A doctor's letter from the besieged Syrian city of Homs

A Syrian surgeon describes his struggles to treat the wounded in Homs and calls on the international community to intervene.

I am a doctor working under siege in Homs, performing surgical operations in a basic hospital set up in an underground basement. The conditions in this field hospital are very bad, and it is especially hard to keep the hospital sterile. We have only basic surgical equipment and expired anaesthetic medication to treat the wounded. Patients who need blood transfusions are given blood directly from donors, and it is transfused without medical screening.

It has been five hundred days since a siege was imposed on Homs by Assad’s forces. Over 500,000 people have fled or died, but 3,000 people are still living here. Among the 400 families still here, most of the remaining family members are women, children and old people, and the injured who cannot move. These thousands of women, children, elderly and wounded survivors of this war are being denied access to the basic necessities of life.

For the past year and a half, this has been our life here: we have to drink from polluted wells and wash in sewage water. Food is restricted to lentils and bulgur wheat, and has been for months. There is no flour or milk or any kind of meat because of this siege.

We eat leaves and rotten rice. We have had no electricity for 500 days. We don't even have baby milk due to the siege. I see babies’ mothers who cannot breastfeed them due to stress and malnutrition: infants who should be healthy are starving and dying.

As for my job as a surgeon, we must transport patients through gaps in the walls across the neighbourhood because there are snipers outside. People move between neighbourhoods through underground tunnels. Many of the injured have died because it has been impossible to reach them. Our small medical facilities are frequently targeted, which has forced us to move our operations many times. 

Of the patients we see and treat, many initially improve after surgery but then die a slow death during recovery because of poor nutrition and the lack of serums to keep them hydrated. Those who do survive often experience poor wound healing as a result of medical shortages. 

Homs, my city, was one of the first places in Syria that hosted a UN delegation before the siege. The people of Homs gave them their best hospitality. My people stood in the streets risking their lives, all to get their voice heard. They are still waiting, five hundred days later.

We need to get this important message out and call upon the world’s media, the UN, NGOs and politicians to help break this slow killer, this inhuman siege. If you keep Assad in place, do not bother about withdrawing chemical weapons because at least, given the alternatives I see, it is a merciful way to die.

Please help us. Get us the deliveries of food and medicine that we need to survive, this is our basic human right. Does anyone hear the screams of women and children or feel the pain of the injured? Your brothers and sisters in the besieged neighbourhoods of Homs are right now screaming for your help. I hear them all the time. Isn't there any reply?

Dr Mosab is a surgeon in Homs. We have not used his full name to protect his identity.

 

The Syrian flag flying next to destruction in the Baba Amr neighbourhood of Homs in May 2012. Photo: Getty.
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The toxic new right-wing media will outlast Trump even if he’s impeached

Fox News and a network of smaller outlets have created an alternative version of reality. That ecosystem might prove more durable than the US president. 

An early end to Donald Trump’s presidency looks more feasible than at any time in the 117 days since his inauguration.

The New York Times revealed on Tuesday that FBI director James Comey – who was fired by Trump a week ago – wrote a memo recording the President’s request he “let go” an investigation into links between Michael Flynn, Trump’s pick for national security advisor, and Russia.

Already there is talk of impeachment, not least because the crime Trump is accused of - obstructing justice - is the same one that ended Richard Nixon's presidency.

But with a Republican-controlled Congress the impeachment process would be long and fraught, and is only likely to succeed if public opinion, and particularly the opinion of the Republican voters, swings decisively against Trump.

In another era, the rolling coverage of the president's chaotic, incompetent and potentially corrupt administration might have pushed the needle far enough. But many of those Republican voters will make their decision about whether or not to stick with Trump based not on investigative reporting in the NYT or Washington Post, but based on reading a right-wing media ecosystem filled with distortions, distractions and fabrications.

That ecosystem – which spans new and (relatively) old media - will be going into overdrive to protect a president it helped elect, and who in turn has nourished it with praise and access.

On Monday, BuzzFeed’s Charlie Warzel took a forensic look at how a new breed of hyper-partisan right wing sites – what he calls the "Upside Down media" – tried to undermine and discredit claims that Trump disclosed sensitive security information to Russian officials.

The same tactics can already be seen just 24 hours later. Notorious conspiracist site Infowars talks of “saboteurs” and “turncoats” undermining the administration with leaks, mirroring an email from Trump’s campaign team sent late on Tuesday. Newsmax, another right-leaning sight with links to Trump, attacks the source of the story, asking in its web splash “Why did Comey wait so long?”. GatewayPundit, which published several false stories about Hillary Clinton during the election campaign, appears to have ignored the story altogether. 

As Warzel points out, these new sites work in concert with older media, in particular Rupert Murdoch’s ratings-topping cable news channel Fox News.

Fox initially underplayed the Comey memo’s significance, switching later to projecting the story as a media-led attack on Trump. At the time of publication, the Fox homepage led with a splash headlined: “THE SHOW MUST GO ON Lawmakers vow to focus on Trump agenda despite WH controversies.”

Fox acts as a source of validation for the newly established right-wing sites. Once Fox has covered a story, smaller sites can push further and faster, knowing that they aren't going too far from at least one outlet considered respectable and mainstream. If anything should make the UK value the impartiality rules, however imperfect, which govern its broadcast news, it’s Fox’s central role in enabling this toxic mix of misinformation.

These new media sites have another weapon, however. They understand and exploit the way internet platforms - in particular Facebook - are designed to maximise attention. They have found that playing on very human desires for stories that confirm our biases and trigger emotional responses is the best way to build audiences and win fans, and they have little compulsion abusing that knowledge.

This isn’t just a Trump or Fox-related phenomenon. It’s not even just a right-wing one. In both the US and the UK left-wing hyper-partisan sites with a tenuous relationship with the truth have sprung up. They have followed the same playbook, and in most cases the same advertising-based funding model, which has worked so well for the right. Emotive headlines, spun stories, outright fabrications and an insistence that “the corrupt mainstream media won’t report this” work just as well in generating clicks and shares for both ends of the political spectrum.

The main difference between the two political poles is that the right has benefited from an ideologically and temperamentally suited president, and a facilitator in Fox News. 

Of course the combined efforts of this new media and the Fox-led old may still fail. Trump’s recent transgressions appear so severe that they could break through to even his diehard supporters.

But if Trump does fall, the new right wing media ecosystem is unlikely to fall with him. 

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