{"id":10611,"date":"2013-09-19T14:16:25","date_gmt":"2013-09-19T12:16:25","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=10611"},"modified":"2013-09-19T16:30:51","modified_gmt":"2013-09-19T14:30:51","slug":"drabek-tabulky-jsou-pro-posudkove-lekare-jen-voditkem","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=10611","title":{"rendered":"Dr\u00e1bek: Tabulky jsou pro posudkov\u00e9 l\u00e9ka\u0159e jen vod\u00edtkem"},"content":{"rendered":"

\u00a0P\u0159e\u017eil transplantaci plic i srde\u010dn\u00ed operaci. Posudkov\u00ed l\u00e9ka\u0159i mu ale pr\u016fkaz ZTP odebrali, proto\u017ee se jeho choroby nevejdou do nov\u00fdch tabulek. Exministr pr\u00e1ce Jarom\u00edr Dr\u00e1bek v\u0161ak podle Report\u00e9r\u016f \u010cT tvrd\u00ed, \u017ee tabulky jsou jen vod\u00edtkem.<\/strong> <\/p>\n

Rudolf Kostan. Ne\u017e za\u010dal m\u00edt zdravotn\u00ed probl\u00e9my, pracoval jako sv\u00e1\u0159e\u010d. Dnes je z n\u011bj ale nemocn\u00fd mu\u017e.<\/p>\n

Kostan<\/strong>:
\nJ\u00e1 jsem vlastn\u011b \u017eil jako ka\u017edej, sp\u00ed\u0161 jako hyperaktivn\u011bj\u0161\u00edm zp\u016fsobem \u017eivota, sna\u017eil jsem se v\u0161echno mo\u017en\u00fd stihnout, co se dalo stihnout, pl\u00e1novat sny, jako ka\u017edej jinej, a pak jednoho kr\u00e1sn\u00fdho dne mi ozn\u00e1mili, \u017ee m\u00e1m nemocn\u00fd pl\u00edce. Oni to naz\u00fdvaj\u00ed chronick\u00e1 obstruk\u010dn\u00ed nemoc a \u017ee to je nemoc, kter\u00e1 se ned\u00e1 vyl\u00e9\u010dit. A bu\u010f bohu\u017eel kon\u010d\u00ed smrt\u00ed, anebo v dne\u0161n\u00ed dob\u011b transplantac\u00ed plic.<\/p>\n

A tak se pan Kostan p\u0159ed 5 lety podrobil oboustrann\u00e9 transplantaci plic. Ta sice dopadla \u00fasp\u011b\u0161n\u011b, jen\u017ee se u n\u011bj po \u010dase za\u010daly objevovat dal\u0161\u00ed zdravotn\u00ed komplikace.<\/p>\n

A tak se musel podrobit dal\u0161\u00edm operac\u00edm. Z\u00e1stavu srdce vy\u0159e\u0161il kardiostimul\u00e1tor, ale jak se uk\u00e1zalo, museli mu nahradit tak\u00e9 srde\u010dn\u00ed chlope\u0148. T\u00edm to ale neskon\u010dilo – p\u0159idala se je\u0161t\u011b t\u011b\u017ek\u00e1 cukrovka, \u0161ed\u00fd z\u00e1kal a \u0159\u00eddnut\u00ed kost\u00ed, kter\u00e9 mu zp\u016fsobuje v\u00e1\u017en\u00e9 probl\u00e9my s p\u00e1te\u0159\u00ed.<\/p>\n

Tom\u00e1\u0161 NED\u011aLKA, neurolog, Fakultn\u00ed nemocnice v Motole:
\nTady m\u00e1me va\u0161e rentgenov\u00e9 sn\u00edmky, m\u00e1me tam zborcen\u00ed nov\u00fdch obratlov\u00fdch t\u011bl v hrudn\u00ed p\u00e1te\u0159i, kde ta star\u0161\u00ed zlomenina obratle T6 je nov\u011b, i pokra\u010duje prolomen\u00edm obratlov\u00e9ho t\u011bla T7 i TH8 a je tam i zlomenina v oblasti bedern\u00ed p\u00e1te\u0159e v t\u0159et\u00edm bedern\u00edm obratli.<\/p>\n

