because a report on our genes. live from our studios in central moscow this is r t thanks for being with us our top stories tonight moscow russia is it a new era of energy security for western europe as the landmark north stream pipeline begins pumping russian gas straight to germany and beyond. moscow describes as inappropriate the publication of u.n. atomic watchdog report that states and iran has been pursuing nuclear weapons it comes as russian president dmitri medvedev issues another stern warning against an israeli attack on. the italian prime minister says he will resign after parliament

passes economic reforms required by the e.u. which could take place as early as next week you know when it comes after silvio berlusconi want to crucial budget vote but lost his majority support in parliament as the country music closer to the epicenter of europe's financial crisis. with los angeles paramedics at full stretch it seems the city's firefighters are now the first line of response for medical emergencies serves all does need to find out why as we follow them in a special report right now on this chapel. 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. good medical care as yours is to. say

i came to try to get some medical records in and security said it's close i couldn't believe it was closed and i will when i went in the security guard told me that so for sale and all they basically doing here is fill movies now and i was shocked to believe that this is what's going on now and i was a great hospital this is the last house but i was in in two thousand and two when i sat down and it was a sunday afternoon around twelve the product in just two cars came in and it was a big shout 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 the speed when late they can help nobody else you know and somebody might i did that opportunity i got the right to keep and keep me kersti. i never 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 thousand beds so france will be alone pretty quickly so we're going to keep on top of the outlines of those. type of business when the hospital the challenges built don't fall that is challenging because they're going to be overwhelmed at times the professional warning gauge don't need it and we're not here to judge you do need them they are always here to do work. on the run and here in washington i. the community had to make money from ok everybody knows it's called killer king we would get it on cd and first thing people would ask is where might it be transported and if we said martin luther king day you know often

response was please don't take your case. they're understaffed underfunded and they have too many patients and didn't have private physicians and with four or five hundred patients in emergency room it's very difficult to treat ourselves into the hospital through medical center is in critical condition at the canter within 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 needed 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 for the fundamental hospital standards to be met the proposed closure of the commissary will have an impact the l.a. county part of our i'm begging of you don't ignore this. don't marginalize this. warrant i promise.

you my. psychiatrist. who used to be a very simple system that we have took the every patient to the closest facility and you close ten hospitals with eight beds in each us eighty patients out of our system in the city she didn't look well secured sat scores we close our doors here we are close to saturation and when our waiting room is for when are all over in our beds or for days but ambulance lines waiting in the hallway and we're. basically close to saturation for certain purposes you know the sort of suppressed right so diversion is a huge thing for some of our hospitals down here they're on diversion about ninety

percent of the time some nine percent of the time we're looking for another hospital we could be across the street from that hospital and you can. watch the utility of it there are a lot of. things he said. after a harbor you silly to be specific as a sat service because you're yes because the local. place for hospitals it's about a ten mile all right however we are now and there's a lot of traffic so. they're

getting. paid and. so the average american who has insurance they don't realize the impact of what's going on down were scored on the obviously they think it's a problem of the uninsured of someone else the worst initial injury actually just buttering they're going to spread all this way. and 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. i think it's rude to intended going to the phone and you're going to fix it in the worst sin or you can you know usually armed because we're going to prevent that that's really going to be just. to. be in the hospital

system hockey not just what is it six o'clock or now six fifteen if i have insurance just a few thing you know i may have insurance actually matters to me standing aside maybe 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 you see a way 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 can definitely live for another couple of days before being credit so keep in the waiting room and you have to sit there and wait to be seen. it has happened at certain hospitals i've gone in action it all to myself i guarantee you we just 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. to the lady in the hospital that's that's normal that

a rescue couple weeks ago waited for hours for i've waited sometimes three hours i wouldn't say it's a frances and we went for four hours and fifty minutes letting us all the patients if there had been as you're 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 to say you know what it was your paramedic license you're gone the river here if you don't have a paramedic i said we do a back to the firefighter only. so how many people still can't last night four calls after many three four calls we had were. people are just basically cold and flu symptoms live all the snow sniffles and nasi of ongoing diarrhea and sick for. just three four days and just should own coal. smoke anything. to do

it in the fire burn for twenty eight years and i came on as a single function far from it when i came on the job. and back then we actually respond by four or five different types of the n.s.a. calls responded on just being as heart attacks car accidents and drowned as if you called with a spring thumb or a broken finger but so this pressure back then told you you could afford to go to the hospital so a lot of genes. take over your life and be on you for what's going on today face down here in phoenix not cause you're in. your right place one very you know what happens next in our really. tough plan to me. is easing even yeah yeah yeah i've been here a few times she asked me five or six times the price you're going to mom being the

mother of a grandmother the son and the twins and her when she was pregnant with her youngest and their two houses this one another one down if you're. younger you're thinking that oh you know i don't remember the one time. i think you know ten yes twenty seven times you can say you were skeptical of entering yet six told president sisters oh yeah. everything for can ok all right you can relax ok else we can do i mean here could did it and. i will see it later every day. i get education i think huge part i mean everybody's understanding what emergency is different but i mean people get called out for a bandaid they did it all we are is you know a system that they can call in literally in a good couple band-aids and i mean. get the word. it's called on the show that. some of the programs that we do send to you we have things such as boyle's can't

