On a typical day in Nasser Hospital in southern Gaza, Victoria Rose, a British surgeon, will wake up before dawn.
“Because the bombing will start at the fourth,” I came back to London, after I just finished its third human mission to Gaza since the Israeli war began in October 2023.
About four weeks in May, it was usually 12 or 13 patients per seizure of 14 hours, unless there is a mass victim overnight, which means longer transformations and more patients.
In comparison, in London Hospitals, three patients treat a maximum per day.
“She works without stopping in Gaza,” she said.
I remembered some of her many patients, Adam treated the 11 -year -old, and he is the only emerging child Dr. Alaa Al -NajjarWho were killed nine other children and two wives, Hamdi, also a doctor, in an attack in Khan Yunis last month.

She clearly remembers two brothers with low injuries from the ends, Yakoub and Muhammad, who were the only survivors of their family, and an eight -year -old girl named Aziz was an orphan.
“She was burned on her face and shoulder, and one of them found her walking in the streets and brought them,” said Rose, a specialist in plastic and reconstructive surgery.
Rose and a team of paramedics also worked tirelessly to save the leg of a seven -year -old girl, and after an explosion, “she was missing her knee … it was more like looking at the back of her leg without bone.”
After cleaning the area, removing dead skin and muscles, wearing the wound, the girl returned three times for more treatment, but in the end, the ends were amputated.
Al -Jazeera talked with Dr. Rose about the increasing intensity of Israeli bombing, the impact of malnutrition, which was exacerbated by the siege of the aid for three months, death, and fire injuries that I saw among those who Try desperate to get the categories Through a new mechanism backed by the United States and Israel, and her feeling frustrated that the death toll is rising and documenting the size of the injuries well, disbelief in the Palestinian suffering prevails.
Al -Jazeera: How did you feel the entry of Gaza this time?
Victoria Rose: Certainly as soon as we arrived, the bombing was much worse than it was before, and it was much more, and it became more stable than it was ever. Done -aircraft – it was as if they were me. They were so highly loud there so that it was difficult to have a conversation if you were outside.
Al -Jazeera: What do the types of injuries that I have seen reveal the current bombing intensity?
rose: This time, the injuries appear to be from the heart of the explosion. People were detonated, and parts of them were detonated.
Last summer, the wounds of shrapnel were much more-a bomb exploded in the vicinity, something was overlooked, then they were expelled in a missile type and hit them and calculated some damage to their bodies. More more than survival survival injuries, of a rebuilding type, while it seems much more than direct visits to people.
Al -Jazeera: I volunteered three times during the genocide, including in March and August last year. The death toll is still, and it is now about 55,000, rising in haste. Was this journey the most challenging?
rose: This, without doubt, is the worst. The size of patients is more and more children. The number of children increased significantly. Since the March (2024) journey has doubled – the number of children I saw.
During the first trip (in March 2024), I thought I was seeing a lot of children, but this trip exceeded this.
Al -Jazeera: How do you describe Nasser Hospital?
rose: It is a very similar scenario, very similar to his presence in the hospital anywhere, but it is very crowded.
It is everyone like all the population there.
(Doctors are usually very selective with the people we hospitalize. They are usually older, cancer, or complications from diabetes or heart attacks – this usually gets hospital family in the United Kingdom. But there, everyone can be on your way. They are just ordinary people detonated. Healthy people who are really fit and healthy, have now been detonated.
It is very strange that someone is fit yesterday, as well as, now he misses an arm or part of the arm.
Al -Jazeera: I was in Gaza when people were trying to secure food aid through the Gaza Humanitarian Foundation (GHF), a new mechanism supported by Israel and the United States, who were attacked. A lot was killed. I have done some media interviews at that time. What did you see and try?
rose: The largest part of the victims was fiery wounds. They were shot in the stomach, shot the leg, and fired at the arm.
After shooting GHF, when (the victims) came, the next journalist (who I spoke to) was telling me that “Israel denied that they shot anyone and know that they say that the Palestinians were firing each other.” Then they said somewhat, “No one was killed,” and I was standing in the emergency department with 30 bags for the body, thinking, you cannot lie in this way. Not only you can.
Al -Jazeera: Many in Gaza are vulnerable to hunger, and thousands of children suffer from acute malnutrition, according to the United Nations. How does this affect patients and hospital employees?
rose: Everyone is weight loss. They will tell you, “I am now less than five or 10 kilograms of weight.”
Medical students that were there in August, and girls are very high now. They are all in their twenties, and each of them really looked as if they lost large amounts of weight.
But children are really young. They are really skinny.
Stone died in Nasser Hospital from malnutrition.
Children with lactose intolerance or some other diseases as well, because any of the only formula milk enters it is suitable for children with lactose intolerance. Then you have children with other diseases, more than that, which prevents them from being able to eat natural milk. That was completely horrific.

Patients of shock, which I was seeing, they were really young. No fat at all, a lot of muscle waste. They didn’t really heal well. It seems that it takes much longer than this time than it was in August to heal wounds.
There were a lot of infections, a large number of infections. With malnutrition, you get the immune system dilution. It is one of the areas that have been affected more. You cannot install a good immune response.
Moreover, all wounds were dirty in any case because everyone lived in a tent and there is no sanitation, nor clean water. You begin to really difficult, then you have run out of antibiotics. We only had three types of antibiotics that we could use, and none of them was the first option if we were in the United Kingdom.
Al -Jazeera: How do you describe the morale among the doctors with whom you worked?
rose: Really bad now. Many of them told me, “I prefer to die instead of continuing.”
Many of them want a ceasefire, and I think it will be ready to do everything it takes to get a ceasefire now.
They are at their lowest levels. They all moved 15 times. They all lost important family members – they have lost children. Their homes are completely destroyed. They are really difficult times for them.
Al -Jazeera: What are your fears of Gaza?
rose: It is a humanitarian crisis, so it can be stopped, and this is what should happen.
It can be stopped immediately if people have adequately pressed the right governments, the right leaders.
I think, if we do not stop its operation soon, there will be no Gaza and certainly there will be no Palestinians in Gaza.
It is extremely difficult to hold any talks with the Palestinians about the future because they cannot really see it.
Note: This interview was lightly edited for clarity and brevity.
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