    
{"id":4480,"date":"2015-11-25T11:55:16","date_gmt":"2015-11-25T10:55:16","guid":{"rendered":"https:\/\/praha7.cz\/?p=4480"},"modified":"2017-08-25T12:16:31","modified_gmt":"2017-08-25T10:16:31","slug":"obcas-zasnu-co-nektere-nemoci-dokazou","status":"publish","type":"post","link":"https:\/\/www.praha7.cz\/obcas-zasnu-co-nektere-nemoci-dokazou\/","title":{"rendered":"Ob\u010das \u017easnu, co n\u011bkter\u00e9 nemoci dok\u00e1\u017eou"},"content":{"rendered":"<p>[perex]<\/p>\u201eSou\u010dasn\u00e1 patologie je jedn\u00edm z&nbsp;nejdynami\u010dt\u011bji se rozv\u00edjej\u00edc\u00edch l\u00e9ka\u0159sk\u00fdch obor\u016f a&nbsp;tak\u00e9 jednou z\u00a0nejt\u011b\u017e\u0161\u00edch zkou\u0161ek b\u011bhem studia medic\u00edny,\u201c vysv\u011btluje letensk\u00fd patriot a&nbsp;uzn\u00e1van\u00fd neuropatolog Josef Z\u00e1me\u010dn\u00edk, pro\u010d sv\u00e9 p\u0159edn\u00e1\u0161ky prokl\u00e1d\u00e1 V\u00e9lazquezem a&nbsp;zve si na n\u011b sou\u010dasn\u00e9 um\u011blce. Ve Fakultn\u00ed nemocnici v&nbsp;Motole se bez jeho mikroskopick\u00e9 konzultace neobejde \u017e\u00e1dn\u00e1 operace mozkov\u00e9ho n\u00e1doru. Je to toti\u017e pr\u00e1v\u011b patolog, kdo mus\u00ed p\u0159i operaci b\u011bhem n\u011bkolika minut ur\u010dit, jestli je org\u00e1n napaden\u00fd rakovinou a&nbsp;jak tedy maj\u00ed\r\n\r\nchirurgov\u00e9 d\u00e1l postupovat.\r\n\r\n<p>[\/perex]<\/p><p><strong>Jak\u00e9 vlastnosti mus\u00ed m\u00edt \u010dlov\u011bk, aby byl dobr\u00fd patolog?<br \/>\r\n<\/strong>Mus\u00ed b\u00fdt zejm\u00e9na dobr\u00fd pozorovatel. D\u016fle\u017eit\u00e9 jsou tak\u00e9 zku\u0161enosti. Lid\u00e9 si \u010dasto mysl\u00ed, \u017ee kdy\u017e chirurg odebere vzorek tk\u00e1n\u011b, vlo\u017e\u00ed jej do n\u011bjak\u00e9ho p\u0159\u00edstroje, kter\u00fd ur\u010d\u00ed diagn\u00f3zu a\u00a0rozhodne, jestli pacient m\u00e1, nebo nem\u00e1 rakovinu. To je ale velik\u00fd omyl. I\u00a0v\u00a0roce 2015 se z\u00a0velk\u00e9 \u010d\u00e1sti jedn\u00e1 o\u00a0ru\u010dn\u00ed pr\u00e1ci v\u00a0na\u0161ich laborato\u0159\u00edch. To, \u017ee v\u00e1s vy\u0161et\u0159uje patolog, vy jako pacient ale v\u011bt\u0161inou nev\u00edte, skr\u00fdvaj\u00ed n\u00e1s za term\u00edny jako histologie nebo cytologie. Patolog dostane z\u00a0laborato\u0159e skl\u00ed\u010dko s\u00a0tk\u00e1\u0148ov\u00fdmi\u00a0\u0159ezy, kter\u00e9 vlo\u017e\u00ed do mikroskopu, kde se mu uk\u00e1\u017eou obrazy. Ty obrazy jsou v\u011bt\u0161inou kr\u00e1sn\u00e9, m\u00e9n\u011b hezk\u00e9 jsou v\u0161ak probl\u00e9my, kter\u00e9 odr\u00e1\u017eej\u00ed. Mikroskopick\u00e9 obrazy