it's. a mess. and. right now. the anomaly it. would emerge in her solo album eleanor brown as we're on the first film on one level below the building at the base all of them at the airplane i mean yes this was definitely a nail at the babbit launch of the boardroom a group remember that there were badly affected where with them at a point where you're at the direct after them and i know i am them i cannot make them for you for the quality of the hospital they're your champagne just like when i want to use for emergency purposes only and i'm in my pocket it's out of an emerging ma'am it is not a merchant blank i want is used for military purposes only as

a lie granting emergency it is not.

god let's do everything we can to help b.m.s. thirteen standards. today is the parade thoughts christmas parade ten o'clock goes til about the twelve thirty three engine six five rescue to six by. three for the good of you guys that know you got the betting on i. want you got it all right but it may take you so much i mean when you are not right now going right you don't put them up. there are there are.

very carefully amateurs already on the way. out is telling the truth. about a twenty five foot tall. i can see where that thing that there's a god i think. i think until i see about the a three on the floor. particularly your children is the whole thing ok. let's get. lucky. you know act fast enough and get into the silly season and 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 were averaging over twelve hundred thirty hundred calls it runs

today because i have first. got. the handle six hundred thousand and we're to see calls a year but the calls are on me i'm inside there's been an explosion in color it's about eighty two percent of what we do the fire department is medical. that roger. every so often at home 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 kay i want your toher rescue reactions from me is that i want to have a rest are you there with the right now or your i can it's 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 nice runs are going up 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 think you can count on getting quick treatment in a hospital emergency rooms 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 of closings 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. poorly statistical information this is a big step for a career oh yeah. fifteen for you miss incentives. for good. eight hundred twenty seven. john. it's a little surreal. if you go to sure this is the case if you're still really breathing problems as the number one it's 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 gather a lot of experience in a relatively short period of time and they want to go on to a better place. people will. say yes. i. think. i think through see. the firefighters and first were even e.m.t. and then they became e m t's and for my understanding is a lot of firefighters bach that died maybe one of the many a mass 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 so i can carry and do it and i took an e.m.t. course and i thought 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 out and it turned out that i thoroughly enjoyed the events aspect of it as well my job where it was that it started with an ambulance company making just 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 if. you're. going to go see the slate. clean and you know this. urgent soon 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 stephanie said just reach your sorry buddy the lady you looking for

and i think her my mom a lot ok i've had a lot of pain and it's laying where my legs get now in the news bulletins and you are 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 staff feeding 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 hallways it is about three times it's. discourteous the problem is not enough in-patient beds not enough urgency department beds and not enough nurses commandos that has 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.

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 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 things are easier to rescue. my first. rather. than a very. wrong. in season way too much this year.

what's worse i know that should read just me or does bank really. you can play it just me which will 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 such lady as he was in the last twenty four hours that in. terms of oh you need to treat me. well just on a more clear you know work in his heart ok hi that's a customer 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 i'm . willing to accept those responsibilities. i was the

hospital i want to speak with you. know the team by the on talk to. yeah oh. yeah there were. some people just like that there you know they get the dream in they don't want to they don't want to go yeah we're locked up i'm at a point. as specialist 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. good she set up and take it back to 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 what are 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 our ambulance service. there are there are. not really gross. make sure everybody stops and. 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 one have a good healthy baby right. let's go to hospital maybe you know fifty i know you. will only go to dinner who's a month and that where you are as a family what you're going to have already let me do this is a service that brings him with crack and yet she could meet contracting and just. as a young man to do this it was that i didn't know 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 higher ground here leaders have you had three and i pass it off so i'm not an expert that you haven't enough. if you think that i have a woman think once you stand up and try to walk forth. like we can do that. what pressures were already. or you feel stan. lee in. there 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 question for the king is the greatest hospital for it only right yes now they say i mean our 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 would welcome 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 nine hundred sixty five because of the riots six days of rioting in a negro section of los angeles left behind the scenes from innocent 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 more you

sticking. 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 him 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 when 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 a free clinic the medicine is free you see me for free so why didn't you come this costs money. a lot of the patients here and all 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 the primary care why in this diabetic we 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. 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. help her keep her on it that you 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 them maybe. but if you are going to have a caseworker who is going to communicate with you often they. use them as though you were telling me how sometimes you have difficulty making appointments see ok so we're going to help you a little bit with that. oh my you know 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 is 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. 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 a lot of. the study it's going to. get a good thing for the market right now. this. year. there right. we have twenty eight. really interested in 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 was six forward 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 i will which people are your people. people that we're bringing them from these lower income areas are paying they don't have insurance they've got to get treated they've got to be seen. paying you can't function as

a hospital and that's why we've lost some hospitals in our area and. in los angeles tell a lot 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.

if to. thank.

you.

the latest news on the week's top stories on our t.v. the arab league is set to decide the future of its halfords on syria as violence there escalates and the u.s. gathers a coalition of the willing against damascus. the spirit of revolution returns to egypt on the first anniversary of mubarak's ousting with thousands of protesters calling for an immediate step down by the ruling military council. and the people of greece have marched on the streets in anger over a new set of cuts as the government struggles to keep the country's economy afloat by securing another bailout. and a russian civil society takes center stage in politics as a group of public figures steps up to monitor the upcoming presidential elections with the backing of all the candidates. are.

you watching r t coming to life from moscow i'm marina joshie the arab league is set to meet tomorrow with what further action to take on the crisis in syria this comes as the country's violence escalates was no and insight let's cross live now to a correspondent. for the pan or a body convenes. now was no u.n. security council consensus reached on syria what can we expect to come out of the leaks meeting today and specifically how could that change things and syria. well the syrian opposition first of all expects that several of the of the arab states will actually officially recognize that as an official body right now only the libyan although only libya recognized the syrian opposition as a legitimate body no but.