a minute. ago and. right now. the anomaly is there. were converging on earth will overwhelm eleanor brown as norman first filmed on one level at the local pool that they all look at her play and i mean yes this was definitely a need i'm going to babbitt noida board let me do cream and then there was badly affected where with ben wedeman there you had the director after them and i know my and them i cannot do anything for you for the quality of the hospital they're your campaign just like when i want to use for mercy purposes only i'm back in my pocket and it's out of an emergency an idiot that is not a merchant just blank i want is used for mercy purposes only as a lie granting emergencies it is not.

god let's do everything we can to help b.m.s.

thirteen standards all of. today's the parade thoughts christmas parade ten o'clock goes til about the twelve thirty three engine six five rescue two six by. three for the good of you guys that know you got the better going on. oh you got it all right but it may take you so much to me and you are now right now going right up to them but that was going to. there are aware of. this merger of the amateur radio on the way. just tell me off the roof. it's

about a twenty five foot tall. and so for that thing there is a god. i think i don't see about the attorneys on the floor. particularly your children that's the whole thing ok. let's get. lucky. you know you don't act fast enough and get into the silly season and get in there fast and. take a deep breath. to get. my first computer four years ago we were averaging nine fifty a day right there were average you know it well under three hundred calls i run today there could well have first. got yes. we handle six hundred

thousand american c. calls a year but the calls are on the m.s.i. there's been an explosion in call it it's about eighty two percent of what we do the fire department is medical at that project or out at thirty. seven for you now is the address of your emergency is there any please is there believing that there . are i don't believe you are the strong one year deal k i want your toher rescue regions from e bay 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 are going up two percent and hospitals are closing in the last four years and 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 the value eight years that you ration has 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 think 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 seaters you know 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 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 have become the de facto health care system. this is the

canary in the mauling of health care throughout the united states. outstanding thank you i. think. orderly statistical information this is to make stuff really clear oh yeah. that's it for you miss incentives. for good. eight hundred twenty seven. junk. but the real. issue though the shortness of breath it was still really breathing problems as the number one was called the. station sixty five is in the south los angeles area of our city and they actually have two paramedics rescues down there one of our busiest engine companies we have in the city los angeles and fort

unfortunately can't keep personnel that long there are 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. if. you. think. i think through six. firefighters and first were even e.m.t. and then they became e m t's and from my understanding it's a lot of firefighters pocket that maybe one of the 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. i want to just do firefighting and be told this could be

true mt license i said i can't carry any thing i can do it and i took an e.m.t. course and that's all right i'll do it took the class just to get the 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 company making those five bucks an hour for about four years five years which a lot of us had to do. our fire code has played an important role in driving down the volume and spirit of fires and because that is the reality we need is more ambulances. ten years ago with half the ambulances that we have now now we have all of them see medical services in the city of los angeles. from the time you dial nine one one here in our dispatch center tell the

time you get to the hospital it's one service the one you want to family member to come with you to the hospital we want him to know. that it. here. because this. is. really cool and you know this. urgent cereal is very important. we see about three thousand patients a month through demurred city park but. 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 you looking for a thing on her mind hump a lot ok and had

a lot of pain in its name as well my legs get now in the news bulletins and you're in a doctor's office today and she was could certainly have blood by the way had one before you're pregnant there's pressure right now this morning we're increasing staffing and trying to find a room where there's never been room like you know closets hallways things like that. starting to see i mean the whole weekend because about three times it's. disheartening. the problem is not enough in-patient beds not enough urgency 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 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. the reality is 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. rose crazy or user would receive. my personal letter or. rather. write to you right or be very. wrong. and see way too much that you're. what's worse i know that should read just me.