pak patolog mus\u00ed d\u00e1t dohromady s\u00a0p\u0159\u00edb\u011bhem konkr\u00e9tn\u00edho pacienta a\u00a0poskl\u00e1dat celou mozaiku, co\u017e je diagn\u00f3za. N\u00e1\u0161 obor se za posledn\u00ed l\u00e9ta dramaticky prom\u011bnil. U\u017e d\u00e1vno neplat\u00ed, \u017ee patologie rovn\u00e1 se pitevna. I\u00a0kdy\u017e tuto slu\u017ebu um\u00edme poskytnout, nap\u0159\u00edklad za posledn\u00ed rok jsme v\u00a0na\u0161em \u00fastavu vy\u0161et\u0159ili vzorky t\u00e9m\u011b\u0159 t\u0159iceti tis\u00edc \u017eiv\u00fdch pacient\u016f, ale provedli jen sto pitev. T\u00fdm na\u0161ich l\u00e9ka\u0159\u016f nezaj\u00edm\u00e1 jen to, jestli pacient m\u00e1, nebo nem\u00e1 rakovinu, ale tak\u00e9 to, o\u00a0jak\u00fd typ n\u00e1doru p\u0159esn\u011b jde, v\u00a0jak\u00e9m st\u00e1diu se nach\u00e1z\u00ed a\u00a0kde v\u0161ude je roz\u0161\u00ed\u0159en\u00fd. To v\u0161e je ur\u010duj\u00edc\u00ed pro n\u00e1slednou l\u00e9\u010dbu. A\u00a0dnes u\u017e je patolog schopn\u00fd u\u00a0mnoha n\u00e1dorov\u00fdch onemocn\u011bn\u00ed navrhnout dokonce typ l\u00e9\u010dby. \u0158\u00edk\u00e1 se tomu terapeuticko-indika\u010dn\u00ed patologie a\u00a0je to zcela nov\u00fd, ohromn\u011b vzru\u0161uj\u00edc\u00ed obor. N\u00e1dorov\u00e1 bu\u0148ka m\u016f\u017ee m\u00edt toti\u017e ur\u010dit\u00e9 molekul\u00e1rn\u00ed vlastnosti, kter\u00e9 je mo\u017en\u00e9 c\u00edlen\u011b zas\u00e1hnout biologickou l\u00e9\u010dbou. V\u00a0praxi to funguje tak, \u017ee si vezmeme n\u00e1dorovou bu\u0148ku konkr\u00e9tn\u00edho pacienta, pohrajeme si s\u00a0n\u00ed v\u00a0laborato\u0159i a\u00a0podle toho, jak\u00e9 m\u00e1 molekul\u00e1rn\u00ed znaky, pozn\u00e1me, jestli je mo\u017en\u00e9 u\u00a0pacienta aplikovat konkr\u00e9tn\u00ed l\u00e9k. Pokud ano, modern\u00ed l\u00e9k zas\u00e1hne jen n\u00e1dor a\u00a0zbytek organismu tak u\u0161et\u0159\u00edme ne\u017e\u00e1douc\u00edch komplikac\u00ed nec\u00edlen\u00e9 l\u00e9\u010dby. Bohu\u017eel zdaleka ne v\u0161echna n\u00e1dorov\u00e1 onemocn\u011bn\u00ed lze dnes takto l\u00e9\u010dit.<\/p>\r\n<p>&nbsp;<\/p>\r\n<p><strong>Stalo se v\u00e1m n\u011bkdy, \u017ee se v\u00e1m do ruky dostal vzorek, se kter\u00fdm jste si nev\u011bd\u011bl rady?