Tag Archives: pain

Gazans face a future of pain and prosthetics

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At the Al-Shifa Hospital in Gaza City, a small child, Maryam Abu Alba, is crying in pain. “The neighbour’s house was bombed, and their home was hit,” says her grandmother.

“One of her legs had to be amputated, and metal plates had to be inserted into the other one, which was fractured. She is in severe pain.”

Nowhere to run

At the same hospital, young Mohammad Hassan looks down at his heavily bandaged left leg, and the stump where his foot used to be. “I was going to buy falafel,” he says. “On the way home, I looked up and saw a rocket heading towards me. I tried to run, but it was too fast. I found myself pinned to the wall, and my foot had been blown off. Then someone picked me up and took me to this hospital.”

Gaza now has the highest number of child amputees per capita of anywhere in the world.

Palestinian child Mohammad Hassan sitting on a hospital bed in Gaza after his left leg was amputated by a strike.

Shot in search of food

In May, GHF took over aid delivery in Gaza, bypassing established routes and dramatically scaling back the number of distribution points to a handful of fortified hubs, a policy that has been criticised by the UN and NGO partners.

We were told the Gaza Humanitarian Foundation had opened its doors to distribute aid. When I arrived…I was hit by an explosive bullet

On Monday, the UN human rights office described attempts to access these sites as “a deadly pursuit”. Thousands of Palestinians have been killed or injured since May while seeking food. 

When GHF began operations, Ibrahim Abdel Nabi was one of the many Palestinians who headed to the hubs in the hope of finding desperately needed provisions for their families.

In his tent at a displacement site in the coastal Al-Mawasi area of Khan Younis, Mr. Nabi, surrounded by his wife and children, explains how the journey ended in disaster and life-changing injuries.

“We were told that the Gaza Humanitarian Foundation had opened its doors to distribute aid. When I arrived at the Al-Alam area, west of Rafah, I was hit by an explosive bullet in my leg. I was bleeding for about an hour and a half, and no one came to help me. They were all trying to find food for their children.”

Eventually, a group of people came to his rescue and took him to the nearby Red Cross hospital.

“I stayed there for about a month and a half, undergoing about 12 operations. I became malnourished and lost a lot of blood. Infection spread, and more of my leg had to be amputated.”

Ibrahim Abdel Nabi, a Palestinian displaced in Gaza, sitting on a chair while his wife helps him wear the handmade prosthetic limb.

‘I made my prosthetic leg’

As Mr. Nabi was trying to recover, he was aware that his family were still in need of food. Despite the pain, he decided to make a simple prosthesis from materials he could find to allow him to get back on his feet and make fresh attempts to find food and water.

“The prosthesis injures my leg,” he said. “It causes inflammation and increases the pain. We don’t have medical care or supplies, but I will use it no matter how much it hurts.”

As he speaks, Mr. Nabi’s wife begins to cry. “God willing, we will live through this experience,” she says.

Mr. Nabi gets up on crutches and heads to a nearby tent, where his wife helps him to put on the crude prosthesis.

“Don’t strain yourself,” she repeats, over and over. “Take your time. Walk slowly.”

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Absent faces, destroyed homes – young students paint the pain of Gaza

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Their paintings and drawings range from a portrait of an esteemed Palestinian poet and family members killed in conflict, to a sky blackened by thick smoke – and a child crying in front of his mother’s corpse.

The poignant images are currently on display at UNRWA’s Remal School in Gaza City, which has been transformed into a shelter.

Remembrance and loss

The exhibition provides an opportunity for the children and young people to express and discuss their feelings after nearly 18 months of war.

Fatima al-Za’anin, who was displaced from Beit Hanoun in northern Gaza, cried as she spoke about her artwork. “I painted the Palestinian poet Mahmoud Darwish, I drew mama, baba, my sister and my grandfather,” she said.

Fatima stopped talking to cry once more and turned to a small pencil drawing peppered with red spots. “I drew martyrs’ bodies that were torn to pieces,” she explained.

She pointed to another drawing of a boy called Mohammed “who wished he had one person left in his family, but there was no one left,” she said. “I painted a child who lamented his mother, whom he had lost.”

A specialist from the UNRWA Psychological Support Centre stood beside Fatima and praised her courage in expressing her feelings.

17 year-old Na’emat Haboob, the sole survivor of her family and displaced from Jabalia Camp, stands beside her artwork—a moving tribute to her mother, who was killed in the war.

Praying for comfort

Na’emat Haboob, a 17-year-old student, touched one of her paintings as she spoke about it. The image is of the face of her mother, who was killed in the war. 

“This is mama’s painting.  Thank God I could draw it while I’m trying to get over losing her.  I hope everyone will pray for her.” 

Na’emat continued to run her fingers over the painting as if she wanted to touch her mother’s face and said: “May God grant me comfort for losing her and my siblings.”

May God grant me comfort for losing her and my siblings

She credited the mental health team at the Remal shelter for their support, saying it gave her the strength to turn her pain into art. 

