this is the. political and economic heavyweights of the. presidents of russia and the u.s. side lines of the apec summit to discuss missile defense syria. to the world trade organization. crisis prime minister silvio berlusconi resigning and greece swearing in a new head of.

the nato peacekeepers. right now with a. full stretch of the city's. being forced into the role of medical first responders next special report explains why. oh the bartok are more theatrical burns they've already everything in the restaurant there and i think i think we're out there wasn't a part of burma has been dispatched and are on the way are you are you with her now haha how old is it. ok is she content with.

a man. that. around right now. going on holiday and. getting. a commercial first solo album ela ground zero as we were on the first film i'll pull up a little peculiar to say it's all a matter of her claim and i mean yes this was definitely there's a little bag of exploiting those women duke remember that there was that it at that point where with them at a point we have a euro cup group after them and i know why i am them i care not only for you for the quality of the of the hospital they're your campaign it's why i want to use for mercy purposes only one and most of it's out of an immersion now and here it is not a merchant just blank i want this user because you can pursue only ever like threatening emergencies it is not.

since.

the top guy let's do everything we can to help me in this thirteen stats moment. today is the parade thoughts christmas parade santa claus so still boston twelve thirty three engine six five and rescue two six by. the. name of the guy that no you got the better no not. at all right athena. thank you so much i mean when you are not right now the night you took them was going to hit. there are.

this recovery amateurs already on the way. out is telling the truth. about a twenty five foot tall. and so. there's a lot of things. i think i know about the let's move on for. comic news you till next week the whole thing ok. let's get. lucky. no tax cuts and nothing gets into silesia nothing get in there fast and. take a deep breath. again. play christine here four years ago we were averaging nine fifty a day right there we're averaging over twelve hundred thirty one hundred calls i

run today there's a letter head first and i got. the handle six hundred thousand i'm going to see cause a year put the calls around me and inside there's been an explosion in call it it's about eighty two percent of what we do the fire department's medical and at seven roger pearse or i'll. just get rid of the now is the address not the armor just think is there anybody is there believe me. and i just don't believe you are the strong one and be ok i want to return her rescue operations from me. i want sort of rescue are you there with the right now your ok let's hear it carefully and it's already on the way what i need to find out from you right now is she conscious. conscious means the way the rising demand for human services is increasing every year on our units runs are going up or two percent and hospitals are closing in the last four years ago ten hospitals close so it's less and less hospitals for us to

take our five hundred seventeen patients everybody get to rest and get thirty valuate years of curation that's been referred to as the perfect storm in the county of los angeles just getting bigger and bigger and this was no relief in sight if you're having a health crisis you'd like to thank you pink house on getting quick treatment in a hospital emergency room across the country 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. and 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 of urgency services. the inpatient beds per capita 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 because we've become the de facto health care system. this is the canary

in the morning health care throughout the united states. outstanding thank you. for really statistical to me this is good stuff right here oh yeah. i still care for you miss he said the. kurdish. eight hundred twenty seven. joining. us with a little coffee. his book the shortness of breath look it was still really pretty strong that is the number one call the. station sixty five is in the south los angeles area of our city. yes there are two paramedic rescues down there one of our busiest engine companies we have in the city of los angeles and unfortunately thank

the personnel that were on 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. get. through see. the firefighters at first were even ian cheeks and then they became even teasing from my understanding that a lot of firefighters pocket guide me one of the many a mass in fact when i started my ventures a firefighter i didn't want to carry

a mask i started out when he just you firefighters and police told us would be tree and he license said i can carry you through it and i took an e.m.t. course and i thought all right i'll do it to 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 out and it turned out that i truly enjoyed unicef's circular as well with my job where it was that it started with any company making despite bucks an hour for about four years five years which a lot of us had to do. i think. our fire code has played an important role in driving down the volume and spirit 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 and now we have all of them some medical services in the city of los angeles. i'm

a type of new dial nine one one here in our dispatch center the time to get to the hospital it's one surface what you want to family member to come with you to the hospital where he was you know to tell. him you. know you're. here. because. you know this. urgency really is very important. we see about three thousand patients a month who demurred sick or i think. 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 lady looking for

a thing or my mom a lot ok i've had a lot of pain in its legs where my legs get numb in the news it's and you're a doctor's office today and she was can certainly help but by the way we had one before we were pregnant there's a pressure right now. we're increasing staff in and trying to find a room where there's never been a room like you know closets hallways there's like a. sardine examining the hallways and it is about three times it's. personal there. are certain things. the problem is not enough inpatient beds not enough urgency department beds and not enough nurses from members that's to take care of all the people who work or. we don't have a hospital full of patients no beds upstairs little patients our yard because there's no beds upstairs and do the best we can we're we can't turn them away.

we have a federal law that mandates that you can't turn no one away who seeks care in an emergency room. but the reality is is that these people don't have primary care physicians if 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. to please the rest of us are like listen. rather. than. go.

