The internal clinic of the 2nd Faculty of Medicine of the UK and the Motol General Hospital provides comprehensive diagnostic and therapeutic care to outpatients and hospitalized patients in the catchment area and superconsular services to patients from all over Bohemia.

Its activities focus on cardiology and angiology, gastroenterology with hepatology, metabolic disorders and nephrology. As part of a broader cooperation, care is also available at the teaching hospital for people with diseases of the endocrine and lung glands.

Workplace focus

Comprehensive care for patients with internal diseases. Comprehensive diagnostics, invasive and non-invasive treatment of gastrointestinal and liver diseases. Comprehensive care for patients with diabetes mellitus, including gestational and specific complications, obesity, endocrinology. Diagnosis and treatment of kidney disease. Intensive care for indoor disorders, use of elimination methods. Care for patients with disorders of lipid metabolism and nutrition, diagnosis and treatment of vascular diseases. Care for patients with cardiac problems. Diagnosis and treatment of rheumatic diseases.

Undergraduate teaching of Czech and foreign master's students and bachelor's students within the scope of the clinic and hospital. Postgraduate specialized training focused on gastrointestinal endoscopic diagnostics and therapy, sonography and diabetology.

 

The head
prof. MD Radan KEIL, Ph.D.
224 434 000, 224 434 001
radan.keil@fnmotol.cz

Primary
MD Jindra Lochmann
(224) 434 014
jindra.lochmannova@fnmotol.cz

Head nurse
M.Sc. Kateřina Lisová
(224) 434 005
katerina.lisova@fnmotol.cz

Secretariat
(224) 434 001
interna@fnmotol.cz

Reception
phone number: 224 434 082
phone number: 224 434 027

INTERNAL CLINIC / DEPARTMENT OF INTERNAL MEDICINE       

Adult Section, 4th Floor, Node D / Adult Section, 4th Floor, Block D

Head: Prof. MD Radan KEIL, Ph.D.
Secretariat: tel .: (224) 434 001     
Email: interna@fnmotol.cz
file: 224 434 026      

The internal clinic provides comprehensive diagnostic and therapeutic care to outpatients and hospitalized patients in the catchment area and superconsulting services to patients from all over the Czech Republic.

Its activities focus on cardiology and angiology, gastroenterology with hepatology, metabolic disorders and nephrology. As part of a broader cooperation, care is also available at the teaching hospital for people with diseases of the endocrine and lung glands.

Workplace focus

Comprehensive care for patients with internal diseases. Comprehensive diagnostics, invasive and non-invasive treatment of gastrointestinal and liver diseases. Comprehensive care for patients with diabetes mellitus, including gestational and specific complications, obesity, endocrinology. Diagnosis and treatment of kidney disease. Intensive care for indoor disorders, use of elimination methods. Care for patients with disorders of lipid metabolism and nutrition, diagnosis and treatment of vascular diseases. Care for patients with cardiac problems. Diagnosis and treatment of rheumatic diseases.

Undergraduate teaching of Czech and foreign master's students and bachelor's students within the scope of the clinic and hospital. Postgraduate specialized training focused on gastrointestinal endoscopic diagnostics and therapy, sonography and diabetology.

Head of the clinic
Prof. MD Radan KEIL, Ph.D.
Radan.Keil@fnmotol.cz
phone: 224 434 000, 4001

Deputy Head for Medical-Preventive Care - Primary Clinic
MD Jindra Lochmann
Jindra.Lochmannova@fnmotol.cz
 phone: 224434014

Deputy head for pedagogical activities
MD Píthová Pavlína, Ph.D.
Pavlina.Pithova@fnmotol.cz
phone: (224) 434 052

Deputy Head of Science and Research
MD Brož Jan, Ph.D.
Jan.Broz@fnmotol.cz
phone: (224) 434 004

Head nurse
M.Sc. Kateřina Lisová
katerina.lisova@fnmotol.cz
phone: (224) 434 005 

prof. MD Keil Radan, Ph.D.
Prim. MUDr - Jindra Lochmannová
as. MD Píthová Pavlína, Ph.D.
as. MD Brož Jan, Ph.D.

prof. MUDr. Charvat Jiri, CSc.
prof. WISE. Piťha Jan, CSc.
prof. MD Kateřina Štechová, Ph.D.
doc. MD Hoffmanová Iva, Ph.D.
doc. MUDr. Horackova Miroslava, CSc.
doc. MD Chlumský Jaromír, Ph.D.

MD Belánova Anna
MD Ales the lamb
MD Bučková Lucia
MD Černíková Pavlína
MD Čupková Andrea
MD Andrea Doubková
as. MD Jiří Drábek, Ph.D.
MD Tomas Drasnar
MD Havrda Marek
MD Heydova Hana
MUDr. Štěpán's head
MD Hlinka Tomas
MD Hloch Ondřej, Ph.D.
MD Hoffmann Petr
MD Beatrice Hofrichter
as. MUDr. Hello Dagmar
MD Hricová Karolina
MD Karešová Nikola
MD Sonia Klímová
MD Petra the Copt
MD Kratochvílova Renata
MD King John
MD Krollová Pavlína
MD Machačková Radovana
MD Little Šárka
MUDr. Carnival Jan
MD Kristýna Minářová
MUDr. Wet Dana
MD Neščáková Monika
MD Novak Doubravová Eva
MD Elizabeth Nováková
MD Monkey Pavel
as. MD Pálová Sabina, Ph.D.
MUDr. Friday Andrew
MD Phu Thao My
MD Pichlerová Dita, Ph.D.
MD Reissová (Chodová) Ida
MD Roznětinská Markéta
MD Salad Martina
MD Single Lucy
MD Souček Martin
MD Srnský Vladimir
MD Nikol Stierankova
MD Jana the Magpie
MD World Jacob
MD Šimonek Tomas
MD Six Michal
MD Šíšová Martina
MD Šťovíček Jan, Ph.D.
MD Tóthová Monika
MD Martina Tuháčková
MD Jaromír Tyburec
MD Tylová Romana
MD Walter Evgeny
MD Vaneček Tomas
MD Vlasova Alla
MD Wasserbauer Martin
MD Weiss Martin
MUDr. Wenceslas froze

You can find the current offer of vacancies on the FNM main page under the tab Career.

On these pages you will find the most important information, which we hope will answer all your questions and introduce you to the functioning of our clinic. You will find here, among others:

• detailed information about hospitalization (what to bring to the hospital, what the patient reception looks like, where the patient should come for hospitalization, etc.) 
• detailed information about individual departments of our clinic and their focus
• information about the doctors who take care of the patients in the individual wards
• important telephone numbers to order examinations, outpatient visits

and many other useful information that will simplify and facilitate your orientation at our clinic.

In the following lines, we will try to answer the most frequently asked questions regarding hospitalization at our internal clinic. We will guide you through the individual steps of the entire reception process and the hospitalization itself so that everything goes as smoothly as possible and without unnecessary delays. Here we deal mainly with the procedure for the planned admission of the patient, even if the emergency hospitalization follows a similar scheme.

