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.

 

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
224 434 005
katerina.lisova@fnmotol.cz

Secretariat
224 434 001
interna@fnmotol.cz

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     
E-mail: 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.

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 diseases of the gastrointestinal tract and liver. 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.

Clinic structure

The Department of Internal Medicine at the University Hospital in Motol is divided into:

• outpatient department
• bed part
• specialized workplaces

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

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

Seminar program of the Department of Internal Medicine, 2nd Faculty of Medicine, Charles University and Motol University Hospital

Public professional seminars of the Internal Clinic are not organized at the moment. He will inform you in advance about their renewal

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 the hospital (what to take to the hospital, what the patient's reception looks like, where the patient is to come to the hospital, 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

Chief physician: prof. MUDr. Radan KEIL Ph.D.

Head of the 1st station: MUDr. Markéta ROZNĚTINSKÁ

Beds: 29

9 triple, 2 single rooms

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

The inpatient department has 27 standard beds in triple rooms with private bathroom and television. There are also two single rooms, which provide above-standard accommodation for a fee.

DIABETOLOGY AND ENDOCRINOLOGY 

Head of the 2nd station: MUDr. Stepan Hlava

Beds: 30

9 triple, 1 double and 1 single room

The focus of the 2nd bed station IK is currently undergoing a transformation from a general internal direction to a station specializing mainly in metabolic, endocrine and diabetes mellitus diseases. Established close cooperation with the 7th bed station with a similarly profiled and established orientation.

Both stations are part of the FNM Diabetology Center and provide comprehensive care for patients with diabetes mellitus, from metabolic compensation to screening and treatment of complications, mainly diabetic foot syndrome and ischemic lower limb disease.

Comprehensive care is enabled by close cooperation with other departments of the internal clinic (metabolic unit, nephrology department) and the department of the University Hospital in Motol (Department of Imaging Methods, Department of Ophthalmology, Department of Nuclear Medicine, surgical specialties, Department of Sports Medicine).

Another task is the diagnosis and treatment of patients with endocrine diseases, especially thyroid disease. Both stations provide inpatient facilities for patients from the Institute of Endocrinology (diagnostics, treatment of acute conditions, preparation for surgical procedures).

Currently, the care of patients with morbid obesity is expanding in both volume and quality with the planned initiation of bariatric operations and subsequent care.
Both stations simultaneously provide care to patients with all acute internal conditions.

Sufficient personnel and equipment of both stations as well as the relevant specialist outpatient clinics enable the described profile and further expansion of care.

Undergraduate and postgraduate teaching (internal medicine, diabetology, endocrinology) is also a priority part of the workload of both stations, including several research projects and grants, and publishing activities.

Possibility of hospitalization in an above-standard room

At the 2nd bed station, we also offer a chargeable possibility of hospitalization in a room with above-standard equipment. 

CARDIOLOGY

NEPHROLOGY 

DIABETOLOGY, ENDOCRINOLOGY, OBESITOLOGY, ANGIOLOGY 

Head of the 7th station: MUDr. Jan Šťovíček, Ph.D.

Beds: 22

6 triple, 1 double, 1 single room, 1 VIP room

Diabetology

The 7th station was established within the Internal Clinic of the University Hospital in Motol in 2000, as an inpatient department of a diabetological center specializing in the treatment of diabetes and its complications, and subsequently the operation was expanded to care for patients with endocrine diseases requiring hospitalization for medical or diagnostic reasons.

Gradually, a fully equipped ward was built, caring mainly for patients with acute diabetes and patients with vascular and neuropathic complications. Cooperation with other departments of the internal clinic (metabolic unit, nephrology, dialysis) and interdisciplinary cooperation within the Motol University Hospital (clinics of radiology, nuclear medicine, eye clinic, cardiac surgery, surgery, etc.) enabling modern treatment of all conditions associated with diabetes treatment and its complications.

The same applies to the diagnosis and treatment of endocrine diseases, where we work closely with the Institute of Endocrinology in Prague.

The solution of grants, scientific and publishing activities, teaching of medics and postgraduate education of doctors is an integral part of the operation.

• CZK 2.500 per day, for less serious patients
• For the entire FNM - all clinics and departments

Metabolic unit

chief physician: MD Martin SOUČEK
Beds: 12

Intensive care unit at the internal clinic - the metabolic unit has 12 beds, of which 4 can be provided with artificial lung ventilation. The medical and nursing team takes care of patients in severe conditions with internal diseases, acute intoxications, etc. The metabolic unit also performs a wide range of elimination methods - continuous and intermittent.

