i was the party for more theaters for our own interests in restoring services to expect us to foreigners ok i wasn't a foreigner farmer 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. all. for. the commercial. oh. the loan at the local. wine festival at the battle of law in the. sense that i am well satisfied where with the want your

advice your awesome and i am i am i cannot family and for you for the quality of of the hospital there are some strange. want to use for my purposes only get it out of the. it is not a mirage. is used for my purposes only as a life threatening emergency it is not.

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 till about the twelve thirty three engine six five and rescue two six by. three for the guy that left no you got the better to go knock. on you got it all

right in may and it is over to me and you are now right now going right to the death of yemen. there are aware of. this murder of the embassy already on the way. out is telling the truth. it's about a twenty five foot tall. you can see or think that there's a god. i think i mean i'll see about the with theories on the floor. particularly your children that's the whole thing ok. let's play a little lucky. you know you don't act fast enough to get into the silly season and

get 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 eight hundred calls all runs a day i could well have first of all that. we 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 departments medical. roger or i'll. just get several in our home 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 kay i want your toher rescue regions from me is that i want you to come

arrest or are you there with the right now your i can it's 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 on our units 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 thruster take our five hundred seventeen patients every day 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 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 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

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 outstanding thank you i thought. oh my. god. or little a statistical to me it's just a big step for here oh yes. mr tabor us into the. service. eight hundred twenty seven. joined. with

a little surreal. sure this is the case if the school really breathing for those the number one called the. station sixty five is in the south los angeles area of our city. they actually have to paramedic rescues down there one of our busiest engine companies we have in the city of los angeles and fort unfortunately can't keep personnel that long there 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. before. they see the. thief three and.

firefighters and first were even e.m.t. and then they became e m t's and for my understanding that 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 want to just do firefighting and they told us go to tree mt license i said i can hear you and you can do it and i took an e.m.t. course. or i don't 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 high and it turned out that i truly enjoyed your most aspect of it as well my job where it was that you started with any company making just 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 spread of fires and because that is the reality that we need is more ambulances. ten years ago with half the evidence is that we have now now. handle all of them see medical services in the city of los angeles. and the time you dial nine one one here in our dispatch center 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. have. to go see this. is.

really him you know. there are versions he 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 effortless and just reach your sorry buddy the late you looking for a thing or my mom a lot ok and had a lot of pain and it's laying eggs where my legs get now in the news bulletins and you are in a doctor's office today and she was concerned he had blood by the way he had 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. starting to see i mean the hallways because about three times it's.

discourteous the problem is not enough in-patient beds not enough urgency department beds and not enough nurses commandos best 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 were we can't turn them away. and 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 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 a search engine freeze or even rescue. my person. rather . than a very. strong. and see 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 for the receiver whether or grunting with your heart just go right right now let's get into rhythm i want to make sure. we question but if it's again essentially the last twenty four hours that you. are voting to treat me. well just on a more clear you know we're going to start ok high that sequence number in the

spacious b. as in boy you two six six five four four six five he is now adamantly using 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 oh. yeah there were. some people just like that there you know they get the tree man they don't want to they don't want to go yeah we're locked up i'm at the point. as precious 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 use. of this is it up and take it back

to doctor. so because of that a lot of them tell us 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 a service provider. but there are there are. not really. i make sure everybody stops and there are certain. to want to be more. than just resigned they were going to hear martin luther king ok that's the way. 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 nineteen or fifty i know you.

will only go junior was a month or so and that was right you know as a family what you're going to have. to let me do this is sort of bring him home with greg and yeah and she could meet contracting and just like. a young man to do this it was that although 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'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. to do yet i think that you actually have a woman think once you stand up and find work for us. that like we got to see he can do that well first of all already. are you feel stan. lee. they are not telling you not to rumble sweetie. so you need to do the right day for ya baby that's less goes look. ok ok

ok we're going to go to martin luther king ok ok quest for the king is the greatest hospital partly 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. 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. watts was put on the map not only in california but the but the mission of 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 the scenes from innocent of war torn city much of south central los angeles seem to be on fire up the fire killing five

unemployment or education and things like a lack of health care and. the mccollum 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 of king. 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 room. i believe we were saying tween fifty. maybe even closer to fifty five fifty seven thousand a year in the main state 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 that area. a few years ago the county law center 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 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 and 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 had an appointment with a 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 compliant they don't want a structure they're never raise with structure never went to school you know never stuck with a layer. so check your sugar 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 if you've treated primary care why in this diabetic prevent from getting your heart attacks leg cut off you know because if they 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 a 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 missed the appointment i can come back.

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 hear for also the care management part of it in order to maybe help her keep her out of that yard having to come in ok to say 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 them out maybe. but if you are going to have a case to occur who is going to communicate with you often then. use them as though you were telling me a how sometimes you have difficulty making appointments see ok so we are going to help you a little bit with that. they call me up there how can i help you know me and 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 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 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 why you know not because they wouldn't salad to me that's one thing we need to explain to the feet of the field. yes five she's telling me that she gets that but that may be seen again if you don't need a pharmacy. this year be sure going for wellness will get together later for

a lot of. there's got to. get a good thing for them or not. this. year. they're right. we have twenty eight. under labor's lead in 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 for one for. 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 merger. 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. people that we're bringing them from these lower income areas are 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 an aryan in los angeles cold a lost over five years we've had a lot in emergency rooms close and in most cases entire hospitals. if you give a map of the city and you put a little dock where the hospitals are and you put a dot we're all supposed for the yours and.

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putting the wheels in motion shoes in a new era of energy security for western europe as the last march north strong pipeline begins pumping russian gas straight to germany and beyond. the new supply route. to transit countries richard previous of lift european consumers of russian gas feltham a cold will have the details in just a few moments also russia shoes israel with a stern warning not to take military action against a rat as the un atomic much told the players to release a report about nuclear activities moscow says it considers the publication of the findings inappropriate. and the italian prime minister's into heavy pressure to resign after losing his majority support in parliament despite winning a crucial budget vote as the country moves closer to the epicenter of the european debt crisis. and also there is a number of ben.