and the best chief. the next night he why it's not unusual in the centuries to climb mountains and end up with a fine given you first state. the orange dots show hospitals that are no longer here in the green dots represent those hospitals that are still in existence here what you don't see is any new hospitals because there are no new hospitals constructed in this area. if you look at this area from a health planning standpoint. that medical deserts is just. the day i came to try to get some medical records in security said it's close i couldn't believe it was closed. you know when i went in the security guard told me that a so for sale and all the basically believers film movies now and i was shocked can believe that this is what's going on now you know it was

a great hospital this is the last house but i was in in two thousand and two when i got shot. it was a sunday afternoon around twelve o'clock in just two cars came in and it was a big shoot out and i just happened to roll by and i caught a bullet in my spine. i came to my legs i'm paralyzed you know if it wasn't for the people that were here i don't think i would have made it the way i made it because i was a little kid i was seventeen years old when this happened to me i go to school and i go to college you know and if it wasn't for them i went forward i even drive now i do everything i'm independent and it's for these people and look they can help nobody else you know and somebody might not get that opportunity i got. all right this came from chief mccarthy. the medal said that martin luther king is going to be a complete closure but the capacity is going to change from one hundred forty some

beds to actually forty two beds so francis will be alone pretty quickly so we're going to keep on two of the outlines of those. mysterious one the hospital to challenge me bill don't be fooled they're going to challenge him because they're going to be overwhelmed at times the professional don't engage don't get angry when i hear judge you do anything on that atmosphere to deal with. the run and it questions i. the community had a nickname for him ok and everybody knows it's called killer king we would get on see first thing people would ask is where am i the to be transported and if we said mark was u.k. you know often the response was please don't take medicaid. they're understaffed under-funded and they have too many patients that didn't have private physicians and with four or five hundred patients in emergency rooms very difficult to treat as those into the hospital through medical center is in critical condition and the

elkader was in the bottom two and a half percent of all hospitals in the state of california health officials a patient there had been put in quote and media jeopardy patients in martin luther king medical center to get ready for fewer services and a new way we cannot assure that patients would be safe or that fundamental hospital standards can be met the proposed closure of the trauma center will have an impact the l.a. county fire department i'm begging of you don't ignore this. don't marginalize this . warrant i'm thomas and. my. psychiatrist.

used to be a very simple system that we have you took to every patient of the closest facility but you close ten hospitals with eight beds in a major that's eighty patients out of our system in the city she didn't look well with you to say it's there's we close our doors here you are close to saturation when are waiting room is four went on all of our yard beds are four and two thought angela's friends waiting in the hallway and were. basically closing to saturation for safety purposes you know the sort of suppress right so diversion is a huge thing for some of our hospitals down here they're on diversion about ninety percent of the time so ninety percent of time we're looking for another hospital we could be across the street from that hospital thinking it. was not what you want to let them do it. was just one more step things he said. harbor u.c.l.a. by saturday for st francis sad i miss or going to kaiser bellflower because. my fourth hospital. it's about a ten mile from all right however we are in l.a.

and there's a lot of traffic so. you know. they're going to. they're going to. pay. for the average american who has insurance they don't realize the impact of what's

going on. what's going on in the obviously they think it's a problem of the uninsured of someone else the worst mishal liquor injury actually just put it in there and spread all this way. when you see something is interfering with the not ok ok so when you do this you can tell that it's not in attendance which is a really really bad infection because. he gets really got a good attendance going to bone in his bone infection the worst sin are the kids you know usually armed rebel we're going to prevent that's really going to be feel good but none of us. have been in the hospital says to about it not just what is it six o'clock when or sixteen. if you have insurance just a good thing you know if i may have insurance ok majesty standing aside we did say we were waiting six hours is not uncommon and if you go to surrounding hospitals people coming here tell me they're waiting twelve hours sometimes to get back.

however u.c.l.a. right now at this moment it's a twenty four hours meaning it seems you walk in the door and they try and figure out you're not critical basically you're someone and they can definitely live for another couple of days before being critical they'll keep you in the waiting room and you have to sit there and wait to be seen. it has happened at certain hospitals i've gone and actually did all the team itself i guarantee you we just sat there and waited so we're missing calls in our district because our he's tied up at the hospital because they don't have a bed to put that patient in with and the lady in the hospital that's that's normal i've had to rescue a couple weeks and waited four hours for being i've waited sometimes three hours i was it's a same francis and we went for four hours and fifty minutes standing against a wall and patients if they don't have beds you're going to wait and because even though we're inside there you know words were still on scene with that patient if we if we leave the hospital and don't transfer care to a bed it's negligence or even the county to say you know what it was your paramedic

