[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"latest-post":3,"post-gaza-caso-clinico-case-report-metralla-en-la-mente-infantil-shrapnel-in-the-minds-of-gaza-s-children-esp-eng":119},[4,19,36,52,68,82,95,107],{"id":5,"slug":6,"type":7,"title":8,"titleEn":9,"subtitle":10,"subtitleEn":11,"imageUrl":12,"timestamp":13,"tags":14,"tagsEn":16,"excerpt":17,"hasEnglish":18,"hasEnglishPage":18},"mvfhijtrf7ovmoebles","2-anos-de-health-workers-for-palestine-spain-un-poco-de-historia","post","2 años de Health Workers For Palestine, Spain. Un poco de historia","2 years of Health Workers For Palestine, Spain. A little history","Dos años de trabajo en pro de Palestina, de denuncia y esperanza, con ciencia, compromiso, coraje y ternura","Two years of work for Palestine, of reporting and hope, with science, commitment, courage and tenderness","https:\u002F\u002Fres.cloudinary.com\u002Fdohlie6or\u002Fimage\u002Fupload\u002Fv1792430263\u002Fsijr1ml6v6jesr2cfrge.png",1792430125582,[15],"HW4PS",[15],"Un poco de historia Sunera Sadicali, médica de familia, escribió una poesía en sueco que publicó en español, en la página de NoGracias, el 19 de octubre de 2024, \"Gaza: la Humanidad herida\". La conmoción que produjo su publicación llevó a la propuesta, en el entorno de los SIAP (Seminarios de Innova",true,{"id":20,"slug":21,"type":7,"title":22,"titleEn":23,"subtitle":24,"subtitleEn":25,"imageUrl":26,"timestamp":27,"tags":28,"tagsEn":34,"excerpt":35,"hasEnglish":18,"hasEnglishPage":18},"mveycupbpe23u9l1kfq","la-declaracion-de-rotterdam-pretende-justificar-la-destruccion-de-los-servicios-palestinos-de-salud","La \"Declaración de Rotterdam\" pretende justificar la destrucción de los servicios palestinos de salud ","Position of Health Workers For Palestine, Spain, against the \"Rotterdam Declaration\" of the World Medical Association.","La Asociación Médica Mundial transmite ideología sionista en lugar de expulsar a la Asociación Médica Israelí","This Declaration is steeped in Zionist ideology. The Achilles' heel of “medical neutrality” in practice","https:\u002F\u002Fres.cloudinary.com\u002Fdohlie6or\u002Fimage\u002Fupload\u002Fv1792397017\u002Fdrwopb2gde3dqqmxxkic.png",1792397129764,[29,30,31,32,33],"WMA","IMA","Rotterdam","Declaración","Sionismo",[],"La “Declaración de Rotterdam” del 10 de Octubre de 2026 de la Asociación Médica Mundial: ¿Quién decide qué servicios de salud “participan en actos perjudiciales para el enemigo”? ¿El propio enemigo? Health Workers 4 Palestine, Spain (HW4PS), 19 de octubre de 2026 Introducción La “Declaración de Rott",{"id":37,"slug":38,"type":7,"title":39,"titleEn":40,"subtitle":41,"subtitleEn":42,"imageUrl":43,"timestamp":44,"tags":45,"tagsEn":48,"excerpt":51,"hasEnglish":18,"hasEnglishPage":18},"mvdtsjiwyp31u8edtjc","gaza-y-las-10-etapas-del-genocidio","Gaza y las 10 etapas del genocidio","Gaza and the Ten Stages of Genocide","Genocide Watch identifica a Estados Unidos como cómplice de Israel en el genocidio","Genocide Watch identified the United States as actively complicit of Israel in the genocide","https:\u002F\u002Fres.cloudinary.com\u002Fdohlie6or\u002Fimage\u002Fupload\u002Fv1792328628\u002Fabfasv650et4yckzotck.png",1792331769463,[46,47],"Genocidio","Etapas",[49,50],"Genocide","Stages","Informe especial: Gaza y las Diez Etapas del Genocidio Genocide Watch 2 de octubre de 2026 Por Karolina Bonde, Genocide Watch El genocidio es uno de los crímenes más graves del derecho internacional, definido como actos cometidos con la intención de destruir, total o parcialmente, a un grupo naciona",{"id":53,"slug":54,"type":7,"title":55,"titleEn":56,"subtitle":57,"subtitleEn":58,"imageUrl":59,"timestamp":60,"tags":61,"tagsEn":65,"excerpt":67,"hasEnglish":18,"hasEnglishPage":18},"mv9mio3dgnpwrvqjtee","espana-contrata-defensa-con-palantir-11-european-countries-use-palantir-espanol-ingles","España