in see the winter months. what's worse i know that should brett just be there for his bank really. because lane testing which will different it will receive us for the granting of your heart just all right right now let's get into rhythm i want to make sure. we question but he would take any steps leniency drudging the last twenty four hours. ok. if you're tired but i mean it's really you know just on a more clear you know we're going to start ok hi that's a customer in the spacious b. as in boy you she's six six five four four six five your own male he has no i don't really using that i was there were vising on the wrist complication i'm doing moving down i'm. willing to accept those responsibilities. i miss the hospital i want to speak with you. know the team body on talking.

yeah oh. yeah who're. some people are just like that you know they get the team in the middle and they don't want to go yeah we're locked up on the point. that's precious but. a lot of times they don't have the medicine they can't get the medicine again for the medicine or they sell it for us. it is use it up and take it back to dhaka so because a lot of them tell us more primary care the fresh emergencies. for individuals don't have access to health care are and with the shore with our paramedics on there and that's it that's the closest thing those people see the doctor over here so we're actually a doctor in a box if you will and

a ramp service. there are going to. make sure everybody's taxes are certain. you want to be more. just resigned ok we're going to your money ok ok. you should go we're strongly recommending it we can't force you to go when i have a good healthy baby right there who's going to hospital maybe you. know you need to go to the dinner i think that's right you go to the family what you going to have. to let me do this is her first night bring him home with crack and yet she could be tracking him just. as a young man using the numbers that was the greatest if he 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 mean nothing to hide and i got her leaves three and i guess it off so i'm like that's problematic if. you think that. once you stand up and try to walk forth. well let me guess you can do that. well first of all already. are you still stand. by me. they are not telling you not to run sweetie. so you need to do the right that they can go baby yes unless you go to look. for it ok ok we're going to take your money ok ok ok ok ok i'll do kink is the greatest hospital right is only right yes they saved me and my baby so they are good really really good. this is proof that we're picking up on raw samples county supervisor. that opens the door.

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. and watch was put on the map not only in california but by permission of the world. in one thousand six hundred five because of the riots six days of rioting in a negro section of los angeles left behind scenes from innocent of war torn city much of south central los angeles seem to be on fire up fire killing five point unemployment or education and things like a like a health care policy. that might call commission said the countess believe 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 i mean ok

more mr king. true hospital was he your 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 three in fifty. and closer to fifty five fifty seven thousand a year in the main part 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 the there are no primary care facilities in the area. a few years ago the county lost an awful lot of clinics are often people who go walk in our history and see clinics in the county a few bad bush years a few years ago they called those clinics private clinics are going to open up and take under-insured for patients who can't pay.

and you don't have papers yes you have papers and just permission what that is how is your sugar level it's one hundred twenty. no it's four hundred that's very bad for your diabetes so yeah you said you had an appointment with a pharmacy a week ago why didn't you go. and i did go. this is this is a free clinic the medicine is free you see me for free so why don't you come this costs money. a lot of the patients here are not on high and they don't want to structure their never raising structure and what the score there never was that with a layer you know every. so check your sugar to three times

a week and don't use more not every day this is very expensive i just do not have insurance but this is where the money needs to go to primary care wise in this diabetic. failure. leg cut off you know because if they don't we sit on the streets and then two years later again the l.a. county hospital. and it cost five hundred thousand dollars. if you miss your next appointment or any other appointment you can find a new clinic ok yes if i missed appointments i can come back. primary care nationally is a problem and it is an 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 says back to. at least six times within a one year period we want to thank you for also the care management part of it in order to levy help her keep her at it that you aren't having to come in ok the same mrs romero my name is you might as traveler i work with a program called road to health care for animals and to help patients understand

better how to use the medical system they are maybe called. but you are going to have a caseworker who is going to communicate with you often. ok post them is that 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. he called me you know 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 correctly 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 and you don't know which way to go that's not going to be very helpful in our vision is to provide access to care we want to give people access to the right here at the right time of 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's 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 without the prescription why. because they wouldn't sell it to me that's one thing we need to explain to the page i don't know the field. here is five just telling me that she gets it that i'm going to see they're going to take it on and off. pretty sure the sheer joy for wellness will get together later for i know. we're starting to see. a good thing for the market and i. think this is. their right. we're going to be. under a risk. 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 point zero. zero zero. zero zero zero zero zero zero zero zero zero zero zero zero zero zero zero zero zero zero the same with senator kerry just giving you the facts. i had a doctor call me from moscow we rescued get there are no and he called me one evening many tells me that they couldn't take any more patients and their emergency room 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 the people that we're bringing them from these lower income areas are paying they don't have insurance they got to get treated they got to be seen for you know they're out paying you can't function as

a hospital and that's why we've got some of the hospitals in our area and a lot socialist health all along last just over five years we've had a lot in emergency rooms close in the most cases of higher hospitals. if you get a map of the city and you put a little dock where the hospitals are and you put a god we're all supposed for the yars and the priest.

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the are. the limits just so. it's just so can't. see the books. coming. in the nature and discoveries museum in the. m.v. . the be communicating with the wind and letting the.