{"id":20458,"date":"2024-11-21T11:28:15","date_gmt":"2024-11-21T10:28:15","guid":{"rendered":"https:\/\/www.podivinsky.cz\/?p=20458"},"modified":"2024-11-21T11:28:23","modified_gmt":"2024-11-21T10:28:23","slug":"tak-nevim-myslim-si-ze-u-mne-to-takto-nefunguje","status":"publish","type":"post","link":"https:\/\/www.podivinsky.cz\/?p=20458","title":{"rendered":"Tak nev\u00edm, mysl\u00edm si, \u017ee u mn\u011b to takto nefunguje&#8230;"},"content":{"rendered":"\n<p>Sed\u00edm v p\u0159\u00edjemn\u00e9m prost\u0159ed\u00ed zastr\u010den\u00e9 kav\u00e1rny nad von\u00edc\u00edm \u0161\u00e1lkem k\u00e1vy. Naproti mn\u011b sed\u00ed mile se usm\u00edvaj\u00edc\u00ed p\u016fvabn\u00e1 \u017eena.<\/p>\n\n\n\n<p>\u0158\u00edkejme j\u00ed t\u0159eba V\u011bra. Po kr\u00e1tk\u00e9 p\u0159\u00e1telsk\u00e9 konverzaci o d\u011btech, p\u0159\u00e1tel\u00edch a dom\u00e1c\u00edch mazl\u00ed\u010dc\u00edch sklouzne n\u00e1\u0161 rozhovor ke zdravotnictv\u00ed.<\/p>\n\n\n\n<p>V\u011bra je profes\u00ed l\u00e9ka\u0159ka. A proto\u017ee m\u011b po chv\u00edli jej\u00edho vypr\u00e1v\u011bn\u00ed za\u010d\u00edn\u00e1 naskakovat hus\u00ed k\u016f\u017ee, dovol\u00edm si n\u011bkter\u00e9 jej\u00ed poznatky z nekal\u00fdch zdravotnick\u00fdch praktik ocitovat.<\/p>\n\n\n\n<p>&#8222;V\u00ed\u0161, Pet\u0159e, ono ve zdravotnictv\u00ed u\u017e d\u00e1vno nejde o pacienta, ale v\u00fdhradn\u011b jen a jen o prachy.&#8220; \u0158\u00edk\u00e1 V\u011bra a pokra\u010duje:<\/p>\n\n\n\n<p>&#8222;Prov\u00e1zanost v\u00fdrobc\u016f l\u00e9\u010div (mnohdy nekvalitn\u00edch a p\u0159edra\u017een\u00fdch) s l\u00e9k\u00e1rnami, nemocnicemi a l\u00e9ka\u0159i je obrovsk\u00e1.<\/p>\n\n\n\n<p>Hlavn\u00edm c\u00edlem je co nejv\u011bt\u0161\u00ed spot\u0159eba, i kdy\u017e se jedn\u00e1 o l\u00e9ky a slu\u017eby, kter\u00e9 pacient \u010dasto v\u016fbec nepot\u0159ebuje.<\/p>\n\n\n\n<p>Ceny t\u011bchto l\u00e9k\u016f jsou i tis\u00edckr\u00e1t nadhodnocen\u00e9. Medi\u00e1ln\u00ed mas\u00e1\u017e, nez\u0159\u00eddka c\u00edlen\u00e1 na ochran\u00e1\u0159sk\u00e9 rodi\u010dovsk\u00e9 pudy, je doslova zlo\u010dinem<\/p>\n\n\n\n<p>Neust\u00e1l\u00e1 tvrzen\u00ed, \u017ee ve zdravotnictv\u00ed chyb\u00ed pen\u00edze, jsou bohapust\u00e1 le\u017e.<\/p>\n\n\n\n<p>Ve zdravotnictv\u00ed je pen\u011bz dost, ale utr\u00e1c\u00ed se za p\u0159edra\u017een\u00e9 slu\u017eby, vybaven\u00ed a techniku, n\u011bkdy a\u017e se 100% nav\u00fd\u0161en\u00edm.