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Little light, no beds, not enough anesthesia: A view from Gaza's hospitals_我的网站

A |     DEIR AL-BALAH, Gaza Strip -- The only thing worse than the screams of a patient undergoing surgery without enough anesthesia are the terror-stricken faces of those awaiting their turn, a 51-year-old orthopedic surgeon says.When the Israeli bombing intensifies and the wounded swamp the Gaza City hospitals where Dr. Nidal Abed works, he treats patients wherever he can — on the floor, in the corridors, in rooms crammed with 10 patients instead of two. Without enough medical supplies, Abed makes do with whatever he can find – clothes for bandages, vinegar for antiseptic, sewing needles for surgical ones. Hospitals in the Gaza Strip are nearing collapse under the Israeli blockade that cut power and deliveries of food and other necessities to the territory. They lack clean water. They are running out of basic items for easing pain and preventing infections. Fuel for their generators is dwindling.Israel began its bombing campaign after Hamas militants surged across the border on Oct. 7 and killed over 1,400 people, mostly civilians, and abducted more than 200 others. Israel's offensive has devastated neighborhoods, shuttered five hospitals, killed thousands and wounded more people than its remaining health facilities can handle.“We have a shortage of everything, and we are dealing with very complex surgeries,” Abed, who works with Doctors Without Borders, told The Associated Press from Al Quds Hospital. The medical center is still treating hundreds of patients in defiance of an evacuation order the Israeli military gave Friday. Some 10,000 Palestinians displaced by the bombing have also taken refuge in the hospital compound.“These people are all terrified, and so am I," the surgeon said. “But there is no way we'll evacuate.” The first food, water and medicine trickled into Gaza from Egypt on Saturday after being stalled on the border for days. Four trucks in the 20-truck aid convoy were carrying drugs and medical supplies, the World Health Organization said. Aid workers and doctors warned it was not nearly enough to address Gaza’s spiraling humanitarian crisis. “It's a nightmare. If more aid doesn’t come in, I fear we’ll get to the point where going to a hospital will do more harm than good,” Mehdat Abbas, an official in the Hamas-run Health Ministry, said. Across the territory’s hospitals, ingenuity is being put to the test. Abed used household vinegar from the corner store as disinfectant until the stores ran out, he said. Too many doctors had the same idea. Now, he cleans wounds with a mixture of saline and the polluted water that trickles from taps because Israel cut off the water. A shortage of surgical supplies forced some staff to use sewing needles to stitch wounds, which Abed said can damage tissue. A shortage of bandages forced medics to wrap clothes around large burns, which he said can cause infections. A shortage of orthopedic implants forced Abed to use screws that don't fit his patients' bones. There are not enough antibiotics, so he gives single pills rather than multiple courses to patients suffering terrible bacterial infections. “We are doing what we can to stabilize the patients, to control the situation,” he said. “People are dying because of this." When Israel cut fuel to the territory's sole power plant two weeks ago, Gaza's rumbling generators kicked in to keep life-support equipment running in hospitals. Authorities are desperately scrounging up diesel to keep them going. United Nations agencies are distributing their remaining stocks. Motorists are emptying their gas tanks. In some hospitals, the lights have already switched off. At Nasser Hospital in the southern city of Khan Younis this week, nurses and surgical assistants held their iPhones over the operating table, guiding the surgeons with the flashlights as they snipped. At Shifa Hospital, Gaza’s biggest, where Abed also worked this week, the intensive care unit runs on generators but most other wards are without power. Air conditioning is a bygone luxury. Abed catches beads of sweat dripping from his patients’ foreheads as he operates.People wounded in the airstrikes are overwhelming the facilities. Hospitals don't have enough beds for them. “Even a normal hospital with equipment would not be able to deal with what we’re facing,” Abed said. “It would collapse.” Shifa Hospital — with a maximum capacity of 700 people — is treating 5,000 people, general director Mohammed Abu Selmia says. Lines of patients, some in critical condition, snake out of operating rooms. The wounded lie on floors or on gurneys sometimes stained with the blood of previous patients. Doctors operate in crowded corridors filled with moans. The scenes — infants arriving alone to intensive care because no one else in their family survived, patients awake and grimacing in pain during surgeries — have traumatized Abed into numbness. But what still pains him is having to choose which patients to prioritize.“You have to decide," he said. “Because you know that many will not make it."___DeBre reported from Jerusalem.。    日本政坛，最近的动态像是一场旋风，将现任首相高市早苗推到了风口浪尖。石破茂，这位前首相，8月21日在东京的演讲中无视了政治利益，直言不讳地对高市提出了严厉批评。他的焦点是高市在8月15日“投降日”讲话中选择不提“反省”，这不仅是一次历史修正，更是对战后日本政治与军事方向的重大挑衅。    与此同时，中俄两国也如影随形，重新提起联合国宪章中的敌国条款，并且朝鲜发出针对日本的毁灭性警告。

