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 deserts is to. say i came to try to get some medical records 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 a so for sale and all they basically doing here is fill 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. it was a sunday afternoon around twelve o'clock and just two cars came in and it was

a big shot out and i just happened to roll by and i caught a bullet in my spine. i came with my legs i'm paralyzed you know but 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 want 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 when they can help nobody else you know somebody might not get that opportunity i got all right this kid from chief mccurdy. never said that or luther king it's 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 you francis's be overwhelmed pretty quickly so we're going to want to love the outline of those. pieces when the hospitals the

challenge you go don't be fooled the a challenge because you're going to be overwhelmed at. the professional doing gauge and getting angry when i hear jack you do the one thing at least you do with the. right and you question. the community has a big name from ok and everybody knows it's called killer king we would get on c.n.n. first thing people would ask is where am i going to be transported and if we said mark was u.k. you know often their response was please don't take your kids. they're understaffed underfunded and they have too many patients to didn't have private physicians and with four or five hundred patients in an emergency room it's very difficult to treat us those into the hospital through medical center is in critical condition and the candor 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 to every patients the closest facility but you close ten hospitals with eight beds that i'm each as eighty patients out of our

system in the city she didn't look well it's in the sat scores we close our doors here and you are close to saturation when our waiting room is for when are all of our in our beds or for those caught angeles lines waiting in the hallway and we're . basically closing to saturation for safety purposes you know the sort of suppress 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 it. was not what you call it but there are a lot easier to tell easy. harbor u.c.l.a. by saturday for say fast is a sad i miss we're going to kaiser because the. place for hospital it's about a ten mile from all right however we are in l.a. and there's a lot of traffic so. you

know. they're getting. paid. for the average american who has insurance they don't realize the impact of what's going on. what's going on in the obviously they think it's a problem of the uninsured of someone else he's got

a worst national injury actually just put it in there and 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. if it gets really bad good attendance going to bone in here bone infection the worst sin or you could you know usual arms because repair we're going to prevent that it's really going to be feel good but neither of us. have been in the hospital says to iraq and not just what is it six o'clock or nine sixteen. it i 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 critical 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 to and actually did all the team itself again and we just sat there and waited so we're missing calls in our district because our he's tied up at the hospital because you know how they had to put that patient in the little lady in the hospital that's that's normal i've had to rescue a couple weeks and waited for hours for being i've waited sometimes three hours i was at sea st francis in lynnwood 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. so how many calls 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. to do. it in the fire burn for twenty eight years and i came on as a single function firefighter when i came on the job. and back then we actually only respond by four or five different types of e.m.'s cause responded on chest pain as heart attacks car accidents and drowned it was if you called with a sprained thumb or a broken finger the dispatcher back then told you to get the car to go to the hospital so a lot has changed. take over your life be our new ford what's going on today

facing down when it was natural to now. your i've got one very you know what happens. when are you ready for this three. hundred. off the night enemy. disease and you've been here before yeah yeah i've been here a few times you asked me five or six times that i steer clear on the mom being the mother the grandmother the son and the twins and her when she was pregnant with their litter of youngest and they have two houses this one another one down because . young hickory earlier that day oh you know i don't remember one time. i think in every ten miles you can stay here were skeptical of pretty horrendous yet six total rodent sisters. everything's looking ok all right you can relax ok else we can do i'm a gator could be good. i will see going to later have

a good day. a good station i think it's part i mean everybody's understanding what emergency is different but i mean people been called out for a bandaid thinking that all we are is you know a system that they can call in literally to get a couple band-aids and i mean. get the word. called you want to show you that. some of the programs that we do send to we have things such as boils can't sleep they're hungry conflict to think but if somebody says they're hungry what do you tell. what are we have to do is i'm given five dollars k. with local calls. we've been called to you know broken sprinkler system the lawn to the dog and you the chimney you know stuck in a boy in what is old and had to cause it always and makes it all fun at the same time it's like. where do you draw the line yeah you're always going to have a percentage of people who actually know the system and it was

