It was very different to the first trip we had to al aqsa. We didnt see a huge amount of trauma. We did some trauma cases, but the amount of trauma was much, much worse before. But what we did see were the most appalling effects of the malnutrition that were seeing across gaza. Severe malnutrition prevents Wound Healing and will prevent these patients from recovering from injuries that otherwise they would recover easily from. And you get this vicious cycle where they really rapidly deteriorate in their health. They will then die of that if theyre not treated. But these are often very young people who under normal circumstances, would recover fairly well from their operations. But because they have such severe malnutrition, their wounds will not heal properly at all. One of my patients, lhama, was an 18 Year Old Girl who had significant explosive injuries. Theres no doubt in my mind she would have survived these injuries if she had not been malnourished. Very sadly, she died the day we