find out why as i follow them in our special report next he'll announce he. was the part of. our own interest in. restoring service to our state for us ok i wasn't a part of farmer has been this patch on their on the way are you are you with her now all the state. ok is she conscious. and. all. of. the commercial. loans. ok all right. why are they there

at the battle but longer. than i am well satisfied where was. i am i am i cannot family for you for the quality of of the hospital there. i want to. get it out of. that it is not a merger. is used for purposes only. it is not.

god let's do everything we can to help you miss thirteen standards. today is the parade thoughts christmas parade ten o'clock goes till about twelve thirty three engine six five and rescue two six by.

three for the good of you guys that know you got the better going on. i thought you got it all right was it may take you so much to me and when you are not right and i'm going right you don't put them up. there are aware of. this merger of the amateur radio on the way. out is telling the truth. it's about a twenty five foot tall. you can see for that thing there is a god. i think until i see about the a three 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 again get in there fast and. take a deep breath. again. my first computer four years ago we were averaging nine fifty a day right there were averaging over twelve hundred three hundred calls on runs a day i could well have first. got yes. he handle six hundred thousand american c. calls a year but the calls are on the admin side there's been an explosion in call load it's about eighty two percent of what we do the fire department is medical at that project or. just get it separately now is the address of your emergency is there any please is there bleeding. and i don't believe you are the strong one year deal

k i want your tongue her rescue reactions from me is that i want to have a rest are you there with the right now your ok listen 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 is increasing every year are you nuts runs are going up two percent and hospitals are closing in the last four years and that ten hospitals close so it's less and less hospitals frustrate take our five hundred seventeen patients every day you know the rest you get there they evaluate your situation and it's been referred to as a perfect storm in the county of los angeles just getting bigger and bigger 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 signatures and what's happening in the city

of los angeles and in southern california is ground zero for what we're seeing nationwide with the crisis with emergency services. the inpatient beds for capital lowest 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 and 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 five. zero zero. five. orly statistical to me it's just a big step for here oh yeah. it's fifteen universities in the.

service. eight hundred twenty seven. joined. with a little surreal. it's good to be sure this is the case if the school really breathing for those the number one color. 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 grab a lot of experience in a relatively short period of time and they want to go on to a better place. keep. it safe be a. thief

three see. firefighters at first were even e.m.t. things and then they became e m t's and for my understanding it's a lot of firefighters pocket that maybe 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 i want to just do firefighting and be told is go get your mt license i said i can't carry any weight 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 i was only thing i was planning on doing it was just using the license to get hired and it turned out that i thoroughly enjoyed the events 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. i our fire code has played an important role in driving down the volume and spirit of fires and because that is the reality what we need is more ambulances. ten years ago with half the evidence is that we have now now. handle all of them some medical services from the city of los angeles. from the time you dial nine one one here in our dispatch center tell the time you get to the hospital it's one service the one you want to family member to come with you to the hospital we want him to know. that if. you. go see this lady. and.

leave him know this. urgent c. really is very important. 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 ethel said just reach your sorry buddy the late you ok are right thing or my mom ok i've had a lot of pain and inflamed it's well made skin now in the news it's you were in a doctor's office today and she was concerned he had blood by the way you should have one before you're pregnant there's pressure right now this morning we're increasing staffing and trying to find room where there's never been room like you know closets hallways things like that. sarge examining the hallways because about

three times it's. it's there it's all there. is her kindness. the problem is not enough inpatient beds not enough urgency department beds and not enough nurses to man those best to take care of all the people who are here and. 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'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.

rescue razors or use it to rescue. my person or. rather. right right from. wrong. and see way too much that we're. what we're saying now that should read just me. to spank really. you can play it just a way through different or whatever so you were going to go with your heart just go right right now let's do it with your rhythm i want to make sure. we question but never take any sex lately and i think the last twenty four hours that in. terms of believing that a treatment. was just on

a more clear you know we're going to start ok had that sickness number on this patients b. as in boy you two six six five four four six five he is now adamantly refusing the hospital 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 hello. who are. some people are just like that 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 as a boy. and specialist but. a lot of times they don't have the medicine they can't get the. medicine is kind of for the medicine or they sell it for the use. of it he sees it up and take it back

to the doctor. so because of that a lot of them tend to use more primary care the fresh somebody sees. 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 am for the service. there are there are. not really. i make sure everybody stops and there are certain. you want to be more. than just resign we're going to take your money. that. you should go we're strongly recommending it we can't force you to go when i have a good healthy baby right. that's going to hospital i did over fifty i know you.

