treatments like oh, by smoking cause an infection or retinal detachment, but bys will make cause and temporary increase in pressure after receiving the injection. there's an uncommon risk of heart attack or stroke associated with blood clots, severe swelling of blood vessels in the eye can occur. most common side effect next, we're cataract and broken blood vessels, open up your world would provide a and as clinically back to promote healthy liver function. so that nothing is holding you back. >> the lead with jake tapper weekdays it for on cnn you are in the cnn newsroom and i'm jessica dean in new york and we begin this hour with breaking news and an emotional day for the people of israel as four hostages were rescued from gaza after eight months in captivity loud cheers there from a crowd, greeting the rescued hostages as they climbed out of a helicopter and took their first steps back in israel. >> the four hostages kidnapped by hamas from the nova music festival during the october 7 attacks. and they include 25-year-old noa argamani, 22-year-old, almog meir, jan 27-year-old andre kozlov and 41-year-old shlomi ziv and you may remember noa argamani from this horrific video. from october 7 showing the attacks and showing her screaming and pleading with hamas fighters as they took her away on a motorbike. israel says the special military operation took place this morning in central gaza among residential buildings where hamas had been keeping those hostages palestinians, they're describing the rate is hell on earth is heavy shelling and artillery fire bombarded the area hospital officials in gaza say the death toll has climbed to at least 236 people with more than 400 injured, including women and children cnn cannot independently verify those numbers and gaza government media office, which provided an initial numbers, does not differentiate between the number of civilians and militants who are killed. cnn's paula hancocks joining us now, live from tel aviv with more on today's rescue and the aftermath in gaza. apologists first, how are those four rescued hostages doing tonight well, jessica, this is the first night in eight months that they are not in captivity, so it is an incredible time for them, if for their families and what we're hearing from the doctors is that they are in good medical condition, but it is certainly he'd been an emotional day for both the hostages that have been rescued on their families the first video, cool, in eight months, friends of former hostage almog meir jan, welcome the 20. >> honan. >> his night right hey, you did hallelujah. we just challenging each other. yeah. yeah you are so happy to see me, ajahn raised his hands in the air in celebration as he touched down on israeli soil. >> one of four hostages rescued in what was called a high risk complex mission saturday morning in nuiseirat, central gaza the, idf says all four were taken captive by hamas militants at the nova music festival on october 7, where hundreds more were killed noa argamani has become a symbol of israel's hostages being held in gaza, filmed in the back of a motorbike, being taken into gaza by hamas militants from the festival used and hamas it's propaganda videos while in captivity today, she is free hugging her father waiting to visit her terminally ill mother in a separate hospital. andrey kozlov and shlomi ziv were working as security at the music festival when they too were taken hostage. all four were brought for medical checkups once back on home soil all four are said to be stable and in good medical condition in this hospital just outside tel aviv now israel's military security agency and police say that this mission had been plan for weeks. israeli prime minister benjamin netanyahu giving the green light on thursday evening. >> this was a high risk complex mission based on precise intelligence conducted in daylight in two separate buildings. deep inside gaza from israel's prime minister benjamin netanyahu visited the rescued hostages, were committed to getting the release of all the hostages and we expect hamas du, we've still more out if they don't, i'll do whatever it takes. we'll get them all back the hostage and missing families forum says 120 more captives remaining gaza. >> the way to rescue them is with a ceasefire deal that's not the way we can win 120 hostages back home. we must all of us together. the word follow president biden speech. and go with the deal that the price paid in gaza for these rescues has been unquestionably high. >> more than 200 killed, more than 400 injured according to the enclave's government media office, there is no clarity on the breakdown of civilian and military casualties and got bone on my end this man says, there are children torn apart and scattered in the streets. they wiped out nuseirat. it is hell on earth an endless cycle of dead and wounded rushed into al-aqsa martyrs hospital saturday a medical center already well over capacity and dangerously understaffed and under supplied it is a jarring view of two clashing impacts of one rescue mission that death toll has risen. once again, we now understand it as at least 200 the 36 palestinians that were kill the game. we don't have a breakdown on civilians versus fighters, but we do have that information from two of the hospitals that were taken in the dead