Chief doctors

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

Magdalena Majdrechová - inpatient ward nurse

Doctors

As. MD Jiří Drabek
MUDr. Jindra Lochmannová
MD Jan Šťovíček, Ph. D.
MD Jaromir Tyburec
doc. MUDr. Jitka Zelenkova CSc.
MD Stepan Hlava
MD Martin Wasserbauer
MD Petra Koptová
MD Monika Neščáková
MD Jakub World
MD Hana Hejdová

Spectrum of performed examinations

Gastroscopy, colonoscopy, push-enteroscopy, double-balloon enteroscopy

diagnostic and therapeutic procedures, including polypectomy, hemorrhage, foreign body extraction, dilatation of stenoses with a tube or balloon, stent implantation, argon-plasma coagulation, introduction of nutritional probes, percutaneous endoscopic gastrostomy and jejunostomy.

Transnasal gastroscopy

diagnostic only in patients who prefer a nasal approach to the classic oral one. Capacity is limited, so please allow for longer waiting times.

Endoscopic retrograde cholangiopancreatography (ERCP)

diagnostic and therapeutic procedures, including papillotomy, extraction of stones, introduction of plastic and metallic stents, nasobiliary drainage. We also perform ERCP on pediatric patients of any age, always in the presence of an anesthesiologist under general anesthesia or analgesia.

Capsule enteroscopy

non-invasive diagnosis of small intestinal diseases. The examination is subject to individual approval by the health insurance company's review doctor; a copy of the performance approval document must be attached to the patient's request (accompanying letter).

Esophageal pH-metry

to verify esophageal reflux disease, especially in connection with the planning of antireflux surgeries.

Abdominal ultrasonography

ultrasound examination of the abdominal organs performed with a quality device in the hands of experienced sonographers.

Percutaneous liver biopsy

non-targeted liver biopsy used for differential diagnosis of diffuse liver lesions and targeted biopsy from pathological liver foci under sonographic control.

GASTROENTEROLOGY

Chief physician: prof. MUDr. Radan KEIL Ph.D.

Head of the 1st station: MUDr. Markéta ROZNĚTINSKÁ

Beds: 29

9 triple, 2 single rooms

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

The inpatient department has 27 standard beds in triple rooms with private bathroom and television. There are also two single rooms, which provide above-standard accommodation for a fee.

Patients with chronic diseases of the gastrointestinal tract, liver, bile ducts and pancreas are monitored and treated for a long time in a specialized gastroenterological and hepatological outpatient clinic (so-called gastroenterological clinic). The examination can be ordered by phone at 224434049 or in person, always on weekdays from 8 am to 15 pm The ambulance is located in the adult part of the Motol University Hospital (blue building) on ​​the 4th floor at communication node C. The examination can be completed only on the recommendation of a general practitioner or another doctor. We order patients for a specific day and hour to a certain doctor, upon arrival it is necessary to take a ticket from the electronic waiting list located opposite the ambulance door.

Within the gastroenterological workplace, there is a center for biological treatment - a modern sophisticated method of treatment, which is tied to the workplace with high expertise, appropriate background and quality of care standard.

Biological treatment of two groups of diseases takes place at our workplace: Idiopathic intestinal inflammations (Crohn's disease and ulcerative colitis) and chronic viral hepatitis (chronic hepatitis B and C).

The initiating biological treatment, its duration and the choice of a specific preparation is always decided by the attending physician individually for each patient according to the nature and severity of the disease.

For all types of examinations, the patient must submit a request (recommendation) from the attending physician. We do not perform examinations at the request of the patient.

Examination can only be ordered during normal business hours (weekdays between 7 am and 15 pm), either in person at the Endoscopic Center of the Internal Medicine Clinic of the Motol University Hospital (Blue Building, Node D, 4th floor) or by telephone at the telephone numbers. Specific conditions for the examination are listed in the "Specifics" column. Outpatient patients may, depending on the nature of the examination or procedure, be asked to pay a regulatory fee of CZK 30. When performing the procedure on an outpatient basis in the presence of an anesthesiologist (under general anesthesia or analgesia), a regulatory fee is also charged for the examination by the anesthesiologist.

Emergency procedures (gastroscopy, colonoscopy, ERCP) are available around the clock, you can order by phone at the phone numbers below.

Cheap:
the patient must attend the examination on an empty stomach, ie he must not eat, drink or smoke from the midnight examination before midnight.

Orthograde preparation:
The patient must undergo orthograde bowel preparation prior to the examination. This means that they must follow a complete diet for 3 days before the examination. The day before the examination, the patient eats only a light breakfast, only clear broth for lunch. In the afternoon approx. between 14pm and 18pm he drinks 4 liters of Fortrans laxative (available on prescription at pharmacies). It is ideal to drink a laxative at a rate of approx. 1 liter / hour, ie approximately 2 dl every 10 minutes. After that, the patient no longer receives a solid diet until the examination the next day, however, it is possible to drink clear fluids and take the usual morning dose of medication in the morning before the examination.