contrata Defensa con Palantir","11 European countries use Palantir","Al menos 1400 millones de euros en Palantir, gasto europeo","European countries spend at least €1.4 billion on Palantir","https:\u002F\u002Fres.cloudinary.com\u002Fdohlie6or\u002Fimage\u002Fupload\u002Fv1792076010\u002Fydrbaaewzlutpsml2wso.png",1792075985987,[62,63,64],"Palantir","Europa","España",[62,66],"Europe","Los países europeos gastan al menos 1.400 millones de euros en la \"peligrosa\" Palantir. Al menos 11 países europeos utilizan el software de Palantir en sus sectores de defensa, inteligencia y salud, entre otros. Expertos y funcionarios describen esta dependencia de la controvertida empresa estadouni",{"id":69,"slug":70,"type":7,"title":71,"titleEn":72,"subtitle":73,"subtitleEn":74,"imageUrl":75,"timestamp":76,"tags":77,"tagsEn":80,"excerpt":81,"hasEnglish":18,"hasEnglishPage":18},"mv8apzmu6vkolvb3z4i","una-verguenza-medica-internacional-la-declaracion-de-rotterdam-de-la-asociacion-medica-mundial-amm","Una vergüenza médica internacional: la \"Declaración de Rotterdam\" de la Asociación Médica Mundial AMM","An international medical disgrace: World Medical Association \"Declaration of Rotterdam\"","Hecha a medida de la Asociación Médica Israelí AMI. Apoyada por la Asociación Médica Británica","Tailor-made for the Israeli Medical Association, IMA. British Medical Association backs the Declaration","https:\u002F\u002Fres.cloudinary.com\u002Fdohlie6or\u002Fimage\u002Fupload\u002Fv1791994233\u002Fy2zyhm15cguq9z0owqjx.png",1791994238292,[29,30,31,78,79],"AMM","AMI",[],"Una vergüenza médica internacional: la \"Declaración de Rotterdam\", hecha a medida para que la Asociación Médica Israelí pueda \"justificar\" el asesinato, detención y tortura de profesionales de sanidad en Gaza, y la destrucción de instituciones y centros sanitarios, ambulancias incluidas. Declaración",{"id":83,"slug":84,"type":7,"title":85,"titleEn":86,"subtitle":87,"subtitleEn":88,"imageUrl":89,"timestamp":90,"tags":91,"tagsEn":93,"excerpt":94,"hasEnglish":18,"hasEnglishPage":18},"mv5lufa4sj4oo1wmhp","los-soldados-israelies-asesinan-a-civiles-indefensos-y-los-cuentan-como-terroristas","Los soldados israelíes asesinan a civiles indefensos y los \"cuentan\" como terroristas","Israeli soldiers murder defenseless civilians and \"count\" them as terrorists."," No asesinan, simplemente \"eliminan\"","They don't murder, they simply \"eliminate.\"","https:\u002F\u002Fres.cloudinary.com\u002Fdohlie6or\u002Fimage\u002Fupload\u002Fv1791831372\u002Fknsvksttpcfuzicvqqdl.png",1791831511789,[92],"IDF",[92],"MUERTE A LAS FDI (Fuerzas de Defensa de Israel) 11 Octubre 2026 Un reservista israelí declaró a Der Spiegel que su unidad mató a palestinos que se acercaron a posiciones ocultas y luego los registró como terroristas. El soldado, que pasó unos 250 días en Gaza, describió un procedimiento que su unida",{"id":96,"slug":97,"type":7,"title":98,"titleEn":99,"subtitle":100,"subtitleEn":101,"imageUrl":102,"timestamp":103,"tags":104,"tagsEn":105,"excerpt":106,"hasEnglish":18,"hasEnglishPage":18},"mv2jqly7e13sn6bmept","press-release-81-scrubs-outside-world-medical-association-wma-summit-nota-de-prensa-81-batas-colgadas-ante-la-asociacion-medica-mundial-amm-eng-esp","Nota de prensa. 81 batas colgadas ante la Asociación Médica Mundial AMM","Press release. 