and wounded, both really struggling under the sheer number of casualties. jessica all right. >> paula hancocks force in tel aviv. thank you so much for that reporting. >> and earlier i spoke with dr. haggai levine, a doctor who's met with those four hostages as the head of the health team for the hostage families forum here's our conversation. >> after levine thanks so much for being here with us. >> i think everyone wants to know how these hostages are doing now that they're back home when they bother thing that back home and clearly it was a very emotional day for them, for the families, for many people in israel and all around the world that i spoke with the four of them and with the families they are much better than now. >> weight is concerns but i must tell from my experience with the others suggests that sometimes after the first day we see the marks of the loan period in captivity. in terms of mental health and need for because are reporting is that bit outwardly that there's no they didn't have to appear to have the outward signs of any medical distress, was there any sign of physical mistreatment or anything like that? >> i hear you on the mental health and i do want to talk more about that too. >> sure. we have to remember that the hostages i've kept in different conditions as they were kept above the ground. and at least the three men were kept together so, you know, they could support each other. and again, relatively two ways it's concerns in better condition, but i cannot disclose their personal medical information and also, i'm saying that it does not mean that they do not have any medical problems. >> sure. of course. of course. >> i want to get back to what you said originally that maybe any your experience in talking with some of these hostages, that it's a day or two after when things really start to sink in the mental health really becomes something you have to focus on the walk us through what that might look like, what people who have been in captivity for eight months might have to deal with as this all sinks in it's really something we cannot understand because especially for such a long period there we are aware of the stockholm syndrome where they emphasize with the people that took them but also the trust in human beings. >> i just met this week lma braam was released from activity said or months ago and although she's really able to rehabilitate, she still has many medical issues and difficulties in concentrating, difficulty in trusting people. i'm not speaking specifically about irma, but that's thanks. we see a manga less social difficulty sleeping at night. so i'm just saying it's not only the mental, but this mentored situation also related to the ability to walk again july's again, et cetera. and i can tell you with specifically with the release hostages. so one of them, shlomi is living in the new the border and then also newsworthy. and i don't think you can now return to his home because this is a war zone area. and others so other issues. and as long as not all the hostages are back in israel zehr families and xj are still occupied, not with their own rehabilitation, but but with the efforts to release all those just so that's another issue, prevent from followability nation there are so many layers here when you start recovery, when, when, when someone who's undergone something like this, which is so unimaginable for so many of us how does that work? what does that process do you let them come to it on their own. are they talking with doctors? i would imagine you don't want to push them too much. i know you've talked about bringing pets to the hospital. what might that look like that sort of treatment? to begin to begin on a new the tell you the? tools jessica, when i see the footage that you are putting with prime minister netanyahu visiting them. >> and that's a great worry because that's not the first thing they need to see when they are now hearing israel's, they don't need politicians visits for pr purposes. >> they need some quiet. they need to be able to recover, to think, to regroup, to get more into some kind of routine. it's personal, it's dependent on the people and, you know, i just was in the hospital when are more visitors? is friends visited him and it was important for him too. thanks it's friends to well for him for the last eight months, walking to listen but still, they need comfort. they need what we call a tender love and care. and examine all the medical conditions. but try to get them back to life, trying to get the more independent because they didn't have any control of themselves. and you know, the first time they take a shower oh, choose what to eat that's great things for them. it's very exciting. i must say that together with that they get a lot of bad news. they now here about the close family members or close friends who got killed over the last eight months. either in october 7 or later that's also very difficult for them. and things may appear on the surface, is okay. but eden behind it, are the things that we will have professionally and tailor made for each and every one of them, find the proper solutions. >> of course. >> also, who is the other firm? families? i must say it's great excitement, but also great glory that this heroic population will confuse the government form understanding