no water, no food no extrem supplemental oxygen. they are taking measures to keep vulnerable patients alive, including wrapping premature babies in foil. what israel is saying. >> back on the witness stand, donald trump jr. facing questions in the civil fraud case against the family business, but this time, they're coming from his lawyer. how the defense is kicking off their case. plus, the makers of the popular weight loss drug wegovy say they've discovered a brand new benefit and it could be another life saver. we're following these major developing stories and more all coming in right here on "cnn news central." >> we begin in the middle east.

doctors at gaza's largest hospital describing conditions today as catastrophic. all essential units and shifa hospital have collapsed, food, medicine and fuel are all in dwindling supply even as thousands of gazan civilians seek shelter there. doctors say they are taking measures to keep newborns alive. power outages have forced them to take premature infants off incubators. israel's military has said that hamas is hiding itself among civilian infrastructure today they say troops killed 21 alleged terror suspects outside of al quds hospital after an intense fire fight at the hospital's entrance. the palestinian red crescent denied there are armed videos inside the hospital and said no shots were fired from inside. video provided from the idf and geolocated there. we're also learning new details about the urgent ongoing efforts to save the hostages held

captive by hamas. one is a 3-year-old american. president biden holding a phone call with the leader of qatar hoping to advance potential rescues. warren lieberman is tracking these developments from tel aviv. a u.s. official telling cnn hamas has a command node under the al shifa hospital, seeing the video coming from israel. doctors deny the claim coming about this command node. what are you learning? >> well, al shifa hospital has been on the idf's radar and long seen it as where hamas has one of its important command and control areas using what should be a sanctuary hospital on top to function down below underground and continue their operations from there. israel is essentially very close to shifa hospital, according to hospital officials, they have surrounded the hospital, according to the idf, the east side of the hospital, remains open for those who want to

evacuate, but it's clear speaking to those inside the hospital that many are too terrified to evacuate even if there is a humanitarian corridor by which to do so. israel and the idf say they're trying to operate to minimize casualties, but the fighting and strikes in the area have damaged some of the outside buildings. the hospital itself as of yesterday, essentially had to close down all of its essential units because it's out of supplies and civilians are dying inside the hospital even if it's not as a direct result of the fighting. as an example and you referenced this three babies died over the weekend in the neonatal care unit because the generators that powered the incubators shut down and doctors inside have had to rely on hot water and foil to keep those babies alive. that's just a hint how far difficult the situation is as the humanitarian crisis worsens. we're hearing booms and not hearing red alert. it's difficult to know what that is. we'll see if we hear the red alert as i keep talking to you.

>> we'll be listening as well too. what more are you learning about the negotiations for the nearly 240 hostages that hamas is still holding? >> this is an ongoing effort and that effort led very much in qatar because the qataris are in touch with hamas and that's how the negotiations are done on that side of it. the negotiations include the cia trying to make progress on a hostage release, the idea being release a large number or all of the hostages as israel is demanding for a pause in the fighting. prime minister benjamin netanyahu told dana bash there would be no pause until the hostages are leased. president biden spoke with the amir of qatar and revealed there is a 3-year-old toddler being held by hamas saying they should all be released reaffirming his support for the palestinian state after this is over and through the negotiations. there is a march planned for tomorrow by the families of the

hostages from here to jerusalem and that's a symbol of the domestic pressure building on net ya thou come to an arrangement for their release. >> a lot of pressure to get those hostages out. oren, live from tel aviv, thank you for that report. with resources waning, hospitals in gaza are being forced to make the impossible choices. madya bashir has the story and a warning some of what you're about to see is graphic. >> reporter: these are the sounds of the final gapses from gaza's collapsing health care system. medical staff working under near relentless israeli bombardment for over a month. but now this chorus of frantic voices tells its own gut-wrenching story. the al quds hospital, second largest in gaza, has now collapsed. it is you one of many hospitals

in gaza that are completely out of service according to officials. those remaining now on a cliff edge. >> there was a direct injury in the head, internal bleeding. we can't do surgeries, no oxygen. we work manually. we're using a manual resuscitator. it is a clear injury and needs an urgent surgery, life-saving one. he's less than a year old. >> reporter: remarkably this baby survived but his father, who was in the very same building when an israeli air strike hit did not. at gaza's largest hospital al shifa, officials say three babies in the neonatal unit died after a generator powering incubators was damaged in an israeli strike. cnn reached out to the military for comment. the idf regularly says it has targeted hamas, but doctors here say the hospital is now

