it was a great hospital this is the last house but i was in in two thousand to when i got shot. it was a sunday afternoon around twelve o'clock and just two cars came in and it was a big show it 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 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 that 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 leg they can help nobody else you know and somebody might not get that opportunity i got all right this case in chief mccurdy. the middle said that we're 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 differences to be overwhelmed pretty quickly so

we're going to do in two of the schools. to see if when the hospitals challenge windows don't the school that is you know we're going to be overwhelmed with. the professionals. doing gauge and getting angry when i hear that you do need something that was here to do with you. and your question. community had a big name for ok and everybody knows it's called killer king we would get on see first thing people would ask is where am i going to be transported and if we said mark was u.k. you know often your response was please don't take medicaid. they're understaffed under-funded and they had too many patients that didn't have private physicians and with four or five hundred patients in emergency rooms very difficult to treat 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 and martin luther king medical center to get ready for fewer services and a new way we cannot assure that patients would be saved 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 hard to come in and. he's going to come i. suggest. you. use me a very simple system that we have to every patient in the closest facility but you

close ten hospitals with eight beds or to meet us eighty patients out of our system in the city she didn't look well at six in the senate squares we close our doors here we are close to saturation when our waiting room is for went on all of our yard beds or for angelus 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 feel it . is you're going to be easy. for a harbor u.c.l.a. by saturday for say fast is a sad i miss we're going to kaiser bellflower because on the work place for hospital work it's about a ten mile ride however we are in l.a.

and there's a lot of traffic so. very very very. very very very little here. they're getting. better and. for the average american who has insurance they don't realize the impact of what's

going on. with school and all of the obviously think it's a problem of the uninsured of someone else got a worse an issue and there are injuries 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 because. i think it's rude that he's going to the tent is going to bone in his bone infection the worst so he can you know usually arm because we've been going to prevent that it's really going to feel good but none of us are going to. be in the hospital says two o'clock and not just what is it six o'clock right now six fifteen. if i have insurance just a good thing you know if i may have insurance ok magister we standing aside we 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 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 could 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 and actually did all the team itself are going to be deceptive waited so they were 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 in the lady in the hospital that's that's normal i've had to rescue a couple weeks and waited for hours for a bit i've waited sometimes three hours i wouldn't say same francis in lynnwood for four hours and fifty minutes standing against a wall with patients if they don't have beds 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 can say you know what it was your

paramedic license and you go on. 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. sniffles and nausea vomiting diarrhea and been sick for. three four days and just said uncle. smoke anything that you do. 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 the m s calls responded on chest pains 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 is changed. a whole year i've been on you for what's going on today they don't find it well now if i was doing it now. after i go i want to say you know what happened to get in are you ready for this three. hundred. off one anime. season you've been here before yeah i've been here a few times she asked me five or six times that i steer clear of the mom being the mother the grandmother the son and the twins and her when she was pregnant with her with her youngest and they have two houses this one another one down because. young hickory earlier that day oh you know i don't remember the one time. i think every ten miles you can stay here would feel secure of entering since you have six total resident sisters are you know that everything's looking ok all right we can relax

ok else we can do i make it it 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 and literally commit to a couple band-aids and i mean. get the word. call if you want to show you that. some of the programs that we do send to you 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 with local calls. we've been called to you know broken sprinklers on the lawn to a dog and meet the chimney you know suck it up for you it is all different types of cause it always makes it all fun at the same time it's like. where do you draw the

line yeah you're always going to have that percentage of people who actually know the system and it was a jury of people that's not within you know they don't i want to really truly need somebody to tell him what to do because this was their first room sort of had to deal worked out we have a transportation policy on the farm and that we offer transportation to everybody on this it's a minor extremity injury since we've had that system which has been a model last five years because lawsuits down to nothing it's paid for itself. at the expense. to the taxpayers is the expense of the individual wants the right at the expense of the 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 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 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 dollars 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. of these burger kings they contribute to the high blood pressure diabetes and everything else in the sense i mean if you could tax cigarettes. fast food restaurants pay for some of this stuff. will help you. now. he's a diabetic or whatever it takes two days or whatever he has said no insulin he never wants to. take off and let me have. he says no we can't force him to talk to him and not then we can then yes but not here because

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 know what 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 and it sure is 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 for 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's. mostly human spirit seeking attachments 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 houston last week no paramedic burnout talk about a hazy area. a guy from new york. paramedic paramedic burnouts nutrients a great issue. in this field was this field 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 that that's what they. want you. know. we just take a patient to martin luther king with vomiting which gets triano 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. 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 what happens. you actually injected right check out the vehicle and the passenger. there is no one in me and 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 a scene keeps this up at night is that essentially a pandemic flu it will take about. twelve hours before every hospital your is overwhelmed. by. the forty three year old recipes that they create a quarter yeah well now you said have you heard of the emergency rule there's no other way we can do will use your 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 wasn't 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. well you can do there. 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 it will break. up with mortar bombs. the metal detectors you're already in the hospital on a moment in there and i'm trying to get an interpreter for you or moment don't i

want to get sketched by now what is the murder here please. and you know by the time of his people on the bed it was all day of the emergency room my wife is about is dying and then there's a don't want to help you out ok what am i going to be in the bottom and somebody in blood ok and why aren't they helping or that i'll get to watch it or. you're not 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 going to let him in if he's causing a problem you need to contact the county police officers at the security dept there was no that medics are not going to pick him up are pick is why apart from optical questions are already at. one fifty one. with the merchant first with

a little bit on the ground. well. you know there. are. one. thing that i think the wrong way to prevent. their lives than that of the other you're not you're at the hospital ma'am. i cannot speak for you for the quality of the hospital they're very likely to want to use for only a very good part of it out of the merge ma'am if it is not the operator ok well that's not a criminal thing over and above the right contract off the ceiling by. the we are going to do with this mine and i want to use for only their life. it is not.

a hanging. 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 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 and they're you know 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. and you have the latest fad that yes i know a lot of that is out. there to go primanti actually 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 are good 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 it's clear as long as mandy we have right now be able to serve everybody in this community. and.

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a split within the ranks of syria's opposition sites and thugs they claim they were behind twin blasts in the country's second city of aleppo which killed at least a sense of people but another spokesman denied response by the state just an hour later. the greek congress you not it was separate was a draft built on austerity measures demanded by brussels in return for a crucial one hundred seven billion euro aid package for the final vote coming shortly that's despite ongoing violence as the news conference protested here is how that impacts of concert on jobs and living standards. island observing political change russia's public figures come together to ensure a fair and free presidential but while striving not to take sides. up next al gore

talks to need politico the head of political science department at the high school of economics here in moscow and finds out what's next for russian democracy spotlight is coming your way. you know how sometimes you see a story and it seems so for lengthly you think you understand it and then you glimpse something else you hear or see some other part of it and realize everything you thought you knew you don't know i'm tom harvey welcome to the big picture. of. me. i will get a wall come to spotlight the.