81 Scrubs Outside World Medical Association WMA Summit.","La Asociación Médica Israelí fuera de la AMM. En representación de 81 trabajadores palestinos en cárceles israelíes.","Israel Medical Association out of WMA. On behalf of 81 Palestinian workers in Israeli prisons.","https:\u002F\u002Fres.cloudinary.com\u002Fdohlie6or\u002Fimage\u002Fupload\u002Fv1791651232\u002Fnf5omb2cmkigvwndwdqx.jpg",1791651680899,[29,30,31,78,79],[],"COMUNICADO DE PRENSA 10 DE OCTUBRE | RÓTERDAM Médicos cuelgan 81 batas frente a la Cumbre de la Asociación Médica Mundial AMM mientras una campaña global exige a la AMM que expulse a la Asociación Médica Israelí AMI ROTERDAM, Países Bajos, 10 de octubre de 2026 Crece la presión internacional sobre l",{"id":108,"slug":109,"type":7,"title":110,"titleEn":111,"subtitle":112,"subtitleEn":113,"imageUrl":114,"timestamp":115,"tags":116,"tagsEn":117,"excerpt":118,"hasEnglish":18,"hasEnglishPage":18},"mv18pyzte9846stg70c","thousands-of-health-workers-petition-world-medical-association-to-suspend-israeli-medical-association","Miles de médicos y profesionales de sanidad piden la expulsión de la Asociación Médica Israelí de la Asociación Médica Israelí","Thousands of health workers petition World Medical Association to suspend Israeli Medical Association.","La Asociación Médica Israelí incumple sus responsabilidades hacia los pacientes palestinos.","The Israeli Medical Association is failing to uphold its responsibilities towards Palestinian patients.","https:\u002F\u002Fres.cloudinary.com\u002Fdohlie6or\u002Fimage\u002Fupload\u002Fv1791567497\u002Fwswv7dakwbgd4vsako68.jpg",1791568119041,[29,30,31],[],"Miles de trabajadores de la salud solicitan a la Asociación Médica Mundial la suspensión de la Asociación Médica Israelí 9 de octubre de 2026 Médicos y trabajadores de la salud exigen la suspensión de la Asociación Médica Israelí (IMA) por parte de la Asociación Médica Mundial (AMM) debido a su comp",{"id":120,"title":121,"timestamp":122,"imageUrl":127,"slug":128,"type":7,"content":129,"subtitle":130,"videoUrl":131,"user":132,"tags":133,"link":134},"me2meruempr612bdjr","Gaza Caso clínico. Case report. Metralla en la mente infantil. Shrapnel in the Minds of Gaza's Children ESP ENG",["FirebaseTimestamp",123],{"type":124,"seconds":125,"nanoseconds":126},"firestore\u002Ftimestamp\u002F1.0",1754646330,952000000,"https:\u002F\u002Fres.cloudinary.com\u002Fdohlie6or\u002Fimage\u002Fupload\u002Fv1754646036\u002Fsikqjjzuxb1kjodwytxk.webp","gaza-caso-clinico-case-report-metralla-en-la-mente-infantil-shrapnel-in-the-minds-of-gaza-s-children-esp-eng","\u003Cp>\u003Cstrong>ESPA&Ntilde;OL\u003C\u002Fstrong>\u003C\u002Fp>\n\u003Cp>\u003Ca href=\"https:\u002F\u002Fwww.diario-red.com\u002Farticulo\u002Farmas-para-pensar\u002Fmetralla-mentes-ninos-gaza\u002F20250804103816052081.html\">\u003Cstrong>La metralla en las mentes de los ni&ntilde;os de Gaza\u003C\u002Fstrong>\u003C\u002Fa>\u003C\u002Fp>\n\u003Cp>\u003Cem>He perdido la cuenta de los ni&ntilde;os bombardeados que vi o atend&iacute; durante mis cuatro meses en Gaza. De los ni&ntilde;os mutilados de las m&aacute;s aberrantes maneras, de los ni&ntilde;os con balazos en sus cabezas&nbsp;\u003C\u002Fem>\u003C\u002Fp>\n\u003Cp>Ra&uacute;l Incertis, m&eacute;dico anestesista y m&eacute;dico de urgencias espa&ntilde;ol\u003Cbr>05\u002F08\u002F25 | Actualizado: 05\u002F08\u002F25 | 12:22\u003C\u002Fp>\n\u003Cp>Sanad Alqarra es un ni&ntilde;o de nueve a&ntilde;os que el pasado 15 de abril se encontraba jugando con sus amigos al bal&oacute;n en la calle, no muy lejos de su casa, parcialmente destruida por un bombardeo israel&iacute;, en el este de Jan Yunis, al sur de la franja de Gaza. Mientras jugaba, de repente se produjo una explosi&oacute;n y Sanad sali&oacute; corriendo, pero a los pocos metros se desvaneci&oacute;: fundido en negro.