During the gape. T the investigation tonight. The new deadline auto workers have given the big three. Will they expand their strike nbc news investigates millions of patients may have been subjected to unauthorized pelvic exams during surgery. Why its allowed. And the broadway understudy getting the call, while she was stuck on a plane the race to get to the stage on time. Announcer this is Nbc Nightly News with lester holt good evening and welcome. A moment of joy today for five americans out of iranian custody and experiencing home for the first time in many years. Even as President Biden seemed to make clear the deal that secured their release may have changed little in the bitter relationship between the u. S. And iran. With the terms of the agreement, a Prisoner Exchange and a Money Infusion for irans humanitarian needs under political fire in washington, President Biden was here in new york today, speaking at the opening of the United Nations general assembly, where he issued a fresh warning to iran. But the president also on a mission to rally World Leaders to support ukraine in its war with russia. An appeal made directly to the gathering by president zelenskyy himself, in his first appearance before the u. N. Since the war began. Chief White House CorrespondentPeter Alexander has details. Reporter tonight, the emotional homecoming five americans back on u. S. Soil, Touching Down Outside Washington after a nearly 24hour journey that brought them back from iran, where the u. S. Says theyd been wrongly detained for years too long. 5 1 2 years. Reporter on the tarmac, tears of joy and relief weve been apart for eight years, and finally were together, and its just completely unbelievable reporter President Biden, hours later, addressing the United Nations, making no message of the freed americans, but delivering this stern message to iran. Iran must never acquire a Nuclear Weapon reporter their return after a controversial prisoner swap, where the u. S. Also unfroze 6 billion in iranian money that the white house says can only be spent on humanitarian needs. Freedom reporter republicans say it was a ransom that will encourage more americans to be detained here at the u. N. , President Biden with ukraines president zelenskyy in Attendance Warning of the konts consequences if World Leaders dont stay united against russia we have to stand up to this aggression today, and to deter other wouldbe aggressors tomorrow. Reporter still, one recent poll shows a majority of americans oppose authorizing more military aid for ukraine. And Many Republican lawmakers do, too. Speaker Kevin Mccarthy says he has questions for zelenskyy. Where is the accountability on the money we already spent . What is the plan for victory . I think thats what the American Public wants to know. Reporter but the president remains adamant. If you allow ukraine to be carved up, is the independence of any nation secure . Id respectfully suggest the answer is no reporter notably absent from this years gathering, russian president vladimir putin, as well as chinas president xi, and the leaders of france and the uk during his visit, zelenskyy meeting Wounded Ukrainian soldiers being treated at a new york City Hospital tonight, his impassioned plea to punish putin, condemning him for the kidnappings of Tens Of Thousands of ukrainian children those children in russia are taught to hate ukraine, and all ties with their families are broken and this is clearly a genocide and peter, president zelenskyy stays in the u. S. , he heads to washington next yeah, lester, thats right on thursday, zelenskyy will meet with President Biden at the white house, his third visit there since the war began. He is also going to meet with lawmakers on capitol hill notably, zelenskyy making a personal pitch for more aid to ewe john, lester all right, peter, good to have you here tonight, thank you. Now to that shocking story here in new york two people charged with keeping deadly fentanyl at their day care center, resulting in the death of a 1yearold, and making three other children sick Laura Jarrett has details. This is a tragedy. Reporter tonight, federal charges against two suspects who prosecutors say were Storing Fentanyl at a day care, killing a 1yearold boy and hospitalizing three other babies the youngest, 8 months old. This case is different. We allege that the defendants poisoned four babies and killed one of them, because they were running a drug operation from a day care center. A day care center. Reporter the owner grei mendez and Acevedo Brito accused of packing up and keeping larg amounts of fentanyl here in the bronx. Investigators discovering a brick of the drug on top of play malts in a closet when they arrived on the scene last week. The father of nicholas dominici, the 1yearold who died, telling wnbc he was their youngest child a lawyer for the Day Care Operator tells nbc news her client had no idea drugs were in the building. The day care had just passed a Surprise Inspection this month. But after finding the babies unresponsive, prosecutors say mendez tried to cover up what happened, calling her husband before 911 and all of that happened while the children, the babies, were suffering from the effects of Fentanyl Poisoning and in desperate need of Help Reporter later, allegedly deleting thousands of their text messages, according to court documents. While prosecutors say Surveillance Footage shows the husband entering the day care emptyhand ed before police arrived, then leaving two minutes later with two full shopping bags, dashing out the backalley. Were not going to give up. Were going to get him. Laura is here these accusations are simply awful. What more do we know about the surviving children so, all three of those little ones that survived, lester, were actually given narcan by first responders, likely why they survived and tonight, we are told, all three of them are home. All right, Laura Jarrett, thank you for that. Tonight, military officials are investigating what happened and that f35 fighter jet that crashed after the pilot safely ejected as they start to examine the wreckage, finally located in South Carolina sam brock is there, and sam, some pretty Big Questions here reporter yeah, lester, specifically, two enormous questions that remain unanswered tonight. One, how did the military lose track of a 100 million aircraft for 24 hours . And two, why did the pilot eject in the first place . Now, we do have new Video Tonight of the extensive debris fi field. Here you can see how that f35 Stealth Fighter jet sheared off limbs from the trees on its way to crashing fortunately, in this case, lester, this crash happened in a sparse remote area about 80 miles from where that pilot first ejected. That was in North Charleston and the timeline is very important here, because the marine corps says he ejected around 1 30 in the afternoon on sunday. Neighbors that im talking to on the ground here tell me they didnt hear anything until after 2 00, which is to say, it is wholly possible that the plane was in auto pilot for more than 30 minutes. Eyewitnesses also tell me they saw the plane inverted for a period of time, right before it crashed. And lester, some good news tonight, multiple sources telling nbc news the pilot has been discharged from the hospital lester all right, sam brock, thanks for that update. A new warning tonight by the head of the United Auto Workers, who is not threatening to expand the strike against the big three automakers within days maggie vespa has late details. Reporter tonight, day five on strike, and a new deadline this is our generations defining moment, so be ready to stand up reporter United Auto Workers president shawn fain now demanding americas big three car companies, gm, ford, and chrysler owner stellantis, give up major ground, or he says come noon friday, this targeted strike at three plants will expand all three Companies Say they want this resolved quickly well continue to sit at the table, work through things, try to find the Common Ground reporter among the unions demands, 40 pay hikes. Each Company Offering roughly 20 raises ford and gm could each lose 40 million in profits per week, more if the union expands the strike to more plants the impact already rippling through the industry some parts suppliers say theyll have to lay people off something the ceo at michigans Cascade Die Casting is scrambling to avoid were going to go to our people and sit down with them and ask for volunteers to take time off we expect that the strike could impact as many as 50 to 100 employees, and those are all people that have families to feed. Reporter among the 13,000 auto workers on strike, jacob deshawn, now stuck at home instead of heading to his shift at ford. I want to be on the line, making vehicles. Reporter the union promising 500 a week. The father of two says its not nearly enough. I needed the money, so, this strike is not helping me at all, in any way reporter and sources tell nbc news former President Trump now plans to travel here and speak to auto workers next week. Uaws president responding, saying they are fighting an economy that enriches people like donald trump at the expense of Workers Lester Maggie Vespa in michigan, thank you. In his address to the United Nations today, ukraines president zelenskyy warned of the impact of russias aggression tonight, Richard Engel takes a look at the devastation in one Ukrainian Village under siege. Reporter The Town Of Chasiv Yar is not near the front line its on it Russian Troops are Firing Artillery from less than three miles away serhiy chaus is the mayor here and keeps his broken town running. Nearly every house has been damaged by russian fire all the water and power lines are broken every day, chaus delivers is s supplies to the town center. 13,000 people used to live here. Now, just 900, so worn down by the war, they no longer notice the artillery. There is no reporter i can tell there is a lot of fire, because people barely frin ch flinch. So theyve just gotten used to it yes, its gotten really bad, because people are losing their fear, and fear can save your life, he says for a year and a half now, people have been living in basements. And the incoming above is more intense than ever. Its going to be a long winter, spending days and nights down here ludmila was wounded a few months ago by shrapnel, when she left to go get food how are you feeling . How are you hows your stamina its very scary to be bombed from all sides, but somehow, you get used to it, she says. We try and have all these little details, some flowers, some honey, clean plates, like at home. Chaus, the mayor, showed me whats left of town hall, hit by a russian missile. There is really nothing left of this now he worries the west may lose interest in helping ukraine we have to be together, otherwise, the world goes down, he says. Theyve already evacuated all the children from this town, and theyre already preparing for the next challenge the winter here starts soon lester a life thats hard to imagine Richard Engel, thank you. In 60 seconds, a Football Fan Collapses and dies after a fight at an nfl game, as many confrontations in the stands are being reported why is it happening, and what can be done right after this and dies after a fight back now with the investigation into the death of a patriots fan, after a fight erupted at Gillette Stadium during sundays nfl game. It comes as we seem to be seeing a lot of bad behavior in the stands at Sporting Events we get more from tom llamas reporter tonight, Massachusetts State Police and local prosecutors investigating the death of a fan who witnesses say was punched in the head at the patriots Dolphins Game sunday night. This video Showing Stadium security administering cpr to 53yearold dale mooney a fan in a Dolphins Jersey reached over and just punched the victim twice in the face reporter eyewitnesses say as the Fourth Quarter got under way, with the stadium packed, a scuffle broke out in the stands initially, police said mooney, a husband, father, and lifelong patriots fan, suffered, quote, an apparent medical event. What do you remember seeing right after he was punched in the face right after he was punched in the face, he immediately went down he slumped over in the chair. The concern came, like i said, after about 45 seconds to a minute. Reporter the deadly incident comes as brawls are being documented all over the country at nfl games this season. Look at what happened just this past sunday. This fight between three women happened at that same patriots Dolphins Game and in cincinnati, at the Bengals Versus Ravens game, the hardest hit happened off the field, when this man dressed as a tiger headbutted another fan, knocking him out. According to the