<br \/>\r\n<\/strong>Mnohokr\u00e1t. A\u00a0kdy\u017e se pod\u00edv\u00e1te do t\u00e9 sk\u0159\u00edn\u011b vpravo (ukazuje na police pln\u00e9 kartonov\u00fdch slo\u017eek s\u00a0prepar\u00e1ty na podlo\u017en\u00edch skl\u00ed\u010dk\u00e1ch, pozn. red.), uvid\u00edte tam prepar\u00e1ty od koleg\u016f z\u00a0jin\u00fdch pracovi\u0161\u0165, se kter\u00fdmi si nev\u011bd\u011bli rady, a\u00a0my se tu s\u00a0nimi te\u010f mus\u00edme vypo\u0159\u00e1dat. Kdy\u017e si vezmete tis\u00edcovku p\u0159\u00edpad\u016f, u\u00a0dev\u00edti set z\u00a0nich je mo\u017en\u00e9 stanovit diagn\u00f3zu celkem snadno a\u00a0jednozna\u010dn\u011b, u\u00a0dal\u0161\u00ed t\u00e9m\u011b\u0159 stovky je to slo\u017eit\u011bj\u0161\u00ed, co\u017e b\u00fdvaj\u00ed velmi zaj\u00edmav\u00e9 p\u0159\u00edpady. U\u00a0jednotek p\u0159\u00edpad\u016f jde ale o\u00a0n\u00e1lez, kter\u00fd jsme je\u0161t\u011b nikdy nevid\u011bli, o\u00a0obraz, kter\u00fd nen\u00ed zn\u00e1m\u00fd, a\u00a0s\u00a0tou chorobou nejsou zku\u0161enosti. Pak svol\u00e1me konzilium l\u00e9ka\u0159\u016f r\u016fzn\u00fdch odbornost\u00ed nebo kontaktuji sv\u00e9 u\u010ditele a\u00a0kolegy ze Stanfordovy univerzity a\u00a0\u0159e\u0161\u00edme, co d\u00e1l. V\u00a0n\u011bkter\u00fdch p\u0159\u00edpadech je nejlep\u0161\u00ed l\u00e9\u010dbu odlo\u017eit, po\u010dkat a\u00a0vy\u0161et\u0159en\u00ed po n\u011bjak\u00e9 dob\u011b zopakovat, abychom se vyhnuli zbyte\u010dn\u00fdm operac\u00edm, oza\u0159ov\u00e1n\u00ed nebo chemoterapii.<\/p>\r\n<p>&nbsp;<\/p>\r\n<p><strong>\u010casto mluv\u00edte o\u00a0obrazech, ze kter\u00fdch dok\u00e1\u017eete v\u00a0mikroskopu vy\u010d\u00edst diagn\u00f3zu. Proto si na sv\u00e9 p\u0159edn\u00e1\u0161ky zvete sou\u010dasn\u00e9 um\u011blce?<br \/>\r\n<\/strong>M\u00e1m r\u00e1d obrazy v\u00a0mikroskopu i\u00a0na zdi. Patologie znamen\u00e1 z\u00a0\u0159e\u010dtiny nauka o\u00a0chorob\u00e1ch a\u00a0\u00fakol patolog\u016f na l\u00e9ka\u0159sk\u00fdch fakult\u00e1ch je sezn\u00e1mit studenty se v\u0161emi chorobami. Studenti se ke studiu patologie dopracuj\u00ed ve t\u0159et\u00edm ro\u010dn\u00edku, zhruba v\u00a0polovin\u011b medic\u00edny, kdy se mus\u00ed b\u011bhem jednoho roku nau\u010dit v\u0161e o\u00a0tom, pro\u010d a\u00a0jak choroby vznikaj\u00ed, jak takov\u00e1 choroba vypad\u00e1 i\u00a0jak\u00e9 mohou nastat komplikace; od vlas\u016f po paty, od n\u00e1dor\u016f po z\u00e1n\u011bty. Je to obrovsk\u00e1 masa informac\u00ed a\u00a0pak i\u00a0jedna z\u00a0nejt\u011b\u017e\u0161\u00edch zkou\u0161ek, kterou musej\u00ed slo\u017eit. Proto se sna\u017e\u00edm p\u0159edn\u00e1\u0161ky v\u00e9st tak, aby se daly p\u0159e\u017e\u00edt. Student mus\u00ed ob\u010das p\u0159epnout, aby byl schopn\u00fd vn\u00edmat dal\u0161\u00ed v\u00fdklad. Na\u0161i studenti jsou velmi inteligentn\u00ed lid\u00e9, a\u00a0kdo jin\u00fd by m\u011bl um\u011bn\u00ed rozum\u011bt? Kdy\u017e studenti reagovali skv\u011ble nap\u0159\u00edklad na