Hospitalization:
To perform this procedure, the patient must be hospitalized on the bed of the Internal Clinic of the Motol University Hospital (hospitalization can be arranged on tel.

Results:
To perform this examination, it is necessary to know the current laboratory results of the patient, usually the values ​​of blood counts and coagulation parameters.

Anesthesia:
This examination is performed only under general anesthesia or analgesia in the presence of an anesthesiologist. To perform this type, a statement on the patient's ability to undergo general anesthesia or analgesia must be available.

Doctor with doctor:
This examination must always be agreed between the patient's attending physician and the FNM Endoscopy Center physician. It is not possible for the nurse to order the patient or for the patient to order the examination himself.

• 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)

Within the functional examination room, we perform a whole range of examinations, during which we verify the function of sphincters in the esophagus and rectum. anorectal manometry. The method of preparation and simple characteristics of the examination is available on the other side of the request, always consult the doctor who sends you for the examination.
On behalf of the team of the functional examination room of the Internal Clinic of the 2nd Medical Faculty of Charles University and the University Hospital Motol

• Doc. MD Keil Radan
• MUDr. Štěpán's head
• MD Hoskovcová Lucie
• MD Ales the lamb
• MD Pelechová Barbora

The Department of Neurology, Department of Internal Medicine, 2nd Faculty of Medicine, Charles University and University Hospital Motol deals with the diagnosis and treatment of kidney diseases, complicated urinary tract infections, secondary hypertension and disorders of the internal environment. The workplace includes a department of hospital hemodialysis and a workplace for peritoneal dialysis.

The department is a tertiary health care center and holds an accreditation for postgraduate training of doctors in a specialized field of nephrology.

Executives

NEPHROLOGY

Head of 5th station: doc. MUDr. Miroslava HORACKOVA, CSc.

Beds: 19

4 triple, 3 double and 1 single room

In the bed part there are 18 specialized beds in double and triple standard rooms, which are equipped with their own bathroom and television. There is also one single room, which for a fee provides above-standard accommodation (with private bathroom, telephone, television and refrigerator).

The inpatient department is used for hospitalization of patients with acute renal failure, environmental disorders, renal complications of type 1 and type 2 diabetics, complications of treatment with chronic hemodialysis and peritoneal dialysis, including nutritional issues and treatment of systemic diseases. Patients are hospitalized after invasive procedures (renal biopsy, peritoneal catheter implantation, reperfusion vascular procedures), patients are educated at the beginning of chronic hemoelimination methods (hemodialysis and peritoneal dialysis) and detailed examination of patients indicated for kidney transplantation is performed and organized.

The Department of Nephrology of the Internal Medicine Clinic performs a wide range of diagnostic methods, including invasive examinations for diagnosis and treatment of kidney disease, complications of hemoelimination therapy, differential diagnosis of hypertension, internal disorders, vascular access for hemodialysis, peritoneal catheter insertion peritoneal dialysis. In the diagnostic and treatment process, we work closely with other Motol University Hospitals (Cardiovascular Center, Department of Diabetes, Department of Surgery, 1st Department of Surgery, Department of Imaging Methods, Department of Urology, Center for Pathology and Molecular Biology) and use a laboratory complement equipped with state-of-the-art technology.

Spectrum of performed 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

Insertion of peritoneal catheters

puncture and laparotomy / laparoscopic technique in cooperation with the 1st Surgical Clinic of the Motol University Hospital

Reduction and fixation of peritoneal catheters

laparoscopic technique in cooperation with the 1st Surgical Clinic of the National Hospital

Introduction of temporary and permanent hemodialysis catheters

under the control of an ultrasound device and X-ray

Establishment of vascular accesses

for hemodialysis (native arteriovenous shunts and goretex vascular prostheses) in cooperation with the Cardiovascular Center of the Motol University Hospital

Fistugraphy, PTA of vascular short circuits, thrombectomy and reconstruction of vascular short circuits

in cooperation with the Clinic of Imaging Methods and the FNM Cardiovascular Center

Nephrological ultrasound examination

including examination of intrarenal hemodynamic parameters

Renal angiography and angioplasty of renal arteries

in cooperation with the Department of Imaging Methods, Motol University Hospital

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

Application of immunosuppressive treatment

in patients with systemic diseases

It has 4 dialysis beds for hospital hemodialysis and the possibility of hemodialysis directly at four other nephrologically specialized beds. The center performs intermittent hemodialysis, intermittent hemodiafiltration in hospitalized patients with acute renal 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.

It currently treats 10 patients on a peritoneal dialysis program and has a capacity for 12 patients. The center performs continuous and automated peritoneal dialysis using the Baxter system and devices. The peritoneal dialysis clinic performs regular clinical and laboratory examinations and specialized tests of the effectiveness of the method in patients enrolled in the peritoneal dialysis program. These patients are provided with the possibility of emergency hospitalization in specialized beds of the nephrology department in case of complications. In cooperation with the inpatient department of nephrology, peritoneal catheters with puncture and endoscopic methods and continuous and automated peritoneal dialysis treatment education are introduced in patients indicated for this elimination method.