completely surrounded. >> the situation is difficult according to there. there is no electricity. they cannot communicate between each other. >> the israeli military said sunday it has sent 300 liters of fuel to the hospital, said to only be enough to power the hospital's generators for 30 minutes. but the idf says hamas blocked the hospital from receiving it. hospital officials, however, say staff were too afraid by surrounding israeli tanks to collect the fuel. inside the hospital, doctors are overwhelmed, morgues long beyond capacity. and with communications frequently cut off, contact between medical teams on the ground and with the outside world, is growing increasingly difficult. hospital officials say thousands of displaced civilians are still thought to be in the compound, taking shelter in what was once thought to be a sanctuary in the

midst of this unending nightmare. >> we thought the hospital was a safe place but it wasn't. if we stayed another five minutes we will have been killed. they started to bomb us, and we ran away from al shifa. >> reporter: the irlsz military says it's enabling passenger in northern gaza, israel's prime minister, benjamin netanyahu, telling cnn on sunday that there is no reason why patients can't be evacuated from al shifa. doctors on the ground say a near constant barrage of air strikes has made it impossible for patients and staff to safely evacuate. >> translator: this is another form of torture. we have about six coulomb teres to go, no less. she has a stroke that caused brain damage. she can't speak and is paralyzed. >> reporter: israel says additional routes have been open to allow civilians to evacuate southwards, but the united nations itself has raised doubts over the so-called safe zones

outlined by israel, warning that nowhere inside gaza is safe for civilians anymore. and for those too injured, too sick, evacuation is impossible. many doctors on the ground vowing to stay by their patients no matter what. cnn, in jerusalem. >> we are also learning details about new u.s. air strikes in eastern syria. the pentagon saying u.s. forces targeting sites linked to iran's islamic revolutionary guard corps. cnn's natasha bertrand is at the pentagon with more on this. you have new reporting about the response to these latest air strikes. what's going on here? >> that's right. additional attacks by the iranian proxy groups on u.s. forces in syria last night, including after the u.s. launched those air strikes on those facilities that officials say were being used by iran's islamic revolutionary guard

corps as well as its affiliates. the question now is are these air strikes actually deterring these iranian proxy forces from staging these attacks on u.s. forces. the answer right now appears to be no. those additional attacks that came after that u.s. air strike last night do not appear to have resulted in any casualties or any damage to these military bases, but other attacks by these proxy groups have. more than 56 u.s. service members have been injured, including many who have suffered traumatic brain injuries from the drone and rocket attacks that these iranian proxy groups have launched over 50 now that we are tracking since october 17th. now secretary of defense lloyd austin, he did speak to this earlier this morning, and he said that the reason the u.s. is continuing to launch these air strikes is to degrade these iranian groups' ability to carry out these attacks and here's what he said. >> these strikes are intended to disrupt and degrade the freedom of action and capabilities of these groups, which are directly

responsible for attacks on u.s. forces in iraq and syria. these attacks must stop. if they don't stop, then we won't hesitate to do what's necessary, again, to protect our troops. >> reporter: now it's unclear at this point whether there were any fatalities as a result of that u.s. air strike last night in syria, but the u.s. has done three strikes in three weeks and as of right now it does not appear to be deterring these attacks but these groups. >> natasha bertrand at the pentagon, thanks so much. we want to discuss this with retired air force colonel cedric leighton. always great to have you on to digest what natasha was explaining to us. we know that the defense secretary lloyd austin has said that these strikes were a matter of safety and self-defense. how significant does this threat have to be for us to be behaving

this way? >> well, the threat has to be very significant and when you look at the kind of situation in syria, we have to remember we've got u.s. forces in places like deir a zur where the iranians are, we have forces here up in this area, this area right here, because it's also close to where the iranians are, becomes a very important area for us to make sure that we protect our forces. the number one job in a deployed situation like this is to make sure that we protect our forces. it's basically called force protection for that reason and that is why it's significant that this is the kind of thing we're dealing with right now. >> in terms of escalation, obviously, the u.s. military moves very quickly to put those ships out at sea and try to deter any sort of escalation here, and yet, it does seem to be escalating. what else can be done to keep this from boiling over in a way? >> that's really a big question because we've put out military