a jury of people that's not would you know they don't i won't because we truly need somebody to tell him what to do because this is their first emerged sort of had to deal worked out if we have a transportation policy on the farm and we offer transportation to everybody on this it's a minor extremity injury since we've had that system which is in the last five years because lawsuits down to nothing it's paid for itself. expense. to the taxpayer is the expense of the individual wants the right at the expense of the of the ripple effect of filling the spittal beds. with 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 well what were paramedics really wanted 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 here 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 five dollar co-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 and over a thousand. burger king they contribute to the high blood pressure

diabetes and everything else in the sense i mean if you could tax cigarettes. for restaurants pay for some of the stuff. i would like. to help you. now. he's a diabetic or whatever it takes two days or whatever he says no to instantly he never wants to. take off and let me have every for sure if he says no we can't force him to talk to him and not then we can then yes that he does i know. we need someone who is this is autistic we need his permission to

let my medics. know he's agreed to let. you know if he doesn't want to. agree weren't taken aback. ok then you're welcome. i know you do you want the best for him. i'm going to. start searching teary. all that's right no he has no complaints he feels fine he answered all or pushed questions appropriately. please let me finish in his sugars one three it's within normal limits. his blood pressure after after that if there's nothing that he wants from us but unfortunate just 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 you know like why i see this person every day

for the last ten days why are they here again you know when you see a patient i got a response going to the hospice it. was the most thirteen detachments in a six nine three. or 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 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 no paramedic burnout talked about in his area . a guy from new york. paramedic paramedic burnout three wishing to be in the field with the shield the shield as it still does when 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 teeth so we don't get our showers

interrupted jimmy page. and now all these rescues here they're probably going to 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 knowledge on vomiting 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 a 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 end 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 if 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 and 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 us up at night is that essentially

a pandemic flu it will take about. twelve hours before every hospital you are is overwhelmed. by. the forty three year old recipes that the critic orders yeah well now you said have you heard of the emergency rule there's no other way we can do will use your head the emergency room right now. well can't they help me 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. . and that the emergency room was would be transported from one hospital to the other because you know use an i pod he 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 you misuse and abuse and eventually you don't break. it up with water from. 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 don't i was yesterday by now one of the murder points. and you know by the time of

his table on the bed it was ok all 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 be on the side of your body and blood ok and why aren't they helping are all there watching her. doing it and they're just watching her ok eat the contact the nurse or doctor let them know bombing blood they don't believe they're not gonna let him in if he's causing a problem he needs to contact the county police officers at the security dept there was no. medics are not going to pick him up or pick it wipe up from optical questions are already at. one fifty one. for conversion hopefully it'll be a little brown. your first one is well. below the feel of. the

plane this one right there let the wrong number three ramp. there with that of the other you're at but you're at the hospital ma'am. i cannot for you for the quality of the hospital they're very viable want to use for only a very good part of it out of the merge ma'am it is not a matter of the operator ok well that's not a criminal thing over and above the right contract awfully by. the police i've been to do with them this morning and i want to use for my only life threatening it is not.

a hang. up to that incident we've actually had patients who are actually not in the e.r. but in the ward but 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 the m s captain out to the eighteenth floor of the hospital to provide more pain medication for a patient that's inside there you know you know one of. our firefighters paramedics are incredible. we make 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 fix is more primary and preventive care if the people with diabetes and

high blood pressure get treated early then they don't come in here with heart attacks and strokes just. the same you are out there is that it yes i know a lot of that is south but even then you go primanti actually you love in an ideal world frost need to open up those county clinics a day or 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 but it's a catch twenty two you know situation so what we did here fire 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. is it a band-aid yes but is this on the mandate we have right now be able to serve everybody in this community. and.

the to. them. as an iou no matter where they are going to come together to. have a good. that's

getting bad out here. but. you know. i don't know what's going on. concrete. specific. free trade. the russian american president talks on the sidelines of the apec summit in hawaii

the focus and russia's future. we'll bring you all the latest from honolulu just ahead in the program. rewriting history in europe. but. with the top stories of this week this is the week. the creation of a free trade zone so.