Internal ambulance

• the patient arrives in the morning of the day on reception clinic internal medicine clinics (node ​​D 4th floor)
• right outside the front door, the patient waits at the window filing cabinets and prepares personal documents (ID card, insurance card, or recommendation for hospitalization)
• nurse together with a patient establishes a patient card (fill in, among other things, the place of residence and contact to relatives to whom doctors may provide information about the patient's state of health)
• the nurse performs a basic physical examination (measures and weighs the patient, measures blood pressure and heart rate, record an ECG and perform blood samples according to the doctor's office)
• followed by detailed examination of the patient by a doctor taking the medical history and the difficulties that bring the patient to the hospital
• subsequently, the patient, accompanied by a paramedic, goes to the inpatient department

Inpatient department

• the patient is placed in a bed in the room upon arrival from the admission clinic 
• the nurse from the ward writes in the nursing documentation with the patient
• the patient is familiar with the ward regime and patients' rights
• the patient receives an identification bracelet with his name
• valuables can be kept by the patient free of charge during hospitalization
• followed by an examination by a physician familiarizing the treatment plan and the examination algorithm

GASTROENTEROLOGY

Leading doctor: prof. MD Radan Keil, Ph.D.
Head of the 1st station: MUDr. Markéta Roznětinská
Deputy head of the station - MUDr. Martin Wasserbauer

Beds: 29
1 superior single bed, 1 double room with its own bathroom, 8 x 3 bed rooms

The inpatient station of the Internal Clinic with a focus on gastroenterology is used for the hospitalization of patients with diseases of the digestive tract, liver, bile ducts or pancreas, whose condition is so serious that it does not allow for outpatient treatment. Furthermore, patients are hospitalized here for diagnostic reasons, in order to speed up and make the examination process more efficient. The inpatient department also provides facilities for the endoscopy center - patients after more demanding endoscopic procedures who cannot be discharged home immediately after the examination are observed here for the purpose of early detection and treatment of possible complications of endoscopic procedures.

Contacts:
nurse: 224 434 035
medical room: 224 434 056

DIABETOLOGY AND ENDOCRINOLOGY 

Head of the 2nd station: MUDr. Ales Beránek
Deputy head of the station - MUDr. Martina Tuháčková 

Beds: 24
7 triple, 1 double and 1 single room

The focus of the 2nd inpatient station of the Internal Clinic is very general. We take care of patients with diseases of the gastrointestinal tract, hematological patients and, of course, especially patients with diabetes and other endocrine diseases. However, care is also provided here for patients with other internal diseases.
The second station is part of the FNM Diabetes Center and provides comprehensive care for patients with diabetes mellitus, from metabolic compensation to screening and treatment of complications, mainly diabetic foot syndrome and ischemic disease of the lower extremities.
A priority part of the workload of both stations is also undergraduate and postgraduate teaching (internal medicine, diabetology, endocrinology).

Possibility of hospitalization in a superior room
At the 2nd bed station, we also offer the paid option of hospitalization in a room with superior equipment.

Contacts:
nurse: 224 434037
medical room: 224 434 055

3. BED STATION

Head of the 3rd station: MUDr. Peter Hofmann

Beds: 30
9 triple rooms, 1 superior room

The third station of the internal clinic is a 30-bed ward where patients with general internal problems are hospitalized for comprehensive diagnostic and therapeutic care. The station is equipped with triple rooms with private bathroom facilities and television, with the possibility of using 1 superior single room for a fee. More than 1000 patients are hospitalized in our department annually. The most frequently hospitalized patients are patients with heart failure and its complications, difficult-to-correct arterial hypertension and ischemic disease of the lower extremities indicated for endovascular intervention. As part of our professional focus, we specialize in the diagnosis and treatment of patients with venous thromboembolism or complicating pulmonary embolization. As a university hospital, we are also involved in the teaching of medical school students and the postgraduate training of doctors and nurses.

Contacts:
nurse: 224 434032
medical room: 224 434 059

NEPHROLOGY

Head of the 5th station: doc. MD Miroslava Horačková, CSc.
Deputy head of the station - MUDr. Andrew Friday 

Beds: 19
4 triple, 3 double and 1 single room

There are 19 specialized beds in double and triple standard rooms, which are equipped with their own sanitary facilities and television. The department is equipped with a portable system for monitoring vital functions, connected to the central office in the nurses' office. The monitoring device can be moved flexibly. Two double and three triple rooms are equipped with a distribution of treated water for hemodialysis. There is also one single room available, which provides superior accommodation for a fee (with private bathroom, telephone, television and fridge). In the entire department, it is possible to provide above-standard catering for a fee. The department is equipped with a new type of positioning beds.
The bed ward is used for the hospitalization of patients with acute kidney failure, disorders of the internal environment, renal complications of type 1 and 2 diabetics, complications of treatment with chronic hemodialysis and peritoneal dialysis, including nutritional issues. We diagnose and treat systemic diseases of the connective tissue and vasculitis. Patients are hospitalized here after invasive procedures (renal biopsy, implantation of a peritoneal catheter, translumbar catheter, reperfusion vascular procedures). Patient education in the introduction to chronic hemoelimination methods (hemodialysis and peritoneal dialysis) takes place here, and detailed examinations of patients indicated for kidney transplantation and nephrological examinations of those waiting to be included in the waiting list before lung transplantation are carried out and organized.

Contacts:
nurse: 224 433066
medical room: 224 433 067

DIABETOLOGY, ENDOCRINOLOGY, OBESITOLOGY, ANGIOLOGY

Head of the 7th station: MUDr. Stepan Hlava
Deputy head of the station: MUDr. Karolina Hricová
Station nurse: Radka Kubíčková

Beds: 23
6 triple, 1 double, 2 single rooms, 1 VIP room

The seventh station was established as part of the Motole Internal Medicine Clinic in 2000, as an inpatient department of the diabetes center specializing in the treatment of diabetes and its complications, and subsequently the operation was expanded to include the care of patients with endocrine diseases requiring hospitalization for medical or diagnostic reasons.
Gradually, a fully equipped department was built, caring mainly for patients with acute conditions of diabetes and for patients with vascular and neuropathic complications. It is advantageous to cooperate with other departments of the internal clinic (metabolic unit, nephrology, dialysis) and interdisciplinary cooperation within Motol FN (radiology clinics, nuclear medicine, eye clinic, cardiac surgery, surgery, etc.) enabling modern treatment of all conditions associated with the treatment of diabetes and its complications.
Scientific and publication activities, teaching of medics and postgraduate training of doctors is an integral part of the operation.

