As Israeli troops bear down, the health care system in Gaza City is coming under fire and being pushed toward collapse.

Nearly two weeks into Israel’s latest ground offensive on Gaza’s largest city, two clinics were destroyed by airstrikes, two hospitals shut down after being damaged and others are barely functioning, with medicine, equipment, food and fuel in short supply.

Many patients and staff have been forced to flee hospitals, leaving behind only a few doctors and nurses to tend to children in incubators or other patients too ill to move.

Bombardment outside shakes hospitals' walls and Israeli drones buzz around, often firing nearby, making it dangerous to come and go, according to health workers.

Al-Quds hospital, at the southern edge of Gaza City, hurriedly evacuated most of its patients this past week as Israeli forces closed in.

Medics dropped off one patient at a field of rubble. Covered in gauze for severe burns on 40% of his body, they told him to find his way to a clinic for treatment, according to Andee Vaughan, an American nurse who was among the medics.

Al-Quds once had capacity for 120 patients.

Now, roughly 20 remain, including two babies in intensive care. About 60 doctors, nurses and patients’ families are sheltering there.

Vaughan is from Seattle and volunteered through the Palestinian Australian New Zealand Medical Association since July.

She kept a video diary of her time at al-Quds, occasionally posting on social media.

She shared dozens of videos with The Associated Press, which verified them.

Volunteers in Gaza like her have become a vital source of information, as Israel has forbidden foreign media.

Like at other hospitals, water, electricity and oxygen are in short supply at al-Quds.

The hospital oxygen station was hit by Israeli gunfire.

Israel says its campaign in Gaza City aims to destroy Hamas’ infrastructure and free hostages taken during its Oct. 7. 2023, attack on Israel that started the war.

The military has ordered the entire population to leave and go south, saying it is for their safety.

On Thursday, Nebal Farsakh, a spokesperson for the Palestinian Red Crescent, which administers al-Quds, said Israeli vehicles had surrounded it, “completely restricting” the movement of remaining staff and patients, while drones fired upon the hospital and nearby buildings.

Israel accuses Hamas of using health facilities as command centers and for military purposes, putting civilians in harm’s way, though it has presented little evidence. Hamas security personnel have been seen in hospitals and have kept some areas inaccessible.

Israel did not immediately respond to a query about the situation at al-Quds.

Vaughan was evacuated Tuesday with another doctor and headed south.

“I am getting messages from my coworkers there asking me why I left,” said Vaughan, speaking from a guesthouse in Deir al-Balah after she was evacuated. “They are telling me they are going to die.”

Before the latest offensive on Gaza City, staff at al-Quds began discharging non-critical patients, fearing for their safety, Vaughan said.

They also diverted traffic away from the hospital as Israeli drones fired at surrounding buildings, she said.

Vaughan shot cellphone video of warplanes and projectiles descending on the city and around the hospital.

In one, her room shakes, and huge plumes of smoke block the view from her window.

In another, from one of the hospital’s lower floors, a child carrying a water jerrycan as large as himself stops as an explosion rocks the walls.

Last week, hundreds of Palestinian families who had sheltered in and around the hospital fled, many after previously fleeing Israeli forces advancing from the north.