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UC Irvine Medical Center Emergency Room

In UC Irvine Medical Center's emergency room in Orange, department Director Dr. Mark Langdorf, right, confers with Dr. Daniel Thompson about Michael Recoud, who is suffering from extremely high blood pressure. When Langdorf began practicing emergency medicine more than 20 years ago, finding a specialist to help with a complicated case was easy. But today, specialists are much harder to find in many emergency rooms. Mark Boster / Los Angeles Times