assets like you mentioned the carrier battle groups in the eastern mediterranean or near the persian gulf area, airplanes that have been deployed to the persian gulf, economic sanctions, diplomatic pressure, all of these kinds of things really do make a difference but the problem you have is iran is here. iran is a large country, has a large military, and it has a lot of influence in places like iraq, places like syria and of course here in the gaza strip and, of course, in southern lebanon with hezbollah. this is their neighborhood ander time we try to move into this neighborhood iran will react whether we like it or not. >> at what point do you think the u.s. or do you think the u.s. would ever go directly at iran? we're looking at the nations around would they go directly after iran? >> that is a question that really depends on how much the iranians do. are they going to attack us via their proxies?

we probably won't go after the iranians directly. but if they attack us directly using iranian revolutionary guard corps members or military, then the chances are much higher that we would probably do something here in the persian gulf area, around the naval installations around this area, and also the air installations part of the iranian order of battle in this part of the country. so we're trying to keep away from iran as much as we can but if the iranians attack our forces in qatar or evacuate, which is right here, that would then change the ball game and could potentially result in the direct attack against the iranians. that would be the reason for na. >> before we let you go at this point, what is your assessment of iran's end game here? what do they want? >> yeah. iran wants to control this area. they're fighting a battle basically a kind of a cold war, sometimes it's a hot war, depending on exactly what they're doing with saudi arabia. now having said that, they've just reestablished diplomatic

relations with the help of china, so it's a little bit of a different situation right now between saudi arabia and iran. we always have to remember, iran is a shiite muslim country. saudi arabia majority sunni country, and that is basically one of the main reasons historically why they've been fighting each other. it's about power and influence and oil. both countries have oil. the saudis are much more connected to the world market than the iranians are because of the sanctions we talked about and iran is basically trying to resume its powerful role, the role is had back before the iranian revolution where it was a major middle eastern power. >> colonel leighton, thanks for being here. coming up, donald trump jr. calls his father a real estate artist during testimony at their civil fraud trial. we're live outside the courthouse with the latest for you. a new speaker with the same problem. a house leader racing against the clock to avoid a government shutdown this coming weekend.

sound familiar? later, a hollywood murder mystery involving the son of a high-powered talent agent. you're w watching "c"cnn news cecentral." we'll be r right back.k. tod

back on the stand. he's the first witness for his father's defense team in that $250 million civil fraud trial they're facing in new york. so far don junior has testified about roles in the family business he and his brother took over after their father became president in 2017. then this interesting moment in court the judge overruling the new york attorney general's office after an objection to the showing of a trump properties promotional video. cnn's kara scannell is outside the courthouse and why did the a.g.'s office object to the defense's presentation and what did the judge say? >> reporter: yeah. so the attorney general's office was objecting to the trump lawyers wanting to introduce essentially pages from their

website promoting all of the properties that they owned. they objected to that and the judge said that you had six weeks to butput on this case, trump's lawyers have criticized the judge for cutting their time short, and he said i will allow them. that's where the day has been focusing on properties that the trump's have and donald trump jr. testifying how they had taken the properties that were run down and transformed them, calling his father a visionary, artist, he was on the leading edge and all is part of their defense of how they were creating value for these properties. mar-a-lago came up. that is one that has been a hair trigger for the former president because taxes are valued at $18 million. they were showing photos in court and don junior took umbrage pointing to an atrium that was very ornate, and he said that this atrium alone would cost more than $18 million to construct.

so really trying to get the focus on how these properties were transformed into value, that there was value saying that his father foresaw using amenities in residential buildings, make hotel-condo combinations and other developers followed. trying to inject they put value in, more than what the valuations are that the a.g. office said was inflated. for the most part it has been taking a look at photos of the properties and having donald trump jr. describe how they bought it and golf course with swamp land and turned it into something as he said repeatedly spectacular. >> we have heard that phrase before. thanks so much live outside the courthouse in new york. let's talk more about this now with former federal prosecutor elliott williams. first off, donald trump jr.'s testimony so far has the defense taken the path that you expected they would and what's the effect of his testimony?