Contacts:
nurse: 224 433 061
medical room: 224 433 063

VIP suite
price CZK 2.500/day
for less seriously ill patients (uses prabout the entire FNM – all clinics and departments)

Department photo gallery:

METABOLIC INTENSIVE CARE UNIT

Leading physician: MUDr. Martin Soucek
Deputy head of the station: MUDr. Jan Masopust

Beds: 12

The intensive care unit of the internal clinic has 12 beds. The medical and nursing team here cares for patients in life-threatening conditions within internal medicine, often with an overlap into other fields.
An obvious part of care are various intoxications and complications of the underlying disease, which require support or replacement of lung and kidney functions. There are 4 beds with artificial pulmonary ventilation (UPV) and various variants of elimination methods (intermittent and continuous hemodialysis, plasmapheresis).

Contacts:
nurse: 224 434 031
medical room: 224 434 098

Gastroenterology and endoscopy

Introducing the team

Executives
prof. MD Radan Keil, Ph.D. - Chief Physician of the Department of Gastroenterology
MD Markéta Roznětinská - Chief Physician of the Gastroenterology Inpatient Department
Miroslava Petercová - station nurse of the endoscopic center and gastroenterological clinic
Bc. Zuzana Živčáková - inpatient ward nurse

Doctors:
prof. MD Radan Keil, Ph.D.
as. MD Jiří Drábek, Ph.D.
MUDr. Jindra Lochmannová
doc. MD Iva Hoffmannová, Ph.D.
MD Jan Šťovíček, Ph.D.
MD Markéta Roznětinská
MD Stepan Hlava
MD Martin Wasserbauer
MD Jaromir Tyburec
MD Hana Hejdová
MD Nikola Karešová
MD Monika Neščáková
MD Jakub World
MD Petra Koptová

Endoscopic center, examination methods

Spectrum of performed examinations

Gastroscopy, colonoscopy, enteroscopy

• diagnostic endoscopic procedures: gastroscopy, transnasal gastroscopy, colonoscopy, enteroscopy (push, double-balloon), screening colonoscopy using artificial intelligence to detect polyps
• therapeutic endoscopic procedures: endoscopic polyp removal techniques (standard polypectomy, endoscopic mucosal resection, endoscopic submucosal dissection, endoscopic full-thickness resection technique), dilation of stenoses and insertion of stents, argon-plasma coagulation, insertion of nutritional probes and percutaneous endoscopic gastrostomy and jejunostomy
• urgent endoscopic procedures: stop bleeding and extract foreign bodies from the digestive tract

Capsule enteroscopy

• non-invasive diagnosis of small bowel disease
  Endoscopic retrograde cholangiopancreatography (ERCP)
• diagnostic and therapeutic procedures including endoscopic papillosphincterotomy, extraction of stones from the bile ducts and the introduction of plastic and metal stents
• the endoscopy center also has the option of performing cholangioscopy and electrohydraulic lithotripsy
• ERCP is also performed in pediatric patients under general anesthesia in the presence of an anesthesiologist
• application form for ERCP to FNM (link)

Endosonography

• diagnostic and therapeutic procedures in patients with diseases of the esophagus, stomach, pancreas and rectum
• in indicated patients, endosonography-guided biopsy or drainage may also be part of these procedures
  Esophageal pH-metry, esophageal and anorectal manometry
• so-called functional methods to verify esophageal reflux disease, esophageal motility disorders, and other diseases

Abdominal ultrasonography, liver elastography

• ultrasound examination of the abdominal organs performed by the highest quality equipment in the hands of experienced sonographers
• elastography of the liver parenchyma is performed on request as part of the sonographic examination of the liver

Percutaneous liver biopsy

• untargeted liver biopsy used for differential diagnosis of diffuse liver lesions

Fecal bacteriotherapy

• used for the treatment of recurrent or poorly responding to conventional therapy inflammation of the colon caused by the bacterium Clostridium difficile

Bed ward - 1st station

Leading doctor: prof. MD Radan Keil, Ph.D.
Head of the 1st station: MUDr. Markéta Roznětinská
Deputy head of the station - MUDr. Martin Wasserbauer

Beds: 29
1 superior single bed, 1 double room with its own bathroom, 8 x 3 bed rooms

The inpatient station of the Internal Clinic with a focus on gastroenterology is used for the hospitalization of patients with diseases of the digestive tract, liver, bile ducts or pancreas, whose condition is so serious that it does not allow for outpatient treatment. Furthermore, patients are hospitalized here for diagnostic reasons, in order to speed up and make the examination process more efficient. The inpatient department also provides facilities for the endoscopy center - patients after more demanding endoscopic procedures who cannot be discharged home immediately after the examination are observed here for the purpose of early detection and treatment of possible complications of endoscopic procedures.

Contacts:
nurse: 224 434 035
medical room: 224 434 056

Gastroenterology and hepatology consulting room

In the specialized gastroenterology and hepatology clinic, patients with chronic diseases of the digestive tract, liver, bile ducts and pancreas are monitored and treated for a long time. The examination can only be completed on the recommendation of a general practitioner or other doctor. We book patients for a specific day and hour to a specific doctor.

Doctors:
prof. MD Radan Keil, Ph.D.
as. MD Jiří Drábek, Ph.D.
MUDr. Jindra Lochmannová
doc. MD Iva Hoffmannová, Ph.D.
MD Jan Šťovíček, Ph.D.
MD Markéta Roznětinská
MD Stepan Hlava
MD Martin Wasserbauer
MD Jaromir Tyburec
MD Hana Hejdová
MD Nikola Karešová
MD Petra Koptová

Contacts and ordering:
It is possible to order an examination by phone at the number (224) 434 049 or in person, always in weekdays from 8:00 a.m. to 15:00 p.m.
The ambulance is located in the adult section of FN Motol (blue building) on ​​the 4th floor near communication node C.

Center for Biological Treatment

A center for biological treatment operates within the gastroenterology department. At our workplace, biological treatment of two groups of diseases is carried out: Idiopathic intestinal inflammation (Crohn's disease and ulcerative colitis) and chronic viral inflammation of the liver (chronic hepatitis B and C). The attending physician always decides on the initiation of biological treatment and the choice of a specific preparation strictly individually according to the nature and severity of the disease.

Doctors:
prof. MD Radan Keil, Ph.D.
as. MD Jiří Drábek, Ph.D.
MUDr. Jindra Lochmannová
doc. MD Iva Hoffmannová, Ph.D.
MD Jan Šťovíček, Ph.D.
MD Markéta Roznětinská
MD Stepan Hlava
MD Martin Wasserbauer
MD Hana Hejdová
MD Nikola Karešová

Contacts and ordering:
Acceptance of a patient for biological therapy can be arranged with our doctors through the contact person of our center, secretary sl. Schücková by phone at the number (224) 433 076 or by e-mail veronika.schuckova@fnmotol.cz.

Functional examination

As part of the functional examination room, we carry out a full range of examinations: pH measurement of the esophagus or with impedance, esophageal manometry and anorectal manometry. We accept patients indicated by an outpatient doctor for examination, always only with a completely filled out application form. The method of preparation and a simple description of the examination is available on the other side of the application form (see below).