to spank really. you can play just a little different form or see your way or the great thing with your heart just go right right now let's get into rhythm i want to make sure. we question but never take any sexually in the last twenty four hours that in. terms of voting no to treatment you know just on a more clear you know we're going to start ok high that sickest number in the spacious b. as in boy you two six six five four four six five he is now adamantly refusing 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 there you know they get a dream and then they don't want to they don't want to go yeah we're locked up i'm at the point and. as precious but. a lot of times they don't have the medicine they can't get the. medicine they can afford the medicine or they sell it for the use. of this is it up and take it back to the doctor. so because of that a lot of them tell us more primary care than 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 for the service. but. there are

there are. i'm not really. i make sure everybody stops and. you want to be tomorrow. just maybe some time we're going to hear martin luther king ok. then i'll. you should go we're strongly recommending it we can't force you to go one have a good healthy baby right. let's go to hospital if you know fifty i know you. won't go to dinner who's a mom doesn't that right you are as a family what you going to have already let me do this is her first not bring him home with crack and yet she could meet the tracking and just. as a young man to do this it was that me having them oh my goodness 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 that's just being blunt

i'm going to have a look around her leaders have you had three and i pass it off so i'm not next prompted that you haven't enough. to think that you actually have a woman think once you stand up and find walks for us. like we can be that. what pressures were already. are 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 your goals. ok ok ok we're going to your money ok ok ok quest the road king is the greatest hospital for it only right yes now they say let me have my babies like they are really really good. this is proof that we're picking up on was found was county supervisor. that opens the door

a. little 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. 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 the fire killing five by 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 m.l.k.

more use of. 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 to in fifty. maybe even closer to fifty five fifty seven thousand a year in the main 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 were no primary care facilities in that area. a few years ago the county lost interest had a lot of clinics are open where people could go walk in off the street and see clinics where the county had a few bad budget years 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 a 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 of what the school you know never stuck with a layer. 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 if you've treated primary care why in this diabetic you prevent from getting you know failure or attacks leg cut off you know because if they don't we see them on the streets and then two years later he ends up at l.a. county hospital you get treated 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 hear 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. i work with a program called road to health and to help the patient understand better how to

use the medical system settings maybe. but if you are going to have a caseworker who is going to communicate with you often. use them as though you were telling me how sometimes you have difficulty making appointments see ok so we are going to help you a little bit with that. they call me you know how can i help you know maybe if they didn't give me these 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 why. and of course they wouldn't salad to me that's one thing we need to explain to the fish and i don't know the field. yes five years she's telling me that she gets it that i may be seen i get it you don't know if i must. be sure be sure going for wellness will get together later for i know. there's got to. get a good thing for them or not. this year it's. there right now we have twenty eight. thirty risk didn't ok you guys are doing much better you're just about reach but margery's goal of what

he wanted to have in 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 four one for. the super necessary this gives you the facts. i had a doctor call me from a hospital but we rescued get there of unknown and he called me one evening any tells me that they couldn't take any more patients and their merger. 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 well which people are your people. 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 they're not paying you can't function as a hospital and that's why we've lost in the hospitals an aryan in los angeles cold

in the last just over five years we've had a love in 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 we're all supposed were the yours and.

the. egypt's streets and squares are alive with a rally in crowds once again it's a year after president mubarak was forced from power. people here are calling the military council to step down immediately saying they're blocking reforms in the country more from tahrir square just ahead. more pressure is piled on the syrian regime. new resolution blaming it lands at the u.n. general assembly. to brussels with more cuts in exchange for a bailout catch people vent their frustration on the streets about.

seven o'clock on saturday night here in moscow this is the life with me wrong show egyptians are staging a general strike a day of civil disobedience to mark the first anniversary of the toppling of the former leader hosni mubarak they're calling for the military rulers to step down immediately accusing them of hindering reform. now reports from the iconic sobra square. if you ask those people they will tell you that really nothing has really seized in the years since the barak has been ousted is a matter of fact there is thing that things have gotten worse because now they have to deal with the military council the scouts which is a head of the country's government right now food for refusing to step down for saying that they are going forth with democratic forms but most people here believe that is not the case and that is why they are calling for this massive act of civil to.