>> it's really saying, trump properties are valuable and i think, look, in getting back to that piece of evidence that cara was talking about, this idea called relevance, literally relevance where a fact makes something more or less likely to be true and the thing that they're trying to establish is true is that trump organization was worth a lot of money and showing these probrochures and on. >> the judge sided with the defense by overruling the a.g.'s objection. what do you make of how the judge is approaching this? they've kind of given some idea of it? >> the judge said it last week, he's spooked here and doesn't want go too far and get overturned. what the judge wants to do, let the defense raise their case and don't step on them because that's when judges make mistakes and trying to be cautious here. >> it's really lengthy, the answers being allowed. >> they are. and i think there's a big difference between cross-examination and a direct examination. this is the direct examination by trump's own attorneys and

they are going to give him a long leash. unless he says something totally absurd the prosecutors will let him keep talking. >> it's hard to see what prosecutors would gain from cross coming because they had him on the stand a week ago unless he would say something they need to clean up, they don't gain a ton. >> this weekend the former president gave a dark speech a veterans day speech, but -- he covered a lot, almost two hours, in part he wanted video cameras in the croom for the federal election subversion case. clearly he thinks it works in his favor to have them. his lawyers had alerted the court in that case they wanted to agree with media organizations that they also wanted to have these cameras

there, special counsel jack smith saying trump wants this trial to be a media event arguing against it. how do you see this shaking out? >> a lot of people in the world, including this network, believe that sunlight is the best disinfectant and cameras in the courtroom is the thing. this has been a long fight. to me the problem is, if you're going to do that, this is the one case in american history, all the people tried on drug offenses or embezzlement or anything in american history never got cameras but one former president goes on trial and all of a sudden we have to change our policies and practices. it's worth a broader national conversation about this, but i don't think that once again donald trump asking for something means that the entire american experiment needs to change to accommodate what he and his attorneys are asking for. >> he does get some special -- he does get accommodations, let's be honest, because he is a former president. so he does get accommodations in practice. we've seen that, that, you know, this drug dealer or that accused

drug dealer doesn't get. >> former senators. >> devil's advocate here. bob mendez might go on trial and no major question as to whether you're going to put cameras in that croom as well and i think this is another example of donald trump sort of causing us as a nation to bend our norms a little bit. if we want to have a national conversation about cameras in the court room let's have it, but donald trump drives so much hysteria in america and even in court rooms. on a whole is it better for americans to see what happens in their system of governments, yes? >> supreme court rooms maybe? >> maybe. maybe. >> elliott williams, thank you so much for the conversation. the republican primary pool getting smaller. senator tim scott suspending his race for the white house won't say who he would support in the gop pack for 2024. we'll have more on that next.

a rite of passage for speaker mike johnson, negotiating a government spend billing to avoid a shutdown. the countdown now on. stay with us.

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19 days on the job and mike johnson is face his first major test as speaker of the house. that would be avoiding a government shutdown. money to fund the government runs out this friday at 11:59

p.m. eastern and the latest informal count of votes for johnson's proposal is showing he's going to need support from democrats to stop a shutdown. melanie zanona is on capitol hill to get us up to speed on this. once again, it is the hard right flank of this party that is standing in the way of a deal, it sounds like? >>. >> reporter: yeah. a very familiar dynamic. by our count there are 8 republicans, which means speaker mike johnson is going to need democratic support to get it over the finish line. that was something that far right had been pushing for. he did give the conservatives one concession in the way he structured the bill it's going to be a two-step government funding plan where four agencies will be funded until january and then the rest of the government agencies will be funded until february. there was not enough for the hardliners.

the question becomes, what will democrats do? now they did say they do not like this two-step approach. they say it's unnecessarily complicated but at the same time recognize they did get a victory here with the fact that there are no spending cuts or poison pill policy riders. the white house did put out a statement quickly bashing this proposal, even though some democrats have signaled they might be open to backing it. we'll see what they end up planning to do, but in the short term, speaker mike johnson is going to have to overcome a key procedural hurdle here on capitol hill. typically, these procedural votes are done on party lines, but conservatives this year have been willing to take those procedural votes down if they don't like the substantial of the bill. we could see that floor vote tomorrow and it will offer us a clue about where this is headed and whether conservatives will give breathing room for speaker mike johnson to govern. >> melanie zanona on capitol hill thanks so much. south carolina republican

