{"id":18751,"date":"2022-11-25T06:20:14","date_gmt":"2022-11-25T05:20:14","guid":{"rendered":"http:\/\/www.infokuryr.cz\/n\/?p=18751"},"modified":"2022-11-25T06:20:14","modified_gmt":"2022-11-25T05:20:14","slug":"tomas-furst-medicina-zalozena-na-prezidentovi","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2022\/11\/25\/tomas-furst-medicina-zalozena-na-prezidentovi\/","title":{"rendered":"Tom\u00e1\u0161 F\u00fcrst: Medic\u00edna zalo\u017een\u00e1 na prezidentovi"},"content":{"rendered":"
<\/div>\n
T\u00fdden po celost\u00e1tn\u00edm sjezdu \u010cLK dostalo se mi zaj\u00edmav\u00e9 p\u0159\u00edle\u017eitosti pozorovat sjezd olomouck\u00e9 \u010d\u00e1sti l\u00e9ka\u0159sk\u00e9 komory v p\u0159\u00edm\u00e9m p\u0159enosu. Byl jsem pozv\u00e1n, abych pronesl kr\u00e1tk\u00fd p\u0159\u00edsp\u011bvek o covidu z pohledu datov\u00e9ho analytika. Akce byla pozoruhodn\u00e1 a n\u00ed\u017ee p\u0159in\u00e1\u0161\u00edm n\u011bkolik sv\u00fdch dojm\u016f.<\/p>\n<\/section>\n
Poprv\u00e9 se mi stalo, \u017ee na moji p\u0159edn\u00e1\u0161ku n\u011bkdo reagoval je\u0161t\u011b p\u0159edt\u00edm, ne\u017e jsem ji pronesl. Kolega Kubek \u2013 ani\u017e by v\u011bd\u011bl, o \u010dem budu mluvit \u2013 prohl\u00e1sil, \u017ee presentuji alternativn\u00ed fakta a alternativn\u00ed statistiky. Ve skute\u010dnosti jsem pot\u00e9 presentoval data z \u00daZISu, zdravotn\u00edch poji\u0161\u0165oven, FDA, CDC a statistick\u00fdch \u00fa\u0159ad\u016f n\u011bkolika evropsk\u00fdch zem\u00ed. Je to zaj\u00edmav\u00e9 \u2013 z na\u0161ich konferenc\u00ed jsem zvykl\u00fd, \u017ee nap\u0159ed je p\u0159edn\u00e1\u0161ka a teprve pot\u00e9 je k n\u00ed diskuse.<\/p>\n

Tento z\u00e1\u017eitek m\u011b inspiroval, abych se pod\u00edval pon\u011bkud podrobn\u011bji, jak se na \u010cLK vlastn\u011b pracuje s daty a evidenc\u00ed. Nejprve jsem objevil velmi chv\u00e1lyhodn\u00e9 usnesen\u00ed Etick\u00e9 komise \u010cLK, kter\u00e9 zn\u00ed takto:<\/p>\n

\u201eL\u00e9ka\u0159i jsou ve\u0159ejnost\u00ed br\u00e1ni jako v\u00fdznamn\u00e1 odborn\u00e1 autorita. Tuto autoritu l\u00e9ka\u0159sk\u00e9ho stavu i pacienty mohou velmi po\u0161kodit vyj\u00e1d\u0159en\u00ed nerespektuj\u00edc\u00ed pravidla medic\u00edny zalo\u017een\u00e9 na d\u016fkazech a ov\u011b\u0159iteln\u00fdch faktech. L\u00e9ka\u0159sk\u00e9 informace pod\u00e1van\u00e9 ob\u010dan\u016fm maj\u00ed respektovat v\u0161eobecn\u011b uzn\u00e1van\u00fd v\u011bdeck\u00fd konsenzus a mus\u00ed se striktn\u011b op\u00edrat o ov\u011b\u0159iteln\u00e1 data a studie. Ob\u010dan\u00e9 maj\u00ed pr\u00e1vo tyto informace a jejich ov\u011b\u0159en\u00ed \u017e\u00e1dat. Pokud jsou na ve\u0159ejnosti prezentov\u00e1ny hypot\u00e9zy nebo neov\u011b\u0159en\u00e9 v\u00fdsledky v\u011bdeck\u00fdch b\u00e1d\u00e1n\u00ed, v\u00fdzkum\u016f neb studi\u00ed, mus\u00ed b\u00fdt takto tak\u00e9 uv\u00e1d\u011bny.\u201c<\/em>To je v\u00fdborn\u00e1 formulace a skute\u010dn\u011b p\u0159esn\u011b takto bych o\u010dek\u00e1val, \u017ee se bude s evidenc\u00ed zach\u00e1zet. Velmi se mi l\u00edb\u00ed i drobn\u00e1 nuance v textu, \u017ee v\u011bdeck\u00fd konsensus by respektov\u00e1n b\u00fdt m\u011bl, av\u0161ak ov\u011b\u0159iteln\u00e1 data a studie respektov\u00e1ny b\u00fdti musej\u00ed. Toto stanovisko Etick\u00e9 komise je velmi zaj\u00edmav\u00e9, zejm\u00e9na v kontextu jin\u00e9ho usnesen\u00ed, kter\u00e9 bylo schv\u00e1leno na p\u0159edsednictvu \u010cLK p\u0159ed rokem, ale minul\u00fd t\u00fdden (tedy v listopadu 2022) bylo na pl\u00e9nu \u010cLK znovu\u00a0potvrzeno hlasov\u00e1n\u00edm<\/a>.<\/p>\n