V\u00e9lazqueze a\u00a0dal\u0161\u00ed klasick\u00e9 mal\u00ed\u0159e, jimi\u017e jsem p\u0159edn\u00e1\u0161ky prokl\u00e1dal, napadlo m\u011b, pro\u010d by jim nemohl p\u0159edstavit modern\u00ed um\u011bn\u00ed p\u0159\u00edmo n\u011bkter\u00fd ze sou\u010dasn\u00fdch autor\u016f. Na jedn\u00e9 vernis\u00e1\u017ei jsem proto oslovil mal\u00ed\u0159ku Al\u017eb\u011btu \u0158\u00edhovou, se kterou jsme pak na fakult\u011b p\u0159ipravili skoro t\u0159\u00edhodinovou show. Ta p\u0159edn\u00e1\u0161ka byla sice dvakr\u00e1t del\u0161\u00ed, ale tak\u00e9 dvakr\u00e1t lep\u0161\u00ed. J\u00e1 jsem vypr\u00e1v\u011bl o\u00a0infek\u010dn\u00edch chorob\u00e1ch a\u00a0Al\u017eb\u011bta mezit\u00edm p\u0159edstavovala sv\u00e1 d\u00edla a\u00a0komentovala je. A\u00a0m\u011b ta p\u0159edn\u00e1\u0161ka tak\u00e9 bavila v\u00edce ne\u017e norm\u00e1ln\u011b. Pl\u00e1nuji, \u017ee bychom mohli pro studenty otev\u0159\u00edt samostatn\u00fd p\u0159edm\u011bt, kter\u00fd by se propojen\u00ed medic\u00edny a\u00a0v\u00fdtvarn\u00e9ho um\u011bn\u00ed v\u011bnoval.<\/p>\r\n<p>&nbsp;<\/p>\r\n<p><strong>Za\u017eil jste ve sv\u00e9 praxi vyl\u00e9\u010den\u00ed u\u00a0\u010dlov\u011bka, u\u00a0n\u011bj\u017e se to ne\u010dekalo?<br \/>\r\n<\/strong>Existuj\u00ed takov\u00e9 p\u0159\u00edpady, jsou ale sv\u00fdm zp\u016fsobem smutn\u00e9. Ned\u00e1vno mi referovali o\u00a0pacientovi z\u00a0jin\u00e9 nemocnice, \u017ee mu byla stanovena diagn\u00f3za zhoubn\u00e9ho n\u00e1doru v\u00a0pokro\u010dil\u00e9m st\u00e1diu. Vyhl\u00eddky mizern\u00e9. A\u00a0on \u0161el za l\u00e9\u010ditelem, ten nad n\u00edm zak\u00fdval virgul\u00ed a\u00a0pacient se z\u00e1zra\u010dn\u011b uzdravil. No, nechal jsem si poslat prepar\u00e1ty toho z\u00e1zra\u010dn\u00e9ho n\u00e1doru a\u00a0zjistil jsem, \u017ee se jedn\u00e1 o\u00a0velmi vz\u00e1cn\u00fd proces, kter\u00fd sice sv\u00fdm mikroskopick\u00fdm obrazem n\u00e1dor p\u0159ipom\u00edn\u00e1, ale ve skute\u010dnosti n\u00e1dorem nen\u00ed. Ten \u010dlov\u011bk zhoubn\u00fd n\u00e1dor samoz\u0159ejm\u011b nem\u011bl.<\/p>\r\n<p>&nbsp;<\/p>\r\n<p><strong>Jak hodn\u011b se \u0159\u00edd\u00edte intuic\u00ed?<br \/>\r\n<\/strong>V\u00a0osobn\u00edm \u017eivot\u011b se intuic\u00ed \u0159\u00edd\u00edm \u010dasto, ale v\u00a0diagnostice sp\u00ed\u0161e zku\u0161enostmi, sv\u00fdmi nebo sd\u00edlen\u00fdmi od ostatn\u00edch koleg\u016f \u010di z\u00a0publikac\u00ed. L\u00e9ka\u0159 by nem\u011bl b\u00fdt na rozd\u00edl od um\u011blc\u016f prim\u00e1rn\u011b p\u0159\u00edli\u0161 intuitivn\u011b kreativn\u00ed. Asi byste necht\u011bl, aby