the craze was medical rather than five or eight. 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 closed you know when i went in the security guard told me that a so for sale and all they basically doing here is 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 you know. 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 yeah hit 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 luke they can help nobody else you know and somebody might not get that opportunity i got a right to keep and cheat mccurdy. 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 france will be alone pretty quickly so we're going to be going to a lot of the outlines of those. mysterious one hospital to challenge me built don't

be fooled into challenges because they're going to be overwhelmed at times be professional don't engage don't get angry when i hear a judge you do not get at least here to do or the russians on the run and it lessens i. the committee had to make a name for him ok and everybody knows it's called killer king we would get on see him first thing people would ask is where am i the to be transported and if we said martin luther king you know often the response was please don't take medicaid. they're understaffed under-funded and they have too many patients a didn't have private physicians and with four or five hundred patients in emergency rooms for a difficult to treat us those into the hospital through medical center is in critical condition and the cantor 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 the every patient in the closest facility but you close ten hospitals with eight beds at

a major that's eighty patients out of our system in the city you don't look well at six in the senate scores we close our doors here you are close to saturation when our waiting room is four went on all of our yard beds are full of cot and early signs waiting in the hallway and we're. basically closing to saturation for safety 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 so ninety percent of time we're looking for another hospital we could be across the street from that hospital thinking a payment was not what you want to let them do it because you're going to tell yourself easy. harbor u.c.l.a. by saturday for say fast is a sad i know you're going to kaiser bellflower because on the night before hospital . it's about a ten mile ride however we are in l.a. and there's a lot of traffic so. you

know. they're getting. ready. for the average american who has insurance they don't realize the impact of what's going on down what's going on in the obviously they think it's

a problem of the uninsured of someone else the worst initial 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 and. if it gets really that good attendance going to bone in his bone infection the worst sin are the kids you know usually armed because rebel we're going to prevent that's really going to be feel good but neither of us. have been in the hospital says to about it not just what is it six o'clock or nine sixteen. if you have insurance just a good thing you know if i may have insurance ok majesty standing aside we did say we're 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 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 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 payments off again and we just sat there and waited so they were 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 delays 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 of patients if 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 you're gone. the river here if we don't have

a paramedic i said we do a back to the firefighter only to see how many people stood 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 at all. we did. it in the car bomb 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 m.s. calls responded on chest pain as heart attacks car accidents and drowned ins and if you called with a sprained foam or a broken finger the dispatcher back then told you to get. to go to the hospital so a lot has changed. to grow your life and be on you for what's going on today.

and if you don't find it will not cause you're not. going to say you know what happened. in are really just. a little bit. off to an anime. season you've been here before you have been here a few times the past week five or six times over the last year. on the mom being the mother the grandmother the son and the twins and her when she was pregnant with their material youngest and they have two houses this one another one down if you're. younger you know that well you know i don't remember one time. i was thinking every time. you say you were skeptical of pretty horrendous yes six told residents sisters oh yeah. everything's looking ok all right you can relax ok

i also didn't i mean gator could do it. i will see going later every day. i get to teach and i think it's part i mean everybody's understanding what emergency is different but i mean people been called out for a band-aid 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 calls you want to show you that these are some of the programs that we do send to we have things such as boyle's can't sleep they're hungry constipation to stay but if somebody says they're hungry what do you tell what are we have to do is i give him five dollars a local calls but we've been called you know broken sprinklers and someone's lawn to a dog and need to chimney in a second or what is all they don't have to cause you to go. which makes it at the same time it's like. where do you draw the line yeah going to have the percentage

of people who actually know the system with jury people it's not weird if you know they don't i won't because we truly need somebody to tell him what to do because this is their first route to do our time we have a transportation policy not a farm and we offer transportation to everybody on this it's a minor extremity injury since we've had that system which is in about 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 the expense of the. 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 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 co-pay or 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. burger king they contribute to the high blood pressure

diabetes and everything else in the sense i mean. cigarettes. and. fast food restaurants pay for some of the stuff. that will help you. got a. he's a diabetic whatever it takes two days whatever he had to say. he never wants to. take off. he says no we can't force him to talk to him and not then we can then yes but not here. i know.

we need someone to do it this is all we need his permission to let my medics. know he's agreed to let. you know if he doesn't want to. use agree were taken aback. ok. you're welcome. i know you do the best for him. and started searching teary. all that's right no he has no complaints feels 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 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 to the hospice it. mostly in a spirit seeking attachment ends 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 to have a city and you paramedics are experiencing the same thing i had a guy from here just in the last week you know paramedic burnout talked about in his area. a guy from new york. paramedic paramedic burnouts no training for greatness. in the field with the 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 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 but that's not what i. want . 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 you haven't. actually checked right check out the vehicle and the passenger. there is no one in the room 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 this 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 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'll take about. twelve hours before every hospital your is overwhelmed. by. her doctor for that big old recipe for the perfect order 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 me there at the emergency room. a lot of times they think you know i want you to take us in the ambulance because we'll be seen faster. in the e.r. . the emergency room was would be transported from one hospital to the other because you know years and i probably would present theories are you want to go to kaiser no. i

know we can do that. 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 misuse and abuse and eventually you're going to break. it up with water on. the metal detectors you're already in the hospital on the moment in there and i'm trying to get an interpreter for you certainly movement will not get sketched by now one of them are clean. and you know by the time of his

people on the bed it was all day on 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 get on the side of your body and blood ok and why aren't big helping or that i'll get to watch it or. you're not doing it again 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 he's to contact the county police officers at the security dept there was no. medics are not going to pick him up or pick is why apart from optical questions are already at one. one. one. commercial post-colonial delta brown.

well. look you know there. are like. one. thing that i think that the florida courts really do prevent. their lives than that of the other you're not you're at that awful man and. i cannot speak for you for the quality of the hospital they're very likely to want to use for murder. 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. the family gets a contract off the bike. we are going to do with them this morning and i want to use for mercy purposes only where they live. it is not.

a hang. it after that incident we actually have patients who are actually not in the e.r. but in the ward where 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. 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 sex is more primary and preventive care it's the people with diabetes and high blood pressure get treated early then they don't come in here with heart attacks and strokes. and you are a little sad that yes i know a lot of that as well. but you can bet it will bring out a yankee you love in an ideal world frost need to open up those county clinics and so we have some place for individuals will walk into before they become in crisis the need actually nine one service it all comes down the phones really it's a catch twenty two you know situation so what we did here fire station 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 clean it's on a bad day we have right now be able to serve everybody in this community. and.

a little. bit i. am a was a no no no you know that it was going to let me just let it play live.

question was that so much of the taxpayers' money i mean it was it has become a real mystery illness but the hero of crisis without end heroes old leaders and national governments continue to be a blogger heads on how to rescue a currency that. would be soo much brighter than a few nibbles sound from phones to impressions. from stunts on t.v. don't come. the

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