that the only way to bring on back all the one 120 hostages is by adding with the hamas and we need after president by them speech, we need all the ward leaders to put the pressure on hamas and its allies to accept the israeli and suggestion on the table to ever deal for a ceasefire and release of the hostages? >> and were they able, are they able to elaborate about the conditions in which they're kept or any sort of details. again, i would imagine based on what you're saying and it makes a lot of sense that first you want them to heal or begin at least to start that process. i would also imagine that officials want to get information from them, if possible yes. >> i mean, just imagine for them what it's like to enter are different considerations you want the intelligence to get some information from the media is very interest they want to be able to tell the story to the world they have faced. and above all, the medical needs, you know, when i bought naga money, glasses today, it was remarkable. i can say also for me because these glass is weighted in the door and the clinic for more than seven months. and when i pull it due to bring it to air, but i saw the other glasses of other oxygen somewhere killed some are still there. so it's really difficult to understand what exactly the priority right now for them, because of all these different obligations, i don't know how much sleep they will get it tonight and, for one of them, there is a funeral tomorrow of his father, believe it or not, we'll just died so i'm just saying this is so confusing the citizens situation is unbelievable. it's unbelievable for all of us. it's unbelievable for them i think that was coming days they will be able to relax small and stout, getting back to life. that's what they will any there are so many emotions as you're describing and so much to process dr. haggai levine. thank you very much for being here with us. we appreciate it. >> coming up. chilling threats of retaliation from donald trump, how his desire for revenge is becoming a cornerstone of his campaign. >> but is it a winning message? and what is let's say about his current state of mind. and we're learning about multiple shark attacks over the past 24 hours in us waters. we're 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counts in his hush money trial, well revenge, just take time. i will say that as does. and sometimes revenge can be justified for i have to be honest. sometimes it can look when this election is over based on what they've done. i would have every right to go after them and it's easy because it's joe biden cnn senior political analysts and senior editor at the atlantic. >> ron brown steen is joining us now. ron, good to see you on a saturday night in our case afternoon in your case but this this argument reelect me so i can exact revenge. is that a winning streak? strategy for him yeah. >> if you're looking at a narrow electoral terms, the answer is no. i mean joe biden's approval rating has been stuck at 40%. that's a range of which incoming presidents usually lose his best chance of winning a second term is if a disproportionate number of people who disapprove of him vote for him. anyway, because they view trump as a threat. threat to their rights, their values and to democracy. trump certainly is playing into that. but i think the electoral calculation obviously is not the most significant element of this. i mean, what, what trump is signaling and what is being signaled as much by the reaction of other republicans to what he is saying is that a second term would be a whole different order of magnitude in terms of the degree of threat that it poses to the rule of law and the principles of constitutional democracy, as we've experienced them through american history. >> yeah. and so to that end, a lot of republican lawmakers seem to be taking their cues from donald trump. we can listen to some clips we have to fight back and we will, with everything in our arsenal, president biden should be ready because on january 20th, next year, when his former president, joe biden at what's good for the goose is good for the gander and calling for retaliation calling for a strong response in every level ron, it's just worth reminding everyone this was a state case, not a federal case. >> joe biden doesn't run new york government. kathy hochul does but why do you think voters are taking all of this? >> and because obviously his base, many in his base and trump space do believe that this was a poulos was political and that the justice system has been weaponized to go after the former president. >> but what about, what about your middle of the road voter? >> how did they see all of this? >> well, we've seen in polling repeatedly now that a majority of americans think the verdict was fair, weather that causes them to overcome other doubts they have about voting for biden or in the case of trump, will, we'll see. but you see the downward spiral here, right? i mean, trump in office or in this case? for office, does things that push against the boundaries are beyond the boundaries of law. and when the political and legal system tries to hold that kind of strong man leader accountable. his hold over his party virtually demands that they get up and denounce it in 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