na v\u00e1s, kdy\u017e jste v\u00a0nark\u00f3ze, n\u011bkdo experimentoval podle sv\u00e9 intuice. Sou\u010dasn\u00e1 medic\u00edna je tak dobr\u00e1 pr\u00e1v\u011b proto, \u017ee je zalo\u017een\u00e1 na ov\u011b\u0159en\u00fdch d\u016fkazech. Zku\u0161enost je v\u00a0diagnostick\u00e9 patologii d\u016fle\u017eit\u00e1 hlavn\u011b pro jednu discipl\u00ednu, kter\u00e1 se jmenuje peropera\u010dn\u00ed biopsie. Chirurg otev\u0159e pacientovi nap\u0159\u00edklad hrudn\u00edk a\u00a0tam uvid\u00ed n\u011bco, co ne\u010dekal. Tak\u017ee zat\u00edmco on stoj\u00ed u\u00a0pacienta v\u00a0nark\u00f3ze, my m\u00e1me dvacet minut na ur\u010den\u00ed diagn\u00f3zy. Norm\u00e1ln\u011b se vzorek tk\u00e1n\u011b zpracov\u00e1v\u00e1 t\u0159i a\u017e \u010dty\u0159i dny, nyn\u00ed je v\u0161e zrychlen\u00e9, vzorek zmra\u017een\u00fd na minus dv\u011b st\u011b stup\u0148\u016f a\u00a0rychle zpracovan\u00fd, tak\u017ee ho v\u00a0mikroskopu vid\u00edte jakoby za ml\u00e9\u010dn\u00fdm sklem. A\u00a0te\u010f je na v\u00e1s \u0159\u00edct, o\u00a0co se jedn\u00e1, a\u00a0chirurg podle toho uprav\u00ed dal\u0161\u00ed postup operace. A\u00a0ono by se mohlo p\u0159ihodit, \u017ee se za t\u0159i dny, kdy se vzorek n\u00e1sledn\u011b zpracuje standardn\u00edm, a\u00a0tedy mnohem p\u0159esn\u011bj\u0161\u00edm zp\u016fsobem, zjist\u00ed, \u017ee to t\u0159eba ten n\u00e1dor v\u016fbec nebyl. Ale ta pl\u00edce u\u017e je vyjmut\u00e1. Takov\u00e1 situace je pro patology no\u010dn\u00ed m\u016frou. Ale jsem r\u00e1d, \u017ee zcela chybn\u00e9 peropera\u010dn\u00ed diagn\u00f3zy jsou naprosto v\u00fdjime\u010dn\u00e9. Peropera\u010dn\u00ed biopsie m\u016f\u017ee d\u011blat jen velmi zku\u0161en\u00fd patolog, kter\u00fd, a\u00a0te\u010f asi vyvrac\u00edm svoji p\u0159edchoz\u00ed odpov\u011b\u010f, mus\u00ed ob\u010das pou\u017e\u00edt i\u00a0intuici. Ale podlo\u017eenou zku\u0161enostmi.<\/p>\r\n<p>&nbsp;<\/p>\r\n<p><strong>Co podle v\u00e1s dnes nejv\u00edce ohro\u017euje lidsk\u00e9 zdrav\u00ed? \u017divotospr\u00e1va, nebo d\u011bdi\u010dn\u00e9 geny?<br \/>\r\n<\/strong>Se \u017eivotospr\u00e1vou to nebude tak \u0161patn\u00e9, kdy\u017e se dnes do\u017e\u00edv\u00e1me tak vysok\u00e9ho v\u011bku. A\u00a0s\u00a0geny je to slo\u017eit\u00e9. Velk\u00fd probl\u00e9m sou\u010dasn\u00e9 civilizace je stres. Ale skute\u010dn\u00fd stres, to slovo je lidmi \u010dasto nadu\u017e\u00edvan\u00e9. Dnes u\u017e se v\u00ed, \u017ee funkce mozku a\u00a0imunitn\u00edho syst\u00e9mu je velmi prov\u00e1zan\u00e1. P\u0159i dlouhodob\u00e9m extr\u00e9mn\u00edm stresu se m\u016f\u017ee