Doctors:
MUDr. Štěpán's head
MD Mala Šárka, Ph.D.
MD Ales the lamb

Contacts and ordering:
It is possible to order an examination by phone at the number (224) 434 049.
The ambulance is located in the adult part of FN Motol (blue building) on ​​the 4th floor at the communication node C on the 1st inpatient station.

• Endoscopic sclerosing / ligation of esophageal or gastric varices (185,00 KB)
• Rectoscopy (182,50 KB)
• Percutaneous endoscopic gastrostomy (PEG) (188,00 KB)
• Non-targeted liver biopsy (187,50 KB)
• Capsule enteroscopy (193,50 KB)
• Endoscopic insertion of a stent into the esophagus (184,50 KB)
• Gastroscopy (195,00 KB)
• Endoscopic retrograde cholangiopancreatography (ERCP) (195,50 KB)
• Enteroscopy (201,00 KB)
• Endoscopic dilatation of gastrointestinal stenosis (194,00 KB)
• Esophageal manometry (186,50 KB)
• Computed tomography (CT) examination with intravenous administration of iodine contrast agent (199,50 KB)
• Colonoscopy (193,50 KB)
• Colonoscopy information (41,50 KB)
• request for anorectal manometry (18,74 KB)
• esophageal manometry (18,10 KB)
• pHimpedance phmetry request (20,70 KB)

Contacts and ordering

Orders for specific examinations are made through the reception of the Motol FN Internal Clinic, where you will be directly ordered for these examinations on a certain date or, in the case of some examinations, further redirected to the relevant workplace.

• reception of the FNM Internal Clinic: 224 434 082, 224 434 027

Appointments for examinations are only possible during normal working hours (Monday-Friday, 7:00 a.m. - 15:00 p.m), either in person at the reception of the Motol FN Internal Clinic (blue building, node D, 4th floor) or by phone at the above phone numbers.

The patient will be informed about the individual specifications (preparation for the procedure, the necessity of LAB sampling, the necessity of hospitalization for the procedure, and others) when ordering the given examination. For all types of examination, the patient must submit a request form (recommendation) from the attending physician, some types of procedures must be agreed in advance by the referring physician with the doctors subsequently performing the procedure. We do not perform examinations at the patient's request.

Urgent procedures (gastroscopy, colonoscopy, ERCP) are available around the clock. Urgent endoscopic procedures (gastroscopy, colonoscopy, ERCP) must be arranged directly with the doctor who will perform the procedure. The phone number below will be used to directly contact the doctor performing the procedure.

• during working hours (via reception): 224 434 082, 224 434 027
• outside working hours (via OUPD): 224 436 708

Nephrology

The Department of Nephrology of the Internal Clinic of the 2nd Faculty of Medicine of the UK and the Motol Faculty of Medicine deals with the diagnosis and treatment of kidney diseases, differential diagnosis of secondary hypertension and disorders of the internal environment. We create inpatient facilities for differential diagnosis and treatment of patients of the FNM Rheumatology Center. The department of hemoelimination methods is part of the workplace. The workplace includes a general and pre-dialysis nephrology clinic and a peritoneal dialysis clinic.
The department is a tertiary health care center and holds an accreditation for postgraduate training of doctors in a specialized field of nephrology.

Introducing the team

Executives

doc. MUDr. Miroslava Horackova, CSc. - chief physician of the nephrology department
MD Andrew Friday - Deputy Chief Physician of the Nephrology Department
Miriam Sochrová - station nurse
Monika Macounová – station nurse for the hemodialysis section

Doctors:
MD Peter Hoffmann
MD Lucia Bučková

Bed ward - 5st station

Head of the 5th station: doc. MD Miroslava Horačková, CSc.
Deputy head of the station - MUDr. Andrew Friday 

Beds: 19
4 triple, 3 double and 1 single room

There are 19 specialized beds in double and triple standard rooms, which are equipped with their own sanitary facilities and television. The department is equipped with a portable system for monitoring vital functions, connected to the central office in the nurses' office. The monitoring device can be moved flexibly. Two double and three triple rooms are equipped with a distribution of treated water for hemodialysis. There is also one single room available, which provides superior accommodation for a fee (with private bathroom, telephone, television and fridge). In the entire department, it is possible to provide above-standard catering for a fee. The department is equipped with a new type of positioning beds.
The bed ward is used for the hospitalization of patients with acute kidney failure, disorders of the internal environment, renal complications of type 1 and 2 diabetics, complications of treatment with chronic hemodialysis and peritoneal dialysis, including nutritional issues. We diagnose and treat systemic diseases of the connective tissue and vasculitis. Patients are hospitalized here after invasive procedures (renal biopsy, implantation of a peritoneal catheter, translumbar catheter, reperfusion vascular procedures). Patient education in the introduction to chronic hemoelimination methods (hemodialysis and peritoneal dialysis) takes place here, and detailed examinations of patients indicated for kidney transplantation and nephrological examinations of those waiting to be included in the waiting list before lung transplantation are carried out and organized.

Contacts:
nurse: 224 433066
medical room: 224 433 067

Investigation methods

Renal biopsy
we perform under the control of an ultrasound device or CT and the collected biopsy material is processed and read in the Center of Pathology and Molecular Biochemistry of the National Hospital

Nephrological ultrasound examination
including examination of intrarenal hemodynamic parameters

Endocrinological laboratory examination in the differential diagnosis of secondary hypertension
(collection and determination of basal and exercise concentrations of plasma renin activity and aldosterone) in cooperation with the Endocrinology Laboratory of the 3rd Internal Clinic of the General Hospital and the Institute of Endocrinology

Examination of urinary sediment in phase contrast

Performances

Hemodialysis/Hemodiafiltration/SLED (from the English sustained low efficiency daily dialysis = daily slow dialysis))

Therapeutic apheresis

Immunoadsorption

Insertion of peritoneal catheters
puncture and laparotomy/laparoscopic technique in cooperation with the Surgical Clinic of the FN Motol

Reduction and fixation of peritoneal catheters
laparoscopic technique in cooperation with the Surgical Clinic of the FN Motol

Insertion of temporary hemodialysis catheters
under the control of an ultrasound device and X-ray

Application of immunosuppressive treatment
in patients with systemic diseases

Hemodialysis center of the ward

It has 4 dialysis beds for hemodialysis of patients hospitalized in other departments and FNM clinics and the possibility of performing hemodialysis directly at ten other nephrology specialized beds in the department. At the center, we perform intermittent hemodialysis, intermittent hemodiafiltration and SLED in hospitalized patients with acute kidney failure and in complicated patients from a regular hemoelimination program. The center has modern hemodialysis technology and a device for measuring the composition of body fluids using bioimpedance. As part of hemoelimination methods, we perform therapeutic apheresis and immunoadsorption.

