinians to a life of developmental struggles.

The result of the onslaught against medical facilities is that there is only one fully functional hospital remaining in the territory, the European Hospital in Khan Younis. Dr. Yasser Khan, a Canadian ophthalmologist and plastic surgeon, just left Gaza where he spent 10 days at the hospital performing eye surgeries on victims of Israeli attacks. It was his second medical mission to Gaza since the war began last October.

What follows is a transcript of a lightly edited interview with Khan.

………………………Yasser Khan: Well, I’m from the greater Toronto area here in Canada, and I’ve been in practice for about 20 years. I’m an ophthalmologist, but I specialize in eyelid and facial plastic and reconstructive surgery.

So that’s my sub-specialty and that’s what I’ve been doing for about 20 years. And I’m a professor. I’ve been to over 45 different countries on a humanitarian basis where I’ve taught surgery, I’ve done surgery, I’ve established programs. And so I’ve been to many types of areas and zones in Africa, Asia, and South America…………………………………………………………………………………………………………………………………………………….

So that’s the kind of mass chaos that I encountered initially, and then I was told that every time there’s a bomb, give it about 15 minutes and the mass casualties come. That was the other thing that at the time shocked me: What we’d been seeing livestreamed on Instagram, on social media or whatever, I actually saw myself and it was worse than I can imagine. I saw scenes that were horrific that I’d never witnessed before and I never want to see again…………………………………………………….

It was quite demoralizing. You’ve gotta be on the ground to see how bad it is. In two months, things were not only the same in a bad way, but they’re much, much worse because now, two months later, Khan Younis has literally been destroyed as a city. It was an active, hustling, bustling city. The Nasser Hospital, as you know, it’s destroyed now. It’s basically a death zone. And there’s decomposing bodies in the hospital now. It’s been evacuated. And I will add one thing: As a health care worker, I know fully well that to build a major, fully functioning hospital takes years to perfect and build and process, right? So it’s a sheer tragedy that it’s destroyed in mere hours, so it’s really unfortunate…………………………………

So now [at European Gaza Hospital] instead of 20,000 people, there’s about 35,000 people seeking shelter in a hospital that’s already beyond capacity. And so now, both outside and inside, there’s a mass of people. There’s no place to move now in the hallways. The sterility of the hospital has significantly decreased. The European Gaza Hospital, all you have to do is go online and look at their pictures before. It was a beautiful, gorgeous hospital. Well-built, well-run, good quality control — and now it’s reduced to a place that is a mess. It’s a mess. There’s people cooking inside the hospital hallways, there’s the bathrooms, there’s people mixed in with the people who are sick, with major orthopedic injuries, post op. There’s no beds. So sometimes people go and just sleep in their little makeshift shelters. And so infection is, if you can imagine, infection is rampant. So if you don’t die the first time or if your leg or arm is not amputated the first time, it is for sure with infection. So then they have to amputate it to save your life. So it’s much, much worse.

The other thing I noticed was now, more so than even before, the health care workers and nurses and the doctors, they’re just burnt out. I mean, they’re just spent. They’ve witnessed so much in almost six months now. They’ve seen so much on a regular, hourly, daily basis. When I operate [at a hospital in Canada], typically speaking, I’ve got a few mostly elective lists, elective kind of not urgent problems that you gotta fix. And then there’s some trauma, or something that comes in that’s a bit more urgent once in a while, right? That’s my usual list. But [Palestinian medical workers], they are working on a daily basis on the most horrific, explosive trauma that you’ve ever seen. They’re doing sometimes 14, 15 amputations, mostly on children, per day, and they’ve been doing it for six months now.

The thing I try to emphasize to people is that it’s not only the actual medical trauma, it’s the other trauma associated with it in that these patients come in, if you’ve been involved in an explosive injury, and you come in injured, guaranteed you’ve lost loved ones. Guaranteed. So you’ve either lost a father, a mother, a child, all your children, all your family, your uncle, aunt, grandparents, your house, whatever. You’ve lost something. So every patient that comes in, not only is severely injured, is dealing with this trauma.

I had one girl who basically lost all her siblings, 8-year-old beautiful girl, lost her siblings. She came in for a leg fracture, was under the rubble for 12 hours. And her mother died, all her siblings gone. And all her family [were] gone, her aunts and uncles. As you know, it’s a generational killing, like slaughter. Generations. There’s about 2,000 families that have been erased now completely, are gone. ………………………………………………………………………………………………………

This has been a systematic, intentional attack on the health care system. The bizarre thing of all of this is that the Israeli politicians have not hidden it. They have said open statements about creating epidemics. There’s been tons of open statements about what they intend to do. So you can’t even make this stuff up. It’s bizarre how they have openly said this, right? But having said that, I think over 450 health care workers have been killed — doctors, nurses, paramedics, over 450 — when they’re not supposed to be a target, right? They’re protected by international law. Doctors have been kidnapped, specific doctors who are of unique specialties have been targeted and killed.

Doctors have been kidnapped, and, yes, they have been tortured. They dehumanize the doctors and health care workers when they capture them. We’ve seen pictures of them, so we know this happens, and it does indeed happen. A few of the doctors went through torture, and one doctor that came back, he’s a general surgeon, he came back, I was speaking to his wife, and he’s not the same anymore. He was tortured and he still has torture marks over his body, and he’s a general surgeon. That’s it, just a medical professional. The assistant director of the hospital was basically declothed and beat up in front of all the other hospital workers just to kind of insult and degrade him because he’s their boss. And they’re beating him up and kicking him and swearing at him, and everybody witnessed this, and they did it purposely in front of his workers. So, it’s a further dehumanization of a human being. These doctors when they come back, the few that are released, there’s still a lot that are under custody with the Israeli forces, they’re not the same anymore. For me, as a surgeon, it’s really heartbreaking for me to see that. As a surgeon, we have people’s lives in our hands and we heal. And then to see them mentally reduced to nothing is hard to take. Yeah. It’s hard to stomach……………………………………………………………………………………………

What I saw — I’m an eye surgeon, an eye plastic surgeon, and so I saw the classic, what I penned “the Gaza shrapnel face,” because in an explosive scenario, you don’t know what’s coming. When there’s an explosion, you don’t go like this [cover your face], you kind of actually, in fact, open your eyes. And so shrapnel’s everywhere. It’s a well-known fact that the Israeli forces are experimenting [with] weapons in Gaza to boost their weapon manufacturing industry. Because if a weapon is battle-tested, it’s more valuable, isn’t it? It’s got a higher value. So basically they’re using these weapons, these missiles that purposely, intently create these large shrapnel fragments that go everywhere. And they cause amputations that are unusual…………………………………………………………………………………….

And so I saw these facial injuries, I saw limbs of children just kind of hanging off, barely connected. I saw abdominal wounds where you had, of course, the intestines exposed. And the thing is that the emergency does not have room, so they’re all over the floor. So you have these massive trauma, and [the patients] are on the floor. And sometimes they get forgotten in the mass chaos………………………………………………………………………………………………………………………………………………………………………………………………………………………………….. more https://theintercept.com/2024/03/23/intercepted-doctor-gaza-interview/?utm_medium=email&utm_source=The%20Intercept%20Newsletter

March 25, 2024 Posted by Christina Macpherson | Uncategorized | gaza, israel, middle-east, news, palestine | Leave a comment