st\u00e1t, \u017ee mozek p\u0159estane vys\u00edlat \u017e\u00e1douc\u00ed impulzy imunitn\u00edmu syst\u00e9mu a\u00a0b\u00edl\u00e9 krvinky, kter\u00e9 maj\u00ed v\u00a0organismu hl\u00eddat, p\u0159estanou spr\u00e1vn\u011b fungovat. P\u0159itom imunitn\u00ed syst\u00e9m m\u00e1 velmi d\u016fle\u017eitou roli pr\u00e1v\u011b i\u00a0v\u00a0boji proti rozvoji n\u00e1dorov\u00fdch onemocn\u011bn\u00ed. V\u00a0organismu ka\u017ed\u00e9ho z\u00a0n\u00e1s vznikne n\u011bkolik n\u00e1dorov\u00fdch bun\u011bk denn\u011b, a\u00a0pokud proti nim v\u010das nezas\u00e1hnou b\u00edl\u00e9 krvinky, za\u010dnou se nekontrolovateln\u011b d\u011blit a\u00a0r\u016fst. Je to smutn\u00e9, ale u\u00a0lid\u00ed, kte\u0159\u00ed pro\u017e\u00edvaj\u00ed opravdu velk\u00fd stres, pozorujeme n\u011bkdy takov\u00e9 pr\u016fb\u011bhy onemocn\u011bn\u00ed, \u017ee sami \u017easneme, co v\u0161echno choroby um\u00ed. Ale stres z\u00a0toho, \u017ee tunel Blanka je tunel, v\u00e1m rakovinu nep\u0159ivod\u00ed. To sp\u00ed\u0161e infarkt.<\/p>\r\n<p>&nbsp;<\/p>\r\n<p><strong>Denn\u011b stanovujete diagn\u00f3zy u\u00a0lid\u00ed na hran\u011b \u017eivota a\u00a0smrti. Jste v\u011b\u0159\u00edc\u00ed?<br \/>\r\n<\/strong>Jsem sice k\u0159t\u011bn\u00fd katol\u00edk, ale v\u011b\u0159\u00edc\u00ed nejsem. To v\u0161ak s\u00a0medic\u00ednou nem\u00e1 nic spole\u010dn\u00e9ho.<\/p>\r\n<p>&nbsp;<\/p>\r\n<p><strong>A\u00a0jak\u00fd je v\u00e1\u0161 pohled na takzvanou alternativn\u00ed medic\u00ednu?<br \/>\r\n<\/strong>Hluboce se domn\u00edv\u00e1m, \u017ee medic\u00edna je jenom jedna, a\u00a0to ta, kter\u00e1 pom\u00e1h\u00e1 nemocn\u00fdm. A\u00a0je jedno, jestli skalpelem, chemoterapi\u00ed nebo bylinkov\u00fdm \u010dajem. N\u011bkter\u00e9 postupy tzv. alternativn\u00ed medic\u00edny maj\u00ed mysl\u00edm sv\u00e9 opodstatn\u011bn\u00ed a\u00a0nic alternativn\u00edho na nich nevid\u00edm. U\u00a0jin\u00fdch trochu \u017easnu. Ale to, \u017ee v\u00edra tv\u00e1 t\u011b uzdrav\u00ed, se v\u00ed u\u017e po stalet\u00ed, tak pro\u010d se vlastn\u011b divit. P\u0159edstavte si, \u017ee k\u00a0v\u00e1m p\u0159ijde pacient se \u017ealude\u010dn\u00edmi v\u0159edy, kter\u00fd je vystresovan\u00fd z\u00a0toho, \u017ee nest\u00edh\u00e1 v\u00a0pr\u00e1ci, a\u00a0z\u00e1rove\u0148 p\u0159i\u0161el man\u017eelce na nev\u011bru. Ta takzvan\u00e1 konven\u010dn\u00ed medic\u00edna mu poskytne p\u0159\u00edslu\u0161n\u00fd l\u00e9k, kter\u00fd \u0159e\u0161\u00ed sliznici v\u00a0\u017ealudku, ale skute\u010dn\u00e1 pomoc se skr\u00fdv\u00e1 jinde. Tomu pacientovi se skute\u010dn\u011b ulev\u00ed