\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>El fundido a blanco, es decir, el momento en el que recobr&oacute; la conciencia, fue para &eacute;l terrible. Se despert&oacute; en un lugar inh&oacute;spito, con un tubo en su tr&aacute;quea, otro en su pulm&oacute;n derecho y varios tubos m&aacute;s peque&ntilde;os en sus venas y en su uretra. Se hallaba en la UCI del hospital Nasser, aunque &eacute;l no lo sab&iacute;a, como tampoco sab&iacute;a que hab&iacute;a sido bombardeado por el ej&eacute;rcito israel&iacute;. Se despert&oacute; y se encontr&oacute; solo, en un lugar donde a su derecha hab&iacute;a un hombre en una cama como la suya, que no hac&iacute;a m&aacute;s que sollozar de dolor, y a su izquierda, una ni&ntilde;a en coma, con una venda en la cabeza y un tubo en su boca como el suyo. El sonido de las alarmas de los monitores que registraban los par&aacute;metros vitales de los pacientes ingresados en esa sala, en la que hab&iacute;a once heridos como &eacute;l, era incesante y demasiado fuerte como para que Sanad y sus maltrechos vecinos, bombardeados como &eacute;l, pudieran conciliar el sue&ntilde;o.\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>Sanad lo pas&oacute; muy mal. Una esquirla de metralla le hab&iacute;a atravesado el cuello y le hab&iacute;a producido un hematoma que no dejaba de crecer, deformando su anatom&iacute;a y haciendo que fuera inapropiado quitarle ese tubo de la tr&aacute;quea, por si el hematoma segu&iacute;a creciendo y lo ahogaba al quit&aacute;rselo. Solo hab&iacute;a un cent&iacute;metro de distancia entre esa esquirla met&aacute;lica de su cuello y su arteria car&oacute;tida: un cent&iacute;metro de vida. Adem&aacute;s, otro pedazo de metralla le hab&iacute;a atravesado el t&oacute;rax, da&ntilde;&aacute;ndole el pulm&oacute;n, y por ello le hab&iacute;an colocado un enorme tubo dentro de su pecho.&nbsp;\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>Tomar un caf&eacute; con su padre a primera hora de la ma&ntilde;ana en el paup&eacute;rrimo chamizo de la entrada del hospital e ir a visitarlo despu&eacute;s se convirtieron en mis rutinas durante varios d&iacute;as. Al tercer d&iacute;a desde que Sanad fue extubado, le llev&eacute; una tableta de chocolate Valor que se zamp&oacute; en un santiam&eacute;n, pero sin alegr&iacute;a en la mirada. Su mirada estaba, indefectiblemente, perdida en alg&uacute;n lugar que los que no hemos sido bombardeados no podemos conocer. Un lugar que yo imaginaba lleno de soledad, incomprensi&oacute;n y, sobre todo, miedo. Sanad estaba aterrorizado. Ni los videos de YouTube de goles de Cristiano Ronaldo o los de gatos haciendo cosas divertidas que le ense&ntilde;aba a diario lograban que su mirada recobrara presencia. Miraba la pantalla, pero no la miraba.\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>Su padre me dijo que se pasaba el d&iacute;a mirando al techo de su casa, y la noche sollozando de miedo por las pesadillas que sufr&iacute;a.\u003C\u002Fp>\n\u003Cp>Sanad pas&oacute; por un verdadero calvario las dos semanas posteriores. Dificultad respiratoria, volverle a poner el tubo en el t&oacute;rax, darle de alta, nueva disnea, reingreso en la UCI e intubaci&oacute;n, imposibilidad de quitarle el tubo del t&oacute;rax, volverle a quitar el respirador, secuelas en su tr&aacute;quea&hellip; Y todo esto casi siempre solo, pues las visitas autorizadas no duraban m&aacute;s de dos horas al d&iacute;a. Pero ese hematoma en el cuello, afortunadamente, se reabsorbi&oacute; y, finalmente, a las tres semanas de su ingreso fue dado de alta y enviado a su vivienda anterior, que, como he dicho, estaba parcialmente destruida por un bombardeo israel&iacute;. Yo me sent&iacute; muy afortunado de estar a su lado y al lado de su padre, quien dorm&iacute;a cada noche en el suelo de los pasillos del hospital. Ahora, somos los tres muy buenos amigos.