Assembled for the killer and illegally sold to him . Welcome to the lead. Authorities in the bahamas say they are expecting even more horrible news in the wake of Hurricane Dorian. Medical staff telling cnn as they treat the many wounded that they are dreading and bracing themselves to learn how many are dead. The storm killed at least 30 people by last official count, but given the overwhelming damage to the islands and the hundreds of people who remain missing, bohemian officials believe the real at the time toll is quote, unimaginable. New video gives an example of Hurricane Dorians force. Youre looking at a hummer. Thats around 6,000 pounds. The powerful flood waters picked up that vehicle and slammed it through the side of a house. Dorian is currently off North Carolinas outer banks as a category one hurricane, still flooding towns and knocking out power, but it is the bahamas reeling from total disaster. The u. S. Coast guard alone has rescued more than 200 people there. A helicopter crew described seeing the abaco islands in the bahamas for the first time. The town was just leveled. It looked like a landfill, saw the houses were just levelled. There was trash everywhere. Had you ever seen that type of destruction before . Never. Cnns patrick of tttman repo for us from the bahamas where he tells us he was struck by the silence and the destruction and the stench of death. Reporter heecreaching the h hit areas means driving through still flooded streets, and streerts that a stree streets that are no longer streets. This area in the east of the island has until now been unaccessible. Little to no help has arrived. The force of the hurricane through cars, through buildings. The storm stalled out here, a category five leveling whole towns. Many rode out the storm in their homes, many did not survive. Pastor Joey Saunders was on the third floor of his home with his son when the storm surge crashed in. We started to make out to the second floor of the house, and ten minutes up to the third floor. The water flow up to our head, we felt a strong current, trying to breakthrough the cracks. This was in the middle of the night . About 1 30 in the morning, and then the current was so strong, then the roof started to lift. The next thing i remember i was underneath the water. My son, he had the search light, and he just disappeared with the search light, and i heard him screaming daddy, daddy, daddy. He was in the water at that point, right . He was already gone, and minutes later when i came from under the water, threw my hand and caught onto the truss and the roof carried me away. We were 600 feet from each other for two days. And in the pine tree 32 feet high. So the water carried you into a pine tree in the middle of the night. Your son was a ways away from you. Yes. What was going through your mind . You must have been terrified . Yes, i was hoping that he was alive, and he thought i had died also. It wasnt until, you know, the two days later that we saw one another. He was under the trailer right there, and thats when we saw one another, you know. The bohemian government has warned people the death count could spike. In places like high rock, that news is no surprise, even though this is one of the hardest hit areas, help from the government is yet to arrive. The government is on its way. Its going to take a bit of time, but theyre doing their thing gradually, you know. Do you wish they were moving quicker . Yes, i wish it could move quicker. Reporter people desperately need food and water before time runs out. A lot of people have lost most of their clothes, water, need food, basic stuff right now. Reporter and jake, we are in the town of high rock. This is where dorian is a category five came in and stalled. These people had category five winds for over 48 hours, they say. Behind me is one house that just had the front of it knocked in and was completely flooded. Believe it or not, this used to be a b neighborhood. There was house after house after house. They were all gone. There were three people who were in this house, a mother, her daughter, and a granddaughter. The house was swept away into the ocean, no one knows where they are. They are officially listed as missing, but residents say they fear that most likely they were swept into the ocean and they will never be seen again. Throughout the day, weve seen helicopters, coast guard helicopters hovering over spots in this area. Residents say thats how they know another body has been found. The grim work continues and at this point were told by residents they dont expect any more survivors to be found, jake. Patrick, thanks so much for that story. Cnns paula newton joins me live from a different part of the island. Shes at an airfield in nassau, which is now being used as a staging area for aid and rescue teams, and paula, i mean, frankly, it could take years for the bahamas to recover from this . Reporter yeah, if ever, the bahamas will be for many decades likely transformed by this. The reason for that is you are dealing with islands and keys that are isolated at times spanning over several hundred miles. This is a deployment area, not for lack of trying but the aid effort has been, in fact, spotty and chaotic. You have that mix of both government and volunteer aid, and given as i said how widespread the need is, it is difficult to really ascertain if people are getting everything that they need. When we first start with the basics, the food and the water, then there are people who need to be evacuated and as patrick just told you in very grim detail, there is search and recovery, and that search and Recovery Mission is also very important. It keeps away disease like cholera. Were here in nassau, i spoke to elizabeth nixon, her story about getting out of here was crazy. They put their kids, nieces and nephews in coolers to get them out. After that they had to split up at the airport in marsh harbour. Some of them came here, those children are some relatives are still at the airport. Take a listen to elizabeth nixon. Those babies cant stay another minutes because they havent eaten. Last night they said they were in the airport and they didnt even eat. Are they at the airport right now . Yeah, theyre in the front, but its so chaotic, you know. If those little kids are trying to push through a lot. Reporter you know, the issue here is that shes saying its frantic. That is not the way on day six that you want to see all of this unfold, and shes desperate because she knows that those children have not eaten. She knows they do not have water, jake, listen, the challenge ahead, it is quite significant. All right, paula, thank you so much for that reporting. Lets go now to dr. Caroline burnett garaway on the phone from the bahamas, shes the medical chief of staff at the only hospital in nassau still able to treat critical patients in the entire bahamas. Doctor, thank you for joining us. First of all, how are you doing . How are you holding up . How is your family . Thank you, jake. My family is fine, and were all holding up. Its a great team effort. Its tiring, its exhausting. Its emotionally