{"id":4770,"date":"2023-06-27T13:05:27","date_gmt":"2023-06-27T11:05:27","guid":{"rendered":"https:\/\/nudch.eu\/?p=4770"},"modified":"2023-06-27T13:05:27","modified_gmt":"2023-06-27T11:05:27","slug":"veda-sa-atomizuje-my-ju-dnes-spajame","status":"publish","type":"post","link":"https:\/\/nudch.eu\/en\/veda-sa-atomizuje-my-ju-dnes-spajame","title":{"rendered":"Veda sa atomizuje, my ju dnes sp\u00e1jame"},"content":{"rendered":"

Mala len jeden\u00e1s\u0165 rokov, ke\u010f prv\u00fdkr\u00e1t v\u00e1\u017ene uva\u017eovala o\u00a0tom, \u017ee bude lek\u00e1rkou. O\u00a0p\u00e1r rokov nesk\u00f4r \u00a0zva\u017eovala aj \u00a0\u0161t\u00fadium jazykov na filozofickej fakulte. Zv\u00ed\u0165azila medic\u00edna a dnes patr\u00ed medzi \u0161pi\u010dkov\u00fdch nefrol\u00f3gov doma aj v\u00a0zahrani\u010d\u00ed, prof. MUDr. \u013dudmila Podrack\u00e1, CSc., prednostka Detskej kliniky LF UK a\u00a0N\u00e1rodn\u00e9ho \u00fastavu detsk\u00fdch chor\u00f4b (N\u00daDCH). <\/strong><\/p>\n

,,Boli sme tri deti a\u00a0n\u00e1hle n\u00e1m zomrel otec.\u00a0 B\u00e1la som sa, \u010do bude s\u00a0mlad\u0161\u00edmi s\u00farodencami, ak by sa mame nie\u010do stalo. Dodnes si pam\u00e4t\u00e1m, ako som to cel\u00e9 pre\u017e\u00edvala a\u00a0tento siln\u00fd \u00a0impulz\u00a0 sa pre m\u0148a stal najd\u00f4le\u017eitej\u0161\u00edm\u00a0 pri rozhodnut\u00ed \u00a0\u0161tudova\u0165 medic\u00ednu.\u201c<\/em>\u00a0 Nesk\u00f4r v\u00a0profesijnom zameran\u00ed zohrala \u00falohu aj n\u00e1hoda. Po skon\u010den\u00ed \u0161koly sa chcela\u00a0venova\u0165 internej medic\u00edne, ale mlad\u00e1 absolventka Lek\u00e1rskej fakulty Pavla Jozefa \u0160af\u00e1rika v\u00a0Ko\u0161iciach prijala pr\u00e1cu tam, kde bolo vo\u013en\u00e9 miesto. Na pediatrii. ,,Keby mi povedali, \u017ee m\u00e1m robi\u0165 o\u010dn\u00e9, robila by som o\u010dn\u00e9, keby ORL, prijala by som pr\u00e1cu v\u00a0tomto odbore. Ur\u010dite som nebola vyhranen\u00e1 pre konkr\u00e9tnu \u0161pecializ\u00e1ciu, ale pravdou je, \u017ee k\u00a0nefrol\u00f3gii som mala bl\u00edzko u\u017e na lek\u00e1rskej fakulte. Mali sme vynikaj\u00facich nefrol\u00f3gov \u2013 ve\u013ek\u00e9 osobnosti, ktor\u00e9 n\u00e1s vedeli zanietene vtiahnu\u0165 do problematiky. Rovnako Detsk\u00e1 klinika LF UPJ\u0160\u00a0 v\u00a0Ko\u0161iciach mala v\u00a0tom \u010dase hlavn\u00e9 smerovanie nefrologick\u00e9 a tak prirodzene som sa za\u010dala venova\u0165 tomuto odboru.\u201c <\/em>Na klinike jej rukami pre\u0161lo ve\u013ea detsk\u00fdch pacientov v\u0161etk\u00fdch vekov\u00fdch skup\u00edn \u2013 od narodenia a\u017e po dospel\u00fd vek s\u00a0ak\u00fatnymi a\u00a0chronick\u00fdmi ochoreniami obli\u010diek, s\u00a0r\u00f4znymi vroden\u00fdmi aj z\u00edskan\u00fdmi nefropatiami. Ve\u013ea sa nau\u010dila o diagnostike, lie\u010dbe a\u00a0\u010fal\u0161ej komplexnej starostlivosti o\u00a0t\u00fdchto pacientov priamo v\u00a0nemocnici,\u00a0 na\u00a0\u00a0 \u0161pi\u010dkov\u00fdch zahrani\u010dn\u00fdch nefrologick\u00fdch pracovisk\u00e1ch