Nephrology clinic

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.

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

Practical information for patients

 Contacts and where to find us

• FN Motol, large blue building for adult patients, 4th floor, node D
• diabetologie@fnmotol.cz
• 224434082 (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".

Registration of new patients

• Currently, the registration of new patients is suspended for reasons of capacity, except for the following exceptions.
• Exceptions: 
  • Patients with newly diagnosed gestational diabetes who are under the care of the Motola Gynecological and Obstetrics Clinic
  • Individual exceptions are possible, but the attending diabetologist must discuss them with the head of the Diabetes Center.

 What to check

In addition to blood glucose records and a meal plan, you also need to carry a glucometer for check-ups.

How does the inspection work with us?

• Upon arrival, check in at the reception. Here you will find out which preparation room you should sit in front of. 
• Please arrive approximately 30 minutes before the scheduled inspection time.
• The nurse will invite you to the preparation room, where they will weigh you, measure you (height, waist and hip circumference) and measure your blood pressure. You hand the glucometer to the nurse to download the data and, if you are being treated with an insulin pump, the insulin pump. 
• You report to the nurse what consumables you will need, i.e. everything except prescription drugs and glucose sensors. You will discuss these with your attending diabetologist. 
• After that, you will go and sit in front of your doctor's clinic, who will call you.
• 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 intakes and the date of the next outpatient check-up. 
• Recruitment they are usually a week before the outpatient check-up so that the results are already available at the check-up. 
• Recruitment is between 7-8 am. Upon arrival, you will also check in at the reception. It is also necessary to be booked for intakes, and it is also necessary to respect the instructions given to you by your diabetologist (i.e., for example, whether you need to fast, whether you need 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 diabetologie@fnmotol.cz or by phone (224434082)

What to do when

When you need to reorder or when you need to prescribe medication/consumables (glucose meter strips, sensors, insulin pump cannulas, etc.):

You write an email to diabetologie@fnmotol.cz, in this form (example ☺)

            Jan Vopička, born 1980, diabetologist MUDr. Drvoštěp

            Humalog for the pump, Tulip 20mg tablet, glucose sensors

            Please text the recipes to 602111111

Note If Dr. Drvoštěp will be on vacation, one of his colleagues will prescribe the necessary items for you. Hence these write requests exclusively to the above email, which is served by the reception staff and handles emails every weekday.

When you need to consult your doctor/When you want to know the results of laboratory tests – contact your doctor in the way he recommended.

Diabetes in general

• Diabetes mellitus (diabetes) is a disease that is characterized by a higher level of glucose in the blood, which we professionally call glycemia. The normal value of fasting blood glucose is less than 5,6 mmol/l, after a meal it rises by a maximum of 2 mmol/l.
• Higher blood sugar level (hyperglycemia) bothers, both in the short and long term. From a long-term point of view, the problem is that thanks to it, the so-called chronic diabetic complications.
• Diabetes occurs for various reasons. 
• A hormone produced by the pancreas is essential for glucose metabolism, i.e. insulin. Specifically, it consists of the so-called beta cells of the islets of Langerhans, which are areas of tissue that produce hormones for the blood, which are scattered in the pancreas, which otherwise produces digestive juices.
• The most common form of diabetes is the so-called type 2 diabetes mellitus. In this case, the body first begins to respond poorly to the produced insulin, so-called insulin resistance arises. The body tries to compensate by making the pancreas produce more insulin. But it eventually runs out and insulin production begins to decrease. This form of diabetes is typically associated with overweight/obesity, which generally worsens the body's sensitivity to insulin. 
• The second most common form of diabetes is type 1 diabetes mellitus. It usually (but not exclusively) occurs in younger individuals and is caused by the body's immune system mistakenly destroying insulin-producing beta cells. Before the discovery of insulin, this form of diabetes led to early death. Today it is well treatable, but requires lifelong administration of insulin, which must be given by injection.
• There are also other types of diabetes. The only temporary form of diabetes is gestational diabetes (gestational diabetes), which occurs in predisposed women thanks to pregnancy hormones, which also worsen the body's sensitivity to insulin. Although it disappears after childbirth, up to 50% of women will most often get type 2 diabetes during their next life. They must therefore be further monitored. 
• But the list of types of diabetes does not end there. There are forms of diabetes linked to the mutation of one gene (monogenic diabetes), then diabetes caused by drugs and others.