Her grief welled up again and she was unable to go on. Comforted by a hug from the counsellor, she was able to continue, saying the psychological support she receives at the shelter enables her to keep studying. 

“I seek to develop my talents after what I’ve been through during the war,” she said. “I want to try hard to be what my mother wished for me.”

Malak Fayad, a displaced from Beit Hanoun (Gaza) shares the meaning behind her artwork with fellow displaced visitors, using art as a way to express her experiences, resilience, and hope amid the devastation of war.

Lives transformed, hopes destroyed

Another student, Malak Fayyad, stood in front of her colourful paintings. One depicts the clear blue sky and sea of Gaza, showing birds, trees and landscapes. It is a copy of a work she had previously painted which hung proudly on a wall in her family’s home. 

But the house was destroyed along with all their belongings, including the painting.

“I painted it again to remember Gaza as it was, and next to it another painting clouded by black smoke from weapons,” Malak said, before highlighting other works she created, including one which “shows how our lives have been transformed after the destruction and bombing.”

Another of her paintings depicts a Palestinian man who appears to be carrying a bag in the form of a house. She said it “shows that the Palestinian always carries with him the Palestinian cause, even when he is displaced and forced to leave his home.”

The war in Gaza has destroyed hopes of a better future, according to another young artist, Malak Abu Odeh.  

“Not only displacement and destruction, but the war has taken away from us our dearest people, our relatives and loved ones,” she said.

“We’re not well, but I would like to thank the mental health team who are trying to entertain us, help us and support us.”

Commitment to deliver

UNRWA continues to provide psychosocial support services across the Gaza Strip. The agency said its teams responded to around 3,000 cases between 21 and 27 April. 

This support included individual counselling, awareness-raising sessions and response to gender-based violence cases in its health centres, medical points and shelters. 

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Diets rich in these minerals may help prevent recurrent kidney stones

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Kidney stones can cause not only excruciating pain but also are associated with chronic kidney disease, osteoporosis and cardiovascular disease. If you’ve experienced a kidney stone once, you have a 30% chance of having another kidney stone within five years.

Changes in diet are often prescribed to prevent recurrent symptomatic kidney stones. However, little research is available regarding dietary changes for those who have one incident of kidney stone formation versus those who have recurrent incidents.

Mayo Clinic researchers designed a prospective study to investigate the impact of dietary changes. Their findings show that enriching diets with foods high in calcium and potassium may prevent recurrent symptomatic kidney stones.

Dietary factors were based on a questionnaire administered to 411 patients who had experienced first-time symptomatic kidney stones and a control group of 384 people — all of whom were seen at Mayo Clinic in Rochester and Mayo Clinic in Florida between 2009 and 2018. The findings, which were published in Mayo Clinic Proceedings, show that lower dietary calcium and potassium, as well as lower intake of fluids, caffeine and phytate, are associated with higher odds of experiencing a first-time symptomatic kidney stone.

Of the patients who had first-time stone formation, 73 experienced recurrent stones within a median of 4.1 years of follow-up. Further analysis found that lower levels of dietary calcium and potassium predicted recurrence.

“These dietary findings may have particular importance because recommendations for preventing kidney stones have been based primarily on dietary factors associated with first-time rather than recurrent stone formation,” says Andrew Rule, M.D., a Mayo Clinic nephrologist and senior author of the study. “Patients may not be likely to adjust their diet to prevent an incidence of kidney stones, but they are more likely to do so if it can help prevent recurrence.”

Fluid intake of less than 3,400 milliliters per day, or about nine 12-ounce glasses, is associated with first-time stone formation, along with caffeine intake and phytate, the study finds. Daily fluid intake includes intake from foods such as fruits and vegetables.

Low fluid and caffeine intake can result in low urine volume and increased urine concentration, contributing to stone formation. Phytate is an antioxidant compound found in whole grains, nuts and other foods that can lead to increased calcium absorption and urinary calcium excretion.

“Changing your diet to prevent kidney stones can be very difficult,” says Dr. Rule. “Thus, knowing the dietary factors that are most important for preventing kidney stone recurrence can help patients and providers know what to prioritize.”

Low dietary calcium and potassium was a more important predictor than fluid intake of recurrent kidney stone formation, says Api Chewcharat, M.D., the article’s first author and a postdoctoral research fellow at Mayo Clinic at the time of the study. “This is not to say high fluid intake is not important. We just did not find benefits of increasing fluid intake among those patients with a history of kidney stone formation.”

The study concludes that diets with daily intake of 1,200 milligrams of calcium may help prevent first-time and recurrent kidney stones. That daily intake is in line with the Department of Agriculture’s daily recommended nutrition.

While higher potassium intake also is recommended, the USDA does not make a recommendation for daily potassium intake. The study also doesn’t recommend an intake level.

Dr. Chewcharat says the takeaway is that patients should add more fruits and vegetables that are high in calcium and potassium to their diets. Fruits that are high in potassium include bananas, oranges, grapefruits, cantaloupes, honeydew melons and apricots. Vegetables include potatoes, mushrooms, peas, cucumbers and zucchini.