{"id":2853,"date":"2021-06-27T05:43:52","date_gmt":"2021-06-27T03:43:52","guid":{"rendered":"http:\/\/www.infokuryr.cz\/n\/?p=2853"},"modified":"2021-06-27T05:43:52","modified_gmt":"2021-06-27T03:43:52","slug":"zemrit-na-covid-nebo-na-vakcinu-tot-otazka","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2021\/06\/27\/zemrit-na-covid-nebo-na-vakcinu-tot-otazka\/","title":{"rendered":"Zem\u0159\u00edt na Covid nebo na vakc\u00ednu? To\u0165 ot\u00e1zka"},"content":{"rendered":"
<\/div>\n

V\u00e1\u017een\u00fd pane doktore,<\/p>\n

vzhledem k tomu, \u017ee se zab\u00fdv\u00e1te t\u00e9matikou o\u010dkov\u00e1n\u00ed na Covid-19, r\u00e1da bych se s V\u00e1mi pod\u011blila o smutnou zku\u0161enost. P\u0159epos\u00edl\u00e1m V\u00e1m dopis, kter\u00fd jsem poslala Ministerstvu zdravotnictv\u00ed \u010cR, St\u00e1tn\u00edmu \u00fastavu pro kontrolu l\u00e9\u010div a \u0159editeli Thomayerovy nemocnice v Kr\u010di. Ur\u010dit\u011b jsme se sestrou pro, aby se takov\u00e9 osudy zve\u0159ejnili a lidem uk\u00e1zala druh\u00e1 strana mince. Spousta lid\u00ed, zvl\u00e1\u0161\u0165 t\u011bch star\u0161\u00edch, se up\u00edn\u00e1 na to, co \u0159eknou v televizi, nebo co jim \u0159ekne pan doktor (p\u0159\u00edpad m\u00e9 maminky): Mo\u017en\u00e1 je neovlivn\u00ed ani skute\u010dn\u00e9 p\u0159\u00edb\u011bhy, pokud se o nich v\u016fbec dozv\u011bd\u00ed. Pro mlad\u0161\u00ed generaci to smysl ur\u010dit\u011b m\u00e1. A pokud o tom pov\u011bd\u00ed t\u011bm star\u0161\u00edm, tak i ti se mo\u017en\u00e1 zamysl\u00ed. D\u011bkujeme mockr\u00e1t za laskavost, kterou jste n\u00e1m prok\u00e1zal a p\u0159ejeme hodn\u011b zdaru v osv\u011bt\u011b a boji za spr\u00e1vnou v\u011bc. Fand\u00edme lidem, kte\u0159\u00ed se neboj\u00ed \u0159\u00edkat pravdu. V dne\u0161n\u00ed dob\u011b to \u017eel za\u010d\u00edn\u00e1 b\u00fdt vz\u00e1cnost\u00ed.<\/p>\n

S pozdravem. \u0160imkov\u00e1 Gabriela<\/p>\n

V\u00e1\u017een\u00ed,<\/em><\/p>\n

obrac\u00edme se na V\u00e1s se st\u00ed\u017enost\u00ed ohledn\u011b \u00famrt\u00ed na\u0161\u00ed maminky, kter\u00e1 zem\u0159ela kr\u00e1tce po pod\u00e1n\u00ed druh\u00e9 d\u00e1vky vakc\u00edny na Covid-19 od spole\u010dnosti Pfizer\/Biontech. P\u0159esto\u017ee m\u011bla v\u00edce zdravotn\u00edch probl\u00e9m\u016f (zahojen\u00fd b\u00e9rcov\u00fd v\u0159ed, operovanou srde\u010dn\u00ed chlope\u0148, leh\u010d\u00ed astma), u\u017e\u00edvala \u0159adu let l\u00e9ky (mimo jin\u00e9 Warfarin na \u0159ed\u011bn\u00ed krve), p\u0159esto j\u00ed tyto probl\u00e9my nebr\u00e1nily v aktivn\u00edm \u017eivot\u011b. O\u010dkov\u00e1n\u00ed na Covid-19 j\u00ed bylo doporu\u010deno jak kardiolo\u017ekou, tak praktick\u00fdm l\u00e9ka\u0159em.<\/em><\/p>\n