\u003C\u002Fp>\n\u003Cp>Al mes de su alta, ambos vinieron para un control con el otorrinolaring&oacute;logo. Sanad, pese a estar en casa, no acababa de respirar bien. Los m&eacute;dicos le descubrieron una estrechez en su tr&aacute;quea, producida por la demasiado larga presencia del tubo de respiraci&oacute;n en ella.\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>Despu&eacute;s de la consulta, fuimos a tomar caf&eacute; al chamizo de la entrada del hospital. Ah&iacute; estaba Sanad, guap&iacute;simo, con su chupa de polipiel, sentado en una silla y mirando al infinito. Su cuerpo, como cuando estuvo ingresado en la UCI, estaba presente, pero &eacute;l no. Su padre me dijo que se pasaba el d&iacute;a mirando al techo de su casa, y la noche sollozando de miedo por las pesadillas que sufr&iacute;a.\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>Que si su madre o &eacute;l se acercaban para abrazarlo, o solo tocarlo, se pon&iacute;a a gritar y llorar. No dejaba que nadie lo tocara. Que hablaba muy poco y solo para preguntarle a su padre el motivo de por qu&eacute; tantos tubos en su cuerpo cuando estuvo ingresado.\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>Cuando sus amigos iban a buscarle para animarlo a salir a la calle a jugar, siempre rechazaba su ofrecimiento. Bueno, una vez sali&oacute; de casa y, al ver de lejos el lugar donde hab&iacute;a sido bombardeado, se puso a llorar y se meti&oacute; r&aacute;pidamente adentro. Y ya para acabar, ten&iacute;a el brazo izquierdo pr&aacute;cticamente paralizado y rabiaba de dolor si se lo tocaban. Lo &uacute;nico que le aliviaba era moj&aacute;rselo un poco con agua. Nos cost&oacute; averiguar el motivo de esa par&aacute;lisis: un peque&ntilde;o trozo de metralla todav&iacute;a estaba en su brazo y le rozaba uno de los nervios.&nbsp;\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>De todo lo que su padre me relat&oacute; en este nuevo encuentro con ellos, lo que m&aacute;s me conmovi&oacute; fue la persistencia del vac&iacute;o en la mirada de su hijo\u003Cstrong>. Su cuerpo estaba con nosotros, pero &iquest;d&oacute;nde estaba &eacute;l en realidad?&nbsp;\u003C\u002Fstrong>\u003C\u002Fp>\n\u003Cp>He perdido la cuenta de los ni&ntilde;os bombardeados que vi o atend&iacute; durante mis cuatro meses en Gaza. De los ni&ntilde;os mutilados de las m&aacute;s aberrantes maneras, de los ni&ntilde;os con balazos en sus cabezas. De los que llegaban suficientemente conscientes al hospital, puedo decir lo mismo que he descrito con Sanad: sus miradas estaban huecas. Como si la onda expansiva de la bomba les hubiera arrancado de cuajo la inocencia. La mirada perdida es el signo cl&iacute;nico m&aacute;s frecuente que podr&aacute;s ver en un ni&ntilde;o bombardeado, junto con el mutismo.&nbsp;\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>A&uacute;n recuerdo una vez que llegaron un grupo de unos diez ni&ntilde;os que acababan de ser sacados de los escombros de un edificio despu&eacute;s de un bombardeo israel&iacute;. Algunos llegaron muertos. Todos sus cuerpos estaban cubiertos de polvo de cemento, por lo que la sangre de sus heridas o las l&aacute;grimas de sus ojos se mezclaban con el polvo y el resultado era de color negro.\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>Una ni&ntilde;a de unos siete a&ntilde;os, cubierta de este polvo que he descrito y que estaba levemente herida sobre una camilla, ten&iacute;a su cuerpo agarrotado por la ansiedad. Estaba sola. Me dijo, con la voz entrecortada y la mirada perdida, que quer&iacute;a agua. La acompa&ntilde;&eacute; a una pila que estaba a su lado y, al verla caminar, pude observar que sus pantalones estaban mojados porque se hab&iacute;a orinado encima.