
In 2020, as the US death toll from COVID-19 neared 200,000, hospital staff across the country reflected on the human cost of the pandemic. In the same year, US medical volunteers in Rafah, Gaza, described their inability to save lives due to dire medical supply shortages. The volunteers shared their experiences of treating casualties of explosions and blasts, including a 7-year-old patient who ultimately succumbed to his injuries. These accounts highlight the challenging circumstances faced by medical professionals in different contexts, where decisions about who lives and who dies are ever-present.
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What You'll Learn
- US medical volunteers in Rafah cannot save lives or evacuate
- Burn nurse Monica Johnston treated 7-year-old Zain Abu Obeid, who died
- Front-line workers in Houston, Seattle and NYC reflect on their experiences
- Dr. Joseph Varon notifies family of a patient who died in coronavirus unit
- Rocky Walker, a chaplain, turns to his faith to keep going

US medical volunteers in Rafah cannot save lives or evacuate
US medical volunteers in Rafah are facing dire challenges as they struggle to provide essential medical care and are unable to evacuate to safety. The situation on the ground is characterized by severe medical supply shortages, including a lack of pain medication, antibiotics, and even basic items like bandages. The European Hospital in Rafah, the last functioning hospital in the area, is struggling to treat patients effectively due to these shortages.
The volunteers, including experienced conflict zone nurses like Monica Johnston, find themselves in a desperate situation. They are confronted with the harsh reality of being unable to save lives, despite their best efforts and expertise. The emotional toll on these volunteers is profound, as they witness the suffering and loss of patients like 7-year-old Zain Abu Obeid, who died of blast injuries that claimed his entire family.
The decision not to continue with the extremely painful process of changing dressings for Zain was met with mixed reactions from her teammates. Johnston, a burn nurse, struggled to convey that she wasn't giving up on him but rather sparing him unnecessary pain. The local staff, accustomed to the relentless pattern of death, understood her decision. The team is trapped in Gaza, along with tens of thousands of civilians who have nowhere to go despite Israel's orders to evacuate Rafah.
The conditions in the hospital are dire, with staff operating without light due to fuel shortages. The situation is further exacerbated by the presence of flies infesting the operating room and the intensive care unit, foreshadowing the tragic fate of patients. The silence following explosions is haunting, as many casualties are buried in the rubble, and those who survive struggle to reach the hospital. The emotional toll on the medical volunteers is immense, leaving them feeling useless, helpless, and hopeless in the face of overwhelming odds.
The Israeli assault on Rafah, aimed at rooting out Hamas militants, has resulted in a dire humanitarian crisis. The seizure of the Rafah crossing with Egypt has trapped American volunteers and hindered their ability to provide aid effectively. The Palestinian American Medical Association organized a medical mission to Rafah, but even before their arrival, the hospital was facing critical shortages of basic medical supplies. The combination of supply shortages and the inability to evacuate has created a desperate situation for both the volunteers and the civilians relying on their assistance.
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Burn nurse Monica Johnston treated 7-year-old Zain Abu Obeid, who died
In the context of the Israeli-Palestinian conflict, American medical volunteers in Rafah, including burn nurse Monica Johnston, faced dire situations due to shortages of essential medical supplies. Among the patients at the European Hospital in Rafah was 7-year-old Zain Abu Obeid, who suffered blast injuries that burned 90% of his body. Despite the efforts of Nurse Johnston, who had been treating Zain since his admission, the child never regained consciousness and died four days after the incident that also claimed the lives of his family members.
The situation in the hospital was dire, with shortages of pain medication, antibiotics, and even bandages. The intensive care unit and operating rooms were infested with flies, and Johnston described the helplessness felt by the medical team, stating that everyone they saw in the ICU ended up dying. The hospital was the last functioning one in Rafah, and when Zain passed away, there was no one to collect his body from the morgue, highlighting the tragic circumstances surrounding his death.
Nurse Monica Johnston played a crucial role in Zain's treatment, and her expertise as a burn nurse from Portland, Oregon, was invaluable. Despite the limited resources, she did her utmost to care for Zain and even showed a local nurse the extent of his burn wounds, including one that had burned down to the bone in his leg. Unfortunately, maggots had infested his wounds, a tragic consequence of the inadequate medical supplies and the challenging environment in which the medical team was operating.
Zain Abu Obeid's story is a heartbreaking example of the innocent lives lost in the midst of conflict. The efforts of Nurse Monica Johnston and other medical volunteers in Rafah shine a light on the dedication and compassion of those striving to save lives, even in the face of overwhelming odds. Their presence and attempts to provide treatment offer a glimmer of hope in an otherwise bleak situation, where the lack of resources and ongoing violence hinder their ability to provide the necessary care.
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Front-line workers in Houston, Seattle and NYC reflect on their experiences
Front-line workers in Houston, Seattle, and NYC have had diverse experiences, all marked by the challenges of the COVID-19 pandemic.
In Houston, healthcare workers faced significant risks and challenges while caring for their communities. They conducted home assessment visits, tested vulnerable community members, cared for sick patients, and kept hospitals operational. These experiences underscored the dedication and resilience of healthcare workers in the face of adversity.