Po pod\u00e1n\u00ed prvn\u00ed d\u00e1vky vakc\u00edny c\u00edtila celkov\u011b h\u016f\u0159e (bolesti kloub\u016f, \u00fanava, lehk\u00e1 nevolnost). Po druh\u00e9 d\u00e1vce se za\u010dal jej\u00ed zdravotn\u00ed stav rapidn\u011b zhor\u0161ovat (rozvinula se siln\u00e1 reakce v podob\u011b p\u00e1len\u00ed c\u00e9v, otok\u016f nohou, znovu se otev\u0159el b\u00e9rcov\u00fd v\u0159ed, objevily se krvav\u00e9 fl\u00ed\u010dky na noh\u00e1ch, dostavila siln\u00e1 vy\u010derpanost, pr\u016fjem, k\u0159e\u010de v b\u0159i\u0161e, n\u00e1sledn\u011b i zvracen\u00ed natr\u00e1ven\u00e9 krve). Stav si vy\u017e\u00e1dal hospitalizaci v nemocnici, kde zjistili siln\u00e9 na\u0159ed\u011bn\u00ed krve v d\u016fsledku kontraindikace Warfarinu a o\u010dkovac\u00ed l\u00e1tky na Covid-19. N\u00e1sledkem toho se rozvinul z\u00e1n\u011bt v tenk\u00e9m st\u0159ev\u011b a na \u017ealude\u010dn\u00ed sliznici, zhor\u0161il z\u00e1n\u011bt v noze, kde m\u011bla b\u00e9rcov\u00fd v\u0159ed. Byla zah\u00e1jena l\u00e9\u010dba antibiotiky a l\u00e9ky na zklidn\u011bn\u00ed \u017ealude\u010dn\u00ed st\u011bny. Warfarin byl nahrazen Heparinem, kter\u00fd j\u00ed byl pod\u00e1v\u00e1n intraven\u00f3zn\u011b. K tomu dost\u00e1vala 2x denn\u011b inf\u00faze. Ty zp\u016fsobily p\u0159evodn\u011bn\u00ed organismu (otoky b\u0159icha, rukou, nohou). V d\u016fsledku \u0161patn\u00e9 komunikace s o\u0161et\u0159uj\u00edc\u00edm person\u00e1lem a nemo\u017enosti n\u00e1v\u0161t\u011bv kv\u016fli pandemick\u00fdm opat\u0159en\u00edm, se maminka dostala do takov\u00e9ho stavu, \u017ee musela b\u00fdt p\u0159elo\u017eena na JIP. P\u0159esto\u017ee n\u00e1s za n\u00ed pot\u00e9 n\u011bkolikr\u00e1t pustili, a v\u0161e s n\u00e1mi konzultovali, maminka po \u010dty\u0159ech dnech skonala na selh\u00e1n\u00ed vnit\u0159n\u00edch org\u00e1n\u016f.<\/em><\/p>\n

P\u0159esto\u017ee do\u0161lo k pochyben\u00ed ze stran o\u0161et\u0159uj\u00edc\u00edho person\u00e1lu na intern\u00edm odd\u011blen\u00ed, kter\u00e9 m\u011blo fat\u00e1ln\u00ed n\u00e1sledek, faktem z\u016fst\u00e1v\u00e1, \u017ee prvotn\u00ed p\u0159\u00ed\u010dinou akutn\u00edch zdravotn\u00edch probl\u00e9m\u016f bylo o\u010dkov\u00e1n\u00ed na Covid-19. T\u00edm nezleh\u010dujeme z\u00e1va\u017enosti tohoto onemocn\u011bn\u00ed, ani boj s n\u00edm, v\u010detn\u011b o\u010dkov\u00e1n\u00ed. Chceme ale upozornit na z\u00e1va\u017en\u00e9 probl\u00e9my s o\u010dkov\u00e1n\u00edm spojen\u00e9. Proto \u017e\u00e1d\u00e1me o pe\u010dliv\u011bj\u0161\u00ed a sv\u011bdomit\u011bj\u0161\u00ed spolupr\u00e1ci v\u0161ech l\u00e9ka\u0159\u016f a odborn\u00edk\u016f na mezin\u00e1rodn\u00ed \u00farovni p\u0159i p\u0159ed\u00e1v\u00e1n\u00ed zku\u0161enost\u00ed ohledn\u011b vedlej\u0161\u00edch \u00fa\u010dink\u016f o\u010dkov\u00e1n\u00ed (nap\u0159. na Slovensku o kontraindikaci Warfarinu s o\u010dkovac\u00ed l\u00e1tkou na Covid-19 ji\u017e v\u011bd\u011bli a p\u0159ed o\u010dkov\u00e1n\u00edm za\u010dali pacient\u016fm d\u00e1vky Warfarinu sni\u017eovat). Sou\u010dasn\u011b \u017e\u00e1d\u00e1me o zlep\u0161en\u00ed informovanosti lid\u00ed, jednak o jejich zdravotn\u00edm stavu v souvislosti s o\u010dkov\u00e1n\u00edm a mo\u017enost\u00ed vedlej\u0161\u00edch \u00fa\u010dink\u016f, jednak o samotn\u00e9 o\u010dkovac\u00ed l\u00e1tce, aby se mohl ka\u017ed\u00fd rozhodnout a zv\u00e1\u017eit rizika. Jen tak se lze vyvarovat dal\u0161\u00edch ob\u011bt\u00ed. D\u00e1le bychom cht\u011bli apelovat na dobrovolnost o\u010dkov\u00e1n\u00ed na Covid-19, proto\u017ee ne v\u017edy se lze nechat o\u010dkovat a ne v\u017edy je to vhodn\u00e9. Chov\u00e1me nesm\u00edrnou \u00factu k l\u00e9ka\u0159\u016fm, kte\u0159\u00ed vynakl\u00e1daj\u00ed velk\u00e9 \u00fasil\u00ed v boji proti t\u00e9to nemoci. Z\u00e1rove\u0148 apelujeme na sv\u011bdom\u00ed v\u0161ech, kte\u0159\u00ed rozhoduj\u00ed o tak d\u016fle\u017eit\u00fdch v\u011bcech jako je lidsk\u00e9 zdrav\u00ed a lidsk\u00fd \u017eivot. Ka\u017ed\u00fd z n\u00e1s by se m\u011bl p\u0159edev\u0161\u00edm nau\u010dit n\u00e9st zodpov\u011bdnost s\u00e1m za sebe.<\/em><\/p>\n