license you're gone. the river here if we don't have a paramedic i said we do a back to the firefighter only. so how many calls to get last night four calls after midnight three out of the four calls we had were people just basic cold and flu symptoms sniffle and sniffles and nausea vomiting diarrhea and been sick for. three four days and just said uncle. smoke anything. to do. it in the fire burn for twenty eight years and i came on as a single function firefighter when i came on the job. and back then we actually only respond by four or five different types of v.m.s. calls responded on chest pains heart attacks car accidents and drowned it was if you called with a spring thumb or

a broken finger the dispatcher back then told you to get the car to go to the hospital so a lot has changed. take over your life be on you for what's going on today facing down when it was half was doing right now. your right going on to say you know what happened. in our relief this. off behind me. is easy and you've been here before yeah yeah i've been here a few times in the past week five or six times over i steered down the mom to be a mother the grandmother the son and the twins and her when she was pregnant with their litter of youngest and they have two houses this one another one down because . young hickory earlier done that oh you know i don't remember the one time. i think every ten miles you can stay here would skip security for entering since you have six total resident sisters oh yeah. everything's looking ok all right you can

relax ok also didn't i make it or could get it. i will see going to later have a good day. a good station i think it's part i mean everybody's understanding what emergency is different but i mean people been called out for a bandaid thinking that all we are is you know a system that they can call and literally can you get a couple band-aids and i mean. get the word. called you want to show you that. some of the programs that we do send we have things such as boils can't sleep they're hungry conflict to think but if somebody says they're hungry what do you tell. what are we have to do if i'm given five dollars cable local calls. we've been called to you know broken sprinklers and so on the lawn to a dog and meet the chimney you know suck it up for what it is all different types

of calls are going to make this up fun at the same time it's like. where do you draw the line yeah you're always going to have a percentage of people who actually know the system and it was a jury of people that's not with him you know they don't i won't because we truly need somebody to tell him what to do because this is their first room sort of had to deal worked out we have a transportation policy on the farm and that we offer transportation to everybody on this it's a minor extremity injury since we've had that system which is the name of the last five years because lawsuits down to nothing it's paid for itself. at the expense. to the taxpayers of the expense of the individual who wants the right at the expense of the the ripple effect of filling the spittal beds. with non-critical patients. i know gas prices are high but. i know i can get to the local mercy room for

a lot cheaper in my own personal vehicle if i have the flu and the insurance company will look at that and say wow we're paramedics really warranted on this and then they will pay. and then the citizens get stuck with a bill. i really do believe that every patient should pay something for their care because one of the problems we also have in this country is that health care is not valued we have the most expensive health care system in the world and it's probably valued the least people are going to have to begin to take responsibility for their health care. pay something it can start small perhaps a five dollar co-pay for an emergency visit i think it will change behavior as well . something happened down the question is what.

here we've closed hospitals in the last ten years and over a thousand. of these burger kings they contribute to the high blood pressure diabetes and everything else in the sense i mean if you could tax cigarettes. fast food restaurants pay for some of the stuff. that will help you. got a. he's a diabetic or whatever it takes two days or whatever he has is not instantly he never wants to. take all. the for sure if he says no we can't force him to talk to him and not then we can then yes but not here. and

. we need someone who is this is autistic we need his permission to let my medics. know he's agreed to let. you know if he doesn't want to. use agree weren't taken aback. ok then you're welcome. i know you do you know what the best form. started searching teary. all that's right no here is no complaints you feel fine for an all or push questions appropriately. please let me finish it sugars one three it's within normal limits. his blood pressure after after that if there's nothing that he wants from us but unfortunate there's nothing else that we can do for him by law ok i'm yeah we do get frustrated and it's only us but it's

the nurses in the hospitals it's also the doctors i've seen them just blow up you know like why i see this person every day for the last ten days why are they here again you know when you see a patient response going to the hospice it's. mostly a miscarriage detachments in a six nine three. it's time to get to a lot of. personnel down here and i'm pretty sure it's. seven california is not. the only area where it's happening now firefighters coming from different states who want to apply the l.a. city and the paramedics are experiencing the same thing i had a guy from houston the last week paramedic burnout talked about in his area. the guy from new york. paramedic paramedic burn out for a new issue. in the field with this shield the shield is that still doesn't mean

the other rescue at our station is available so they get the next cough which means we get the chance to take a shower and pressure teeth so we don't get our showers interrupted jimmy page. and you know all these rescues here we're probably going to be waiting for a while because i think we just got the last available that that's what they. want you. know. we just take a patient to martin luther king with vomiting which gets triano just in the emergency room and based on her level of severity so get a bed. we got there before a few other patients and she got to bed now the other patients are going to wait even though they might have more. severe problems they might have to wait for a bed for hours. if martin luther king you know even if they just limit their