a\u00a0\u0161t\u00fadiom odbornej literat\u00fary po nociach. In\u00fdmi slovami povedan\u00e9, zauj\u00edmala sa o\u00a0v\u0161etky mo\u017enosti ako sa nau\u010di\u0165 o\u00a0tejto problematike \u010do najviac. ,,Z\u00edskala som \u0161tipendium z\u00a0Nad\u00e1cie Olgy Havlovej, ktor\u00e9ho cie\u013eom bolo skvalitni\u0165 transplant\u00e1cie obli\u010diek u det\u00ed. Celkovo som mala ve\u013ek\u00e9 \u0161\u0165astie na \u0161tudijn\u00e9 zahrani\u010dn\u00e9 pobyty \u2013 pre\u0161la som mnoh\u00fdmi v\u00fdznamn\u00fdmi pediatrick\u00fdmi nefrologick\u00fdmi klinikami na svete. V\u00a0USA v Springfielde, Massachusetts, Providence, Rhode Island,\u00a0 mala som \u010des\u0165 opakovane p\u00f4sobi\u0165 na Harvard Medical School, kde som spoznala brilantn\u00fdch nefrol\u00f3gov, ktor\u00fdch sme pozvali na Slovensko a\u00a0oni na\u0161e pozvanie \u00a0s\u00a0rados\u0165ou prijali. Tie\u017e na viacer\u00fdch pracovisk\u00e1ch v\u00a0Kanade \u2013 Toronto, Ottawa,\u00a0tie\u017e v\u00a0Sydney, Chile, z\u00a0eur\u00f3pskych pracov\u00edsk v\u00a0Lond\u00fdne a\u00a0mnoh\u00fdch in\u00fdch mest\u00e1ch. Okrem \u0161tudijn\u00fdch pobytov som ve\u013ea sk\u00fasenost\u00ed nazbierala aj na svetov\u00fdch kongresoch, kde som z\u00edskala viacer\u00e9 granty, napr\u00edklad v\u00a0Tokiu grant Svetovej nefrologickej spolo\u010dnosti. Prihl\u00e1sila a\u00a0prezentovala som pr\u00e1cu, v\u00a0ktorej sme vy\u0161etrovali zinok a\u00a0me\u010f v\u00a0erytrocytoch \u00a0a\u00a0 \u00a0mo\u010di u\u00a0det\u00ed s\u00a0nefrotick\u00fdm syndr\u00f3mom. Sledovali sme, ak\u00fd to m\u00e1 vplyv na ich oxida\u010dn\u00fd status a zistili sme, \u017ee u\u00a0det\u00ed s akt\u00edvnym\u00a0vylu\u010dovan\u00edm bielkov\u00edn do\u00a0mo\u010du, sa str\u00e1ca zinok ako hlavn\u00fd prvok antioxida\u010dnej obrany a\u00a0tak nadmern\u00fd oxida\u010dn\u00fd stres m\u00f4\u017ee prispieva\u0165 \u00a0k po\u0161kodeniu obli\u010diek. Na\u0161e v\u00fdsledky boli publikovan\u00e9 v\u00a0zahrani\u010dnom odbornom \u010dasopise a\u00a0ve\u013emi n\u00e1s te\u0161\u00ed, \u017ee problematiku oxida\u010dn\u00e9ho stresu sme rie\u0161ili u\u017e v\u00a0\u010dase, ke\u010f sa o\u00a0oxida\u010dnom \u00a0strese v\u00a0nefrol\u00f3gii len za\u010dalo hovori\u0165.\u201c <\/em>Pred tridsiatimi rokmi to bolo n\u00f3vum, dnes sa vy\u0161etruj\u00fa \u0161pecifick\u00e9 markery mapuj\u00face viacer\u00e9 patogenetick\u00e9 cesty oxida\u010dn\u00e9ho stresu. Sk\u00fasenosti zo zahrani\u010dn\u00fdch pracov\u00edsk jej umo\u017enili sledova\u0165 najnov\u0161ie trendy v\u00a0odbore, ktor\u00e9 sa sna\u017eila prin\u00e1\u0161a\u0165 aj na Slovensko. Ak potrebovala pom\u00f4c\u0165 die\u0165a\u0165u s\u00a0raritn\u00fdm ochoren\u00edm obli\u010diek, s\u00a0ktor\u00fdmi lek\u00e1ri na Slovensku nemali dostatok sk\u00fasenost\u00ed, u\u00a0kolegov v\u00a0zahrani\u010d\u00ed mala v\u017edy otvoren\u00e9 dvere. A ako sama hovor\u00ed: ,,Tieto sk\u00fasenosti \u010dloveka pos\u00favaj\u00fa