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 desert is the. day i came to try to get some medical records in and security said it's close i couldn't believe it was close. yeah well when i went in the security guard told me that a sofa sale and all the basically delirious 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 mccurdy. the medal said that martin luther king is not 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 france will be alone pretty quickly so we're going to be going to a lot of the outlines of those. but it does mean is that when the hospital too challenging built don't be fooled they're going to challenge it because they're

going to be overwhelmed at times be professional don't engage don't get angry when i hear a judge do anything like that at least here to do where the russians. run and here questions i. the community had a big name from ok and everybody knows it's called killer king we would get on c.v. and first thing people would ask is where am i going to be transported and if we said martin luther king you know often your 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 an emergency room it's very difficult to treat us 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 and 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 promise and i can tell. you my. psychiatrist. used to be a very simple system that would have you took the every patient in the closest facility but you close ten hospitals with eight beds it amaechi eighty patients out of our system in the city she didn't look well if you came in sat scores we close

our doors for you you are close to saturation when our waiting room is for when are all of our yard beds or for angelus lines waiting in the hallway and we're. 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 you can. watch what you want to let them do it because you're going to things he said. fran harbor u.c.l.a. by saturday for say fast is a sad i miss we're going to kaiser bellflower because the. place for hospital work 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 getting. paid. 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 think it's a problem of the uninsured of someone else to worsen ishall or 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. if it gets really that good attendance going to bone in his bone infection the worst sin are you can you know usually armed because rebel we're going to prevent that that's really going to be to feel good but i think. i've been in the hospital says to about a night just what is it six o'clock when or sixteen. it can have insurance just a good thing you know if i may have insurance ok majesty stepping aside and we did say we're waiting six hours is not uncommon and if you go to surrounding hospitals people come in 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 as soon as you walk in the door and they try and figure out you're not critical basically you're someone and they could 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 they actually did all the team itself are going and we just sat and waited so we're missing calls in our district because our he's tied up at the hospital because they know how bad to put that patient in the lady in the hospital that's that's normal i've had to rescue a couple weeks and waited for hours for been 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 of patients that there have beds are going to wait and because even though we're inside there you know we're 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 can say you know what it was your paramedic license and you go on. 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. sniffles and nausea vomiting diarrhea and been sick for. three four days and just said uncle. smoke anything. to do. when the fire broke 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 pain is heart attacks car accidents and drowned is if you called with a sprained 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 probably. be on you for what's going on today. than if you don't plan it one half was doing it now. correctly one will say you

know what happened. in aren't ready for this to. be. off to an anime. season you've been here before you have been here a few times the past week it's five or six times over i steered down the mom to be on the mother the grandmother the son and the twins and her when she was pregnant with a litter of youngest and they have two houses this one another one down if you're. young hickory earlier that day oh you know i don't remember the one time. i think every ten miles you can stay here would feel secure a pretty horrendous yet six toll road and sisters are great as if 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 commit to a couple band-aids and i mean. and get the word. called you want to show you that. some of the programs that we do send to you we have things such as boils can't sleep they're hungry constipation to think but if somebody says they're hungry what do you tell what are we have to do is i'm given five dollars cable local calls. we've been called to you know broken sprinkler system the lawn to a dog and meet the chimney in a second to avoid what is old and had to cause gone which makes it all 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 within you know they don't i want to really 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 in 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 to write at the expense of 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 emergency 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 well what were paramedics really wanted 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 here 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 in 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.

for 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 it instantly he never wants to. take all primary and let me have a look at them. he says no we can't force him to talk to him and then we can then yes that he does i know. we need someone who is this is our it's that we need his permission to let my medics. know he's agreed to let.

you know if he doesn't want to force it out of the know. he's agree weren't taken aback. ok. you're welcome. i know you do you know what event for. you to check and start searching teary. or you can avoid all that stuff right now he has no complaints he feels fine he answered all or push questions appropriately. please let me. finish sugars one three it's within normal limits. his blood pressure after after that if there's nothing that he wants from us right unfortunate is 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 a last ten days why are they here again you know when you see a patient i got

a response going up there on the hospice it's. mostly a mess thirty detachments in a six nine three. it's time to get to a lot of. our personnel down here and i'm pretty sure it's over seven california is not. the only area where it's happening now firefighters coming from different states who want to apply to have a city and you paramedics are experiencing the same thing i had a guy from houston you know last week paramedic burnout talked about in his area. a guy from new york. paramedic paramedic burnouts from british. in the field with this shield the shield is it 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.

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 but that's what i. want you . know. we just take a patient to martin luther king with vomiting which gets tree arched 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. you actually inject right check out the vehicle and the passenger. there is no one in the end 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 a 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 scare is a scene keeps us up at night is that essentially a pandemic flu it'll take about. twelve hours before every hospital your is

overwhelmed. her life. after her death her forty three year old recipe simply perfect order yeah well now you said have you heard of the emergency rule there's no other way we can do or use your head 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. . and that the emergency room wasn't be transported from one hospital to the other because you know use an eye hollywood predators or you want to go to kaiser no. i know what we 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're already in the hospital but on the moment. i'm trying to get an interpreter for you certainly movement film and i will get sketched by now one of the birds we're clean. and you know by the time of his temple on the bed it was ok 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. want to be in the bottom and your body in blood ok and why aren't big helping or yeah i'll get to watch it or. you're not doing it and they're just watching her ok eat 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 doubt medics are not going to pick him up or pick his wife up from optical crashed already at. one hundred fifty one. with the persian gulf a little bit on the ground. well. you know. that there are like. one. thing that i think that the longer you're going to

prevent. their lives than that of the other you're not you're at that awful man. i cannot for you for the quality of the hospital they're very likely to want to use from only a very good part of it out of them to merge now it is not a matter of the opportunity they're ok what about a criminal think. i'm going to get the contract off the ceiling by. the we are going to do with this mine and i want to use for only a life threatening emergency it is not.

a hit. to 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 know one of. our firefighters paramedics are incredible and they're you know we think 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. so the advantage that it feels i know a lot of that is out. there you go pretty mad yaquis your loved ones in an ideal world for us need to open up those county clinics and so we have some place for individuals will walk into before they become in crisis and need actually nine i want to 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 it's one of many we have right now be able to serve everybody in this community.

as well. to get them. to.

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a rancher raises their love against a zero planning to bomb iran's nuclear facilities something such disastrous consequences for their return. also the head of the international monetary fund is in moscow looking for the president's help getting europe household on our so-called. pound russian oligarchs and remind them all that charmed by these but is also a slug a time out and a multibillion dollar for talks in london where evidence has turned the spotlight on the alleged shady business dealings of the us. coming up on our scene because a report was marxist stacey and then this edition i'm a get miscalculation as marks and states discuss how germany could have lost and found seventy eight billion dollars and what really caused this astonishing accounting avar.