sleep they're hungry. to think but if somebody says they're hungry what do you tell. what are we have to do is i'm going to fight over his grave local calls. we've been called here you know broken sprinklers on the lawn to a dog and the chimney you know stuck in a hole in one is all didn't have to cause you go on which makes this all fun at the same time it's like. where do you draw the line yeah you're always going to have the percentage of people who know the system that it was a jury of people or something we're going to go on i want to create truly need somebody told what to do because this was their first roofs and it had to deal right now we have a transportation policy on the farm and that we have transportation to everybody and it's a minor instrument essentially since we've had that system which is in the last five years to come lawsuits down to nothing it's paid for itself. actually

expense. to the taxpayers is the expense of the individuals want to write the expense of the ripple effect of filling the little beds. with non-critical patients. i know gas prices are high but. i know i can get to the local emergency room for a lack of 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 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 we've been over a thousand donal's harvey burger kings they contribute to the high blood pressure diabetes and everything else in the sense i mean if you could tax cigarettes. and research. fast food restaurants pay for some of this health. care i. would like.

to talk about it we'll help you. figure out who now. is even that pinnacle whatever it takes it's one thousand days or whatever he had to sit. down with. salaries they call program and let me have a look at every second thing as he says no we can't force him out and talk to him or not then we can then yes but not here just i know. we need someone who is this is our it's that we need his permission to let my medics check . that he's agreed to let us check the sugar and blood pressure he doesn't want to sell for sure out of the nose would be easy because he's agree we're going to take him in the back ground check in certain ok then you're welcome to stay out of ours i know you do that for him. going to church and started to help certain theories. if you can avoid all that's right no he has no complaints

he's sitting still fine he's answering all or pushed questions appropriately. please let me finish and it should as well three is within normal limits and we've said. his blood pressure after after that if there's nothing that he wants from us right unfortunate just nothing else that we could 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 hospital it's also the doctors i've seen them just well you know why i see this person every day for the last ten days why are they here again you know when you see a patient who got a response going to the hospital because it's. mostly him or her t.v. attachment incident six mine during. his turn 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 want to apply they have a city and paramedics are experiencing the same thing i had a guy from he was doing well last week paramedic burnout talked about his area. guy from new york. paramedic paramedic. for a big issue. in the field with the field shield as well it still does mean that the other rescue at our station is available so they get the next cough which means we get the chance to take shower and pressure to have it we don't get our showers interrupted jimmy page that. you know all these rescues here have i got you waiting for a while because i think you just got the last available but that's what i got that one i. want you to. we just take a patient to martin luther king with knowledge on the body which history are just

in the emergency room and based on her level of severity so good or bad. 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. sixty year problems they might have to wait for that for hours. if martin luther king you know even if they just limit their number of beds which they're planning on doing forty two beds and. 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 a long time so that they're not going to getting treated as they should so we'll see you haven't. yet he was actually right check out the view from the passenger. there is no one in the room to this we are the county hospital for the poor and yet with

a 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 you want to come we're the place you're going to be properly cardless of where you want to come and if we're overcrowded 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 with spears and simply fence up at night is that essentially a pandemic flu it will take about. twelve hours before every hospital you are is a wild. life. threatening to go grocery shopping for hoarders. well by the city or to be an emergency room there's nothing we can do for you you're in 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. he. said the emergency room was would be transported from one hospital to the other as you know he is like hollywood present there is he wants to go to kaiser not. the way he can do it. now when one was was. was a tool that was to go around and i didn't it's all yours if you don't have a set of instructions along with the tool is going to be you miss use and abuse and eventually you don't break.

my name is. automatic water comes with the metal characters you're already in the hospital on the moment with two names i'm trying to get an interpreter for you certainly movement so i won't get to cry now what emerged here clearly say a young boy this woman has him alone and then the love that it was all day all the emergency room of my life is what is dying and then there's with the one elsewhere oh ok what it seems you die alone in the fight against the marine blood ok and why aren't you helping or yeah i'll carry a watch in are good you're not doing it if you're just watching or ok to be to contact the nurse or doctor and let them know she saw many blood they don't believe

you they're not gonna let him in if he's causing a problem you need to contact the county police officers after the purity that there was no paramedics are not going to pick him up are paid by a proper matkal touched already at once. wanted to keep going. with the purchase hopefully will sell the girls as normal births it will also up a little peculiar for all the women are claiming that this was. not the guy that wanted us to come into korea because there was about a little bit problem where with all of that up once a year i thought your. absalom am i gonna. i cannot for you for the quality of the hospital there if something like i want to use them are only very good very popular it's out of remembered. it is not america they are both meeting their bets on

a criminal thing the band at the bank get the contract off the bike ok let them go we have been to do with that now define my one hundred years for only one life threatening it is not. a hate. 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 ward they want more pain medication no make up a phone and dial nine one word so we're sending

a mess cavanagh for the eighteen for the hospital that's where vied for pain medication for a patient it's inside there. no you want us to have sex in our firefighters paramedics are incredible i mean they're you know we think that we're constantly doing training and more training more training and they stepping up 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 fixes more primary preventive care for people with diabetes and high blood pressure get treated early then they don't come in here with heart attacks and strokes. from the family i don't believe that it feels like a lot of. pain and then book we might actually be loved in an ideal world for us me to open up those county clinics and there so we have some place where 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 for our 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 it a band-aid yes but it's the only bending we have right now to serve everybody in this community. and. let.

such. high or low bellow at a president. come together a little. effort to. wealthy british scientists on.

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