dopredu. Met\u00f3dy, ktor\u00e9 sme pred p\u00e1r desa\u0165ro\u010diami s\u00a0kolegami\u00a0 zav\u00e1dzali, sa dnes radia k \u0161tandardn\u00fdm diagnostick\u00fdm postupom, ktor\u00e9 st\u00e1le maj\u00fa nezastupite\u013en\u00e9 \u00a0miesto. Napr. ren\u00e1lne obli\u010dkov\u00e9 biopsie znamenali v\u00fdznamn\u00fd posun, ktor\u00fd umo\u017enil definit\u00edvne stanovi\u0165 diagn\u00f3zu a\u00a0ur\u010di\u0165 n\u00e1sledn\u00fa lie\u010dbu.\u201c<\/em><\/p>\n

Netrvalo dlho a\u00a0mlad\u00e1 talentovan\u00e1 lek\u00e1rka sa v\u010faka svojej usilovnosti a\u00a0z\u00e1ujmu o\u00a0svoju \u0161pecializ\u00e1ciu ve\u013emi skoro zaradila medzi \u0161pi\u010dkov\u00fdch odborn\u00edkov\u00a0 v\u00a0nefrol\u00f3gii. Za svoj najv\u00e4\u010d\u0161\u00ed profesion\u00e1lny \u00faspech pova\u017euje zalo\u017eenie Detsk\u00e9ho dialyza\u010dn\u00e9ho strediska v\u00a0Ko\u0161iciach a\u00a0spustenie transplanta\u010dn\u00e9ho programu u\u00a0det\u00ed na Slovensku. Napriek tomu, \u017ee sk\u00fasenosti s\u00a0dial\u00fdzou z\u00edskala v\u00a0prest\u00ed\u017enych nefrologick\u00fdch centr\u00e1ch univerz\u00edt v Lunde a\u00a0G\u00f6teborgu vo \u0160v\u00e9dsku, za\u010diatky v\u00f4bec neboli jednoduch\u00e9. ,,Nemali sme \u0161tandardizovan\u00e9 jednotn\u00e9 postupy a ve\u013ea vec\u00ed sme sa museli u\u010di\u0165\u00a0 postupne za chodu, ale op\u00e4\u0165, podobne ako na \u0161kole, s\u00a0podporou \u00a0vynikaj\u00facich kolegov sme prekonali probl\u00e9my a zaviedli \u00a0v\u0161etky modality ak\u00fatneho a\u00a0chronick\u00e9ho zlyhania obli\u010diek aj v\u00a0najni\u017e\u0161\u00edch vekov\u00fdch skupin\u00e1ch det\u00ed.\u201c <\/em><\/p>\n

Medic\u00edna sa dnes pos\u00fava m\u00ed\u013eov\u00fdmi krokmi a aj nefrol\u00f3gia je dnes inde ako bola pred p\u00e1r desa\u0165ro\u010diami. ,,M\u00e1me nov\u00fa \u017eivot zachra\u0148uj\u00facu biologick\u00fa lie\u010dbu na raritn\u00e9 ochorenia, \u010do sme v\u00a0minulosti nemali. Zlep\u0161ila sa nielen samotn\u00e1 lie\u010dba chronick\u00e9ho zlyh\u00e1vania obli\u010diek, ale v\u00fdrazne sa zlep\u0161ila aj terapia v\u0161etk\u00fdch sprievodn\u00fdch komplik\u00e1ci\u00ed, lebo dlhodob\u00e1 ur\u00e9mia je ako \u201eotrava krvi\u201c s\u00a0devastuj\u00facim \u00fa\u010dinkom na rast\u00faci organizmus – hromadiace sa\u00a0 tox\u00edny v\u00a0krvi a\u00a0tkaniv\u00e1ch \u00a0negat\u00edvne p\u00f4sobia \u00a0na kosti, cievy, srdce, mozog a\u00a0in\u00e9 org\u00e1ny. Dnes \u00a0sprievodn\u00e9 uremick\u00e9 komplik\u00e1cie dok\u00e1\u017eeme efekt\u00edvnej\u0161ie korigova\u0165 \u00a0a\u00a0die\u0165a dobre pripravi\u0165 na obli\u010dkov\u00fa transplant\u00e1ciu, \u00a0\u010do v\u00fdrazne zvy\u0161uje jej \u00faspech a\u00a0dlhodob\u00fa kvalitu \u017eivota die\u0165a\u0165a.