Peritoneal dialysis workplace

In the ambulatory peritoneal dialysis program, we dispensary patients who have chosen the method. The center has its own nurse and doctor dedicated to this care. Continuous and automated peritoneal dialysis is performed in the center. The peritoneal dialysis clinic carries out regular clinical and laboratory checks and specialized tests of the effectiveness of the method for patients included in the peritoneal dialysis program. These patients are guaranteed the possibility of urgent hospitalization in specialized beds of the nephrology department in case of complications. In cooperation with the inpatient department of nephrology, peritoneal catheters are introduced by puncture and endoscopic methods in patients indicated for this elimination method, and education on continuous and automated peritoneal dialysis treatment is provided.

Nephrology clinic

doc. MD Miroslava Horáčková, CSc. - Monday 9:00-11:30
MD Andrew Friday - Monday 13:00-15:00
MD Peter Hoffmann - Tuesday 13:00-15:00
MD Monika Tóthová - Wednesday 13:00-15:00
MD Lucia Bučková - Thursday 13:00-15:00

Contacts and ordering
phone: 224 434 064

Diabetes center

Welcome to the website of the Diabetology Center of the Internal Medicine Clinic in Motola.
Our workplace provides outpatient and inpatient care for patients with all types of diabetes mellitus.
Our goal is to provide you with the best possible care, including the necessary knowledge, so that diabetes has no chance of harming you.
In addition to the diabetes clinic, we also have a specialized lipidology clinic and an endocrinology clinic.

Introducing the team

Doctors:
prof. MD Kateřina Štechová, Ph.D., head of the Diabetes Center
MD Martina Salátová (deputy head of DC)
MD Pavlína Piťhová, Ph.D.
MD Pavlína Krollová
MD Šárka Malá, Ph.D.
MD Martina Tuháčková
MD Karolina Hricová
MD Nikola Stierankova
MD Pavlína Černíková
MD Ales Beránek

Nurses and technical-economic workers:
Libuše Řejhová (station nurse)
Irena Drexlerová (section sister)
Ing. Alice Hejlkova
M.Sc. Vera Horka
Lydia Jarschová
Kateřina Koppelová
Lucie Langšádlová

External collaborators:
MD Dita Pichlerová, Ph.D.
MD Simona Pálová, Ph.D.
M.Sc. Svatava Krejčová
MD Václav froze
MD Jana Jakšová
MD Jan Brož

Podiatric clinic

The podiatric outpatient clinic for diabetics carries out screening for the risk of diabetic foot syndrome (investigation of neuropathy, blood circulation disorders and foot biomechanics disorders) and treatment of patients with diabetic foot syndrome

Doctors:
MD Pavlína Piťhová, Ph.D.
MD Ales Beránek

Contacts and ordering
we ordain Monday-Friday 7:00-15:00, ordering required
ordering on phone: 224 434 067 (necessary to call repeatedly, we do not pick up the phone while treating patients) or by email: diabetologie@fnmotol.cz

Endocrinology and osteology clinic

Our ambulances are part of the complement of the diabetes center. They provide specialized endocrinological and osteological care to both outpatients and hospitalized patients.

The aim of our workplace is the diagnosis and modern treatment of a wide range of the following diseases:

• thyroid disease
• parathyroid disease
• adrenal disease
• hypothalamo-pituitary axis disease
• bone disease

As part of comprehensive diagnostics, we perform ultrasonographic examination of the thyroid gland, if necessary, thin-needle aspiration biopsy of the thyroid gland under ultrasound control and dynamic stress tests.

Doctors:
MD Martina Salátová, head of endocrinology and osteology
Prof. MD Kateřina Štechová, Ph.D.
MD Pavlína Krollová
MD Šárka Malá, Ph.D.

Nurses and technical-economic workers:
Nadia Melčová
M.Sc. Vera Horka
Lydia Jarschová

External collaborators:
MD Václav froze
MD Jan Brož

Contacts and ordering
FN Motol, building for adult patients (blue building), 4th floor, node D
Email: endocrinologie@fnmotol.cz
tel .: 224 434 082, 224 434 027 (reception)
Due to the large number of parking lots in the hospital area, we recommend that you preferably use public transport or allow yourself more time to arrive.
The hospital is located right next to the final stop of metro A "Nemocnice Motol".

Contacts and ordering

FN Motol, building for adult patients (blue building), 4th floor, node D
Email: diabetologie@fnmotol.cz
tel .: 224 434 082, 224 434 027 (reception)
Due to the large number of parking lots in the hospital area, we recommend that you preferably use public transport or allow yourself more time to arrive.
The hospital is located right next to the final stop of metro A "Nemocnice Motol".

Obesity Treatment Center

Obesity Treatment Center is a specialized workplace that provides diagnostic, therapeutic and nursing care for patients with obesity (BMI above 30 kg/m²) and with associated metabolic comorbidities, incl pharmacotherapy of obesity and bariatric-metabolic surgery.

Patient care in the obesitology center is carried out at a high level and in compliance with all recommended standard diagnostic and therapeutic procedures.

The obesity treatment center forms an educational, scientific and research base for the issue of obesity treatment using the most modern methods of treatment, both pharmacological and endoscopic and surgical.

The Obesity Treatment Center is involved in undergraduate and postgraduate teaching.

The aim of the Center is to offer patients the most modern obesity treatment options across the entire spectrum, including modern pharmacotherapy and bariatric-metabolic surgery methods. At one workplace, we would like to offer an obese patient the care of an obesitologist, nutrition specialist, psychologist, cooperation with physiotherapists, with a follow-up to other specializations such as surgery, diabetology, endocrinology, gastroenterology, etc. orthopedics and others.

The specialist ambulance has the most modern type of the In Body 970 bioimpedance device, which can be used to accurately measure body composition, including visceral fat content, skeletal muscle volume, water content and many other parameters. In this way, the procedure that the patient should use to successfully reduce excess weight can be specified.

It is also available experienced nutritional therapist, who will help draw up the right diet and will regularly monitor and further educate patients. It is possible to cooperate as well with a psychologist, because often the problems associated with overweight and obesity are strongly influenced by psychology, the patient's current state of mind, or experiencing a difficult period of life.

We normally work in the ambulance with modern anti-obesity drugs - drugs that help reduce excess weight and have a minimum of side effects. It is a tablet and injection form of therapy. These drugs very effectively help reduce appetite and hunger, the patient is full after a small portion and has no tendency to continue eating, or to eat between meals or snack. He can thus focus better on a healthy diet, which is recommended by a nutritional therapist. Unlike older types, these modern drugs have minimal side effects, are very well tolerated and can be taken long-term or even for life. In addition, they will take place in the Center clinical trials with new drugs.

The obesity treatment center also offers surgical treatment of obesity using the most modern methods of bariatric - metabolic surgery. In cooperation with the |Surgical Clinic of the FN Motol, patients can undergo robotically assisted gastric tubulation (sleeve). The patient is at our workplace for these operations comprehensively prepared and monitored for life and regularly after the operation.