teprve tehdy, kdy\u017e si s\u00a0n\u00edm d\u00e1te \u010daj, vyslechnete ho a\u00a0porad\u00edte mu se rozv\u00e9st a\u00a0zm\u011bnit zam\u011bstn\u00e1n\u00ed. L\u00e9k na \u017ealudek nel\u00e9\u010d\u00ed probl\u00e9m, ale jenom jeho n\u00e1sledky. A\u00a0takzvan\u00e1 alternativn\u00ed medic\u00edna m\u00e1 s\u00edlu v\u00a0tom, \u017ee l\u00e9\u010ditel m\u00e1 \u010das si s\u00a0t\u00edm \u010dlov\u011bkem popov\u00eddat. V\u0161ak on si to tak\u00e9 zaplat\u00ed. To, \u017ee na\u0161i l\u00e9ka\u0159i nemaj\u00ed dostatek \u010dasu pov\u00eddat si s\u00a0pacienty, vn\u00edm\u00e1m jako hlavn\u00ed chorobu na\u0161eho zdravotn\u00edho syst\u00e9mu. Ale uji\u0161\u0165uji v\u00e1s, \u017ee pokud si vy nebo n\u011bkdo z\u00a0va\u0161ich bl\u00edzk\u00fdch po\u0159\u00edd\u00edte rakovinu nebo jinou z\u00e1va\u017enou chorobu, \u010daj\u00ed\u010dek, virgule ani kl\u00e1bosen\u00ed se \u0161arlat\u00e1nem nepomohou. Bohu\u017eel to mohu dolo\u017eit \u0159adou p\u0159\u00edb\u011bh\u016f se smutn\u00fdm koncem. V\u00a0t\u011bchto p\u0159\u00edpadech se mus\u00ed energicky l\u00e9\u010dit. Kdy\u017e se ale n\u011bkomu \u017e\u00edt nechce, jeho v\u011bc \u2013 v\u00a0dob\u011b, kdy se pou\u017e\u00edvala jen p\u0159\u00edrodn\u00ed medic\u00edna, se lid\u00e9 do\u017e\u00edvali pr\u016fm\u011brn\u011b 30\u201340 let.<\/p>\r\n<p>&nbsp;<\/p>\r\n<p><strong>Bydl\u00edte ve Veletr\u017en\u00ed ulici na Letn\u00e9. Pom\u011brn\u011b \u010dasto se mluv\u00ed o\u00a0tom, \u017ee by mohla b\u00fdt p\u0159ebudov\u00e1na na bulv\u00e1r z\u00e1padn\u00edho st\u0159ihu. Co je podle v\u00e1s jej\u00ed nejv\u011bt\u0161\u00ed p\u0159ednost\u00ed?<br \/>\r\n<\/strong>Kouzlo Veletr\u017en\u00ed ulice jsem poznal, kdy\u017e byla p\u0159ed lety kv\u016fli rekonstrukci p\u00e1r t\u00fddn\u016f uzav\u0159en\u00e1 a\u00a0mohla se poprv\u00e9 po dlouh\u00e9 dob\u011b nadechnout. Ud\u011blali jsme s\u00a0kamar\u00e1dem n\u011bco do t\u00e9 doby nemysliteln\u00e9ho \u2013 vyt\u00e1hli jsme si \u017eidli\u010dky na ulici a\u00a0dali si tam sklenku v\u00edna. P\u0159itom jsem najednou uvid\u011bl, \u017ee ta odporn\u00e1 d\u00e1lnice m\u00e1 vlastn\u011b obrovsk\u00fd potenci\u00e1l \u2013 \u0161irok\u00fd prostor, kr\u00e1sn\u00e9 fas\u00e1dy, zaj\u00edmav\u00e9 domy. Slibovan\u00fd p\u0159erod v\u00a0m\u011bstsk\u00fd bulv\u00e1r, ve skrytu du\u0161e douf\u00e1m, \u017ee i\u00a0se zelen\u00ed, obchody a\u00a0kav\u00e1rnami, t\u00e9 ulici bude mysl\u00edm velmi slu\u0161et.\u00a0<\/p>\r\n<p>&nbsp;<\/p>\r\n<hr \/>\r\n<p>Prof. MUDr. Josef Z\u00e1me\u010dn\u00edk, Ph.D. (*1974)<\/p>\r\n<p>Profesor 2.