<\/p>\n\n\n\n<p>\u017d\u00e1dnou z nab\u00edzen\u00fdch vakc\u00edn proti ch\u0159ipce, a nejen tu, bych si nikdy nep\u00edchla, proto\u017ee jim prost\u011b nev\u011b\u0159\u00edm. Tyto prepar\u00e1ty pacienty p\u0159ed ch\u0159ipkou ve velk\u00e9m procentu p\u0159\u00edpad\u016f v\u016fbec neochr\u00e1n\u00ed. Je to obrovsk\u00e9 pl\u00fdtv\u00e1n\u00ed pen\u011bzi.<\/p>\n\n\n\n<p>Na druhou stranu ale nejsou pen\u00edze na jin\u00e9 pot\u0159ebn\u00e9 oblasti a kv\u016fli tomu mnohdy lid\u00e9 i um\u00edraj\u00ed.<\/p>\n\n\n\n<p>Medi\u00e1ln\u00ed mas\u00e1\u017ee, kter\u00e9 dnes a denn\u011b chrl\u00ed v\u00fdrobci l\u00e9\u010div na spole\u010dnost, jsou t\u00edm nejhor\u0161\u00edm svinstvem, jak\u00e9 zn\u00e1m.&#8220;<\/p>\n\n\n\n<p>Po t\u00e9to argumenta\u010dn\u00ed smr\u0161ti se V\u011bra odml\u010dela, p\u0159isedla bl\u00ed\u017ee ke stolku a decentn\u011b usrkla z nap\u011bn\u011bn\u00e9 k\u00e1vy.<\/p>\n\n\n\n<p>Pozvedla hlavu a s posmutn\u011bl\u00fdm pohledem ve sv\u00fdch kr\u00e1sn\u00fdch tmavohn\u011bd\u00fdch o\u010d\u00edch se zeptala: &#8222;M\u00e1m pokra\u010dovat?&#8220;<\/p>\n\n\n\n<p>&#8222;Jen do toho, nap\u00ed\u0161i o tom blog, jestli dovol\u00ed\u0161.&#8220; Konstatuji a s nap\u011bt\u00edm \u010dek\u00e1m na pokra\u010dov\u00e1n\u00ed.<\/p>\n\n\n\n<p>&#8222;Majetkov\u00e1 a organiza\u010dn\u00ed prov\u00e1zanost lump\u00e1ren je ve zdravotnictv\u00ed tak velk\u00e1, \u017ee person\u00e1lu nezb\u00fdv\u00e1 nic jin\u00e9ho, ne\u017e bezmy\u0161lenkovit\u011b poslouchat.<\/p>\n\n\n\n<p>Nikoho nezaj\u00edm\u00e1 n\u00e1zor person\u00e1lu &#8211; bu\u010f bude\u0161 d\u011blat to, co se ti \u0159ekne, nebo let\u00ed\u0161 a u\u017e si nikde ne\u0161krtne\u0161.<\/p>\n\n\n\n<p>Dokto\u0159i mimo sv\u00e9 zam\u011bstn\u00e1n\u00ed v nemocnici maj\u00ed sv\u00e9 soukrom\u00e9 ordinace, ve kter\u00fdch miz\u00ed jak zdravotnick\u00fd materi\u00e1l, tak l\u00e9ky a hlavn\u011b vytipovan\u00ed bohat\u0161\u00ed pacienti, kte\u0159\u00ed v p\u0159\u00edpad\u011b n\u00e1stupu do st\u00e1tn\u00ed nemocnice maj\u00ed prost\u0159ednictv\u00edm zm\u00edn\u011bn\u00fdch doktor\u016f a prim\u00e1\u0159\u016f nadstandardn\u00ed p\u00e9\u010di.<\/p>\n\n\n\n<p>\u0158eknu ti jeden smutn\u00fd p\u0159\u00edb\u011bh, po kter\u00e9m jsem se rozhodla z nemocnice odej\u00edt a zalo\u017eit si vlastn\u00ed kliniku, ve kter\u00e9 mohu db\u00e1t na dodr\u017eov\u00e1n\u00ed Hippokratova slibu, kter\u00fd obsahuje z\u00e1kladn\u00ed etick\u00e9 principy l\u00e9ka\u0159sk\u00e9ho povol\u00e1n\u00ed.