into the role of medical responders but our next special report explains why. it was the part of. our own interests. ok i wasn't a part of farming has been this patch on their on the way are you are you with her now i'll miss you. ok is she conscious. all. the commercials zero zero. zero zero zero. zero zero zero. zero zero zero. well i mean why are they there the battle that's going to.

amplify. their way out of the want your advice to offer them and i am i am i cannot be for you for the quality of the hospital there. want to use for my purposes only. it is not a merger. is used for purposes only. it is not.

because god let's do everything we can to help b.m.'s thirteen standards a little. 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 good of you guys that know you got the better to going out. on a yacht all right but it may take you so much to me and you are now right now going right to the death of the damage done to. this merger of the amateur radio on the way. just tell me the truth. it's about a twenty five foot tall. you can see where that thing that there's a god. there i think i know i'll see about the with tears on the floor. particularly your job let's listen to the whole thing ok.

let's clear. the lot. you don't act fast enough to get into the silly season again get in there fast and. take a deep breath. again. my first computer four years ago we were averaging nine fifty a day right there we're averaging over twelve hundred thirty three hundred calls i run today i could well have first. got yes. we handle six hundred thousand and were to see calls a year but the calls are on the m.s.i. there's been an explosion in call load it's about eighty two percent of what we do the fire department's medical. progress at thirty. seven for you now is the address of your emergency is there any please is there bleeding. and i just don't believe you are the strong one year deal kay i want your time her rescue

operations from me and i want to have a rest are you there with the right now your ok listen 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 are you nuts runs or going out at two percent and hospitals are closing in the last four years or 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 thank 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 signatures 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 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 bye. bye bye. orly statistical to me it's just a big step for here oh you. mr tabor you're listening to the.

service. eight hundred twenty seven. joined. with a little surreal. is that the sure this is the case if the school really breathing for those the number one to call 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 grab a lot of experience in a relatively short period of time and they want to go on to a better place. keep. it safe be a. thief

three see. firefighters at first were even e.m.t. and then they became e m t's and from 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 be told as the tree empty license i said i can carry it 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 thoroughly enjoyed the events aspect of it as well my job where it was that it started with any us company making those five bucks an hour for about four years five years which

a lot of us had to do you. are fire code has played an important role in driving down the volume experience fires and because that is the reality we need is more ambulances. ten years ago with half the evidence is that we have now now. and 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 you. care.

to go see this. lady and know. there are mergence here in this very important. we see about three thousand patients a month through demurred suit part but. we got today the other day where we saw hundred ten in one day and it was exciting and your name is ethel said just reach your sorry buddy the lady you looking for an the thing on her mind hump a lot ok i've had a lot of pain and it's late it's where my legs get now in the news bulletins and you were in a doctor's office today and she was concerned he had blood finally 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. sarge examine the hallways because about three times

it's. discourteous the problem is not enough in-patient beds not on the third emergency department beds and not enough nurses to man those 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 raisers or user to rescue. my personal. rather. than be very. wrong. in season two way too much this year. what's worse i know that should read just me . to spank really. you can play it just a wee little different or whatever so you were going to let your heart just go right right now let's do it with your rhythm i want to make sure. we question but never take any sex leniency in the last twenty four hours that in.

terms of voting that intrigued me. so much just on a more clear you know we're going to start ok had 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. willing to accept those responsibilities. i'm so the hospital i want to speak with you. know the team by the on talk to. yeah oh. yeah there were. some people are just like that they're you know they get the tree man they don't want to they don't want to go yeah we're locked up i was a boy. and specialist but. a lot of times they don't have the medicine they can't get the. medicine is kind of

for the medicine or they sell it for the. kids use it up and take it back to the doctor. so because of that a lot of them tend to use more for 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 in the service here and. there are there are. i'm not really. i make sure everybody stops and there are certain. you want to be more. just resigned ok we're 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 when i have a good healthy baby right. let's go to hospital maybe it'll be all right you know

you. won't go into who's a month or not you know as a family what you're going to have already let me do this as a service not bring him home with crack and yet she could meet contracting and just . as a young man to do this it was that it was no longer listening 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 on next project that you haven't enough. to get to that i have a woman think once you stand up and find walks for us. like we can be that sure what pressures are already. or you feel stan. lee. they are not telling you not to run the sweetie. so you need to do the right thing for your baby that's less

you can go to such luck. ok ok we're going to take your money ok ok ok. all right the king is the greatest hospital for it only really as they say i mean my baby is like they are really really good. this is because they were picking them up wrong was found was county supervisor. looking at it opens the door a. little monday morning at eight o'clock this hospital be open to the patients. watson with the broken the south central area of los angeles county. wants was put on the map not only in california but the but the mission to 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 reminiscent of war torn city much

of south central los angeles seemed to be on fire up fire killing five unemployment or education and things like a lack of health care and. my own 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 on 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 and. i believe we were saying two in fifty. maybe even closer to fifty five fifty seven thousand a year in the main mercy 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 last year 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 buggers 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 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 the pharmacy

a week ago why didn't you go. 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 compliant they don't want to structure their never raise with structure they want the school you know never stuck with a layer. ring so check your sugar two 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 the primary care wise in this diabetic will prevent from getting you know failure or attacks lead cut off you know because if they if they don't treat it with them on the streets and then two years later he ends up at l.a. county hospital you've got to treat it as if it 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 miss the appointment i can come back you know when.

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 care for also the care management part of it in order to maybe help her keep their eye that they aren't 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 they're even going to have a case to occur who is going to communicate with you often and they hate them is that what you were telling me a how sometimes you have difficulty making appointments see ok so we're going to help you a little bit with that i. think oh my god how can i help you know maybe if 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 and 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 in the right place and 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 with al did prescription or why. 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 it that way let me see they're going to be good enough for my son.

this year be sure for wellness we'll get together later for a lot of. birds got a. good a good thing for them or not. this. year. they're right. we have our twenty eight. under way recently. 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 one six hundred forty. seven. year old daughter of the super necessary this gives you the facts. i had a doctor call me from moscow 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 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. you know paying you can't function as a hospital and that's why we've lost so many hospitals an area in los angeles tell all in the last just over five years we've had a love and 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 dog or hospice for the yars and.

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if. the nature and discover is. a communicate with the want to. test yourself and become free. and. see what nature can give you. the latest news on the week's top stories here on our t.v. . asia pacific specific. could revolutionize relations. the russian american president talks on the sidelines of the apec summit in hawaii to focus missile defense and russia's future

. we'll bring you all the latest from honolulu just ahead in the program. rewriting history. place. as. report claims that iran might be seeking to obtain a nuclear weapon but. the headlines. this week this is the weekly. the creation of free trade talks at this year's apec summit which brings together the leaders of asian pacific rim countries.