\u00a0 Ve\u013emi sa zlep\u0161ila\u00a0 lie\u010dba torp\u00eddnej kostnej choroby, \u00a0ktor\u00e1 patr\u00ed k\u00a0najz\u00e1va\u017enej\u0161\u00edm uremick\u00fdm komplik\u00e1ci\u00e1m\u00a0v detskom veku, mutiluj\u00face kostn\u00e9 deformity skeletu s\u00fa u\u017e zriedkav\u00e9, zaviedol sa rastov\u00fd horm\u00f3n a\u00a0tak deti so zlyhan\u00edm obli\u010diek m\u00f4\u017eu dosiahnu\u0165 telesn\u00fa v\u00fd\u0161ku ako ich zdrav\u00ed rovesn\u00edci. \u00a0Aj diagnostika a\u00a0lie\u010dba imunitn\u00fdch ochoren\u00ed obli\u010diek sa dramaticky posunula. Na ka\u017ed\u00fa histologick\u00fa klinick\u00fa jednotku indikujeme cielen\u00fa imunosupres\u00edvnu lie\u010dbu. Samozrejmos\u0165ou je individu\u00e1lny personalizovan\u00fd pr\u00edstup k\u00a0pacientovi, ktor\u00fd je mo\u017en\u00fd v\u010faka odborn\u00edkom z genetick\u00e9ho laborat\u00f3ria N\u00daDCH, ktor\u00ed ako prv\u00ed na Slovensku zaviedli do praxe molekul\u00e1rnu diagnostiku nefrotick\u00e9ho syndr\u00f3mu. \u00a0Ak sa zist\u00ed genetick\u00e1 pr\u00ed\u010dina ochorenia, vieme pacienta lep\u0161ie stratifikova\u0165 a odhadn\u00fa\u0165 aj mieru rizika po transplant\u00e1cii. D\u00e1vno s\u00fa pre\u010d \u010dasy, ke\u010f sme pacientovi s\u00farne zh\u00e1\u0148ali lieky v\u00a0zahrani\u010d\u00ed, \u00a0lietadlo ich priviezlo v\u00a0hodine dvan\u00e1stej pre chor\u00e9 die\u0165a.\u201c <\/em>V\u010faka tomuto nesmiernemu posunu\u00a0 dnes maj\u00fa deti s\u00a0v\u00e1\u017enymi ochoreniami obli\u010diek lep\u0161ie vyhliadky na kvalitnej\u0161\u00ed \u017eivot a\u00a0ove\u013ea nesk\u00f4r nastupuj\u00fa na dial\u00fdzu.<\/p>\n

Treba na ne myslie\u0165! <\/strong><\/p>\n

V\u010dasn\u00e1 diagnostika je v\u017edy\u00a0 ve\u013ek\u00fd \u00faspech nielen pre lek\u00e1ra, ale predov\u0161etk\u00fdm pre pacienta. Pri vz\u00e1cnych ochoreniach to plat\u00ed viacn\u00e1sobne. Vysok\u00e1 profesionalita a\u00a0pr\u00edstup k\u00a0pacientovi, pre ktor\u00e9ho pani profesorka urob\u00ed v\u017edy maximum, jej priniesol opakovan\u00e9 prvenstv\u00e1 v\u00a0diagnostike vz\u00e1cnych ochoren\u00ed. A\u00a0na ot\u00e1zku, ako sa jej to dar\u00ed, skromne povedala: ,,Treba na ne myslie\u0165.\u201c<\/em> Tak to bolo aj pri pacientoch s\u00a0atypick\u00fdm hemolyticko-uremick\u00fdm syndr\u00f3mom. U prv\u00e9ho pacienta v\u00a0r\u00e1mci \u010cesko-Slovenska \u00a0\u00faspe\u0161ne pou\u017eili najnov\u0161iu \u017eivot zachra\u0148uj\u00facu lie\u010dbu.\u00a0 Dnes m\u00e1me na Slovensku osem det\u00ed s\u00a0t\u00fdmto vz\u00e1cnym ochoren\u00edm. Rovnako prv\u00e1 pacientka na Slovensku, ktorej sa u\u00a0n\u00e1s diagnostikovalo zriedkav\u00e9 dedi\u010dn\u00e9 metabolick\u00e9 ochorenie \u2013 idiopatick\u00e1 nefropatick\u00e1 cystin\u00f3za, je najmlad\u0161ia pacientka napr\u00edklad aj v\u00a0porovnan\u00ed so\u00a0susednou \u010ceskou republikou, u ktorej\u00a0 sa diagnostikovalo ochorenie v\u00a0takom n\u00edzkom veku \u2013\u00a0 mala len necel\u00fd rok.