A aby toho nebylo m\u00e1lo, objevili mu l\u00e9ka\u0159i je\u0161t\u011b takzvanou vagovou neuropatii. Ta u n\u011bj zp\u016fsobuje n\u00e1hl\u00e9 ztr\u00e1ty v\u011bdom\u00ed.<\/strong><\/p>\n

Tom\u00e1\u0161 NED\u011aLKA, neurolog, Fakultn\u00ed nemocnice v Motole:
\nTrp\u00ed \u010dast\u00fdm, kr\u00e1tkodob\u00fdm nedokrvov\u00e1n\u00edm mozku. \u010casto to p\u0159ich\u00e1z\u00ed zcela z nenad\u00e1la, ten kolapsov\u00fd stav, a hroz\u00ed mu, \u017ee upadne, naraz\u00ed se do hlavy, zakrv\u00e1c\u00ed do mozku a m\u016f\u017ee zde doj\u00edt i k \u017eivotu ohro\u017euj\u00edc\u00edm komplikac\u00edm.<\/p>\n

Kate\u0159ina LINHARTOV\u00c1, kardiolo\u017eka, Fakultn\u00ed nemocnice v Motole:
\nS ka\u017edou jednotlivou diagn\u00f3zou jsou na sv\u011bt\u011b lid\u00ed, \u0159ekn\u011bme tis\u00edce, ale na druhou stranu pr\u016fnik t\u011bch diagn\u00f3z je celkem unik\u00e1tn\u00ed.<\/p>\n

Nen\u00ed divu, \u017ee s t\u011bmito diagn\u00f3zami z\u00edskal pan Kostan u\u017e p\u0159ed lety invalidn\u00ed d\u016fchod a pr\u016fkaz ZTP.<\/strong><\/p>\n

V\u00e1clav KR\u00c1SA, p\u0159edseda N\u00e1rodn\u00ed rady osob se zdravotn\u00edm posti\u017een\u00edm:
\nTohle ta pr\u016fkazka ZTP, pom\u00e1h\u00e1 i v t\u011bch p\u0159\u00edpadech, kdy \u010dlov\u011bk je nucen n\u011bkde vyst\u00e1t n\u011bjakou frontu, kdy\u017e jde n\u011bkam na \u00fa\u0159ad a podobn\u011b, tak je tam jaksi mo\u017enost z titulu dr\u017een\u00ed toho pr\u016fkazu vyu\u017e\u00edt mo\u017enost p\u0159ednostn\u00edho odbaven\u00ed, co\u017e je v \u0159ad\u011b p\u0159\u00edpad\u016f pro lidi se zdravotn\u00edm posti\u017een\u00edm velmi d\u016fle\u017eit\u00e9. A pak samoz\u0159ejm\u011b umo\u017e\u0148uje jezdit zdarma ve ve\u0159ejn\u00e9 hromadn\u00e9 doprav\u011b.<\/p>\n

Pr\u016fkaz ZTP pom\u00e1hal panu Kostanovi a\u017e do lo\u0148sk\u00e9ho roku, kdy si cht\u011bl jej\u00ed platnost nechat prodlou\u017eit. I p\u0159esto, \u017ee se jeho zdravotn\u00ed stav nijak nezlep\u0161il, kartu mu tentokr\u00e1t \u00fa\u0159ady vydat odm\u00edtly.<\/strong><\/p>\n

Kate\u0159ina BER\u00c1NKOV\u00c1, mluv\u010d\u00ed \u00da\u0159adu pr\u00e1ce \u010cR:
\nPo\u017e\u00e1dal \u00fa\u0159ad pr\u00e1ce, \u00fa\u0159ad pr\u00e1ce zase po\u017e\u00e1dal Okresn\u00ed spr\u00e1vu soci\u00e1ln\u00edho zabezpe\u010den\u00ed o vyd\u00e1n\u00ed l\u00e9ka\u0159sk\u00e9ho posudku a na z\u00e1klad\u011b tohoto posudku musel bohu\u017eel tuto \u017e\u00e1dost zam\u00edtnout.<\/p>\n

Jana BURA\u0147OV\u00c1, mluv\u010d\u00ed \u010cesk\u00e9 spr\u00e1vy soci\u00e1ln\u00edho zabezpe\u010den\u00ed:
\nTam je vlastn\u011b kl\u00ed\u010dov\u00e1 role posudkov\u00e9ho l\u00e9ka\u0159e, aby vyhodnotil v\u00fdsledky soci\u00e1ln\u00edho \u0161et\u0159en\u00ed a aby vyhodnotil ve\u0161ker\u00e9 l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy, l\u00e9ka\u0159sk\u00e1 vy\u0161et\u0159en\u00ed.<\/p>\n