will only go jr who's a month and that right you know as a family what you're going to have already let me do this sort first not bring him i was pregnant yet and she could meet contracting and just. as a young man to do this it was that i didn't know you know goodness 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 mean i'm going to have a look around her leaders have you had three and i pass it off so i'm on next project that you haven't enough. to get to that i have a woman think once you stand up and sidewalks for us. like we can do that should blood pressure already. or you feel stan. lee. they are not telling you not to run the sweetie. so you need to do the right thing for your baby that's less

your goals. ok ok ok we're going to go to martin luther king ok quest for the king is the greatest hospital for it is only right yes now they say that me and my babies like they are really really good. this is proof that we're picking up on raw samples county supervisor. looking at opens the door a. little monday morning at eight o'clock this hospital be open to the patients. watson would welcome the south central area of los angeles county. wants was put on the map not only in california but the but the mission to the world. in one nine hundred sixty five because of the riots six days of rioting in the negro section of los angeles left behind the scenes from innocent of war torn

city much of south central los angeles seemed to be on fire up the fire killing five by unemployment or education and things like a lack of health care and. the microphone 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 on m.l.k. more use of. true hospital was the e.r. 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 in fifty. maybe even closer to fifty five fifty seven thousand a year in the main department 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 the area. a few years ago the county last year said a lot of clinics are awful people could go walk in off the street and see clinics in the county and a few bad buggers 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 was your sugar level it's one hundred twenty eight. no it's four hundred that's very bad for your diabetes. they can see that you had an appointment with the pharmacy

a week ago why didn't you go. i did go. this is a free clinic the medicine is free you see me for free so why didn't you come this costs money. a lot of the patients here are not implying they don't want a structure they're never raise with structure of what the school you know never stuck with a layer. getting it so check your sugar to three times a week don't use more not every day this is very expensive it's to not have insurance but this is where the money needs to go because if you've treated a primary care why in this diabetic you prevent from getting you know feel your heart attacks leg cut off you know because if they don't you don't we see them on the streets and then two years later he ends up at l.a. county hospital you've got to treat it 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 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 to care 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 the same mrs romero come to see my name is. i work with a program called road to house and to help the patient understand better how to use the medical system settings maybe. but if you are going to have a case to occur who is going to communicate with you often. ok list them as though you were telling me how sometimes you have difficulty making appointments see ok so we're going to help you a little bit with that. oh my you know how can i help you know maybe if they didn't give me this 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 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 at 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 is 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 the k. why. they wouldn't salad to me that's one thing we need to explain to the phage and i don't know the field. yes five years she's telling me that she gets it that i may be seeing a good indicator manifest myself. this year be sure for wellness we'll get

together later for i know. there's got to. get a good thing for the market right now eight this year it's. there right now we have twenty eight. thirty at risk we're going ok you guys are doing much better you're just about reach but margery's goal of what he wanted to have been 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 forty four. year old daughter of the super necessary just giving you the facts. i had a doctor call me from a hospital but we rescued get there of 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 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 we're bringing them from these lower income areas aren't paying they don't have insurance they've got to get treated they've got to be seen. throughout paying you can't function as a hospital and that's why we've lost so many hospitals in our area and in los angeles kalil a lot just over five years we've had a lot of in emergency rooms close and in most cases higher hospitals. if you give a map of the city and you put a little dot where the hospitals are and you put a dog or for the yards and. discovery

to. communicate with you want to. test yourself and become free. see what nature can give you.

motion would be soo much brighter if you knew about sums from phones to impressions

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russia switches on the longest underwater gas pipeline in the world to pump fuel directly to germany and beyond making due within an interested lie say for. the leaking of the u.s. atomic watch dogs report alleging iran's of running a nuclear weapons program sparks criticism from moscow russia says publication isn't appropriate while the us administration is preparing new sanctions against tehran. and a controversial it time and prime minister silvio berlusconi promises to step down but only after the parliament approves the country's budget for next year and crucial economic reforms to grapple with a spiraling crisis. and right now an archie moxon stacie ask whether a man who's lost hundreds of millions of dollars of people's money deserves the pope's plays the kind of supporters up an externality. believe.