traumatizing hearing some of the stories about patients that come in, but we have to keep going. Your hospitals the only one taking critical patients right now in nassau, how strain ed are your resources . Weve come together and deployed staff, and we shuffle staff so that were managing. The initial wave of critical patients from abaco has you know, theyve come in. Weve admitted them, taken them to the operating if necessary, and now the second wave of the walking wounded are coming in. Initially they came by coast guard, helicopter and the airports are now open so regular flights are bringing more patients in. But were very strict and tight triage. Were sorting the patients sending them either to a Public Health clpg or the sicker ones have to come into this hospital. You told cnn youre treating the wounded right now, but preparing for the dead. You believe that the death toll is much higher than 30, right . Thats correct. How much higher do you think it might be . I cant estimate, but its going to be high, so we are preparing. Some people coming to you have been trapped in their homes in some cases on top of their homes for days on end. What kind of conditions are they in by the time they get to you . Dehydrated, exhausted, emotionally exhausted, but some have metabolic abnormalities from the long exposure, and if they had a chronic illness like diabetes or hypertension it would be out of control. 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Is involved in aiding the bahamas after deadly Hurricane Dorian, and iran is ramping up nuclear development, and russia is flexing its military muscle in europe, and the trade war with china is causing issues, and north korea is regularly testing new missiles and on and on. Cnns Kaitlan Collins now reports for us, even amidst all these conflicts and international challenges, the president s top two advisers bolton and pompeo recently didnt speak for weeks. Reporter cnn has learned long simmering tensions in the president s National Security team have turned into all out hostility. The resources say National Security adviser john bolton and secretary of state mike pompeo rarely speak to each other outside formal meetings. And recently went weeks without talking at all. I like watching it. I like seeing it. Reporter its a big change from their old relationship when the two would meet with Vice President mike pence before going to the president on a Foreign Policy move. While they still see eye to eye on the issues, trump sees them differently. Mike pompeo, we have a very similar thought process. I actually tempered john, which is pretty amazing. Reporter the president claims he doesnt mind the chaos. I like conflict. I like having two people with different point of views. Aides say the breakdown has left communication between the white house and state department to subordinates at a time when the u. S. Is facing multiple Foreign Policy tests. They may not be speaking, but bolton is keeping a close eye on the secretary of states job. While sources say pompeo has his eye on an open senate seat in kansas. Im flattered when people say mike would be a good United States senator representing kansas. Reporter and as the white house is trying to down play concerns about the economy, the new august jobs report revealing that hiring slowed last month. But trump seems to be more focused on being right than the latest jobs report. Hes now on day six of insisting alabama was in the path of Hurricane Dorian and is now suggesting reporters should apologize to him claiming this nonsense has never happened to another president. Now, jake, the thing about this breakdown in communication between pompeo and bolton is that they still agree on a lot of the issues at their core. Whats different is the way they approach President Trump. Kaitlan collins, thanks so much. Lets chew over all of this. As someone who served in both the state department and the white house, how concerning is it if the National Security adviser in the white house and the secretary of state dont have a good working relationship . Well, in a normal white house, the National Security adviser is really the coordinator of the entire National Security team, so theyre not a person who would be negotiating deals typically or traveling a lot. Sometimes they travel a bit, but the break down is a reflection of the dysfunction here, right . So if pompeo and if theyre not talking at all, if bolton and pompeo are not talking at all, it means theyre not having kind of conversations after National Security meetings. Theyre not having phone calls where theyre saying where do we go with this . What do you think of this crisis . Thats a huge problem. Though reading this story, i think what stuck out to me was the fact that the isolation of bolton because pompeo clearly has an in to President Trump. I mean, weve seen that. Typically the National Security adviser is the most powerful in the sense that they have the ear of the president. They can walk into the oval knig anytime, they know what theyre thinking, they speak on their behalf. That certainly was the case white house i worked in. You worked in the bush senior, quayle white house. What do you make of all this. The Reagan White House had some competing personalities, people didnt get along. How significant is this . Usually the dispute is something real. Negotiations and other things. This seems to be entirely personal about who has more access to the president. They dont seem to actually differ that much on most issues. The dysfunction is deep. Ive talked to a few people who have been in or are close to people who are in the white house and in state and defense, and i mean, people are just throwing their arms up. Theres no process. There are no interagency meetings. You can make fun of these, theyre overdone probably. Those of us who have been in washington a long time, it is kind of important when youre dealing with iran and afghanistan and russia and china and venezuela, et cetera to have some coherent policy making and coordinating state and defense and cia, and theres apparently none of that. I really think literally none of that is happening. Buried in the story is that mick mulvaney, the acting chief of staff has his own senior National Security adviser, mulvaney and bolton dont get along. This guy who worked on the National Security council, i guess, some hill background in defense and Foreign Policy is working for mulvaney. But the president likes dysfunction. He wouldnt put it that way. Hed say he likes competing viewpoints. We saw this on the campaign. Yeah, he does, and i dont think he cares that there isnt a process and there arent interagency meetings. I also dont think we should be that surprised that john bolton may not be getting along with people in the white house. We kind of knew this is what was going to happen when they brought him in. The president was warned about that when he was considering bringing him on that he tends to rub people the wrong way. I dont think thats a shock, and i just dont think this is the kind of thing that bothers the president. The things that bother