number of beds which they're planning on doing to forty two beds then that's going to be repercussions for everybody so. hopefully it won't get to the point where it's going to be affecting patient care to the point where people are going to be waiting for such long times that they're not going to be getting treated as they should so we'll see what happens. if you actually inject right check out the vehicle and the passenger. there is no one in to this we are the county hospital for the poor and yet we're the trauma center for everyone on the south bay area of los angeles. so it makes no difference if you have the best insurance in the world or no insurance the next time you're in a traffic accident if god forbid we have an earthquake or bioterrorist attack we are the place that you want to come we're the place you're going to be brought regardless of where you want to come and if we're overcrowded and have no gurneys

you're going to be in trouble you're not going to get the kind of care that you deserve. it's not the train wrecks that really scare us and keep us up at night it would scares and soon keeps this up at night is that essentially a pandemic flu it will take about. twelve hours before every hospital your is overwhelmed. by. the forty three year old recipes that they prefer hoarders yeah well now you said have you heard of the emergency rule there's no other way we can do while you're at the emergency room right now. well can't they help be there at the emergency room. a lot of times they think oh no i want you to take us in the ambulance because we'll be seen faster. in the e.r. . in the emergency room was it be transported from one hospital to the other because you

know you as an eye hollywood present theories or you want to go to kaiser no. well you can do there. now one of those was. with a tool that was developed and like any tool you have you don't have a set of instructions along with the tool is going to be you misuse and abuse and eventually you don't break. it up with water from. the metal detectors you are ready and i hope that obama

moment. i'm trying to get an interpreter for you or moment don't i want to get sketched by one of them or you're calling. the young boy that american people on the bed it was all day all the emergency room my wife is about is dying and then there's a don't want to help you out ok what do you. mean that's not ok and you know somebody will blood ok and why aren't they helping or i'll get to watch it or. you're not doing it and they're just watching her ok beat the contact the nurse or doctor let them know mom any blood they don't believe they're not going to let him in if he's causing a problem you need to contact the county police officers at the security dept there was no that medics are not going to pick him up or pick his wife up from optical questions are already at. one hundred fifty

one. with the persian gulf a little bit on the ground. well. you know all the way they live their lives. there but i think that the florida courts were going to prevent. their lives than that of the other you're right but you're right that awful man. i cannot speak for you for the quality of the hospital they're very viable to want to use for murder purposes only that there's a lot of them to merge. it is not a matter of the opportunity ok well that's not a criminal thing over and above the contract awfully by. the police have been to do with this mine and i want to use for mercy purposes only where they live. it is not.

a hit. after that incident we actually have patients who are actually not in the e.r. but in the ward but they're not getting timely treatment in the world they want more pain medication don't pick up the phone and dial nine one one so we're sending a mass captain out to the eighteenth floor of the hospital to provide more pain medication for patients inside there you know you go one of. our firefighters paramedics are incredible. you know we make that we're constantly doing training and more training more training and they stepping up to to fill that gap but is

that what we want as a society for the fire department to become the health care system. a big part of the fix is more primary and preventive care if the people with diabetes and high blood pressure get treated early then they don't come in here with heart attacks and strokes. then you are out there is that it yes i know a lot of that is south but even then you go pretty mad yaquis you love to live in an ideal world frost need to open up those county clinics and so we have some place where individuals will walk into before they become in crisis the need actually nine one service it all comes down the phones but it's a catch twenty two you know situation so what we did here fire season sixty five we've added two more rescues that we can put into place if things get really bad which they do a lot here is. is it a band-aid yes but is this on the man day we have right now be able to serve everybody in this community. and.

let's. cut. cut cut. cut cut. cut cut out it was no no no no. because they are going to. come together. but it was the right.

culture is that so much a lot of people at my area will stand the cold war it's tough to for the slow response and amicable divorce for well over a generation of voters and consumers around the world were told that democracy and capitalism. and the close up team has been to the region where technological breakthroughs save human lives. our t. goes to the sea. where unusual ways to protect nature. where

farming pioneers place local cuisine to the highest pitch. and where future developments depend on the way. russia's black sea coast russia close up on our.

the sammartino war in the middle east russia sounds the alarm over israel saying it

could soon bomb iran's nuclear facilities moscow's warning of dangerous world consequences. from rebels to radicals live his new chapter sees a surge of extreme islam after nato spied for democracy but washington seems unconcerned about what's next now that gadhafi is gone. meanwhile the two russian tycoon titan slug it out over six and a half billion dollars and that their reputations are the reports of the high cost drama playing out at london's high court. two pm here in the russian capital this is r.t. now our top story russia is strongly warning against an attack on iran following statements by ease rail.