Tom\u00e1\u0161 NED\u011aLKA, neurolog, Fakultn\u00ed nemocnice v Motole:
\nJ\u00e1 si to, popravd\u011b \u0159e\u010deno, z medic\u00ednsk\u00e9ho hlediska nedok\u00e1\u017eu vysv\u011btlit, pro\u010d do\u0161lo k rozhodnut\u00ed odn\u011bt\u00ed ZTP.<\/p>\n

Robert LISCHKE, p\u0159ednosta III. chirurgick\u00e9 kliniky FN v Motole:
\nTo je zcela absurdn\u00ed situace, kdy po \u00fasp\u011b\u0161n\u00fd transplantaci oni zcela absurdn\u011b takov\u00fd pacienty prohl\u00e1s\u00ed za zcela zdrav\u00fd, co\u017e skute\u010dn\u011b absurdn\u00ed je, proto\u017ee ta transplantace neznamen\u00e1 vyl\u00e9\u010den\u00ed.<\/p>\n

Kate\u0159ina LINHARTOV\u00c1, kardiolo\u017eka, Fakultn\u00ed nemocnice v Motole:
\nRozhodn\u011b si zaslou\u017e\u00ed v\u00fdhody, kter\u00fdch aktu\u00e1ln\u011b po\u017e\u00edvaj\u00ed nositel\u00e9 ZTP.<\/p>\n

P\u0159i dotazu redaktora, jak\u00fdm zp\u016fsobem to posudkov\u00ed l\u00e9ka\u0159i posuzuj\u00ed, odpov\u011bd\u011bla Svatava NOV\u00c1, posudkov\u00e1 l\u00e9ka\u0159ka \u010cesk\u00e9 spr\u00e1vy soci\u00e1ln\u00edho zabezpe\u010den\u00ed:
\nPros\u00edm v\u00e1s, obra\u0165te se v t\u00e9hle t\u00e9 v\u011bci na tiskovou mluv\u010d\u00ed \u010cesk\u00fd spr\u00e1vy soci\u00e1ln\u00edho zabezpe\u010den\u00ed.<\/p>\n

Redaktor:
\nPro\u010d si specialisti mysl\u00ed n\u011bco jin\u00fdho ne\u017e posudkov\u00fd l\u00e9ka\u0159?<\/p>\n

Jana BURA\u0147OV\u00c1, mluv\u010d\u00ed \u010cesk\u00e9 spr\u00e1vy soci\u00e1ln\u00edho zabezpe\u010den\u00ed:
\nJsme zase u toho, specialista t\u0159eba na jakoukoliv jakoby jinou oblast nen\u00ed specialista na posudkov\u00fd l\u00e9ka\u0159stv\u00ed. Ten syst\u00e9m je takto te\u010f nastaven\u00fd.<\/p>\n

V roce 2012 se toti\u017e zm\u011bnil z\u00e1kon o poskytov\u00e1n\u00ed d\u00e1vek a v r\u00e1mci takzvan\u00e9 soci\u00e1ln\u00ed reformy a chystan\u00e9ho p\u0159echodu na sKarty se za\u010daly \u017e\u00e1dosti posuzovat jinak. U\u017e se nehodnot\u00ed \u010dist\u011b diagn\u00f3za ale to, jak je \u010dlov\u011bk schopen zvl\u00e1dat 10 z\u00e1kladn\u00edch \u017eivotn\u00edch funkc\u00ed.<\/strong><\/p>\n

Jana BURA\u0147OV\u00c1
\nTak je to konkr\u00e9tn\u011b schopnost zvl\u00e1dat mobilitu, orientaci, komunikaci, stravov\u00e1n\u00ed, obl\u00e9k\u00e1n\u00ed a obouv\u00e1n\u00ed, t\u011blesnou hygienu, v\u00fdkon fyziologick\u00e9 pot\u0159eby, p\u00e9\u010de o zdrav\u00ed a osobn\u00ed aktivity.<\/p>\n