senator tim scott surprised a lot of his campaign staff dropping out of the 2024 race for president last night. that leaves just seven candidates in the race, but with donald trump polling so far ahead of the pack, does it matter? that is a big question now. this weekend in a veterans day speech he previewed a dark vision for a second term should he win in 2024 with language evoking authoritarian figures like adolf hitler and mussolini, calling opponents vermin and warning they're a threat from within. >> we pledge to you that we will root out the communist, marxist, fascist thugs that live like vermin within the confines of our country that lie and steal and cheat on elections and will do anything possible, they'll do anything, whether legally or illegally, to destroy america and to destroy the american dream.

the threat from outside forces is far less sinister, dangerous, and grave than the threat from within. >> david chalian here with us, cnn's political director, also the host of the wonderful political briefing podcast. david, he, donald trump, is giving us a glimpse into miss m -- mind and a preview of his plans. >> nobody should be surprised if a year from now we're in the midst of a transition to a second trump term, and he won the election, nobody should be surprised what that will look like because donald trump on a near daily basis is telling us what that second term is going to look like and in terms of the tone and tenter of another trump administration, you just heard it right there. i mean, really leaning in to those dictatorial, authoritarian tendencies, language that has been associated with adolf

hitler at times, other authoritarian figures throughout global history. this is the tone and the tenor of his campaign and it will be the tone and tenor of his administration. >> that word vermin, you can't escape using that and knowing what's harkens back to. "the new york times" also reporting on his plans, new sweeping immigration policies that trump would implement if he's elected again. cam tops detain migrants while cases are processed. some might hear that and say isn't that what it was before? what would be different or more extreme than his last term? >> his immigration policies from the first term on steroids. if you read the details here. his aides in "the new york times" piece over the weekend, were clear to point out, they're designing most of this to be apart from anything related to legislative work, that all within the executive and sort of pushing the boundaries within

the executive. obviously, just like in trump's first term a lot of this will be tested in court. it's not that he'll implement policies that could be crossing legal lines, and it not be brought to a court for adjudication, but they are going to try to push every conceivable limit within the executive to accomplish these goals and it's not just immigration. it's on a series of policies. >> this was a very long speech, almost two hours. there were a lot of lies to fact check in this, and one was a faulty claim as he took aim at president biden when it came to his record on veterans. of course this was a veterans day speech. this was a lie that donald trump told. let's listen. >> unfortunately with crooked joe biden in the white house our veterans are once again being backstabbed and betrayed by their government. crooked joe gutted our reforms and fought to reinstate thousands and thousands as i

just said of fired, horrible employees. these are horrible employees. that when we terminated them -- >> just to be clear, v.a. claims are up 39% over the last fiscal year. it's a giant sort of record-breaking number because joe biden signed the toxic exposure bill into law, so there's more claims, there's an increased number of appointments, there's an increased number of disability claims as well. trump is lying here. he also told lies about energy. just quite a few of them. i guess my question is, what is the backstop when it comes to lies that he's telling over and over, compared to his previous runs? >> well, i mean, obviously, as you are rightly calling out lies and factually incorrect statements that's part of our role in the press to make sure that facts are presented first, to the american people, as they're making their choices.

also as we saw throughout the trump's tenure the 2016 and 2020 campaign, this will be an opportunity for the american people to decide whether or not that's acceptable for them as a chief executive who is out there telling lies on a whole series of things. lying is not new just to donald trump, but he's taken it to a whole new art form, unlike any other presidential candidate or president that we've seen, and it's now going to be, you know, our job and others to hold him accountable for his words, but ultimately, to the voters to see if it's okay with them or not. >> yeah. they'll have a year here to go through that and decide. we will see. david chalian, thank you so much. appreciate it. still to come, clinical trial results showing weight loss drug wegovy could do more than just help people on the scale. it could also help reduce the risk of heart disease. we'll have more on that next.

