'What pains us most, as doctors, is choosing who will live and who will die'

Dear President Obama,

We are 29 of the last doctors serving the remaining 300,000 citizens of eastern Aleppo. Regime troops have sought to surround and blockade the entire east of the city. Their losses have meant that a trickle of food has made its way into eastern Aleppo for the first time in weeks. The siege has been lifted, perhaps temporarily, but not by diplomacy. Whether we live or die seems to be dependent on the ebbs and flows of the battlefield.

For five years, we have faced death from above on a daily basis. But we now face death from all around. For five years, we have borne witness as countless patients, friends and colleagues suffered violent, tormented deaths. For five years, the world has stood by and remarked how 'complicated' Syria is, while doing little to protect us. Recent offers of evacuation from the regime and Russia have sounded like thinly-veiled threats to residents - flee now or face what fate?

Last month, there were 42 attacks on medical facilities in Syria, 15 of which were hospitals in which we work. Right now, there is an attack on a medical facility every 17 hours. At this rate, our medical services in Aleppo could be completely destroyed in a month, leaving 300,000 people to die.

What pains us most, as doctors, is choosing who will live and who will die. Young children are sometimes brought into our emergency rooms so badly injured that we have to prioritize those with better chances, or simply don't have the equipment to help them. Two weeks ago, four newborn babies gasping for air suffocated to death after a blast cut the oxygen supply to their incubators. Gasping for air, their lives ended before they had really begun.

Despite the horror, we choose to be here. We took a pledge to help those in need.

No, Aleppo is not the new Srebrenica

Our dedication to this pledge is absolute. Some of us were visiting our families when we heard the city was being besieged. So we rushed back - some on foot because the roads were too dangerous. Because without us even more of our friends and neighbors will die. We have a duty to remain and help.

Mr. President, we ask that you do your duty as well.

Unless a permanent lifeline to Aleppo is opened it will be only a matter of time until we are again surrounded by regime troops, hunger takes hold and hospitals' supplies run completely dry. Death has seemed increasingly inescapable. We do not need to tell you that the systematic targeting of hospitals by Syrian regime and Russian warplanes is a war crime. We do not need to tell you that they are committing atrocities in Aleppo.

We do not need tears or sympathy or even prayers: we desperately need a zone free from bombing over eastern Aleppo to stop the attacks, and international action to ensure Aleppo is never besieged again.

Yours,

Dr. Abu Al Baraa, Pediatrician

Dr. Abu Tiem, Pediatrician

Dr. Hamza, Hospital Director and Resident Doctor

Dr. Yahaya, Pediatrician and head of Nutrition Program

Dr. Khalid, Orthopedics

Dr. Muhannad, Orthopedics

Dr. Hamza, General Surgeon

Dr. Mohammed, General Surgeon

Dr. Rasoul, Urologic Surgeon

Dr. Muhammad, Vascular Surgeon

Dr. Wassim, Reconstructive Surgeon

Dr. Ammar, Resident of General Surgery

Dr. Nidal, ER Doctor

Dr. Amir, ER Doctor

Dr. Jamal, ER Doctor

Dr. Faraj, ER Doctor

Dr. Yousef, Resident Doctor