Chronic diabetic complications

• They primarily affect blood vessels.
• A professional term is used for the involvement of large vessels macrovascular complications. They are based on accelerated atherosclerosis (hardening) of blood vessels and are not specific only to diabetes. The consequence of accelerated atherosclerosis is earlier onset of myocardial infarction, stroke, ischemic disease of the lower limbs. These complications then increase the morbidity and mortality of our patients. 
• Involvement of small vessels (microvascular complications) are specific for patients with diabetes. As a result, there is a typical damage to the eyes (retina, the so-called diabetic retinopathy), nerves (diabetic neuropathy) and kidney (diabetic kidney disease, formerly called diabetic nephropathy). Diabetes is the most common cause of blindness in developed countries and the most common diagnosis for patients who have to undergo dialysis. 
• Due to hyperglycemia, proteins are damaged because glucose binds to them (their so-called glycation occurs) and this damages their function. But that's not all. Simply put, thanks to hyperglycemia, a so-called pro-inflammatory environment is created in the body, many different undesirable effects (for example, oxygen radicals) are formed, and all of this ultimately leads to the above-mentioned problems.

Another follow-up outpatient department of the Internal Clinic

• Endocrinology clinic
• Obesitology clinic

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.

Chief physician:  MD Dita Pichlerová, Ph.D.

Tel. to order:
224 43 4027
224 43 4082

E-mail: 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.

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

Nutritional therapist:
M.Sc. Hana Hrdinová, 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.

• 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)

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.

The pages of medical-preventive care are divided into 2 parts. The first part is the internal admission clinic, where treatment is provided to acutely ill patients requiring internal care, sent by a general practitioner, or by the central reception department. The main task is to determine the basic working diagnosis, provide the patient with first aid and decide whether hospitalization in an internal bed is necessary. Through the outpatient clinic, patients also come to planned hospitalizations, for example to perform specialized procedures.

The second part of the internal outpatient clinic consists of specialized outpatient clinics and clinics - nephrology, angiology, rheumatology, cardiology, lipid, diabetology, endocrinology, podiatrics, nutrition and gastroenterology. These counseling centers provide comprehensive care for patients with specific diseases and problems who are dispensed and treated here.

The inpatient department also includes a number of specialized examination methods such as echocardiography, abdominal ultrasonography, including duplex renal arteries and portal veins, thyroid sonography, duplex sonography of peripheral veins, arteries and carotid and vertebral channels, and Holter blood pressure monitoring.

The second part consists of an internal ambulance specialized ambulance and counseling nephrological , angiological, rheumatological, cardiological, lipid, diabetological, endocrinological, podiatric, nutritional and gastroenterological. These counseling centers provide comprehensive care for patients with specific diseases and problems who are dispensed and treated here.

It deals with the treatment and dispensary care of patients with acute and chronic vascular problems - ICHDK, chronic venous insufficiency, post-thrombotic syndromes, deep vein thrombosis, etc.

We offer clinical examination by an erudite angiologist, duplex sonography of peripheral arteries and veins, carotid and vertebral flow. An integral part is also the education of chronically vascular patients and their regular monitoring. We also perform acute statim examinations in patients with suspicion of acute arterial occlusion or deep vein thrombosis.

A special place in the angiology clinic is the care of the diabetic foot and the determination of the risks of atherosclerosis by sonographic measurement of IMT in the carotid arteries.

The cardiology clinic of the internal clinic provides outpatient treatment of all cardiac diseases, especially hypertension, ischemic heart disease, valve defects, atrial fibrillation and anticoagulant treatment. The counseling center includes echocardiographic examination and Holter blood pressure monitoring. The ambulance has established cooperation with other Motol University departments in the event of the need for invasive treatment.

Doctors:

Doc.MUDr. Jaromir Chlumsky, Ph.D.

Michal Šístek, MD

General nephrology outpatient clinic

Doc. MUDr. Miroslava Horáčková, CSc - Monday 09.00-15.30, tel. 224434064

Specialized ambulances

Predialysis clinic

Doc. MUDr. Miroslava Horáčková, CSc - Monday 09.00-15.30, tel. 224434064

Specialized outpatient clinic for kidney diseases associated with diabetes mellitus within the Diabetology Center of the University Hospital in Motol

Doc. MUDr. Miroslava Horáčková, CSc - Monday 09.00-15.30, tel. 224434064

Specialized outpatient clinic for the diagnosis and treatment of secondary arterial hypertension

Doc. MUDr. Miroslava Horackova, CSc. - Monday 09.00-15.30 tel. 224434064

Specialized outpatient clinic for ultrasonographic and Doppler examination of the kidneys and renal vessels

Doc. MUDr. Miroslava Horackova, CSc. - Tuesday 10.00:12.00 to XNUMX:XNUMX tel. 224434022

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 is used mainly for patients with congenital disorders of severe lipid metabolism, which cannot be managed in general practitioners' surgeries or specialized outpatient clinics of other fields affected by dyslipidemia, but it is not their main task (internistic, diabetological, cardiological and other surgeries). It is also possible to consult patients with a less severe disorder, including secondary dyslipidemias, who are not treated in a lipid clinic after the examination, but are sent back to the attending physician with a report.