\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cstrong>ENGLISH\u003C\u002Fstrong>\u003C\u002Fp>\n\u003Cp>\u003Cstrong>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">Shrapnel in the Minds of Gaza's Children \u003C\u002Fspan>\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\n\u003Cp>\u003Cem>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">I've lost count of the bombed children I saw or cared for during my four months in Gaza.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">Children mutilated in the most aberrant ways, children with bullets in their heads. \u003C\u002Fspan>\u003C\u002Fspan>\u003C\u002Fem>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">Ra&uacute;l Incertis, Spanish anesthesiologist and emergency physician 05\u002F08\u002F2025 |\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">Updated: 05\u002F08\u002F2025 |\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">12:22 \u003C\u002Fspan>\u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">Sanad Alqarra is a nine-year-old boy who on April 15 was playing football with his friends in the street, not far from his home, partially destroyed by an Israeli bombing, in eastern Khan Yunis, south of the Gaza Strip.\u003C\u002Fspan> \u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">While he was playing, there was a sudden explosion and Sanad ran away, but after a few meters he vanished: a fade to black.\u003C\u002Fspan>\u003Cspan class=\"ryNqvb\"> The fade to white, that is, the moment he regained consciousness, was terrible for him.\u003C\u002Fspan> \u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">He woke up in an inhospitable place, with a tube in his trachea, another in his right lung, and several smaller tubes in his veins and urethra.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">He was in the ICU of Nasser Hospital, although he didn't know it, nor did he know that it had been bombed by the Israeli army.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">He woke up to find himself alone, in a place where to his right was a man in a bed like his, sobbing in pain, and to his left, a little girl in a coma, with a bandage on her head and a tube in her mouth like his.\u003C\u002Fspan> \u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">The sound of the alarms on the monitors recording the vital signs of the patients admitted to that ward, which housed eleven wounded like him, was incessant and too loud for Sanad and his battered neighbors, who had been bombed like him, to sleep.\u003C\u002Fspan>\u003Cspan class=\"ryNqvb\"> Sanad had a terrible time.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">A piece of shrapnel had passed through his neck, causing a hematoma that kept growing, deforming his anatomy and making it inappropriate to remove the tube from his trachea, in case the hematoma continued to grow and choke him when it was removed.\u003C\u002Fspan> \u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">There was only a centimeter of distance between that metal splinter in his neck and his carotid artery: a centimeter of life.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">Furthermore, another piece of shrapnel had passed through his chest, damaging his lung, and so they had placed a huge tube inside his chest.\u003C\u002Fspan>\u003Cspan class=\"ryNqvb\"> Having coffee with his father early in the morning in the shabby shack at the hospital entrance and visiting him afterward became my routine for several days.\u003C\u002Fspan> \u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">On the third day after Sanad was extubated, I brought him a bar of Valor chocolate, which he devoured in a flash, but with no joy in his eyes.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">His gaze was inevitably lost in some place that those of us who haven't been bombed can't know.