\u00a0 ,,Pri opakovanej hospitaliz\u00e1cii s\u00a0ne\u0161pecifick\u00fdmi pr\u00edznakmi, ak\u00e9 mala na\u0161a pacientka, sme v\u00a0r\u00e1mci \u0161irokej diferenci\u00e1lnej diagnostiky museli myslie\u0165 aj na raritn\u00e9 ochorenie \u2013 idiopatick\u00fa nefropatick\u00fa cystin\u00f3zu. Vzorky krvi sme poslali do referen\u010dn\u00e9ho expertn\u00e9ho centra pre nefropatick\u00fa cystin\u00f3zu a\u00a0netrpezlivo \u010dakali na v\u00fdsledky. Na\u0161e podozrenie sa potvrdilo a\u00a0mali\u010dkej pacientke sme mohli nasadi\u0165\u00a0 \u0161pecifick\u00fa lie\u010dbu.\u201c <\/em>\u00a0Dnes m\u00e1 pani doktorka v\u00a0starostlivosti u\u017e tri deti s\u00a0t\u00fdmto raritn\u00fdm ochoren\u00edm, ktor\u00e9 sa v\u010faka jej \u00fasiliu za\u010dali lie\u010di\u0165 ve\u013emi skoro. Pr\u00edstup k\u00a0lie\u010dbe pacientky s\u00a0t\u00fdmto raritn\u00fdm ochoren\u00edm bol ocenen\u00fd prest\u00ed\u017enou cenou TOP inov\u00e1cie v\u00a0zdravotn\u00edctve 2017. A\u00a0nebolo to prv\u00e9 ocenenie v\u00a0 TOP inov\u00e1ci\u00e1ch v\u00a0zdravotn\u00edctve, roku 2016 z\u00edskala cenu za \u00faspe\u0161n\u00fd a\u00a0jedine\u010dn\u00fd projekt v\u00a0pediatrii na Slovensku – iniciovanie a\u00a0zalo\u017eenie skupiny pre detsk\u00fa osteol\u00f3giu \u2013 Osteoped. Zlo\u017een\u00fa zo v\u0161etk\u00fdch odborn\u00edkov, ktor\u00ed sa v\u00a0r\u00e1mci svojej \u0161pecializ\u00e1cie zaoberaj\u00fa poruchou metabolizmu kost\u00ed a\u00a0kostn\u00fdmi ochoreniami. ,,Je cel\u00e1 skupina metabolick\u00fdch ochoren\u00ed, ktor\u00e9 m\u00f4\u017eu vies\u0165\u00a0 k\u00a0po\u0161kodeniu kost\u00ed u\u017e od narodenia a\u00a0pred\u0161kolsk\u00e9ho veku. Ohrozen\u00e9 s\u00fa tie\u017e deti so skoli\u00f3zou a poruchami v\u00fd\u017eivy. Osteopor\u00f3za v\u00a0detskom veku vznik\u00e1 naj\u010dastej\u0161ie pri dlhodobom u\u017e\u00edvan\u00ed kortikoidov, ktor\u00e9 s\u00fa efekt\u00edvne pri mnoh\u00fdch z\u00e1palov\u00fdch a\u00a0imunitn\u00fdch ochoreniach, ale mus\u00edme pravidelne monitorova\u0165 aj ich nepriazniv\u00fd vplyv na metabolizmus kost\u00ed.\u00a0 A\u00a0tie\u017e v\u00a0be\u017enej popul\u00e1cii sledujeme nedostatok v\u00e1pnika \u00a0\u00a0a vitam\u00ednu\u00a0D pri s\u00fa\u010dasnom nedostatku pohybov\u00fdch aktiv\u00edt.\u201c\u00a0 <\/em>Vznik Osteopedu vy\u00fastil do\u00a0 vytvorenia Centra pre detsk\u00fa osteol\u00f3giu – jedin\u00e9 komplexne vybaven\u00e9 osteologick\u00e9 pracovisko pre deti na Slovensku. Od svojho vzniku v\u00a0\u0148om\u00a0sleduj\u00fa a\u00a0lie\u010dia mnoh\u00fdch detsk\u00fdch pacientov \u00a0a\u00a0monitoruj\u00fa ich \u00a0z\u00a0h\u013eadiska kostn\u00e9ho zdravia.<\/p>\n

Hypertenziologick\u00e1 ambulancia<\/strong><\/p>\n

Na rovnakom princ\u00edpe funguje aj\u00a0 \u010fal\u0161\u00ed, op\u00e4\u0165 jedine\u010dn\u00fd a\u00a0ve\u013emi \u00faspe\u0161n\u00fd projekt pani profesorky\u00a0 aj jej kolegov \u2013 hypertenziologick\u00e1 ambulancia. Cielene vyh\u013ead\u00e1vaj\u00fa a\u00a0sleduj\u00fa deti s\u00a0vy\u0161\u0161\u00edm rizikom hypertenzie. Len za jeden rok od zriadenia novej ambulancie vy\u0161etrili a\u00a0sleduj\u00fa sto det\u00ed s\u00a0vysok\u00fdm krvn\u00fdm tlakom. Z\u00a0nich sa u\u00a0troch