CLO Chief Medical Officer:
MD Dita Pichlerová, Ph.D.

Nutritional therapist:
M.Sc. Hana Hrdinová, Dept. medical nutrition
Bc. Denisa Pexová, DiS., Dept. medical nutrition
Kateřina Hermína Králová, DiS., Dept. medical nutrition

Psychologist:
M.Sc. Svatava Krejčová, Dept. clinical psychology
M.Sc. Ladislava Doležalová, Dept. clinical psychology

Hepatologist:
Doc. MD Iva Hoffmanová, Ph.D.

GFS:
prof. MD Radan Keil, Ph.D.
MD Jindra Lochmann
MD Jiří Drabek
MD Jan Šťovíček, Ph.D.
MD Stepan Hlava
MD Markéta Roznětinská
MD Jaromir Tyburec
MD Martin Wasserbauer
MD Nikola Karešová
MD Petra Koptová
MD Jakub World
MD Monika Neščáková
MD Hana Hejdová

Surgery:
prof. MD Alan Stolz, Ph.D., MBA
MUDr. Filip Pazdírek, Ph.D.
MD Michal Vjaclovsky

Physiotherapist:
Dept. of physical education medicine

Sisters:
Libuše Řejhová (station nurse)
M.Sc. Vera Horka
Nadia Melčová
Šárka Kofroňová

Technical and economic workers:
Kateřina Koppelová
Lucie Langšádlová

Collaborating doctors:
Prof. MD Kateřina Štechová, Ph.D.
MD Martina Salatová
MD Pavlína Piťhová, Ph.D.
MD Pavlína Krollová
MD Simona Pálová, Ph.D.
MD Jan Brož, Ph.D.

Practical advice for patients

• Upon arrival report at the reception. Here you will find out which preparation room you should sit in front of. 
• Please arrive approx 10 minutes before the scheduled inspection time.
• The nurse will invite you to the preparation room, where you weighed on a bioimpedance scale, will measure (height, waist and hip circumference) and measure your blood pressure. Expect to have to put it away in your underwear.
• After that, you will go and sit in front of your doctor's clinic, who will call you.
• A week before each check-up, write down truthfully what you ate and at what time.
• In the report that you will receive at the end of the consultation with the doctor, you will be given the date of the next outpatient check-up, possibly sampling and other examinations
• Blood draws are between 7-8 am. Upon arrival, you will also check in at the reception. It is also necessary to make an appointment for sampling, and it is also necessary to respect the instructions given to you by your doctor (i.e., for example, whether it is necessary to fast, whether it is necessary to bring urine, etc.)

If, for any reason, you cannot come to the recruitment or outpatient check-up, please inform us of this fact immediately at interna@fnmotol.cz or by phone (224434082, 224 434 027)

You can learn more about obesity treatment here: www.mojelecbaobezity.cz

The number of obese people is increasing year by year, and obesity is becoming a serious problem in developed countries. Research by the STEM agency published in February 2021 showed the latest data in the Czech Republic. The trend is certainly not pleasing, even in our country there is a significant increase in overweight and obese people. Only 32% of the Czech adult population has a normal weight, which is alarming. The majority of the population of the Czech Republic shows in this research overweight (38%) or obesity (28%). Only 2% of the public suffer from underweight (Fig. 1.).

The share of women with a normal weight (41%) is almost double the share of men with an ideal weight (24%). At the same time, almost only among women we find those who are underweight (Fig. 2.).

Up to the age of 45, the proportion of normal-weight people gradually decreases significantly, from the age of 46 it remains almost constant. On the contrary, the proportion of obese people gradually increases with age, only for the oldest age group it then decreases (Fig. 2.). As education increases, so does the proportion of people with a normal weight (Fig. 3).

Giant. 1. - Distribution of the Czech adult population according to BMI (STEM 2021).Giant. 2. - BMI according to sociodemographic characteristics (STEM 2021).

Giant. 3. - BMI according to sociodemographic characteristics (STEM 2021)

An obese person is three times more at risk myocardial infarction, stroke and hypertension. Overweight and obesity occur in approximately 80-90% of patients with type 2 diabetes mellitus. In obese people, we often find a complete metabolic syndrome with dyslipidemia and hypertension. Occurrence is common steatohepatitis and gall bladder diseases. Obesity is a separate risk factor for occurrence of malignancies. Obesity also affects quality of life, psychic and emotional experience. Obesity is associated with higher incidence of sexual dysfunctions, reduced fertility, irregular menstruation, hyperandrogenic syndrome, hypogonadism and erectile dysfunction. We can state that obesity is associated with a significantly lower quality of life and is a life-shortening and directly threatening disease. Life expectancy of the obese is shortened by 5 to 20 years, depending on sex, age and race. It is therefore necessary to pay sufficient attention to the care of these patients, either in the prevention or treatment of obesity and its comorbidities.

You can also learn more about the treatment of obesity <a href="https://cdn.shopify.com/s/files/1/1932/8043/files/200721_ODSTOUPENI_BEZ_UDANI_DUVODU__EN.pdf?v=1595428404" data-gt-href-en="https://en.notsofunnyany.com/">here</a>.

Influence of genetic factors

Obesity is a multifactorial disease in which the interaction of environmental influences with hereditary predispositions leads to a positive energy balance, which results in the accumulation of adipose tissue. Hereditary disposition has an overriding influence. Heredity has a polygenic character, that is, it is caused by polymorphisms of several genes. We are talking about the so-called obesity candidate genes, which can reduce (leptogenic genes) or increase (obesigenic genes) susceptibility to obesity. Candidate genes influence, for example, feelings of hunger and satiety, food preference, efficiency of nutrient processing in the digestive tract, energy expenditure (whether at rest or during physical activity), combustion and storage of nutrients and more. It is true, however, that the expression of these genes can be influenced by nutritional factors and the degree of physical activity. An important role in the development of obesity is played by the so-called thrifty gene, which was selected as a result of famines. It can be stated that humanity is not immune to obesity, as the genome supports the accumulation of adipose tissue and prevents its breakdown. Satiety signals are weaker than hunger signals. Unfortunately, even today, when there is good, often even excessive, availability of food, the human genome is not yet able to respond adequately and still supports the preservation of fat as an energy reserve. The combination of genetic potential and the so-called obesitogenic environment leads to the fact that if both parents are obese, there is a 70% probability that their offspring will also be obese. In the case of one obese parent, this probability is 40-50%. Moreover, it turns out that 80% of obese children will be obese as adults. Genetically, an individual is also predestined for how they will react to diet or physical activity. Interestingly, after a certain dietary intervention, weight and eating behavior return to their original values, which would confirm the theory that each individual has a certain weight setting and the organism always tries to compensate for each change.

