{"id":15491,"date":"2014-04-07T09:00:43","date_gmt":"2014-04-07T07:00:43","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=15491"},"modified":"2014-04-15T14:24:50","modified_gmt":"2014-04-15T12:24:50","slug":"mam-fibromyalgii-posudkar-mi-nechce-priznat-id","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=15491","title":{"rendered":"M\u00e1m fibromyalgii. Posudk\u00e1\u0159 mi nechce p\u0159iznat ID"},"content":{"rendered":"

DOTAZ: Trp\u00edm posti\u017een\u00edm fibromyalgie a jsem po 2 nepoda\u0159en\u00fdch operac\u00edch bedern\u00ed p\u00e1te\u0159e.<\/strong> Jak je mo\u017en\u00e9 , \u017ee u posudkov\u00e9ho l\u00e9ka\u0159e mi bylo \u0159e\u010deno , \u017ee fibromyalgi\u00ed trp\u00ed m\u00e1lo lid\u00ed a proto jde o onemocn\u011bn\u00ed m\u00e1lo zn\u00e1m\u00e9, na kter\u00e9 se invalidn\u00ed d\u016fchod nevztahuje. <\/strong>
\n
\nCitace doktora Kol\u00e1\u0159e:
\nMezin\u00e1rodn\u00ed diagn\u00f3za M79.7
\nChronick\u00fd, celkov\u011b oslabuj\u00edc\u00ed bolestiv\u00fd stav, kter\u00fd zpravidla komplexn\u011b omezuje biologick\u00e9, psychologick\u00e9, soci\u00e1ln\u00ed a ekonomick\u00e9 aspekty existence pacienta.
\n(Kol\u00e1\u0159, 2009)<\/p>\n

‚ODPOV\u011a\u010e<\/strong>: Bohu\u017eel mus\u00edme uv\u00e9st neblahou skute\u010dnost, \u017ee lid\u00e9 s handicapy, kter\u00e9 jsou snadno za\u0159aditeln\u00e9 do tabulek, podle kter\u00fdch LPS rozhoduje, maj\u00ed \u010dasto invalidn\u00ed d\u016fchod bezprobl\u00e9mov\u011b p\u0159iznan\u00fd. Prakticky nen\u00ed mo\u017en\u00e9 objektivn\u011b posoudit, zda m\u00e1 vy\u0161\u0161\u00ed pokles pracovn\u00ed schopnosti nap\u0159\u00edklad nevidom\u00fd, nesly\u0161\u00edc\u00ed nebo t\u011blesn\u011b posti\u017een\u00fd.<\/p>\n

Nicm\u00e9n\u011b LPS se \u0159\u00edd\u00ed t\u00edm, \u017ee pokud je pracovn\u00ed schopnost sn\u00ed\u017eena minim\u00e1ln\u011b o 35%, m\u00e1 \u010dlov\u011bk n\u00e1rok na prvn\u00ed stupe\u0148 ID. Druh\u00fd stupe\u0148 m\u016f\u017ee posti\u017een\u00fd z\u00edskat v p\u0159\u00edpad\u011b poklesu pracovn\u00ed schopnosti minim\u00e1ln\u011b o 50% a ti, kte\u0159\u00ed maj\u00ed sn\u00ed\u017een\u00ed minim\u00e1ln\u011b o 70%, maj\u00ed n\u00e1rok na t\u0159et\u00ed stupe\u0148 invalidn\u00edho d\u016fchodu.<\/p>\n

Vyj\u00e1d\u0159en\u00ed posudkov\u00e9ho l\u00e9ka\u0159e, \u017ee je fibromyalgie m\u00e1lo zn\u00e1m\u00e1 nemoc a moc lid\u00ed j\u00ed netrp\u00ed, proto nedostanete invalidn\u00ed d\u016fchod, je velice ne\u0161\u0165astn\u00e9, bohu\u017eel v\u0161ak pravdiv\u00e9.<\/p>\n

V p\u0159\u00edloze vyhl\u00e1\u0161ky \u010d. 359\/2009 Sb. jsou uvedeny m\u00edry poklesu pracovn\u00ed schopnosti. U fibromyalgie je uvedeno:<\/p>\n

Fibromyalgie – posudkov\u00e9 hledisko:<\/p>\n

P\u0159i stanoven\u00ed m\u00edry poklesu pracovn\u00ed schopnosti se hodnot\u00ed lok\u00e1ln\u00ed n\u00e1lez s p\u0159\u00edtomnost\u00ed bolesti p\u0159i palpaci alespo\u0148 11 z 18 fibromyalgick\u00fdch bod\u016f, mimokloubn\u00ed p\u0159\u00edznaky – ztuhlost, chronick\u00e1 \u00fanava, pocit vy\u010derpanosti, bolesti hlavy, poruchy sp\u00e1nku a dopad zji\u0161t\u011bn\u00e9ho stavu na celkovou v\u00fdkonnost.<\/p>\n

3a
\nlok\u00e1ln\u00ed n\u00e1lez bez celkov\u00fdch p\u0159\u00edznak\u016f, zachov\u00e1na schopnost zvl\u00e1dat b\u011b\u017en\u00e9 zat\u00ed\u017een\u00ed
\n5-10<\/p>\n

3b
\nlok\u00e1ln\u00ed n\u00e1lez s celkov\u00fdmi p\u0159\u00edznaky, pokles v\u00fdkonu p\u0159i st\u0159edn\u00edm zat\u00ed\u017een\u00ed<\/p>\n

15-25
\nZ toho vypl\u00fdv\u00e1, \u017ee skute\u010dn\u011b nem\u00e1te n\u00e1rok na invalidn\u00ed d\u016fchod. Pokud ale trp\u00edte dal\u0161\u00edmi zdravotn\u00edmi probl\u00e9my, kter\u00e9 maj\u00ed ni\u017e\u0161\u00ed m\u00edru poklesu pracovn\u00ed schopnosti, m\u016f\u017ee V\u00e1m posudkov\u00fd l\u00e9ka\u0159 p\u0159idat maxim\u00e1ln\u011b deset procentn\u00edch bod\u016f, v takov\u00e9m p\u0159\u00edpad\u011b byste mohla dos\u00e1hnout na m\u00edru poklesu pracovn\u00ed schopnosti 35% a to u\u017e by znamenalo invalidn\u00ed d\u016fchod prvn\u00edho stupn\u011b.
\nV ka\u017ed\u00e9m p\u0159\u00edpad\u011b zva\u017ete, zda by nebylo vhodn\u00e9 podat odvol\u00e1n\u00ed na rozhodnut\u00ed LPS.<\/p>\n

Ji\u0159\u00ed Marek
\ninvArena<\/p>\n","protected":false},"excerpt":{"rendered":"

DOTAZ: Trp\u00edm posti\u017een\u00edm fibromyalgie a jsem po 2 nepoda\u0159en\u00fdch operac\u00edch bedern\u00ed p\u00e1te\u0159e. Jak je mo\u017en\u00e9 , \u017ee u posudkov\u00e9ho l\u00e9ka\u0159e mi bylo \u0159e\u010deno , \u017ee […]<\/a><\/p>\n<\/div>","protected":false},"author":3,"featured_media":13872,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-15491","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15491","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=15491"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15491\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/13872"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15491"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15491"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15491"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}