\u201eP\u0159edstavenstvo \u010cLK v souladu s doporu\u010den\u00edm V\u011bdeck\u00e9 rady \u010cLK prohla\u0161uje, \u017ee na z\u00e1klad\u011b dostupn\u00fdch odborn\u00fdch \u00fadaj\u016f je z\u0159ejm\u00e9, \u017ee nej\u00fa\u010dinn\u011bj\u0161\u00edm opat\u0159en\u00edm proti \u0161\u00ed\u0159en\u00ed infekce Covid\u201319 je o\u010dkov\u00e1n\u00ed. Z toho d\u016fvodu p\u0159edstavenstvo \u010cLK po\u017eaduje, aby p\u0159inejmen\u0161\u00edm pro v\u0161echny zdravotn\u00edky a pracovn\u00edky v soci\u00e1ln\u00edch slu\u017eb\u00e1ch, kte\u0159\u00ed jsou v p\u0159\u00edm\u00e9m kontaktu s pacienty \u010di klienty, bylo o\u010dkov\u00e1n\u00ed povinn\u00e9.\u201c<\/em>To je pozoruhodn\u00e9 prohl\u00e1\u0161en\u00ed, zejm\u00e9na proto, \u017ee si nejsem v\u011bdom \u017e\u00e1dn\u00fdch dat ani studi\u00ed, kter\u00e9 by prokazovaly, \u017ee o\u010dkov\u00e1n\u00ed je v dne\u0161n\u00ed dob\u011b \u00fa\u010dinn\u00e9 proti \u0161\u00ed\u0159en\u00ed infekce, nato\u017e \u017ee by se jednalo o opat\u0159en\u00ed nej\u00fa\u010dinn\u011bj\u0161\u00ed. Samoz\u0159ejm\u011b jsem mohl n\u011bco p\u0159ehl\u00e9dnout, ale kdy\u017e se pod\u00edv\u00e1me do \u010desk\u00fdch dat (ofici\u00e1ln\u00ed str\u00e1nky MZV, p\u0159\u00edloha \u010d\u00edslo 4<\/a>), tak zjist\u00edme, \u017ee ochrann\u00fd efekt vakc\u00edny proti infekci (sloupce Z a AA) je nulov\u00fd ji\u017e od b\u0159ezna 2022. Ve skute\u010dnosti je tento efekt v\u00fdznamn\u011b z\u00e1porn\u00fd (tedy o\u010dkovan\u00ed maj\u00ed v\u011bt\u0161\u00ed pravd\u011bpodobnost n\u00e1kazy ne\u017e neo\u010dkovan\u00ed), ale ministerstvo z n\u011bjak\u00e9ho d\u016fvodu v\u0161echna z\u00e1porn\u00e1 \u010d\u00edsla nahrazuje nulou (co\u017e je dle m\u00e9ho n\u00e1zoru na hran\u011b fal\u0161ov\u00e1n\u00ed dat).<\/p>\n

O\u010dkovac\u00ed l\u00e1tky zalo\u017een\u00e9 na mRNA platform\u00e1ch nebyly proti p\u0159enosu infekce v\u016fbec testov\u00e1ny \u2013 nebyl to sledovan\u00fd endpoint v registra\u010dn\u00edch studi\u00edch, co\u017e lze ov\u011b\u0159it p\u0159\u00edmo v\u00a0New England Journal of Medicine<\/a>. P\u0159i ned\u00e1vn\u00e9m sly\u0161en\u00ed v evropsk\u00e9m parlamentu tento fakt\u00a0potvrdila<\/a>\u00a0i z\u00e1stupkyn\u011b firmy Pfizer.<\/p>\n

Na olomouck\u00e9m kongresu se kolega Martin Gabry\u0161 tedy logicky zeptal p\u0159edsedy Kubka, kde jsou ty \u201edostupn\u00e9 odborn\u00e9 \u00fadaje\u201c, na kter\u00fdch V\u011bdeck\u00e1 rada sv\u00e1 tvrzen\u00ed zalo\u017eila. To je d\u016fle\u017eit\u00e1 ot\u00e1zka, zejm\u00e9na proto, \u017ee \u010cLK na z\u00e1klad\u011b tvrzen\u00ed V\u011bdeck\u00e9 rady o \u00fa\u010dinnosti vakc\u00edn proti \u0161\u00ed\u0159en\u00ed infekce nad\u00e1le po\u017eaduje, aby bylo o\u010dkov\u00e1n\u00ed pro zdravotn\u00edky povinn\u00e9!<\/p>\n

P\u0159edseda \u010cLK Milan Kubek na tuto ot\u00e1zku odpov\u011bd\u011bl tak, \u017ee pravil, \u017ee kolega Gabry\u0161 ze sebe d\u011bl\u00e1 \u0161a\u0161ka a on \u017ee pr\u00fd ze sebe \u0161a\u0161ka d\u011blat nebude.<\/p>\n

Mus\u00edm uznat, \u017ee \u00fa\u010dast na tomto setk\u00e1n\u00ed byla pro m\u011b opravdu mimo\u0159\u00e1dn\u00fdm z\u00e1\u017eitkem.<\/p>\n

\n

\u010cl\u00e1nek vy\u0161el 24.11.2022 na\u00a0blogu SMI\u0160<\/a>.<\/p>\n

 <\/p>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"

T\u00fdden po celost\u00e1tn\u00edm sjezdu \u010cLK dostalo se mi zaj\u00edmav\u00e9 p\u0159\u00edle\u017eitosti pozorovat sjezd olomouck\u00e9 \u010d\u00e1sti l\u00e9ka\u0159sk\u00e9…<\/p>\n","protected":false},"author":2,"featured_media":4611,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[6],"tags":[1163,1061,1605,96],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/18751"}],"collection":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/comments?post=18751"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/18751\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/4611"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=18751"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=18751"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=18751"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}