Epigenetic and behavioral factors

No less important is epigenetics, i.e. individual behavior and external influences that change the genetic makeup of the organism. We are talking about the influence of an obesitogenic environment. This leads to methylation, transcription and expression of genes that change the genetic information. The change is then passed on to subsequent generations. From this point of view, the energy balance is essential, i.e. the ratio between energy intake on the one hand and expenditure on the other. The composition of the diet and the ratio of basic nutrients (fats, carbohydrates and proteins) are also important. Recent research suggests that simple carbohydrates and saturated fats are mainly responsible for obesity. We must also take into account calorie drinks and alcohol, which has a high energy content and whose increased consumption can lead to the accumulation of fat, especially in the abdominal area. Eating outside the home also contributes to the development of obesity, irregular frequency of food intake and accumulation of caloric intake until the evening hours. In addition, the food industry has grown considerably in recent years, and industrially prepared foods have begun to be used semi-finished products and it stopped cooking at home with fresh food. Gradually, the content of polysaccharides and fiber in the diet decreased, they were replaced by foods of animal origin, simple carbohydrates, and animal fats. Vegetable fats with a high proportion of trans-fatty acids began to solidify, the content of salt and other additives increased, and the shelf life of food was extended. It is a separate chapter lack of movement, to which the fact that we no longer spend the day doing hard physical work and we walk less contributes to this, so we lack natural forms of movement. We are talking about a sedentary way of life, which is related to the introduction of new technologies, automation and industrialization. Both the workload and leisure activities, which are more often sedentary (watching TV or playing on the computer) have changed. The use of cars and public transport also led to reduced walking.

Education is also important in relation to obesity. In particular, women with increasing levels of education have a lower tendency to obesity and overweight. There is also a lower representation of obese people in big cities than in small settlements.

Chief physician:  MD Dita Pichlerová, Ph.D.

Tel. to order:
(224) 43 4027
(224) 43 4082

Email: interna@fnmotol.cz

Location:
FN Motol, blue building, adult section
Internal clinic, 4th floor node D, ambulance

We provide comprehensive obesity treatment for patients with a BMI over 30kg/m².

article for download in PDF

Revenue internal ambulance

Patients arrive for planned hospitalizations via the outpatient clinic.

Basic administrative tasks, measurement of physiological functions, recording of EKG and blood sampling are carried out at the outpatient clinic.

An initial comprehensive examination by a doctor takes place here.

Professional ambulances

The second part consists of an internal ambulance specialized ambulance and consulting rooms:

• Vascular clinic
• Diabetes clinic
• Endocrinology and osteology clinic
• Gastroenterology and hepatology consulting room
• Cardiology outpatient clinic
• Lipid dispensary
• Nephrology clinic
• Nutrition clinic
• Obesitology clinic
• Podiatric clinic

These counseling centers provide comprehensive care for patients with specific diseases and problems who are dispensary and treated here.

Vascular clinic

Our vascular clinic cares for patients with diseases of the arteries and veins of the upper and lower extremities.
This means that both hospitalized and outpatient patients come to us, either with arterial diseases and blockages or with venous problems - thrombosis or varicose veins on the limbs.
Our workplace performs a comprehensive diagnosis of vascular diseases of the extremities and then provides adequate therapy.

Doctors:
MD Romana Tylová
as. MD Pavlína Piťhová, Ph.D.
MD Pavlína Černíková
MD Andrea Čupkova
MD Tomáš Hlinka

Contacts and ordering
ideally with a recommendation from, for example, a general practitioner - it is possible by phone number (224) 434 023

Diabetes clinic

Endocrinology and osteology clinic

Our ambulances are part of the complement of the diabetes center. They provide specialized endocrinological and osteological care to both outpatients and hospitalized patients.

The aim of our workplace is the diagnosis and modern treatment of a wide range of the following diseases:

• thyroid disease
• parathyroid disease
• adrenal disease
• hypothalamo-pituitary axis disease
• bone disease

As part of comprehensive diagnostics, we perform ultrasonographic examination of the thyroid gland, if necessary, thin-needle aspiration biopsy of the thyroid gland under ultrasound control and dynamic stress tests.

Doctors:
MD Martina Salátová, head of endocrinology and osteology
Prof. MD Kateřina Štechová, Ph.D.
MD Pavlína Krollová
MD Šárka Malá, Ph.D.

Nurses and technical-economic workers:
Nadia Melčová
M.Sc. Vera Horka
Lydia Jarschová

External collaborators:
MD Václav froze
MD Jan Brož

Contacts and ordering
FN Motol, building for adult patients (blue building), 4th floor, node D
Email: endocrinologie@fnmotol.cz
tel .: 224 434 082, 224 434 027 (reception)
Due to the large number of parking lots in the hospital area, we recommend that you preferably use public transport or allow yourself more time to arrive.
The hospital is located right next to the final stop of metro A "Nemocnice Motol".

Gastroenterology and hepatology consulting room

In the specialized gastroenterology and hepatology clinic, patients with chronic diseases of the digestive tract, liver, bile ducts and pancreas are monitored and treated for a long time. The examination can only be completed on the recommendation of a general practitioner or other doctor. We book patients for a specific day and hour to a specific doctor.

Doctors:
prof. MD Radan Keil, Ph.D.
as. MD Jiří Drábek, Ph.D.
MUDr. Jindra Lochmannová
doc. MD Iva Hoffmannová, Ph.D.
MD Jan Šťovíček, Ph.D.
MD Markéta Roznětinská
MD Stepan Hlava
MD Martin Wasserbauer
MD Jaromir Tyburec
MD Hana Hejdová
MD Nikola Karešová
MD Petra Koptová

Contacts and ordering:
It is possible to order an examination by phone at the number (224) 434 049 or in person, always in weekdays from 8:00 a.m. to 15:00 p.m.
The ambulance is located in the adult section of FN Motol (blue building) on ​​the 4th floor near communication node C.

Cardiology outpatient clinic

The cardiology outpatient department of the internal clinic performs outpatient monitoring and treatment of all cardiology diseases, especially arterial hypertension, chronic heart failure with reduced and preserved ejection fraction, ischemic heart disease and supraventricular arrhythmias such as atrial fibrillation and atrial flutter, including anticoagulant treatment.
In terms of examination methods, our ambulance has transthoracic echocardiography and, now, transesophageal echocardiography.
We also perform duplex sonography of the carotid and vertebrobasilar arteries.
For monitoring, we perform pressure and ECG Holter examinations.