&nbsp;l\u00e9ka\u0159sk\u00e9 fakulty UK a&nbsp;\u010dlen t\u00fdmu l\u00e9ka\u0159\u016f \u00dastavu patologie a&nbsp;molekul\u00e1rn\u00ed medic\u00edny Fakultn\u00ed nemocnice v&nbsp;Motole, kter\u00e1 z\u00e1rove\u0148 slou\u017e\u00ed jako takzvan\u00e9 superkonzili\u00e1rn\u00ed pracovi\u0161t\u011b pro ostatn\u00ed nemocnice v\u00a0\u010cesku. Je autorem v\u00edce ne\u017e 90 odborn\u00fdch publikac\u00ed a&nbsp;spoluautorem mezin\u00e1rodn\u00ed u\u010debnice neuropatologie vydan\u00e9 v\u00a0Cambridge University Press. Jako \u0161\u00e9fredaktor vede od roku 2010 \u010dasopis \u010cesko-slovensk\u00e1 patologie, je nositelem Bedn\u00e1\u0159ovy ceny i&nbsp;ocen\u011bn\u00ed \u010cesk\u00e1 hlava. B\u011bhem sv\u00e9 pedagogick\u00e9 dr\u00e1hy byl na l\u00e9ka\u0159sk\u00e9 fakult\u011b n\u011bkolikr\u00e1t zvolen\u00fd u\u010ditelem roku. Opakovan\u011b pob\u00fdval na studijn\u00edch pobytech v&nbsp;USA.<\/p>\r\n<p>Na Letn\u00e9 \u017eije od roku 2007.<\/p>\r\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"[perex]\u201eSou\u010dasn\u00e1 patologie je jedn\u00edm z&nbsp;nejdynami\u010dt\u011bji se rozv\u00edjej\u00edc\u00edch l\u00e9ka\u0159sk\u00fdch obor\u016f a&nbsp;tak\u00e9 jednou z\u00a0nejt\u011b\u017e\u0161\u00edch zkou\u0161ek b\u011bhem studia medic\u00edny,\u201c vysv\u011btluje letensk\u00fd patriot a&nbsp;uzn\u00e1van\u00fd neuropatolog Josef Z\u00e1me\u010dn\u00edk, pro\u010d sv\u00e9 p\u0159edn\u00e1\u0161ky prokl\u00e1d\u00e1 V\u00e9lazquezem a&nbsp;zve si na n\u011b sou\u010dasn\u00e9 um\u011blce. Ve Fakultn\u00ed nemocnici v&nbsp;Motole se bez jeho mikroskopick\u00e9 konzultace neobejde \u017e\u00e1dn\u00e1 operace mozkov\u00e9ho n\u00e1doru. Je to toti\u017e pr\u00e1v\u011b patolog, kdo mus\u00ed [&hellip;]","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[37],"tags":[],"_links":{"self":[{"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/posts\/4480"}],"collection":[{"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/comments?post=4480"}],"version-history":[{"count":1,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/posts\/4480\/revisions"}],"predecessor-version":[{"id":4491,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/posts\/4480\/revisions\/4491"}],"wp:attachment":[{"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/media?parent=4480"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/categories?post=4480"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.praha7.cz\/api\/wp\/v2\/tags?post=4480"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}