Shejaiya - At Al-Wafa rehabilitation hospital near Gaza City, a handful of doctors and nurses hover over paralysed patients, wondering how to protect them from more air strikes as threatened by Israel.
The patients lie mostly inert in beds lined up in the hospital's reception, where staff moved them after an Israeli rocket crashed into the fourth floor.
The staff have appealed to international agencies for protection, and say the hospital is known to the Israeli army.
But it was hit again on Tuesday night.
Shortly afterwards, the Israeli army contacted the hospital three times, saying everyone should be evacuated by morning as the air force was planning to intensify its air strikes.
Director Basman Alashi explained that the 14 patients in the facility, many of them paralysed or in a coma, are in no position to be moved.
And even if they were, he said, there is no place to take them.
"There is no place safe in Gaza! If a hospital is not safe, where is?
"We cannot leave our patients, they are helpless. They cannot move, they cannot walk, they cannot eat, they cannot even scratch their heads by themselves," he said.
Even as he spoke, the sound of shelling rattled the hospital windows.