det\u00ed manifestoval vysok\u00fd krvn\u00fd tlak u\u017e v\u00a0doj\u010denskom veku. ,,Na na\u0161ej klinike sa dlhodobo klinicky aj vedecky zaober\u00e1me problematikou art\u00e9riovej hypertenzie a\u00a0sledujeme rizikov\u00e9 skupiny det\u00ed z\u00a0cel\u00e9ho Slovenska. V\u00a0\u0161pecializovanej hypertenziologickej ambulancii zabezpe\u010dujeme v\u00a0plnom rozsahu paletu modern\u00fdch a\u00a0neinvaz\u00edvnych vy\u0161etren\u00ed cievneho syst\u00e9mu. Po\u010detn\u00e9 klinick\u00e9 pozorovania jednozna\u010dne preuk\u00e1zali, \u017ee hypertenzia u\u00a0det\u00ed a\u00a0mladistv\u00fdch v\u00fdznamne prispieva k\u00a0pred\u010dasnej ateroskler\u00f3ze a\u00a0v\u00fdvoju kardiovaskul\u00e1rneho ochorenia v\u00a0rannej dospelosti.\u201c <\/em>Dlhodob\u00e9 sledovanie dynamiky v\u00fdvoja kardiovaskul\u00e1rneho zdravia\u00a0 v\u00a0rizikov\u00fdch skupin\u00e1ch det\u00ed je ve\u013ek\u00fdm pr\u00ednosom a m\u00f4\u017ee z\u00e1sadne zn\u00ed\u017ei\u0165 v\u00fdskyt viacer\u00fdch s\u00fa\u010dasne prebiehaj\u00facich ochoren\u00ed a\u00a0zlep\u0161i\u0165 kvalitu \u017eivota pediatrickej popul\u00e1cie. Vysok\u00fdm krvn\u00fdm tlakom s\u00fa ohrozen\u00e9 v\u0161etky vekov\u00e9 skupiny det\u00ed.<\/p>\n

Dvere m\u00e1me otvoren\u00e9 <\/strong><\/p>\n

Medic\u00edna je t\u00edmov\u00e1 pr\u00e1ca a\u00a0jednotlivec s\u00e1m\u00a0 \u00faspech nedosiahne. Profesorka \u013dudmila Podrack\u00e1 vie, \u017ee toto v\u0161etko by nebolo mo\u017en\u00e9 bez t\u00edmu kolegov Detskej kliniky a\u00a0rovnako ve\u013ek\u00e9ho kolekt\u00edvu \u0161pi\u010dkov\u00fdch \u0161pecialistov, ktor\u00ed pokr\u00fdvaj\u00fa cel\u00e9 pole pediatrie a\u00a0 pracovn\u00edkov cel\u00e9ho N\u00daDCH. ,,\u010co je pre moju pr\u00e1cu najd\u00f4le\u017eitej\u0161ie, \u017ee m\u00e1me v\u0161etko dostupn\u00e9 pod jednou strechou. \u010clovek m\u00f4\u017ee by\u0165 ve\u013emi dobr\u00fd odborn\u00edk, ale ak nem\u00e1 odborn\u00e9 z\u00e1zemie u\u00a0kolegov a\u00a0podporu vynikaj\u00facich \u0161pecialistov vr\u00e1tane perfektne funguj\u00facich pracov\u00edsk, ktor\u00fdch d\u00f4le\u017eitos\u0165 si\u00a0 verejnos\u0165 niekedy ani neuvedomuje, s\u00e1m \u00faspech nedosiahne. Ak ideme v\u00a0diagnostike do h\u013abky, potrebujeme n\u00e1zor \u0161pecialistov. \u010eakujem v\u0161etk\u00fdm kolegom\u00a0 za spolupr\u00e1cu a\u00a0tie\u017e vedeniu N\u00daDCH. <\/em>A rovnako aj v\u00a0pracovni pani profesorky \u00a0s\u00fa dvere otvoren\u00e9 pre v\u0161etk\u00fdch kolegov na klinike aj bud\u00facich lek\u00e1rov. Pre mlad\u00fdch medikov v\u00a0spolupr\u00e1ci s\u00a0LF UK v\u00a0Bratislave pom\u00e1hala vybudova\u0165 centrum Medic\u00ednskych simul\u00e1ci\u00ed DK LF UK a\u00a0N\u00daDCH a\u00a0n\u00e1sledne roz\u0161\u00edri\u0165 mo\u017enosti praktickej v\u00fdu\u010dby zriaden\u00edm novej u\u010debne klinick\u00fdch zru\u010dnost\u00ed. ,,U\u010dite\u013e m\u00e1 v\u00fdznamn\u00fa \u00falohu pri formovan\u00ed \u017eiaka alebo nesk\u00f4r mlad\u00fdch kolegov.