Pro z\u00edsk\u00e1n\u00ed pr\u016fkazky ZTP je pot\u0159eba neb\u00fdt schopn\u00fd vykon\u00e1vat minim\u00e1ln\u011b 3 nebo 4 z t\u011bchto zm\u00edn\u011bn\u00fdch \u017eivotn\u00edch pot\u0159eb. S\u00edtem z\u00e1kona tak neprojdou tak nemocn\u00ed lid\u00e9 jako je pan Kostan.<\/strong><\/p>\n

Jana BURA\u0147OV\u00c1
\nZ t\u011bch 10 vlastn\u011b bylo vyhodnoceno, \u017ee nen\u00ed vlastn\u011b schopen zvl\u00e1dat pouze jednu z\u00e1kladn\u00ed \u017eivotn\u00ed pot\u0159ebu. A to z\u00e1kladn\u00ed \u017eivotn\u00ed pot\u0159ebu v oblasti p\u00e9\u010de o dom\u00e1cnost.<\/p>\n

Podle N\u00e1rodn\u00ed rady osob se zdravotn\u00edm posti\u017een\u00edm nen\u00ed zam\u00edtnut\u00ed \u017e\u00e1dosti pana Kostana po zm\u011bn\u011b legislativy ni\u010d\u00edm v\u00fdjime\u010dn\u00fdm.
\nV\u00e1clav KR\u00c1SA: J\u00e1 mysl\u00edm, \u017ee se to dnes dotklo u\u017e v \u0159\u00e1dech desetitis\u00edc\u016f, desetitis\u00edc\u016f lid\u00ed… denn\u011b \u0159e\u0161\u00edme tento probl\u00e9m.<\/p>\n

Probl\u00e9m nen\u00ed jen on\u011bch 10 krit\u00e9ri\u00ed, ale tak\u00e9 to, jak jsou v p\u0159\u00edloze ministersk\u00e9 vyhl\u00e1\u0161ky vymezeny. Nap\u0159\u00edklad, co se t\u00fd\u010de krit\u00e9ria mobility. Podle odborn\u00fdch l\u00e9ka\u0159\u016f z pra\u017esk\u00e9ho Motola ji m\u00e1 pan Kostan siln\u011b omezenou. Podle ministersk\u00fdch tabulek ale nikoliv.<\/strong><\/p>\n

Jana BURA\u0147OV\u00c1:
\nPokud \u010dlov\u011bk ujde i za podm\u00ednek ch\u016fze krok za krokem, p\u0159est\u00e1vky, za pomoci berle nebo h\u016flky 200 metr\u016f, tak nem\u016f\u017ee b\u00fdt uzn\u00e1no to, \u017ee nen\u00ed schopen zvl\u00e1dat z\u00e1kladn\u00ed \u017eivotn\u00ed pot\u0159ebu v oblasti mobility.<\/p>\n

V\u00e1clav KR\u00c1SA, p\u0159edseda N\u00e1rodn\u00ed rady osob se zdravotn\u00edm posti\u017een\u00edm:
\nNo to je p\u0159eci blbost. J\u00e1, kdy\u017e m\u011b n\u011bkdo povede za ruce, tak za den ujdu asi taky 200 metr\u016f. Je p\u0159eci jasn\u00e9, \u017ee j\u00e1 jsem trvale upoutanej na voz\u00edk, tak\u017ee pot\u0159ebuju pr\u016fkaz ZTP.<\/p>\n

A proto\u017ee pan Kostan s uti\u0161uj\u00edc\u00edmi l\u00e9ky ujde on\u011bch 200 metr\u016f, dan\u00e9 krit\u00e9rium podle tabulek nespl\u0148uje. Stejn\u011b tak p\u0159i posuzov\u00e1n\u00ed nikdo nezohlednil, \u017ee m\u016f\u017ee kdykoliv ztratit v\u011bdom\u00ed. A tak se pan Kostan vydal do Poslaneck\u00e9 sn\u011bmovny p\u0159\u00edmo za tv\u016frcem nov\u00e9ho z\u00e1kona, exministrem pr\u00e1ce a soci\u00e1ln\u00edch v\u011bci Jarom\u00edrem Dr\u00e1bkem.<\/strong><\/p>\n

Rudolf KOSTAN:
\nposudkov\u00ed l\u00e9ka\u0159i mi \u0159\u00edkali, \u017ee oni za nic nem\u016f\u017eou, i kdy\u017e jako ten m\u016fj p\u0159\u00edpad je opravdu abstraktn\u00ed pro n\u011b, ale \u017ee za v\u0161echno m\u016f\u017eou tabulky, kter\u00fd jsou \u0161patn\u011b postaven\u00fd.<\/p>\n