<\/p>\n\n\n\n<p>Pacient star\u0161\u00edho v\u011bku obsluhuj\u00edc\u00ed sest\u0159e p\u0159i manipulaci ne\u0161\u0165astn\u011b upadl a na\u0161t\u00edpl si lebku, i p\u0159esto byl chud\u00e1k sta\u0159\u00edk z nemocnice odvezen dom\u016f, kde ho odpoledne na\u0161ly jeho d\u011bti, jak mu z ucha te\u010de krev a odvezly ho nazp\u011bt do nemocnice.<\/p>\n\n\n\n<p>P\u0159i p\u0159\u00edjmu tat\u00e1\u017e sestra, kter\u00e1 \u00faraz zavinila, ve chv\u00edli, kdy se doktor zeptal, co se stalo, nad le\u017e\u00edc\u00edm pacientem prohl\u00e1sila:<\/p>\n\n\n\n<p>&#8222;P\u00e1n se doma o\u017eral a rozbil si hlavu.&#8220;.<\/p>\n\n\n\n<p>Je sice pravda, \u017ee cel\u00fd incident nakonec skon\u010dil u policie a n\u00e1sledn\u011b u soudu, ale i toto je jeden z obraz\u016f stavu na\u0161eho zdravotnictv\u00ed.&#8220;.<\/p>\n\n\n\n<p>J\u00e1 jen dod\u00e1m, \u017ee je pro mne nepochopiteln\u00e9, kdy\u017e p\u0159i n\u00e1v\u0161t\u011bv\u011b doktora, od kter\u00e9ho pacient pot\u0159ebuje pouze p\u0159edepsat ne p\u0159\u00edli\u0161 podstatn\u00e9 l\u00e9ky, mu je vyhro\u017eov\u00e1no t\u00edm, \u017ee jestli se nenech\u00e1 vy\u0161et\u0159it a nepodstoup\u00ed odb\u011br krve, nep\u016fjde na rentgen, CT a kdov\u00ed, co je\u0161t\u011b, tak bude vy\u0159azen z evidence. P\u0159i odchodu sestra nezapomene p\u0159ipomenout, ve kter\u00e9 l\u00e9k\u00e1rn\u011b si m\u00e1 pacient milostiv\u011b napsan\u00fd recept vyzvednout. I s takov\u00fdm p\u0159\u00edstupem se m\u016f\u017eete v nemocnici setkat.<\/p>\n\n\n\n<p>Na druhou stranu- kdy\u017e si dovol\u00edte poznamenat, \u017ee zran\u011bn\u00e9 koleno, je\u017e v\u00e1m doktor &#8222;Cvach&#8220; l\u00e9\u010d\u00ed m\u011bs\u00edc, je st\u00e1le nestabiln\u00ed a za dal\u0161\u00ed m\u011bs\u00edc ho donut\u00edte,aby v\u00e1s objednal u specialisty, kter\u00fd zat\u00e1hne za nohu a prohl\u00e1s\u00ed:<\/p>\n\n\n\n<p>&#8222;M\u00e1te utr\u017een\u00e9 k\u0159\u00ed\u017eov\u00e9 vazy, pro\u010d jste nep\u0159i\u0161el hned, jak se v\u00e1m to stalo, mohl jste to m\u00edt p\u0159i jedn\u00e9 bolesti a dnes byste ji\u017e b\u011bhal jako d\u0159\u00edve.&#8220;<\/p>\n\n\n\n<p>\u2026 o \u010dem to sv\u011bd\u010d\u00ed?<\/p>\n\n\n\n<p>Nechci t\u00edmto \u010dl\u00e1nkem h\u00e1zet v\u0161echny nemocnice a l\u00e9ka\u0159e do jednoho pytle, v\u00fd\u0161e citovan\u00e9 skute\u010dnosti, ale napov\u00eddaj\u00ed, \u017ee se na\u0161e zdravotnictv\u00ed nach\u00e1z\u00ed ve velmi v\u00e1\u017en\u00e9 krizi etiky a mor\u00e1ln\u00ed odpov\u011bdnosti.<\/p>\n\n\n\n<p>Ur\u010duj\u00edc\u00edm faktorem pro v\u0161e jsou prachy, nikoli vyl\u00e9\u010den\u00fd spokojen\u00fd pacient.