Mark Perlmutter and Feroze Sidhwa write:

In the United States we would never dream of operating on anyone without consent, let alone a malnourished and barely conscious 9-year-old girl in septic shock. Nevertheless, when we saw Juri, that’s exactly what we did.

We have no idea how Juri ended up in the Gaza European Hospital preoperative area. All we could see was that she had an external fixator — a scaffold of metal pins and rods — on her left leg and necrotic skin on her face and arms from the explosion that tore her little body to shreds. Just touching her blankets elicited shrieks of pain and terror. She was slowly dying, so we decided to take the risk of anesthetizing her without knowing exactly what we would find.

In the operating room, we examined Juri from head to toe. This beautiful, meek little girl was missing two inches of her left femur along with most of the muscle and skin on the back of her thigh. Both of her buttocks were flayed open, cutting so deeply through flesh that the lowest bones in her pelvis were exposed. As we swept our hands through this topography of cruelty, maggots fell in clumps onto the operating room table.

“Jesus Christ,” Feroze muttered as we washed the larvae into a bucket, “she’s just a fucking kid.”

The two of us are humanitarian surgeons. Together, in our combined 57 years of volunteering, we’ve worked on more than 40 surgical missions in developing countries on four continents. We’re used to working in disaster and war zones, of being on intimate terms with death and carnage and despair.

None of that prepared us for what we saw in Gaza this spring.

The constant begging for money, the malnourished population, the open sewage — all of that was familiar to us as veteran war zone doctors. But add in the incredible population density, the overwhelming numbers of badly maimed children and amputees, the constant hum of drones, the smell of explosives and gunpowder — not to mention the constant earth-shaking explosions — and it’s no wonder UNICEF has declared the Gaza Strip as “the world’s most dangerous place to be a child.”

We have always gone where we were most needed. In March, it was obvious that the place was the Gaza Strip. [Continue reading…]