\u00a0 A\u00a0tak ako som ja mala \u0161\u0165astie na dobr\u00fdch u\u010dite\u013eov a\u00a0mo\u017enos\u0165 u\u010di\u0165 sa v\u00a0zahrani\u010d\u00ed, chcem, aby aj moji mlad\u00ed kolegovia mali rovnak\u00e9 pr\u00edle\u017eitosti \u00a0absolvova\u0165 \u0161tudijn\u00e9 pobyty v\u00a0zahrani\u010d\u00ed a\u00a0z\u00edskava\u0165 sk\u00fasenosti na popredn\u00fdch pediatrick\u00fdch \u00a0pracovisk\u00e1ch. Viacer\u00ed moji \u017eiaci pracuj\u00fa na prest\u00ed\u017enych klinik\u00e1ch vo Viedni, Prahe, Lunde, Bristole a\u00a0in\u00fdch, kde sa uplatnili ako konzultanti.\u201c<\/em><\/p>\n

\u00a0<\/em>Najlep\u0161ie miesto na Slovensku \u00a0<\/em><\/strong><\/p>\n

Pr\u00e1cu v\u00a0N\u00daDCH si ve\u013emi v\u00e1\u017ei a\u00a0ako sama hovor\u00ed, je to najlep\u0161ie miesto na Slovensku. Ke\u010f dostala ponuku pracova\u0165 v\u00a0Bratislave, dlho nad \u0148ou nerozm\u00fd\u0161\u013eala, hoci jej rodinn\u00fd \u017eivot zmenila naruby. Ale ak \u010dlovek chce, rodina si k\u00a0sebe cestu n\u00e1jde. A\u00a0to, \u010do zo za\u010diatku vyzeralo n\u00e1ro\u010dne, sa\u00a0 postupne ust\u00e1lilo a na\u0161lo si svoje pravidl\u00e1.\u00a0 Rodina sa napriek tomu, \u017ee \u017eij\u00fa od seba\u00a0 stovky kilometrov, vid\u00ed primerane \u010dasto a\u00a0ke\u010f sa nem\u00f4\u017eu vidie\u0165, vyu\u017e\u00edvaj\u00fa komunika\u010dn\u00e9 technol\u00f3gie, aby vedeli jeden o\u00a0druhom a\u00a0mohli sa porozpr\u00e1va\u0165. Popri n\u00e1ro\u010dnej pr\u00e1ci a\u00a0rodine\u00a0 jej ve\u013ea vo\u013en\u00e9ho \u010dasu nezost\u00e1va. Ak si potrebuje odd\u00fdchnu\u0165, \u010dasto siahne po knihe, ale op\u00e4\u0165 odbornej. ,,Najlep\u0161ie relaxujem pri \u0161porte. V\u017edy som mala rada pohyb, akt\u00edvne som hr\u00e1vala tenis na strednej aj vysokej \u0161kole. A\u00a0tie\u017e cestovanie, lebo to ma pos\u00favalo aj profesijne. \u010clovek sa in\u0161piruje a\u00a0hodnot\u00ed veci z\u00a0nadh\u013eadu. V\u00a0osobnom aj profesijnom \u017eivote.\u201c \u00a0<\/em><\/p>\n

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

Mala len jeden\u00e1s\u0165 rokov, ke\u010f prv\u00fdkr\u00e1t v\u00e1\u017ene uva\u017eovala o\u00a0tom, \u017ee bude lek\u00e1rkou. O\u00a0p\u00e1r rokov nesk\u00f4r \u00a0zva\u017eovala aj \u00a0\u0161t\u00fadium jazykov na filozofickej fakulte. Zv\u00ed\u0165azila medic\u00edna a dnes patr\u00ed medzi \u0161pi\u010dkov\u00fdch nefrol\u00f3gov doma aj v\u00a0zahrani\u010d\u00ed, prof. MUDr. \u013dudmila Podrack\u00e1, CSc., prednostka Detskej kliniky LF UK a\u00a0N\u00e1rodn\u00e9ho \u00fastavu detsk\u00fdch chor\u00f4b (N\u00daDCH). ,,Boli sme tri deti a\u00a0n\u00e1hle n\u00e1m zomrel […]<\/p>\n","protected":false},"author":8,"featured_media":4771,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[78],"tags":[],"yoast_head":"\nVeda sa atomizuje, my ju dnes sp\u00e1jame | National Institute of Children\u2019s Diseases<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nudch.eu\/en\/veda-sa-atomizuje-my-ju-dnes-spajame\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Veda