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tv   [untitled]    November 7, 2011 3:31pm-4:01pm EST

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it was the part of. our own interests that. service the state for us ok it wasn't a part of farming has been this patch on their on the way are you are you with her now i'll miss you. ok is she conscious. i am. not. a commercial. oh. oh oh oh. oh oh oh oh oh ok all. right they say the battle is going to be. fair i am well satisfied where with that.
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awful man i am i am i cannot family for you for the quality of the hospital the. want to choose from. yet it is not a merger. is used for purposes only. it is not.
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god let's do everything we can to help b.m.s. thirteen standards. today is the parade thoughts christmas parade ten o'clock goes to about twelve thirty three engine six five and rescue two six by. three for the guys that know you got the better going on. oh you got it all right
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in may and it is over to me and you are now right now going right to the death of yemen. there are. this merger of the amateur radio on the way. just tell me the route. it's about a twenty five foot tall. you can see for that thing there is a lot of things. i think i know i'll see about the attorneys on the floor. particularly your children that's the whole thing ok. let's play a little lucky. you don't act fast enough to get into the silly season and get
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in there fast and. take a deep breath. again. my first computer four years ago we were averaging nine fifty a day runners were averaging over twelve hundred thirty three hundred calls on runs today i could well have first. got yes. we handle six hundred thousand american c. calls a year but the calls are on the m.s.i. there's been an explosion in call it it's about eighty two percent of what we do the fire departments medical. roger or. just get it separately now is the address of your emergency is there any please is there believing that there. are i don't believe you are the strong one year deal k. i want your time her rescue operations from me is that i want you to come around are you there with the right now or your i can it's
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a very carefully and it's already on the way what i need to find out from you right now is she conscious conscious beings awake the rising demand for a my services increasing every year are you nice runs are going up two percent and hospitals are closing in the last four years or that ten hospitals close so it's less and less hospitals thruster take our five hundred seventeen patients every day you know the rest you get there they evaluate your situation it's been referred to as a perfect storm in the county of los angeles just getting big. here in bangor in this there's no no relief in sight if you're having a health crisis you'd like to think you can count on getting quick treatment in a hospital emergency room across the country today many emergency rooms were packed e.r. visits have grown thirty two percent in the last decade but there are seven percent fewer emergency rooms from los angeles to chicago to birmingham twenty trauma centers have closed since two thousand severe if you know what's happening in the city of los angeles and in southern california is ground zero for what we're seeing
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nationwide with the crisis with emergency services. the inpatient beds for capital lois in the country and what we've seen recently is the only real health care system that we have in the city of los angeles is the los angeles fire department because we become the de facto health care system this is the canary in the morning of health care throughout the united states that are outstanding thank you i thought. oh my. god. orderly statistical to me it's just a big step for here oh yeah. mr tabor you miss it it's in the. service. eight hundred twenty seven. john. it's
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a little surreal. it's the sure this is the case if you're still really breathing for those the number one call the. station sixty five is in the south los angeles area of our city. they actually have two paramedic rescues down there one of our busiest engine companies we have in the city of los angeles and unfortunately can't keep personnel that long there are they come there they gather a lot of experience in a relatively short period of time and they want to go on to a better place. people will. say yes. the. theme through see.
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the firefighters at first were even e.m.t. and then they became e m t's and for my understanding that a lot of firefighters bhakta died there in one of the many e.m.'s in fact when i started my venture is a firefighter i didn't want to be a mass and i started out want to just do firefighting and they told us go get your mt license i said i can carry it and you do it and i took an e.m.t. course and i thought all right i'll do it took the class just to get a license to try to get hired it was only thing i was planning on doing it was just using the license to get out and it turned out that i thoroughly enjoyed the units aspect of it as well my job where it was that it started with any company making those five bucks an hour for about four years five years which a lot of us had to do. our fire code has played an important role in driving
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down the volume and spirit of fires and because that is the reality that we need is more ambulances. ten years ago with half the analysts is that we have now now lou. handle all emergency medical services in the city of los angeles. in the time you dial nine one one here in our dispatch center tell the time you get to the hospital it's one service what you want to family member to come with you to the hospital we want him to know. that if. you're. going to go see this lady. and. leave him you know this. urgent soon is very important.