nfl, one incident is too many they say their records, which have not been examined by nbc news, show after 32 games this season, theyve had 80 reports of disorderly conduct, down from last year at this time, when it was 140. You have alcohol, you have fans, you have passion, you have people betting on games, you have all these Different Things coming on at once. And tom, the nfl is responding to what happened at the patriots game . Thats right, Lester The Chief nfl spokesperson tells nbc news they offer their deepest condolences to the friends and family of the victim. They also say their top priority is the safety of the more than 1 million fans that attend nfl games every week, and they deplore the activities of a handful of people that go to these games to interfere with the enjoyment of others. All right, tom, thank you. Coming up, patients given pelvic exams during surgery without their explicit consent. The controversial practice now prompting some doctors to call for change our investigation, next now to our nbc news investigation. Millions of patients may have been subjected to unauthorized pelvic exams while undergoing surgery. Many never even found out. But now, as Stephanie Gosk reports, some doctors are sounding the alarm about this controversial practice reporter surgery can be daunting. Patients put their lives in doctors hands. Does a patient have the right to know what happens to them when they are under anesthesia yeah. Absolutely absolutely reporter but according to doctors and medical students nbc news spoke with, sometimes Surgery Patients are given one of the most intimate procedures without their explicit consent. A pelvic exam. On the surface of it, it seems like a violation of medical ethics is it . I would say its a violation of bodily autonomy, certainly. Reporter it may sound surprising, but dr. Julie chor, an ob gyn, says the practice has been around for awhile. Although exact numbers are hard to pin down, because patients are often unaware, a recent study estimates that more than 3. 5 million men and women may have received an unconsented intimate exam within the past five years dr. Chor says the examines can be a key part of residents training, and may be performed during surge rips because it is easier, even if the patient doesnt actually need the procedure. Muscles of the abdomen are more relaxed, so you can actually act appreciate the anatomy in kind of an easier way. Reporter but consent should be mandatory, she says i was asked to do a pelvic exam on a patient that i know i hadnt consented, specifically reporter did you want to do it . You know, no, i did not. Reporter this doctor is the head of the american medical student association. I actually ended up saying no, i wasnt going to perform this Pelvic Exam Reporter she is among a number of medical students who are speaking out its just morally wrong. If you were in that to sigts position, would you want that happening to you . Reporter attention to the issue has led to 25 states enacting laws requiring explicit consent for pelvic exams on a patient under anesthesia the American College of obstetricians and gynecologists states that if the exam offers a patient no personal benefit and is performed solely for teaching purposes, it should be performed only with her specific informed consent some doctors have resisted the need for specific consent, arguing its not necessary if general consent is given before going into the Operating Room and the pelvis doesnt need to be treated differently than any other part of the body but dr. Chor disagrees. Because if you ask a patient how they feel, and whether they would want to know if a student was doing an examine, patients overwhelmingly say, yes, this is different. Reporter and she says doctors should listen because patients think its different, i think its imperative that we treat it differently. Reporter Stephanie Gosk, nbc news, chicago. Coming up after a short break, an understudy gets the call while on a plane to appear on broadway that night the epic drama to get her there in time, next finally, the broadway understudy who got the message she was going on that night while she was stuck in midair on a plane. Savannah sellers on her race to the stage. Reporter Mikayla Renfrow had four hours left on a flight home from a european vacation when she got the text of a lifetime mikayla, please send an updated eta when you can. I may need you for jasmine tonight. Reporter oh, god shes currently in the ensemble of aladdin on broadway, but shes also the understudy for jasmine. When she landed, she had two hours until curtain call the problem rush hour in new york city. So, youre stuck in the air, and theres nothing you can do about that i cant just go up to the pilot and, like, knock on the door and be like, can you just drive a little faster, please . Reporter she asked the Flight Attendant if she could be first off the plane, but Delta Airlines did way more than that so, we were like, listen you just relax hydrate yourself with some water, and leave the rest up to us if he could land the plane on broadway, he would have done that for her reporter they moved her to first class, they switched gates so the plane would be closer to customs, and they helped her book her own magic carpet ride, a blade helicopter that would get her from the airport to manhattan, turning a typically 90minute trip into one that was merely seven minutes and then you have to completely transform into jasmine yeah. I had about 15 minutes makeup, five minutes hair, five minutes, put your clothes on, and then five minutes to walk down to the stage. Reporter even her Flight Attendant made the show can you believe you made it . No, no. So, it was truly a miracle, every step of the way. Reporter miracle granted. Seems like luck, or maybe a genie was on her side savannah sellers, nbc news isnt that terrific story . Thats nightly news for this tuesday thanks for watching, everyone, im lester holt please take care of yourself and each other. Good night. Right now on nbc bay area news tonight, look at that. Our air quality getting worse. Whats in store tonight and for the next 24 hours . Also, oaklands fired police chief is with us this evening to talk about the new report that he says clears him of any wrongdoing. How does oakland get out of this current mess . Good evening. Im raj mathai. We start with our air quality. Lo