Patients are instructed on regimen measures (diet, physical activity, suitability of non-smoking in the prevention of cardiovascular diseases) and, if necessary, are prescribed hypolipidemic pharmacotherapy.

The frequency of blood collection for biochemical examination is individual according to the needs of each patient, usually twice a year.

Internal medicine clinic, 4th floor node C

tel: 22443 4078, 4079

Vascular inputs are important and actually necessary in most medical fields, from intensive care through standard wards in hospitals, LDN, palliative care, but also for outpatients for chemotherapy, home parenteral nutrition, recurrent serious conditions (epilepsy, allergies, asthma) , pain treatment and certainly many more. Vascular inputs enable a number of essential treatment measures for the given diseases, as well as diagnostic procedures.

 On the other hand, they can be associated with serious complications that have a negative effect on the patient's prognosis.

And thanks to advances in vascular access (new types of vascular access, new materials, use of new techniques, a number of studies in this area in the last two decades), it is now possible to apply the principle of "optimal venous access", which means choosing such a venous access that enable all the functions required of it while minimizing the risk of possible complications. Of course, during its introduction and treatment according to the recommended procedures, which were created on the basis of a number of clinical studies. And so the seemingly simple issue becomes a relatively complex problem that has a significant impact on the fate of our patients.

At the internal clinic of the University Hospital in Prague Motol, we have been dealing with the issue of vascular access for a long time. Since its establishment, physicians working at the Metabolic Unit have introduced not only central venous catheters, but also hemodialysis permkathy, Broviac catheters and intravenous ports. In 2012, a PICC team was established within the Metabolic Unit, within which selected nurses, after training in the necessary techniques, began to introduce midline catheters and peripherally introduced central venous catheters (PICC). The need for these vascular access in the hospital has grown so much that it has proved necessary to create a separate department that will deal with the issue.

 A separate department "Venous accesses" was opened in February 2016 thanks to the support of the hospital management within the internal clinic. In addition to all of the above inputs, mini-midline catheters and tunneled central venous catheters are being introduced. The number of established vascular inputs is growing every year, and this year for the first time we will reach 2000 established vascular inputs per year. We try to implement inputs as soon as possible after receiving a request from the department and more than 90% of them are implemented within 24 hours. 

In addition to the introduction of vascular inputs, the department's nurses also perform their dressings according to the recommended procedures of the SPPK (Society for Ports and Permanent Catheters), and complications associated with the introduction and use of inputs are addressed at the department.

At the same time, thanks to the activity of the head nurse who founded the PICC team, courses on vascular access treatment are organized according to currently recommended procedures throughout the hospital.

A certified MZ course for the introduction of PICC and midline catheters is also of fundamental importance, on the basis of which the nurse obtains the legal authorization to introduce these inputs. This course was possible thanks to the creation of a vascular team and is so far the only one in the Czech Republic.

Our goal is to ensure "Optimal venous access" for each patient at the University Hospital in Motol and at the same time to cooperate in this area with teams that are gradually being established throughout our country. We can state with satisfaction that we are considered one of the leading workplaces in the Czech Republic in the field of vascular access.

Input types

V. International Scientific Conference Optimal venous access for every patient at the right time

-conference organized on 6 and 7 November 2019 by the Society for Ports and Permanent Catheters (SPPK) chaired by Prof. Jiří CHARVÁT CSc, Head of the Vascular Entry Center of the University Hospital in Motol
-Among the lecturers was also Mgr. Kateřina LISOVÁ from our workplace

GaVeCeLT International Conference

-prof.MUDr. Jiří CHARVÁT CSc. as the chairman of the professional society Pro ports and permanent catheters and the head of the Vascular Access Center of the Motol University Hospital participated in this prestigious international conference
- we continue to maintain functioning cooperation with leading European centers dealing with vascular access

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PROFESSIONAL PUBLICATIONS WITH IF FOR THE YEAR 2021

1.Bhatt DL, Szarek M, Pitt B, Cannon CP, Leiter LA, McGuire DK, Lewis JB, Riddle MC, Inzucchi SE, Kosiborod MN, Cherney DZI, Dwyer JP, Scirica BM, Bailey CJ, Díaz R, Ray KK, Udell JA, Lopes RD, Lapuerta P, Steg PG; SCORED Investigators (Kvapil M): Sotagliflozin in Patients with Diabetes and Chronic Kidney Disease. N Engl J Med. 2021 Jan 14; 384 (2): 129-139. PMID: 33200891. publication 1. ISSN 0028-4793. IF: 74.699.