<\/p>\n\n\n\n<p>Zdravotnick\u00e1 instituce p\u0159est\u00e1v\u00e1 plnit slu\u017ebu pacientovi a on s\u00e1m se st\u00e1v\u00e1 n\u00e1strojem zneu\u017e\u00edvan\u00fdm k rafinovan\u00e9 cest\u011b za nezaslou\u017een\u00fdm ziskem.<\/p>\n\n\n\n<p>Na z\u00e1v\u011br k v\u00fd\u0161e uveden\u00fdm nelichotiv\u00fdm p\u0159\u00edb\u011bh\u016fm p\u0159id\u00e1m nad\u010dasov\u00fd cit\u00e1t Marka Twaina:<\/p>\n\n\n\n<p>&#8222;\u010cas od \u010dasu nav\u0161t\u00edv\u00edm l\u00e9ka\u0159e, nech\u00e1m se vy\u0161et\u0159it, proto\u017ee i l\u00e9ka\u0159 mus\u00ed (z n\u011b\u010deho) \u017e\u00edt.<\/p>\n\n\n\n<p>Potom dojdu do l\u00e9k\u00e1rny pro l\u00e9ky, proto\u017ee i l\u00e9k\u00e1rn\u00edk chce \u017e\u00edt.<\/p>\n\n\n\n<p>N\u00e1sledn\u011b ty l\u00e9ky vyliji do kan\u00e1lu -proto\u017ee i j\u00e1 chci \u017e\u00edt.&#8220;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sed\u00edm v p\u0159\u00edjemn\u00e9m prost\u0159ed\u00ed zastr\u010den\u00e9 kav\u00e1rny nad von\u00edc\u00edm \u0161\u00e1lkem k\u00e1vy. Naproti mn\u011b sed\u00ed mile se usm\u00edvaj\u00edc\u00ed p\u016fvabn\u00e1 \u017eena. \u0158\u00edkejme j\u00ed t\u0159eba V\u011bra. Po kr\u00e1tk\u00e9 p\u0159\u00e1telsk\u00e9 konverzaci o d\u011btech, p\u0159\u00e1tel\u00edch a dom\u00e1c\u00edch mazl\u00ed\u010dc\u00edch sklouzne n\u00e1\u0161 rozhovor ke zdravotnictv\u00ed. V\u011bra je profes\u00ed l\u00e9ka\u0159ka. A proto\u017ee m\u011b po chv\u00edli jej\u00edho vypr\u00e1v\u011bn\u00ed za\u010d\u00edn\u00e1 naskakovat hus\u00ed k\u016f\u017ee, dovol\u00edm si n\u011bkter\u00e9 &hellip; <a href=\"https:\/\/www.podivinsky.cz\/?p=20458\" class=\"more-link\">Pokra\u010dov\u00e1n\u00ed textu <span class=\"screen-reader-text\">Tak nev\u00edm, mysl\u00edm si, \u017ee u mn\u011b to takto nefunguje&#8230;<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[],"class_list":["post-20458","post","type-post","status-publish","format-standard","hentry","category-zdravotni-informace"],"_links":{"self":[{"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=\/wp\/v2\/posts\/20458","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=20458"}],"version-history":[{"count":1,"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=\/wp\/v2\/posts\/20458\/revisions"}],"predecessor-version":[{"id":20459,"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=\/wp\/v2\/posts\/20458\/revisions\/20459"}],"wp:attachment":[{"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20458"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20458"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20458"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}