At 1:20 p.m.on July 23, a government airstrike scored a direct hit to the hospital. Dust and debris filled the room where 11 babies lay in incubators.
Several hours later, early July 24, a second airstrike hit. Staff members scrambled to save the infants and rushed them to a safer location in the basement, but Ali -- already weak -- lost his oxygen supply. Malaika and a doctor tried to perform manual CPR on Ali's fragile body but knew there was nothing they could do. Malaika held him as he died, struggling to breathe.
Three more babies died from dust inhalation during the attacks. "I was crying. It was very painful," Malaika said through an interpreter.
"It was intentional. It was a war crime."
These were just two horrific days in a life now full of them. Malaika no longer goes home at the end of her workday. Her house was destroyed in one of countless airstrikes, so she sleeps at the hospital. Her entire extended family has fled to Turkey, and she is the only one left.
Her husband divorced her and took their two daughters to Marea, a town north of Aleppo that is inaccessible to those still in the city. He's a supporter of the regime of President Bashar al-Assad. He was angry that, as a nurse, she treated an injured rebel fighter.
Malaika is one of only a handful of health care workers still in the besieged city of Aleppo. The eastern part of the city was taken over by rebel groups in 2012.
Only 35 doctors are left to care for the 300,000 residents who remain.
Doctors on the brink
This week, 15 of the country's doctors sent a letter to the White House, pleading for help: "We do not need tears or sympathy or even prayers, we need your action. Prove that you are the friend of Syrians.
"Last month, there were 42 attacks on medical facilities in Syria, 15 of which were hospitals in which we work," they added. "Right now there is an attack on a medical facility every 17 hours. At this rate, our medical services in Aleppo could be completely destroyed in a month, leaving 300,000 people to die."
A senior White House official acknowledged receipt of the letter.