B | 这一系列事件如同多米诺骨牌，似乎预示着日本政局的重大变革。    首先，高市删除“反省”这一词汇绝非偶然。在日本每年8月15日的讲话中，首相对日本过去战争历史的表态一直是极为关键的，而高市这一举动显然是在为她雄心勃勃的扩军计划铺平道路。    日本的和平宪法和专守防卫原则是建立在承认过往侵略错误的基础之上的，一旦这一基础被推翻，势必会影响到日本的军事行动合法性。

C | 高市这样做的目的十分明确：她希望削弱战后体制，对外宣称可以毫无顾忌地进行军事扩张。        然而，石破茂的反击不是盖的。他的批评可以看作是自民党内部对高市政策的一次警告。这种来自曾经掌权者的声音，意味着党内的稳健派已经开始对高市的路径产生疑虑，认为继续沿着这样的轨道行进将会对自民党的未来造成威胁。    高市内阁的一些成员有参拜靖国神社、否定侵略历史的恶名，这让石破茂用“军国主义”这样的强烈措辞来攻击内阁的正当性，给高市的政治生涯蒙上了一层阴影。    石破茂的表态不仅仅是个人的意见，也是一种内部权力的信号。他的批评为那些在高市政策上心存顾虑的中间派议员提供了一个公开反对的理由。    一旦这些中间派倒向石破茂，自民党内部的支持力量将会大幅度削弱，高市的修宪和扩军计划将面临重重困难。

D | 这样的政治博弈，不仅关乎个别人物的命运，更可能影响到整个国家的未来走向。        与此同时，在这个敏感的时刻，中俄的同步发声无疑给日本的扩军计划上了一层外部压力。联合国宪章中的敌国条款至今仍未被废除，这意味着中俄作为安理会常任理事国，能够在必要时对日本采取法律行动。这实际上是给了高市政府一个无法忽视的红灯，表明想要在国际法框架下肆无忌惮地进行军事扩张是极其困难的。    不仅如此，朝鲜的威胁更是直接回应了高市的军事政策。

E | 高市的“先发制人”军事策略无疑使日本的安全处境变得更加危险。朝鲜的导弹能力日益增强，其瞄准的目标非常明确，这促使日本民众担忧自国安全，而高市的军事扩张政策恰恰加剧了这种恐慌。

F |     面对党内外的共同压力，高市的政治空间正在急剧缩小。街头抗议活动呼声高涨，民众要求追究历史责任和反对军事扩张的情绪愈发强烈。在这样的情况下，高市即便在短期内不至于下台，但她的政策议程无疑已失去了应有的推动力，亦难以在党内获得广泛支持。        作为日本的领导人，高市早苗面临的挑战可谓是四面楚歌。她在历史修正上所做出的大胆尝试，不仅遭到了党内元老的质疑，也引发了社会的强烈反对。而中俄朝的联合施压，则为她的政策实施再添了几道阻碍。被迫在党内和公众之间徘徊，而高市如果继续坚持她的历史修正路线，将可能进一步激化矛盾，陷入政治孤立甚至失败的窘境。    日本政坛的这一波动荡，不仅是对高市内阁的考验，更是对日本战后体制的深刻反思。若高市的政策路线最终遭遇重创，将必然带来日本内政与外交的新变局，而这种变局可能在未来数月、甚至数年里持续发酵，影响深远。高市的决策不仅关乎她的前途，更将对整个日本，乃至亚太地区的安全格局产生重要影响。日本是否能找到一条理智而稳定的发展道路，仍需要时间来验证。返回，查看更多。

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