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we see about three thousand patients a month through demurred city park but. we had a day the other day where we saw hundred ten in one day and it was exciting and your name is stephanie said just reach your sorry buddy the lady you looking for the thing on her mind hump a lot ok i've had a lot of pain and it's late it's where my legs get now in the news bulletins and you're in a doctor's office today and she was concerned he had blood finally had one before when you're pregnant there's pressure right now this morning we're increasing staff feeding and trying to find room where there's never been room like you know closets hallways things like that. sarge examine the hallways because about three times it's. there. are certain rules
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the problem is not enough in-patient beds not enough urgency department beds and not enough nurses to man those that has to take care of all the people who are here . we may have a hospital full of patients no beds upstairs where all patients in our yard because there's no beds upstairs and we do the best we can we're we can't turn them away. we have a federal law that mandates that you can't turn no one away who seeks care in an emergency room. the reality is is that these people don't have primary care physicians that they can call so you're going to end up in the emergency room and i think that if we had a system where everyone had access to care they would. this would not be happening because they would they would call their doctor.
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rescue razors are easier to rescue. my person. rather. than a very. strong. and see you way too much that your. what's worse i know that should read just me. to spank really. you can play it just makes little difference or oversee the weather or the great thing with your heart just go right right now let's get into a rhythm i want to make sure. we question but never take any such leniency in the last twenty four hours that in. terms of voting no to treat me. well just on a more clear you know we're going to start ok high that sequence number in the
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spacious b. as in boy you two six six five four four six five he is now adamantly refusing that there were rising on the wrists complication up to and including down i'm. willing to accept those responsibilities. i miss the hospital i want to speak with you. know the team by the on talk to. yeah oh. yeah. some people are just like they're you know they get the tree man they don't want to they don't want to go yeah we're locked up i was a boy. and specialist but. a lot of times they don't have the medicine they can't get the. medicine they can afford the medicine or they sell it for the. b.b.c. set up and take it back to the doctor. so because of that
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a lot of them tell us more primary care the fresh emergencies. for individuals don't have access to health care or ambulance to show up with our paramedics on there and that's it that's the closest thing those people see a doctor over here so we're actually a doctor in a box if you will and i remember the service. there are there are going to. make sure everybody stops and there are certain. you want to be tomorrow. you just resign we're going to hear martin luther king ok not that. you should go we're strongly recommending it we can't force you to go one have a good healthy baby right. let's go to hospital maybe it'll be alright only it will only go junior was a month or so and that right you know as
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a family what you're going to have. to let me do this is sort first time bring him home with crack and yeah she could meet contracting and just. as a young man to do this it was that i didn't know if she doesn't want to go with us well the worst possible case scenario is the baby can come out good and that's just being we're not going to sugarcoat it it's just being blunt i'm going i'm going to have a grammar leaders have you had three and i pass it off so i'm not next project that you haven't enough yet if you think that i have a woman think once you stand up and try to walk for us. like we can be that. person is already. or you feel stan. lee. they're not telling you not to run the sweetie. so you need to do the right thing for your baby that's less you can go to such luck. ok ok ok we're going to go to martin luther king ok ok
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ok ok all right the king is the greatest hospital for it only right yes now they say that we have our babies like they are really really good. this is proof that we're picking them up wrong was found was county supervisor. looking at that opens the door a. little monday morning at eight o'clock this hospital be open to the patients. watson will broke in the south central area of los angeles county. wants was put on the map not only in california but the but the nation knew the world. in one thousand six hundred five because of the riots six days of rioting in the negro section of los angeles left behind scenes reminiscent of war torn city much of south central los angeles scene just beyond fired up fire killing five by unemployment or education and things like
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a lack of health care and. my own commission said that the county must really hospital. just think that we had a section of los angeles county. over a third of a million citizens without adequate hospital care. when i transferred in m.l.k. more use to king. true hospital always be your facility it was a hospital it was a trauma hospital trauma it was open which was actually a pretty state of the art trauma and. i believe we were saying to him fifty. maybe even closer to fifty five fifty seven thousand a year in the main which set apart a lot of times we would get the diabetic and coma who knew something was wrong but didn't have the means to go to the doctor's office. again that goes to the problem . that there are no primary care facilities in that area. a few years