2.Bittnar P, Šťovíček J, Hlava Š, Kolář P, Arlt J, Arltová M, Madle K, Busch A, Kobesová A: Manual Cervical Traction and Trunk Stabilization Cause significant Changes in Upper and Lower Esophageal Sphicter: A Randomized Trial. J Manipulative Physiol Ther. 2021 May; 44 (4): 344-351. pub 28. PMID: 34090551 .. ISSN 0167-4754. IF: 1.437

3.Brož J: Hypoglycemia as a medication-related harm identified in patients admitted to geriatric wards. Polish Archives of Internal Medicine 2021; 131 (3): 313-314. pub 2. ISSN: 0032-3772. PMID 33783175. IF: 3,007.

4.Brož J, Campbell MD, Urbanová J, Nunes MA, Brunerová L, Rahelic D, Janíčková Žďárská D, Tainwall A, Brabec M, Berka V, Michalec J, Polák J: Characterization of Individualized Glycemic Excursions during a Standardized Bout of Hypoglycemia - Inducing Exercise and Subsequent Hypoglycemia Treatment - A pilot Study Nutrients 2021; 13 (11): 4165. pub 40. ISSN: 2072-6643. PMID: 34836420. Grant 64203. IF: 5.717.

5.Brož J, Pelechová B, Vejtasová V, Malinovská J: Diabetes and masked hypertension Prim Care Diabetes 2021; 15 (5): 890-891. pub 31. ISSN: 1878-0210. PMID: 33994154. IF: 2,459.

6.Brož J: Lipodystrophy related to insulin injection - often overlooked disorder Wien Klin Wochenschr 2021; 133 (9-10): 511-512. public 11. PMID: 33629170. ISSN 0043-5325. IF: 1.323.

7.Brož J, Brožová K: Hypoglycemia Communication in Primary Care J Gen Intern Med 2021; 36 (8): 2473. pub 19. PMID: 34013469. ISSN: 0884-8734. IF: 5,128.

8.Brož J, Brožová K: Impaired awarness of hypoglycemia in a study protocol Res Social Adm Pharm 2021; 17 (10): 1847. publication 29. ISSN: 1551-7411. PMID: 33579612. IF: 3.336.

9.Brož J, Brožová K: Gestational diabetes, metformin, and risk of hypoglycemia. Am J Obstet Gynecol 2021 Sep; 225 (3): 351-352. publication 30. ISSN: 0002-9378. PMID: 34051166. IF: 8,661

10. Brooch J: Clinical efficacy of a smartphone-based integrated online real-time diabetes care system in Type 2 diabetes patients. Internal Medicine Journal 2021; 51: 464. pub 3. ISSN 1444-0903. PMID 33738933. IF: 1,677.

11.Brož J, Janíčková Žďárská D, Urbanová J, Piťhová P, Doničová V, Pálová S, Pelechová B, Smržová A, Kvapil M: Insulin Management of Patients with Inadequately Controlled Type 2 Diabetes Admitted to Hospital: Titration Patterns and Frequency of Hypoglycemia as Results of a Prospective Observational Study (Hospital Study). Diabetes Ther 2021; 12 (7): 1799-1808. pub 19. PMID: 34028699. ISSN: 1869-6961. IF: 2.945.

12. Brooch J: Metabolic syndrome and postoperative thyroidectomy outcomes. Head Neck 2021; 43 (6): 1971-1972. publications 9. ISSN: 1043-3074. PMID: 33634526. IF: 2.538.

13. Dřevínek P, Hurych J, Antušková M, Tkadlec J, Berousek J, Přikrylová Z, Bureš J, Vajter J, Souček M, Masopust J, Martinková V, Adámková J, Hyšperská V, Bérbrová E: Direct detection of ESCAPEc pathogens from whole blood using the T2Bacteria Panel allows early antimicrobial stewardship intervention in patients with sepsis Microbiologyopen 2021 Jun; 10 (3): e1210. ISSN: 2045-8827. PMID 34180598. publik 46. IF: 3,14.

14. Fejfarová V, Matuška J, Jude E, Piťhová P, Flekač M, Roztočil K, Wosková V, Dubský M, Jirkovská A, Bém R, Husáková J, Lánská V: Stimulation TcPO2 Testing Improves Diagnosis of Peripheral Arterial Disease in Patients With Diabetic Foot . Front Endocrinol 2021; 12: 744195. Pub 43. ISSN: 1664-2392. PMID: 34956078. IF: 5,555.

15.Gonzales-Rivas JP, Mechanick JI, Infante-Garcia MM, Medina-Inojosa JR, Pavlovska I, Hlinomaz O, Zak P, Kunzova Š, Nieto-Martinez R, Skladaná M, Brož J, Hernandez JP, Lopez-Jimenez F , Stokin GB: The Prevalence of Dysglycemia-Based Chronic Disease in a European Population - a New Paradigm to Address Diabetes Burden: A Kardiovize Study. Endocr Pract 2021; 27 (5): 455-462. publication 8. PMID: 33685667. ISSN: 1530-891X. IF: 3,869.

