Palestinian physician Allam Nayaef checks the report of a patient in the intensive care unit at the Shifa hospital in Gaza City. Working at Shifa requires ingenuity. The power goes off repeatedly as aging hospital generators buckle under daily rolling blackouts Gaza residents have lived with for years. Many items are in short supply, from gauze to adrenaline. They also lack spare parts for worn equipment, with bedside trolleys clattering down hallways on rusted wheels.