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ago the county last year said a lot of clinics are open for people to go walk in off the street and see clinics in the county and a few bad budget years a few years ago they closed those clinics private clinics are going to open up and take under insured or patients who can't pay. and you don't have papers yes you have papers just permission how is your sugar level it's one hundred twenty eight. no it's four hundred that's very bad for your diabetes. second if you have an appointment with the pharmacy a week ago why didn't you go. i did go. this is
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a free clinic the medicine is free you see me for free so why don't you come this costs money. a lot of the patients here are not compliant they don't want to structure their own ever raise with structure of what the school you know is that where they are you know getting it so check your sugar two to three times a week don't use more not every day this is very expensive to not have insurance but this is where the money needs to go because you can treat a primary care why in this diabetic we prevent from getting you know failure or attacks leg cut off you know because if they if they don't treat it we see them on the streets and then two years later he ends up at l.a. county hospital and get treated as if it cost five hundred thousand dollars. if you miss your next appointment or any other appointment you can find a new clinic oh yes if i miss the appointment i can come back you know when. primary care nationally is a problem when it is and especially
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a problem here in los angeles county where do you go for primary care physicians first of all the country is not training enough for them. so we have a possible candidate for the program. mr mayor has been identified as every one user she's been to. at least six times within the one year period we want
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to appear for also the care management part of it in order to. help her keep her on it that you aren't having to come in ok to say mrs romero come to see my name is traveler i work with a program called road to health and to help the patient understand better how to use the medical system settings maybe. but you are going to have a case to occur who is going to communicate with you often and they. use them as the way you were telling me how sometimes you have difficulty making appointments see ok so we are going to help you a little bit with that i. think oh my god how can i help you know maybe if they didn't give me these mattson you do have to educate and empower patients to learn how to access care quickly and at the same time you can't do that if the system is
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not set up to be accessible if you're educating the patient to go down a road where the bridge is out and there's a fork in the road there's three different ways to go and you know which way to go that's not going to be very helpful. our vision is to improve access to care we want to give people access to the right care at the right time in the right place and we need to incentivize financially our primary care providers our physicians this is your family medicine doctor that you go see for a cold but also the person who's most likely to diagnose you if you have cancer. and you know you have refills you know but they told me i shouldn't come back with al did prescription or why you know not because they wouldn't salad to me that's one thing we need to explain to the fish and i don't know the feeling. yes five years she's telling me that she gets it that's when i may be seen again and he don't know if i must. be sure for wellness we'll get together later for a lot of. the same. kind
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of a good thing for him or not. this. year. right . we are twenty eight. thirty recently it is ok you guys are doing much better you're just about reach but margery's goal of what he wanted to have in a last resource on scene within six minutes you guys are holding down seven minutes flat however the best it's ever been and it was six hundred forty. three. year old daughter of the super necessary just give you the facts. i had a doctor call me from a hospital but we rescued get there but no and he called me one evening any tells me that they couldn't take any more patients and their emergency room so i asked
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him to explain exactly what he meant and he says we need to free our beds for our people and i said i will which people are your people the people that were bringing them from these lower income areas are paying they don't have insurance they got to get treated they got to be seen. you know paying the cat function as a hospital and that's why we've lost so many hospitals and aryan. in los angeles cole in the last just over five years we've had a love in emergency rooms close and in most cases entire hospitals. if you give a map of the city and you put a little dot where the hospitals are and you put a dot we're all supposed were the yours and. culture is that so much of
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a lot of people echo your e-mail that was an old word to for love or a not so amicable divorce for well over a generation voters and consumers around the world were told that democracy and capitalism. the close up team has been to the region where technological breakthroughs save human lives. now archie goes to the sea. where unusual ways to protect nature. where farming pioneers place local cuisine to the highest pitch. and where future developments depends on the way. russia's black sea coast commercial close up on our key.
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in india the buildings the grand central shirts of the. polish president. work for schools beatrice and. taj mahal hotel. the cement hotel. hotel close. to leave the. church and. the babyhood carrying collection among the clothes and. made. clothes a. shift it was promised to taper cush promised.
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this is off to you know top stories of dr rush and attack on the. kremlin cash head of international monetary fund visits moscow in search of financial support to help prop up crisis if economy. and christine lovebirds first stop on admission to the world's top ten coming financial powers. plus. betters all ski caught the a.b.c. of rich russians. in london the spotlight turns on shady business dealings of the past with billions of dollars at stake. welcome me watching.

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