16. Gonzales-Rivas JP, Mechanick JI, Hernandez JP, Infante-Garcia MM, Pavlovska I, Medina-Inojosa JR, Kunzova Š, Nieto-Martinez R, Brož J, Busetto L, Maranhao Neto GA, Lopez-Jimenez F, Urbanová J, Stokin GB: Prevalence of adiposity-based chronic disease in middle-aged adults from Czech Republic: The Kardiovize study. Obes Sci Pract 2021; 7 (5): 535-544. pub 36. ISSN 2055-2238. PMID: 34631132. IF: 2,037

18. Keil R, Hlava Š, Stanovský P, Ždímal V, Šťovíček J, Trojánek M, Drábek J, Frýbová B, Petráček V, Wasserbauer M: Commonly available but higly effective protection against SARS-CoV-2 during gastrointestinal endoscopies PLoS One. 2021 Jul 23; 16 (7): e0254979. doi: 10.1371 / journal.pone.0254979. eCollection 2021. pub 27. ISSN 1932-6203. IF: 3.240. PMID: 34297736.

19.Malinovská J, Brož J: Screening and brief interventions for harmful alcohol use Med J Aust 2021; 215 (11): 525. publications 41. ISSN: 1326-5377. PMID: 34796496. IF: 7,738.

20. Pavlovska I, Polcrova A, Mechanick JI, Brooch J, Infante-Garcia MM, Nieto-Martinez R, Maranhao Neto GA, Kunzova S, Skladana M, Novotny JS, Pikhart H, Urbanova J, Stokin GB, Medina-Inojosa JR, Vysoky R, Gonzáles-Rivas JP: Dysglycemia and Abnormal Adiposity Drivers of Cardiometabolic-Based Chronic Disease in the Czech Population: Biological, Behavioral, and Cultural / Social Determinants of Health. Nutrients 2021; 13 (7): 2338. pub 25. ISSN: 2072-6643. PMID: 34371848. IF 5.717.

21.Štechová K: New perspectives on real-time continuous glucose monitoring Lancet Child Adolesc Health 2021; 5 (4): 235-236. publications 12. ISSN: 2352-4642. PMID: 33577769. IF: 11,288.

22.Šťovíček J, Hlava Š, Keil R, Drábek J, Lochmannová J, Koptová P, Wasserbauer M, Frýbová B, Šnajdauf J, Kotalová R, Rygl M: Conjugated Hyperbilirubinemia in Infants: Is There Still a Role for ERCP? Can J Gastroenterol Hepatol 2021; 2021: 9969825. pub 26. PMID: 34258256. ISSN: 2291-2789. IF: 3.522.

23.Vitova L, Tothova M, Schück O, Horáčková M: Novel Algorithm for the Differential Diagnosis of Hyponatremia in Anuric Patients Undergoing Maintenance Haemodyalysis Kidney Blood Press Res 2021; 46 (3): 387-392. pub 18. PMID: 33979795. ISSN: 1420-4096. IF: 2.687.

• Clinic management
• List of doctors
• Transport links
• Where to find us

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

MUDr. Piťhová Pavlína, Ph.D.
Pavlina.Pithova@fnmotol.cz
phone: 224 434 052

Head nurse

M.Sc. Kateřina Lisová
katerina.lisova@fnmotol.cz
phone: 224 434 005 

prof. MD Keil Radan, PhD.

prof. MD Kvapil Milan, CSc., MBA

prof. MUDr. Charvat Jiri, CSc.

prof. MUDr. Matousovic Karel, DrSc.

prof. MD Schück Otto, DrSc.

doc. MUDr. Horackova Miroslava, CSc.

doc. MUDr. Chlumsky Jaromir, PhD.

doc. MUDr. Štěchová Kateřina, Ph.D. 

doc. MUDr. Zelenkova Jitka, CSc.

MUDr. Lochmannová Jindra deputy head for medical and preventive activities

as. MD Pithová Pavlína deputy head for pedagogical activities

Public transport connections

stop: Motol Hospital

subway Anděl: Bus 167
Hradčanská metro station: Bus 174
Nové Butovice metro station: Bus 179 and 184,
subway Florenc bus No. 3 for disabled people
Central Station: tram. No. 9 direction Anděl and transfer to the bus. No. 167

Connection by car

from the center

from Smíchov along ul.Plzeňská- after about 3,6km before the overpass turn right- after about 150m turn right into Zahradníčkova street- after 150m turn left uphill on V Úvalu street- after about 300m you are at the south gate of FN Motol