new results from what's being called a landmark trial show the break through drug wegovy can help with more than weight loss. this study found taking that medication cut the risk of heart attack, stroke and heart-related deaths in patients with cardiovascular disease. meg tirrell is here to break it down. this is the first time a weight loss drug has been shown to help people with serious heart problems. how big of a deal is this? >> this is a major deal and could change the way doctors use these medicines. we hear a ton because of their weight loss. wegovy in the same class as ozempic but we've never seen a

clinical trial before show any weight loss drug had a benefit in preventing things like heart attacks and strokes and this was a major clinical trial that enrolled more than 17,000 people and followed them for an average of more than three years. everybody in the trial had a bmi of at least 2 and existing cardiovascular disease and already lad a heart attack or stroke or peripheral artery disease. people on wegovy lost almost 10% of their body weight over the course of the study be and had benefits in terms of lowering their blood pressure, blood sugar, triglycerides and a marker of information. that translated into a 20% benefit in preventing heart attacks, strokes and heart-related deaths. this was presented to a giant room of cardiologists at the american heart association conference in philadelphia on saturday and i was there and, you know, if heart doctors aren't already using this medication this may lead them to start describing it. >> what did the trial find in regards to safety of this drug?

>> that's really important, of course, because millions of patients are taking these medicines and they didn't uncover any new safety concerns. what te did find is 10% of patients taking wegovy discontinued the trial because of g.i. related side effects, like nausea and vomiting, associated with these medicines, compared with 2% on placebos. they can be difficult to take as you're increasing the dose for some patients. >> what about insurance? that plays a big role any time we're talking about anything related to medications? >> definitely. these are really expensive drugs. wegovy costs more than 1300 docper month and coverage for weight loss can be difficult for many patients. the hope in the medical community is these benefits for cardiovascular risks, more insurers will start to cover the medicines. the question is will it only be covered for the people like those in the trial who already have cardiovascular disease or more broadly covered for

everybody for weight loss and hopefully a benefit for heart risk too? >> yeah. it's popular drugs on the market right now. thanks for that update. now to some of the other headlines that we're watching this hour. drivers in southern california are dealing with a huge travel headache this week. no end in sight on this after a large storage yard fire this weekend shut down part of i--10 in the heart of los angeles. a section of the highway known as the santa monica freeway was damaged after the storage yard with wood pallets, trailers became engulfed in flames beneath the freeway. nor than 300,000 travel this corridor every day which is now shut down for an indefinite per of time as it's unclear how long the repairs will take. students at the university of idaho will hold a vigil to honor the lives and memories of four students killed on this day one year ago. last november, these four students found murdered in their

off-campus home following a brutal attack. a trial date has not been set yet for the suspect. he faces the death penalty if convicted. and donald trump's eldest sister has passed away. maryanne trump barry was a former federal judge and prosecutor. she was the oldest of donald trump's four siblings and once told a reporter she chose not to go into the family business because she knew better than to compete with donald. maryanne trump barry was 86. the son of a well-known hollywood agent is in court on suspicion of murder after a woman's dismembered body was found in a dumpster and traced back to his home. his wife and in-laws are missing. stayay with us.

a gruesome investigation is unfolding in los angeles. the son of a top producer in hollywood agent is due in court on suspicion of murder. after a woman's torso was found in a dumpster last week. investigators say they tracked the body part back to hast kill's home. what she shares with her wife and parent asks they are all missing. also discovered blood and other evidence inside that home. cnn is following this story. there's a lot going on here. what are you learning about this investigation? >> there's so much going on. people who are terrified to

listen to the details here. so we know that hast kill was 35 years old was arrested on suspicion of murder. and this is after someone here in a los angeles neighborhood was look ing through garbage bins. he found a bag where this person found a bag with a woman's torso inside. of course, immediately calling police and authorities immediately said they were working to identify that torso. right now, they say they do not have an official identification, so we are waiting for that. but they did say that the evidence that they found led them to the house. this is a house that hast kill shared with his inlaws and his wife. these are three people still missing. they also share that home with the children. the children are with family thankfully, but authorities saying they did find blood and other evidence in the house. he is expected to have a court appearance today. that was scheduled for 8:30 in the morning local time. it hasn't delayed.

so we are waiting to see exactly what happens there. we are unclear if he has an attorney at the moment, but we have reached out. we have a team at the courthouse waiting to see what happens. the torso being the key evidence here for authorities, as they continue to try to figure out what happened in this case as they try to find not only the identity, but the people who are still missing. >> thank you for that reporting. dth jr. is back on the stand today for his defense team in the civil fraud. we're going to be live outside the courthouse with the latest on theheir testimomony. that's next.