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">A place I imagined filled with loneliness, incomprehension, and, above all, fear.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">Sanad was terrified.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">Not even the YouTube videos of Cristiano Ronaldo's goals or the ones I showed him daily of cats doing funny things could restore his presence.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">He stared at the screen, but didn't look at it.\u003C\u002Fspan> \u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">His father told me he spent the day staring at the ceiling of his house, and the night sobbing in fear from the nightmares he suffered. Sanad went through a real ordeal the following two weeks.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">Difficulty breathing, reinsertion of the chest tube, discharge, dyspnea again, readmission to the ICU and intubation, inability to remove the chest tube, removal of the ventilator again, after-effects on his trachea... And all of this was almost always alone, as the authorized visits lasted no more than two hours a day.\u003C\u002Fspan> \u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">But that bruise on his neck, fortunately, was reabsorbed, and finally, three weeks after his admission, he was discharged and sent back to his previous home, which, as I said, was partially destroyed by Israeli bombing.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">I felt very fortunate to be by his side and by his father's side, who slept every night on the floor of the hospital corridors.\u003C\u002Fspan> \u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">Now, the three of us are very good friends.\u003C\u002Fspan>\u003Cspan class=\"ryNqvb\"> A month after his discharge, they both came for a checkup with the ear, nose, and throat doctor.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">Sanad, despite being at home, wasn't breathing well.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">The doctors discovered a narrowing in his trachea, caused by the breathing tube being in it for too long.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">After the consultation, we went for coffee in the shack at the hospital entrance.\u003C\u002Fspan>\u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">There was Sanad, gorgeous, wearing his leather jacket, sitting in a chair and staring off into space.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">His body, just as it had been when he was admitted to the ICU, was present, but he wasn't.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">His father told me he spent the day staring at the ceiling of his house, and the night sobbing in fear from the nightmares he suffered.\u003C\u002Fspan>\u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">That if his mother or he came near to hug him, or even touch him, he would start screaming and crying.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">He wouldn't let anyone touch him.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">He spoke very little, only to ask his father the reason for so many tubes in his body while he was hospitalized.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">When his friends came to get him to encourage him to go outside and play, he always rejected their offer.\u003C\u002Fspan> \u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">Well, one time he left home and, seeing the place where he had been bombed from a distance, he started crying and quickly went inside.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">And to top it off, his left arm was practically paralyzed and he would rage in pain if anyone touched it.