In Seattle, UW Medicine recognized the invaluable contributions of its frontline workers during the pandemic. Native Spanish-speaking nurses, like Liliana Palacios, RN, at Harborview Medical Center, played a crucial role in advocating for health equity. The pandemic heightened her passion for working with marginalized communities and driving changes in the healthcare system. Additionally, healthcare workers at UW Medicine shared their fears, pain, and challenges, emphasizing their humanity and the need for everyone to follow the same rules to heal collectively.
New York City's front-line workers faced a torrent of patients during the COVID-19 pandemic. Davidson, an assistant nurse manager at Northwell Lenox Hill Hospital, documented her experience through a video diary. She described the difficulty of navigating her new leadership role while facing the unknowns of the pandemic. Dr. Shi-Wen Lee, chairman of the Emergency Medicine Department at Jamaica Hospital Medical Center, also shared his experience of working tirelessly before contracting the virus himself. He expressed the unsettling feeling of facing an unknown disease, with concerns for his family, colleagues, and patients.
As hospitals in these cities continue to recover and prepare for future emergencies, the reflections of front-line workers serve as a reminder of their dedication, sacrifice, and resilience. They have embraced challenges, displayed empathy, and worked tirelessly to save lives, all while navigating the unknowns of a global health crisis.
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Dr. Joseph Varon notifies family of a patient who died in coronavirus unit
On July 6, Dr. Joseph Varon, chief of critical care at Houston's United Memorial Medical Center, notified the family of a patient who died inside the coronavirus unit. Varon told NPR that he was "living on adrenaline" during this difficult time. The COVID-19 pandemic has taken a heavy toll on healthcare workers, with many experiencing high levels of stress and burnout. Dr. Varon shared his concerns about the resilience of healthcare workers, stating that he worries about the mental health and well-being of his colleagues.
In an interview, Dr. Varon recalled a particularly heartbreaking case involving a young man who spent eight weeks in his hospital battling COVID-19. Unfortunately, the young man's parents passed away while he was hospitalized, and he didn't find out until after he was released. Devastatingly, he didn't even get a chance to attend their funeral. Dr. Varon expressed the profound impact of such experiences, stating that they will stay with him for the rest of his life.
The pandemic has also presented unique challenges for hospitals, including the need to restrict visitors to prevent the spread of the virus. This has led to difficult situations where families are unable to be with their loved ones in their final moments. In some cases, hospital staff members, such as chaplains, have served as liaisons between patients and their families, providing updates and facilitating communication through phone and video calls.
As the pandemic continues to claim lives, healthcare workers like Dr. Varon are faced with the daunting task of delivering tragic news to families. Their dedication and resilience are critical in the fight against COVID-19, but it comes at a cost. The emotional toll of their work can be overwhelming, and many are struggling to cope with the constant stress and grief they encounter in their daily work.
Front-line workers in Houston, Seattle, and New York City shared their experiences with NPR, providing a glimpse into the challenges and sacrifices they face. As one doctor poignantly stated, "2020 can't keep going like this." Their resilience and commitment to saving lives are admirable, but it is crucial to recognize the immense pressure and trauma they endure as they navigate these unprecedented times.
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Rocky Walker, a chaplain, turns to his faith to keep going
As the U.S. neared 200,000 COVID-19 deaths, Rocky Walker, a chaplain at Mount Sinai Hospital in New York City, turned to his faith to keep going. Walker often served as a liaison between patients and families, as hospitals shut out visitors to curtail the possible spread of the virus.
In one instance, Walker recalls an elderly husband and wife who were both admitted but kept in separate rooms so they wouldn't see each other suffering. He kept in touch with their family, updating them on the couple's changing conditions through constant phone and video calls. The husband and wife both passed away, and the family was not allowed to visit them in the hospital. "They probably don't realize it, but they're there in my heart for the rest of my life," Walker said.
Walker's role as a chaplain and his faith provided him with the strength and resilience to continue supporting patients and families during the challenging time of the COVID-19 pandemic. His work was instrumental in providing comfort and spiritual care to those impacted by the virus.
The pandemic took a significant toll on healthcare workers, and many expressed concerns about their resilience and mental health. They witnessed immense tragedy and experienced high-stress situations daily. Walker's reliance on his faith is an example of how healthcare workers found different ways to cope and maintain their well-being during the pandemic.
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Frequently asked questions
US medical volunteers in Rafah are facing shortages of basic medical supplies, including pain medication, antibiotics, and bandages, making it difficult to provide effective treatment and save lives.
Hospital crowding and bed blocking have been cited as significant issues within the NHS, leading to delays in emergency care and contributing to hundreds of avoidable deaths each week.
Healthcare workers have expressed concerns about resilience and mental health while treating COVID-19 patients. They have also had to deal with the emotional toll of separating families and delivering tragic news.
Hospitals in the US have been overwhelmed by the high number of COVID-19 cases, with healthcare workers experiencing constant stress and witnessing tragic situations daily.





