sa atomizuje, my ju dnes sp\u00e1jame | National Institute of Children\u2019s Diseases\" \/>\n<meta property=\"og:description\" content=\"Mala len jeden\u00e1s\u0165 rokov, ke\u010f prv\u00fdkr\u00e1t v\u00e1\u017ene uva\u017eovala o\u00a0tom, \u017ee bude lek\u00e1rkou. O\u00a0p\u00e1r rokov nesk\u00f4r \u00a0zva\u017eovala aj \u00a0\u0161t\u00fadium jazykov na filozofickej fakulte. Zv\u00ed\u0165azila medic\u00edna a dnes patr\u00ed medzi \u0161pi\u010dkov\u00fdch nefrol\u00f3gov doma aj v\u00a0zahrani\u010d\u00ed, prof. MUDr. \u013dudmila Podrack\u00e1, CSc., prednostka Detskej kliniky LF UK a\u00a0N\u00e1rodn\u00e9ho \u00fastavu detsk\u00fdch chor\u00f4b (N\u00daDCH). ,,Boli sme tri deti a\u00a0n\u00e1hle n\u00e1m zomrel […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/nudch.eu\/en\/veda-sa-atomizuje-my-ju-dnes-spajame\" \/>\n<meta property=\"og:site_name\" content=\"National Institute of Children\u2019s Diseases\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/nudch.eu\/\" \/>\n<meta property=\"article:published_time\" content=\"2023-06-27T11:05:27+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/nudch.eu\/wp-content\/uploads\/2023\/06\/Podracka.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Smikalova\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Smikalova\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 minutes\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Veda sa atomizuje, my ju dnes sp\u00e1jame | National Institute of Children\u2019s Diseases","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/nudch.eu\/en\/veda-sa-atomizuje-my-ju-dnes-spajame","og_locale":"en_US","og_type":"article","og_title":"Veda sa atomizuje, my ju dnes sp\u00e1jame | National Institute of Children\u2019s Diseases","og_description":"Mala len jeden\u00e1s\u0165 rokov, ke\u010f prv\u00fdkr\u00e1t v\u00e1\u017ene uva\u017eovala o\u00a0tom, \u017ee bude lek\u00e1rkou. O\u00a0p\u00e1r rokov nesk\u00f4r \u00a0zva\u017eovala aj \u00a0\u0161t\u00fadium jazykov na filozofickej fakulte. Zv\u00ed\u0165azila medic\u00edna a dnes patr\u00ed medzi \u0161pi\u010dkov\u00fdch nefrol\u00f3gov doma aj v\u00a0zahrani\u010d\u00ed, prof. MUDr. \u013dudmila Podrack\u00e1, CSc., prednostka Detskej kliniky LF UK a\u00a0N\u00e1rodn\u00e9ho \u00fastavu detsk\u00fdch chor\u00f4b (N\u00daDCH). ,,Boli sme tri deti a\u00a0n\u00e1hle n\u00e1m zomrel […]","og_url":"https:\/\/nudch.eu\/en\/veda-sa-atomizuje-my-ju-dnes-spajame","og_site_name":"National Institute of Children\u2019s Diseases","article_publisher":"https:\/\/www.facebook.com\/nudch.eu\/","article_published_time":"2023-06-27T11:05:27+00:00","og_image":[{"width":1920,"height":1080,"url":"https:\/\/nudch.eu\/wp-content\/uploads\/2023\/06\/Podracka.jpg","type":"image\/jpeg"}],"author":"Smikalova","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Smikalova","Est. reading time":"11 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