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">The only thing that relieved it was to wet it a little with water.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">It was hard for us to figure out the reason for this paralysis: a small piece of shrapnel was still in his arm, touching one of his nerves.\u003C\u002Fspan>\u003Cspan class=\"ryNqvb\"> I still remember one time when a group of about ten children arrived, having just been pulled from the rubble of a building after an Israeli bombing. \u003C\u002Fspan>\u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">Of everything his father told me during this new encounter with them, what moved me most was the persistence of emptiness in his son's gaze.\u003C\u002Fspan>\u003Cstrong> \u003Cspan class=\"ryNqvb\">His body was with us, but where was he really?\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">&nbsp;I've lost count of the bombed children I saw or cared for during my four months in Gaza.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">Of the children mutilated in the most aberrant ways, of the children with bullet holes in their heads.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">Of those who arrived at the hospital conscious enough, I can say the same thing I described with Sanad: their gazes were hollow, as if the shock wave of the bomb had ripped away their innocence.\u003C\u002Fspan> \u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">A vacant stare is the most common clinical sign you'll see in a bombed child, along with muteness.\u003C\u002Fspan>\u003Cspan class=\"ryNqvb\"> I still remember one time when a group of about ten children arrived, having just been pulled from the rubble of a building after an Israeli bombing.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">Some arrived dead.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">All their bodies were covered in cement dust, so the blood from their wounds or the tears from their eyes mixed with the dust, resulting in a black color.\u003C\u002Fspan> \u003C\u002Fspan>\u003C\u002Fp>\n\u003Cp>&nbsp;\u003C\u002Fp>\n\u003Cp>\u003Cspan class=\"HwtZe\" lang=\"en\">\u003Cspan class=\"ryNqvb\">A girl of about seven years old, covered in the dust I've described and lying lightly wounded on a stretcher, had her body stiff with anxiety.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">She was alone.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">She told me, her voice broken and her gaze lost, that she wanted water.\u003C\u002Fspan> \u003Cspan class=\"ryNqvb\">I accompanied her to a sink next to her, and as I watched her walk, I could see that her pants were wet because she had urinated on them.\u003C\u002Fspan>\u003C\u002Fspan>\u003C\u002Fp>\n\u003Cdiv class=\"nidPne\">\n\u003Cdiv data-show-delay-ms=\"250\" data-append-to-body=\"true\" data-propagate-tooltip-mouseover-events=\"true\" data-anchor-corner=\"bottom-left\" data-enable-skip-handler=\"true\" data-popup-corner=\"top-left\">\n\u003Cdiv class=\"dig2sb\">\n\u003Cdiv class=\"scLCMd\">\n\u003Cdiv id=\"itamenu\">\u003C\u002Fdiv>\n\u003C\u002Fdiv>\n\u003C\u002Fdiv>\n\u003C\u002Fdiv>\n\u003C\u002Fdiv>\n\u003Cdiv class=\"nidPne\">\n\u003Cdiv data-show-delay-ms=\"250\" data-append-to-body=\"true\" data-propagate-tooltip-mouseover-events=\"true\" data-anchor-corner=\"bottom-left\" data-enable-skip-handler=\"true\" data-popup-corner=\"top-left\">\n\u003Cdiv class=\"dig2sb\">\n\u003Cdiv class=\"scLCMd\">\n\u003Cdiv id=\"itamenu\">\u003C\u002Fdiv>\n\u003C\u002Fdiv>\n\u003C\u002Fdiv>\n\u003C\u002Fdiv>\n\u003C\u002Fdiv>","Caso clínico. Clinical case from the Gaza Hospital Nasser","P_AH4_XhZ4s","jjgervas@gmail.com",[],""]