V souvislosti s pandemi\u00ed bych cht\u011bla zd\u016fraznit, \u017ee a\u010d byla na\u0161e maminka b\u011bhem pobytu v nemocnici n\u011bkolikr\u00e1t testov\u00e1na na Covid-19 a po jej\u00edm \u00famrt\u00ed byla vystavena l\u00e9ka\u0159sk\u00e1 zpr\u00e1va, kde bylo z\u0159ejm\u00e9, \u017ee Covid-19 za celou dobu nem\u011bla, p\u0159esto byla p\u0159i opou\u0161t\u011bn\u00ed nemocnice nahl\u00e1\u0161ena jako Covidov\u00fd pacient! Je velice smutn\u00e9 a zar\u00e1\u017eej\u00edc\u00ed, \u017ee se tohle d\u011bje, proto\u017ee jak jsme se pozd\u011bji dozv\u011bd\u011bli, maminka nebyla prvn\u00ed ani posledn\u00ed takov\u00fd p\u0159\u00edpad. . Stejn\u011b tak je velice smutn\u00e9 a pro pacienty tr\u00fdzniv\u00e9, kdy\u017e za nimi do nemocnice nemohou nejbli\u017e\u0161\u00ed \u010dlenov\u00e9 rodiny. To jen d\u00e1l zhor\u0161uje zdravotn\u00ed stav pacienta, kter\u00fd je vyd\u00e1n na pospas o\u0161et\u0159uj\u00edc\u00edmu person\u00e1lu, jen\u017e m\u00e1 na ka\u017ed\u00e9ho pacienta jen minimum \u010dasu. Sami jsme vid\u011bli, jak na JIP uv\u00edtali, kdy\u017e rodinn\u00ed p\u0159\u00edslu\u0161n\u00edci mohli pacienta nakrmit. Uleh\u010dilo se nejen person\u00e1lu, ale m\u011blo to nesm\u00edrn\u011b pozitivn\u00ed vliv i na pacienta samotn\u00e9ho. Ch\u00e1peme ur\u010dit\u00e9 riziko v souvislosti s\u00a8n\u00e1v\u0161t\u011bvami, pokud jde o p\u0159enos Covidu. Jestli\u017ee by se pro to vytvo\u0159ily podm\u00ednky (nap\u0159. testov\u00e1n\u00ed n\u00e1v\u0161t\u011bv, omezen\u00fd po\u010det rodinn\u00fdch p\u0159\u00edslu\u0161n\u00edk\u016f), ur\u010dit\u011b by to vedlo ke zlep\u0161en\u00ed situace i zdrav\u00ed pacient\u016f.<\/em><\/p>\n