Doctors:
doc. MD Chlumský Jaromír, Ph.D.
as. MUDr. Hello Dagmar
MD Single Lucy
MUDr. Wet Dana
MUDr. Friday Andrew
MD Six Michal
MD Sonia Klímová

Contacts and ordering
Cardiology clinic tel.: (224) 434 041

Lipid dispensary

The specialized lipid outpatient clinic of the Motol University Hospital provides care for patients with all types of disorders of blood fat metabolism (isolated hypercholesterolemia, isolated hypertriacylglycerolemia, mixed dyslipidemia).
The outpatient clinic mainly treats patients with more severe inborn disorders of lipid metabolism, which cannot be managed in general practitioners' surgeries or specialized outpatient clinics of other fields, which are concerned with the treatment of dyslipidemia, but are not their main focus (internal medicine, diabetes, cardiology and other surgeries).
It is also possible to consult patients with less serious disorders, including secondary dyslipidemias, who are not discharged in the lipid clinic after the examination, but are sent back to the attending physician with a report.
Patients are instructed about regimen measures and, if necessary, hypolipidemic pharmacotherapy is prescribed.
The frequency of blood collection for biochemical examination is individual according to the needs of each patient, usually twice a year.
The internal clinic's lipidology outpatient clinic is one of the outpatient clinics that offers the most modern and highly effective biological treatment with PCSK9 inhibitors (PCSK9i) and siRNA for indicated patients.

Doctors:
MD Martina Tuháčková
MD Ales the lamb

Contacts and ordering:
You can make an appointment for an entrance visit by calling: (224) 434 067

Nephrology clinic

doc. MD Miroslava Horáčková, CSc. - Monday 9:00-11:30
MD Andrew Friday - Monday 13:00-15:00
MD Peter Hoffmann - Tuesday 13:00-15:00
MD Monika Tóthová - Wednesday 13:00-15:00
MD Lucia Bučková - Thursday 13:00-15:00

Contacts and ordering
phone: 224 434 060

Nutrition clinic

He cares for patients with organically caused nutritional disorders, secondary malabsorption syndromes (patients with congenital and acquired malabsorption disorders, SBS, IBD, pancreatic insufficiency, post-resection syndromes, swallowing disorders from various causes), as well as oncology patients with risk or already signs of malnutrition, patients feeding via nutritional stoma or nasoenteral tube.
The ambulance has options for enteral or parenteral nutrition for selected diseases.

Doctors:
Prof. MD Jiří Charvát. CSc.
MD Sabina Pálová, Ph.D.
MD Jan Masopust

Contacts and ordering
4th floor, node D
Possibility to order by phone: (224) 434 084

Obesity clinic

Podiatric clinic

The podiatric outpatient clinic for diabetics carries out screening for the risk of diabetic foot syndrome (investigation of neuropathy, blood circulation disorders and foot biomechanics disorders) and treatment of patients with diabetic foot syndrome

Doctors:
MD Pavlína Piťhová, Ph.D.
MD Ales Beránek

Contacts and ordering
we ordain Monday-Friday 7:00-15:00, ordering required
ordering on phone: 224 434 067 (necessary to call repeatedly, we do not pick up the phone while treating patients) or by email: diabetologie@fnmotol.cz

Vascular access center

We are introducing entrances mainly for the adult patients of the Motol General Hospital, but also for patients from other medical facilities by agreement. In 2022, we introduced over 3200 vascular accesses. In our work, we follow the recommended procedures of the SPPK, which were created (and are continuously updated) based on the latest knowledge in this area, from the point of view of both the indication and the introduction and treatment of vascular accesses.
Our members regularly actively participate in domestic and foreign congresses where the issue of vascular procedures is addressed and are also active in publication activities.
We pass on our knowledge and findings not only in certified courses, but also in a number of seminars related to vascular access.
At our workplace, we will take care of you comprehensively in the area of ​​vascular access - insertion, care and education.

Introducing the team

Doctors:
prof. MD Jiří Charvát, CSc. - senior physician
MD Dana Mokrá
MD Jan Masopust
MD Ondřej Hloch, Ph.D.

PICC team:
M.Sc. Kateřina Lisová
Bc. Katerina Pavelková
M.Sc. Tereza Matejčková
M.Sc. Růzena Houžvičková Zvelebilová
M.Sc. Nikola Maulerová
Petra Šimková, Dis
Bc. Jana Pikusová, Dis.
Bc. Veronika Koubková
M.Sc. Jana Molčanová
Iva Melichová
Marjana Povchanyčová
M.Sc. Sára Ryklová
M.Sc. Hana Balvínová
Dagmar Bílá

Office worker:
Ing. Gabriela Jirasová

PICC team

A team of specialized nurses who introduce venous access from the arm area, from a peripheral vein. These inputs include PICC, Midline, Long peripheral catheter, short peripheral catheter - peripheral cannula, sampling under ultrasound control.
Doctors introduce all inputs where the central vein is entered directly - PORT, tunneled central venous catheter, non-tunnelized central venous catheter, long-term dialysis catheter, PICC PORT.
All venous accesses are introduced under ultrasound control, under strict aseptic conditions in compliance with the latest international recommendations.
Our goal is to choose and implement the most optimal input for each patient and ensure quality and comprehensive care.

Contacts and ordering

Workplace of the Department of Vascular Access
Sálky – introduction of vascular entrances
Location: 4st floor, node C
Working hours: Mon – Fri 6:30-15:00
Contact:

• (224) 434 079
• (224) 434 078
• (724) 967 620

Ambulance - treatment of vascular entrances
Location: Ground floor, node D
Office hours: Mon – Fri 7:00-15:00
Contact:

• 22443 8570
• (724) 967 618

The treatment must be ordered in advance on the phone numbers listed above

Science and research

Several long-term scientific programs are ongoing at the clinic. The vascular access project is based on the hospital's clinical need. In addition to their provision, it also provides important information about the selection of cannulae, the point of entry and subsequent local care, ensuring their optimal and uncomplicated duration.
Gastroenterological projects are mainly focused on idiopathic inflammatory bowel diseases. They focus on the results of treatment with various medications and their effects on the body, for example in the form of manifestations of autonomic neuropathy. Practical gastroenterological work has resulted in a whole series of publications dedicated to, for example, ERCP methods in children, the effectiveness of solving acute portal vein thrombosis. In the course of the covid epidemic, there were works dedicated to the effectiveness and safety of vaccination against SARS-CoV-2 in patients with idiopathic inflammatory bowel diseases or defense against virus transmission during endoscopic examinations.
As part of the care of patients with diabetes mellitus at the clinic, works are created dedicated to the impact of technology on the treatment of diabetes and the possibilities of early screening for this disease. There are also ongoing projects aimed at patients with cystic fibrosis.
Projects dedicated to the metabolism of the central nervous system or projects focused on the relationship between essential hypertension and the initial stages of renal disease are focused on the level of basic physiological relationships.

Publications of the clinic since 2013 can be viewed at:
https://www.lf2.cuni.cz/interni-klinika/prehled-publikaci

Contact

Adult Section, 4th Floor, Node D / Adult Section, 4th Floor, Block D
Head: prof. MD Radan KEIL, Ph.D.
Secretariat: phone: 224 434 001
Email: interna@fnmotol.cz

Reception: 224 434 082, 224 434 027

Phone connection to the inpatient department:

Telephone connection to the specialist ambulance:

Transport links
Public transport connections

• Metro A: Nemocnice Motol stop
• Bus 167 (from Na Knížecí stop): Nemocnice Motol stop