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 to. say i came to try to get some medical records 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 the basically believers film movies now and i was shocked and 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 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 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 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 to write this case in chief mccurdy. the middle said that we're luther king it's not going to be a complete closure but the capacity is going to change from one hundred forty some beds to actually forty two beds see frances to be overwhelmed pretty quickly so we're going to go into the schools. to see if when the hospitals challenge we still 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 to do it . right and your question. the community had

a big name from ok and everybody knows it's called killer king we would get on c.v. and first thing people would ask is where am i going to be transported and if we said marlies u.k. you know often their 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 as 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 day 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. he's going to my. psychiatrist. used to be a very simple system that would have you took the every patient in the closest facility but you close ten hospitals with eight beds that amaechi eighty patients out of our system in the city she didn't look well let's just say the sat scores we close our doors here and here are close to saturation when our waiting room is for when our all of our yard beds are for and of these lines 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 it. was not what you call it that there. was just one things he said. frank harbor u.c.l.a. by saturday space a fast as a staff i know you're going to kaiser yes larry this is a. place for hospital work it's about a ten mile twelve all right 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. what's going on in the obviously they think it's a problem of the uninsured of someone else got a worse an issue and there are injured 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 here bone infection the worst sin are the kids you know usually armed because rebel we're going to prevent that that's really going to be to feel good but none of us would. have been in the hospital says to about it not just what is it six o'clock when or sixteen. if you have insurance just a good thing you know if i may have insurance ok majesty we standing aside we did say we were 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 it seems you walk in the door and they try and figure out you're not critical basically or 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 in and actually did all the team itself i guarantee you we just sat there and waited so we're 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 with and the lady 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 only way for four hours and fifty minutes standing against a wall of 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 to 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 at all that you did. 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 v.m.s. calls responded on chest pains heart attacks car accidents and drowned it was if you called with a spring 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. over your life i mean i knew for what's going on today they don't plan it was that i was doing it now. after i got on very you know what happens. in our brain is this.

off to an anime. is easy and you've been here before you have 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 her with her youngest and they have two houses this one another one down because. young hickory never done that well you know i don't remember the one time. i think every time. you say he would skip security entering since you have six total resident sisters has it everything's working ok all right you can relax ok else we can do i may get it could be good. i will see going to later have a good day. a good station i think huge part i mean everybody's understanding what emergency is different but i mean people been called out for

a bandaid they did it all we are is you know a system that they can call and literally can to get a couple band-aids and i mean. get the where. called you want to show you that. these are some of the protocols 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 if i'm given five dollars k. with local problems. we've been called to you know broken sprinkler system the lawn to a dog and you the chimney you know second of all and what is all different types of calls are gone which makes it all fun at the same time it's like. where do you draw the line yeah you're always going to have the percentage of people who actually know the system with jury people is not with him but you know they don't i won't because we truly need somebody to tell him what to do because this is 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 is the name of 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 ripple effect of killing. little 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 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. of these burger kings they contribute to the high blood pressure diabetes and everything else in the sense i mean if you're going to tax cigarettes . fast food restaurants pay for some of the

stuff. i would like. to help you. got a. he's a diabetic or whatever it takes two days or whatever he has said no to instantly he never wants to. take off and let me have a look at them for sure he says no we can't force him to talk to him and not then we can then yes that he does and. we need someone who is this is autistic we need his permission to let my medics. know he's agreed to let. you know he doesn't want to force you out of the know. he's agree were taken aback

. ok. you're welcome. i know you do you know what the best form. starts to go searching teary. all that stuff right now he has no complaints feels fine he answered all or pushed questions appropriately. please let me. finish sugars one three it's within normal limits they were upset. his blood pressure after after that if there's nothing that he wants from us right unfortunate there's 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 they got a response going to the hospice it. don't see him as thirty detachments 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 want to apply the l.a. city and new paramedics they're experiencing the same thing i had a guy from houston you know last week you know paramedic burnout talked about in his area. a guy from new york. paramedic paramedic burnout three big issues. in this field was this you know 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. 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 what i. 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. it's 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. if you actually

injected dr check out the vehicle and the passenger. there is no one in 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 scares some keep us up at night who would scares and soon keeps this up at night is that essentially a pandemic flu it will take about. twelve hours before every hospital your is overwhelmed. by. her doctor wanted to go grocery shopping critic

orders yeah well now you said have you heard of the emergency rule there's another way we can do while you're at the emergency room right now. well can't they help be 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. . to 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. 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 on. the metal detectors you're already in the hospital but on the moment. i'm trying to get an interpreter for you or moment don't i want to get sketched by now what is the murder point. beyond by the time of his temple 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 do you. want to be in the bottom and your body

in blood ok and why aren't they helping are all there watching or. doing it and they're just watching her ok eat the contact the nurse or doctor let them know bomb any blood they don't believe they're not gonna let him in if he's causing a problem you need 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 hundred fifty one. with the persian gulf a little bit on the ground. well. you know all the. one. thing that i think that the florida courts let me do three ram. where i live that up the other you're at but you're at that awful man. i cannot for

you for the quality of the hospital they're very viable to want to use from going. out of the merge now it is not a matter of. maybe they're ok well that's not a criminal thing they want to. get the contract off the ceiling by. the we are going to do with them this morning and i want to use for only their lives. it is not. a hit.

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 a patient that's 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 preventive care if the people with diabetes and high blood pressure get treated early than they don't come in here with heart attacks and strokes. and yet out of the latest fad it yes i know a lot of that is south but you better go primanti actually you love in an ideal

world for us need to open up those county clinics and so we have some place for individuals or walk into before they become in crisis the need actually nine i want to 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.

has no no no you know how to read an article you. think i'm going to. have a good. the

live.

well for the fixer it's technology innovation all the rest of elements from around russia we've got the future covered. general. marks one year since the president. major civil disobedience the military. wing of the syrian opposition claims of responsibility for the. security. in the country's. parliament building in the second day of a national strike by the transport. workers a protest. said.

you can see the people you can see the riot police the. very chilly. president mubarak step down the egyptian. demonstration with calls for a brand new revolution thousands of protesters want the ruling military council to relinquish power to the generals. reports for us from. his legacy so to speak lives on so massive civil disobedience. and in several other cities in egypt is going to continue for as long as the people can hold out so that.