Chov\u00e1me v sob\u011b velk\u00fd z\u00e1rmutek za zbyte\u010dnou smrt na\u0161\u00ed maminky a v\u011b\u0159\u00edme, \u017ee na\u0161e sd\u011blen\u00ed p\u0159isp\u011bje k intenzivn\u011bj\u0161\u00edmu zji\u0161\u0165ov\u00e1n\u00ed vedlej\u0161\u00edch \u00fa\u010dink\u016f o\u010dkovac\u00edch l\u00e1tek na Covid-19 a lid\u0161t\u011bj\u0161\u00edmu p\u0159\u00edstupu ke ka\u017ed\u00e9mu \u010dlov\u011bku. Snad smrt na\u0161\u00ed maminky alespo\u0148 takto pom\u016f\u017ee ostatn\u00edm.<\/em><\/p>\n

S pozdravem. \u0160imkov\u00e1 Gabriela, Valo Lucie, dcery zesnul\u00e9<\/em><\/p>\n

Praha, 15. 6. 2021<\/em><\/p>\n

———————————————<\/p>\n

V p\u0159edchoz\u00edm blogu jsem publikoval p\u0159\u00edb\u011bh t\u011b\u017ek\u00fdch komplikac\u00ed po o\u010dkov\u00e1n\u00ed proti Covid, tak, jak je popsal pan Karel Hegenbart (P\u0159\u00edb\u011bh oby\u010dejn\u00e9ho o\u010dkov\u00e1n\u00ed). Zve\u0159ejn\u011bn\u00edm jsem se m\u011bl dopustit poru\u0161en\u00ed etick\u00e9ho kodexu blogera. Bylo mi vyt\u00fdk\u00e1no, \u017ee jsem text nekomentoval, nekorigoval n\u011bkter\u00e1 data. Nekomentoval. Nekorigoval. Necht\u011bl jsem zasahovat do autentick\u00e9ho sd\u011blen\u00ed. Panu Karlovi, stejn\u011b jako pan\u00ed Gabriele, v\u011b\u0159\u00edm. Nemaj\u00ed d\u016fvod si vym\u00fd\u0161let. Jako laici se mohou dopustit odborn\u00e9ho pochyben\u00ed, nep\u0159esn\u00e9 interpretace dat. Jako l\u00e9ka\u0159 si beru ponau\u010den\u00ed a k p\u0159\u00edb\u011bhu, popsan\u00e9m pan\u00ed Gabrielou, si dovol\u00edm koment\u00e1\u0159.<\/p>\n

Souvislost \u00famrt\u00ed jej\u00ed maminky s o\u010dkov\u00e1n\u00edm nebyla prok\u00e1z\u00e1na. Proto\u017ee ji ale nelze vylou\u010dit, m\u011bla by se d\u016fkladn\u011b vy\u0161et\u0159it. Nev\u00edm o tom, \u017ee by Warfarin byl kontraindikac\u00ed o\u010dkov\u00e1n\u00ed. P\u0159ed o\u010dkov\u00e1n\u00edm by se ale m\u011bla zjistit jeho \u00fa\u010dinnost (test sr\u00e1\u017elivosti INR) a pokud je zv\u00fd\u0161en\u00e1, o\u010dkov\u00e1n\u00ed odlo\u017eit. Za nep\u0159ijateln\u00e9 pova\u017euji, \u017ee zesnul\u00e1 byla vyk\u00e1z\u00e1na jako \u201ecovidov\u00e1\u201c, p\u0159esto\u017ee Covid nem\u011bla. To je nejen za hranic\u00ed l\u00e9ka\u0159sk\u00e9 etiky, ale pravd\u011bpodobn\u011b i z\u00e1kona. Z\u00e1sadn\u011b odm\u00edt\u00e1m plo\u0161n\u00e9 o\u010dkov\u00e1n\u00ed v o\u010dkovac\u00edch centrech, drive in nebo v supermarketech, motivovan\u00e9 r\u016fzn\u00fdmi v\u00fdhodami a d\u00e1rky.<\/p>\n

MUDr. Jan Hn\u00edzdil<\/a><\/p>\n

\"\"<\/p>\n

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

V\u00e1\u017een\u00fd pane doktore, vzhledem k tomu, \u017ee se zab\u00fdv\u00e1te t\u00e9matikou o\u010dkov\u00e1n\u00ed na Covid-19, r\u00e1da bych…<\/p>\n","protected":false},"author":2,"featured_media":683,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[6],"tags":[593,213,474,46],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/2853"}],"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=2853"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/2853\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/683"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=2853"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=2853"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=2853"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}