Jarom\u00edr DR\u00c1BEK, b\u00fdval\u00fd ministr pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed \/TOP 09\/:
\nTo je p\u0159ece ale n\u00e1vod pro toho posudkov\u00e9ho l\u00e9ka\u0159e a to, o \u010dem vy mluv\u00edte, ty jednotliv\u00e9 polo\u017eky, ty jsou tam, kdy\u017e to \u0159eknu obrazn\u011b, v z\u00e1vorce jako vod\u00edtko, to nen\u00ed tak, \u017ee je tabulka, kde se \u0161krt\u00e1.<\/p>\n

Jana BURA\u0147OV\u00c1:
\nPosudkov\u00fd l\u00e9ka\u0159 je specialista ve sv\u00e9m oboru a opravdu \u0159\u00edd\u00ed se podle platn\u00e9 pr\u00e1vn\u00ed \u00fapravy a podle podm\u00ednek, kter\u00e9 jsou nastaven\u00e9 pro to posuzov\u00e1n\u00ed zdravotn\u00edho stavu.<\/p>\n

Posudkov\u00ed l\u00e9ka\u0159i se tedy striktn\u011b dr\u017e\u00ed p\u0159edpis\u016f z ministerstva, kter\u00e9 jsou ale tak p\u0159\u00edsn\u00e9, \u017ee ZTP kartu nedostane ani tak nemocn\u00fd \u010dlov\u011bk, jako je pan Kostan. To si uv\u011bdomilo i sou\u010dasn\u00e9 veden\u00ed ministerstva pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed, kter\u00e9 chce podm\u00ednky pro vyd\u00e1v\u00e1n\u00ed pr\u016fkaz\u016f ZTP po roce a p\u016fl zase m\u011bnit.<\/strong><\/p>\n

\u0160t\u011bp\u00e1nka FILIPOV\u00c1, mluv\u010d\u00ed Ministerstva pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed:
\nZjistili jsme pr\u00e1v\u011b z t\u011bch dopad\u016f soci\u00e1ln\u00ed reformy, \u017ee mnoho lid\u00ed p\u0159i\u0161lo o pr\u016fkazy se zdravotn\u00edm posti\u017een\u00edm, p\u0159\u00edpadn\u011b i o d\u00e1vky. I kdy\u017e se jejich zdravotn\u00ed stav nezm\u011bnil. A proto te\u010f jsme navrhli ty zm\u011bny, aby se p\u0159istupovalo v\u016fbec k t\u00e9 situaci lid\u00ed se zdravotn\u00edm posti\u017een\u00edm s v\u011bt\u0161\u00ed m\u00edrou citlivosti.<\/p>\n

Jarom\u00edr DR\u00c1BEK:
\nTak a\u0165 se to poda\u0159\u00ed.<\/p>\n

Rudolf KOSTAN:
\nUvid\u00edme, doufejme, \u017ee ano….Nikdy jsem nebyl zvyklej prosit o n\u011bco, \u0161kemrat, a tohle mi tak p\u0159ipad\u00e1. Ale u\u017e to neberu jako \u0161kemr\u00e1n\u00ed. Poni\u017euje m\u011b to, ale neberu to jako \u0161kemr\u00e1n\u00ed, ale beru to jako princip, aby na to n\u011bkdo kone\u010dn\u011b uk\u00e1zal. Takovejch lid\u00ed je podle m\u011b spousta, ale boj\u00ed se.<\/p>\n

podle po\u0159adu \u010cesk\u00e9 televize Report\u00e9\u0159i \u010cT zaznamenala invArena<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00a0P\u0159e\u017eil transplantaci plic i srde\u010dn\u00ed operaci. Posudkov\u00ed l\u00e9ka\u0159i mu ale pr\u016fkaz ZTP odebrali, proto\u017ee se jeho choroby nevejdou do nov\u00fdch tabulek. Exministr pr\u00e1ce Jarom\u00edr Dr\u00e1bek […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":2249,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,7],"tags":[],"class_list":["post-10611","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rozhovory","category-spolecnost"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/10611","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10611"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/10611\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/2249"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10611"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10611"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10611"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}