Rudolf Zajac na margo konferencie na Bôriku: Prisahám na všetko, čo mi je sväté. Ja tieto voloviny už nemôžem ani počúvať

Cukrovka je palica s dvoma koncami–na jednom je 100% smrť, na druhom relatívne kvalitný život

Cievna lekárka a internistka Iveta Kopalová pozná diabetes mellitus 1. typu roky z ambulancie. V marci 2023 ju však zastihol z druhej strany – diagnózu dostal jej sedemnásťročný syn Tomáš. „Keby sme nemali inzulín, môj syn už dva roky nežije," hovorí dnes bez príkras. V podcaste spolu so synom otvorene rozprávajú o diagnóze, liečbe aj o tom, čo dnešné technológie znamenajú pre kvalitu života diabetika. Deň, ktorý zmenil všetko Začalo sa to nenápadne – poháre s vodou po celom byte a syn, ktorý chodil neustále močiť. Tomáš si vtedy myslel čokoľvek, len nie cukrovku: „Či nemám náhodou rakovinu prostaty alebo niečo také," utrúsil otcovi. Kopalová pripomína, že u mladých býva nástup dramatický a niektoré deti končia v bezvedomí na JIS-ke, pričom, ako dodáva jej syn, „rozklad organizmu prakticky začína zvnútra." Matka trpí, pacient žije ďalej Paradoxne, ťažšie diagnózu niesla lekárka než jej syn. „Nenávidela som diagnózu diabetes mellitus," priznáva Kopalová, ktorá za 25 rokov v ambulancii videla najhoršie podoby ochorenia. Tomáš to bral vecnejšie – schudol vtedy tak, že „možno mi k tomu tá cukrovka trochu ironicky pomohla." Matka zatiaľ zvládala emócie v ústraní: „Zavrela som sa niekde do kúpeľne, tam som sa vyplakala, vyvrieskala a potom som vyšla a tvárila sa, že všetko máme pod kontrolou." Liečba dnes stojí na moderných inzulínoch, kontinuálnom meraní a vedomostiach pacienta. Tomáš začínal s perami a senzorom, neskôr prešiel na pumpu. „To je niečo, čo skrátka musíte vedieť ovládať sám, je to 24-hodinová vec, sedem dní v týždni," opisuje. Spojenie pumpy a senzora Kopalová nazýva malým zázrakom: „Robí 250 meraní denne, každých päť minút," a v noci dokáže sama stiahnuť inzulín. Technológia však nie je všeliek – „cukrovka je hrozne individuálna," dopĺňa Tomáš. Senzory a hranice úhrad Najcitlivejšou témou sú peniaze. Do 19 rokov pokrýva poisťovňa deťom zhruba 85 % nákladov na senzory v limite 1 900 eur ročne, po dosiahnutí dospelosti však limit prudko klesá. „A aj keby som nemala čo jesť, tak mu ho kúpim," hovorí Kopalová o senzore, ktorý si po vyčerpaní úhrady doplácajú sami. Lekárka varuje, že bez kontroly sa diabetici „zrazu prebudili slepí, alebo na dialýze, alebo skrátka s infarktom," a apeluje: „Boli by sme nesmierne vďační, keby sa to zvýšilo aspoň na 10 mesiacov ročne." Žiť s cukrovkou, nie zomrieť na ňu Napriek všetkému znie odkaz oboch hostí prekvapivo zmierlivo. „Nie je to vôbec koniec sveta, je to len nejaká pridaná časť do tvojho dňa," odkazuje Tomáš novodiagnostikovaným. A dodáva pointu platnú ďaleko za hranice cukrovky: „Má zmysel sa trápiť nad vecami, ktoré sa dajú zmeniť. Toto sa nedá." V podcaste hovoríme aj o týchto témach: 🩸 Ako sa diagnóza cukrovky 1. typu prejaví a prečo je nástup taký dramatický 💧 Príbeh rodiny lekárov: poháre s vodou po celom byte ako prvý signál 😢 Prečo diagnózu ťažšie niesla matka než samotný pacient 💉 Inzulínové perá verzus pumpa – výhody, nevýhody aj alergia na náplaste 📈 Senzory: 250 meraní denne a predikcia hypoglykémie 💶 Úhrady poisťovní, vekový limit 19 rokov a doplácanie stoviek eur mesačne 🇪🇸 Ako rieši úhradu senzorov Španielsko a čo z toho plynie pre Slovensko 🍺 Prečo je alkohol pri cukrovke 1. typu obzvlášť nebezpečný 🎓 Edukácia a zodpovednosť pacienta ako tretí pilier liečby 💪 Odkaz novodiagnostikovaným: rozdiel medzi životom s chorobou a smrťou na ňu

Digi4Care Pilot 4: Digital Solutions for Dementia & Alzheimer's Care in Post-ICU Settings

Digi4Care Pilot 4: testing digital solutions for monitoring and rehabilitating patients with dementia, Alzheimer's and cognitive disorders in long-term and post-ICU care. In this episode we look at how digital tools — from cognitive-training "cubes" to social robots — can support people with dementia and Alzheimer's, ease the growing strain on care staff, and help maintain or improve quality of care while saving time. We discuss the feasibility study behind the pilot, the Technology Acceptance Model (TAM) and Health Technology Assessment (HTA) used to evaluate it, the real barriers to adoption in care homes, and early findings from the Czech and Bosnian sites. GUESTS Kristina Randlova — PhD researcher, Prague University of Economics and Business, Czech Republic Prof. Gordana Gardašević — Faculty of Electrical Engineering, University of Banja Luka, Bosnia & Herzegovina HOST Šimon Jeseňák ABOUT DIGI4CARE Digi4Care is a transnational project (seven partners across Europe) bringing digital health solutions into primary, long-term and emergency care. The goal is to validate and introduce innovative screening, rehabilitation and telemedicine tools that support earlier detection, better patient pathways and more effective, informed decision-making in everyday healthcare. If you found this useful, subscribe for more episodes on digital health and care innovation, and tell us your thoughts in the comments. #Digi4Care #DigitalHealth #Dementia #Alzheimers #CognitiveCare #HealthTech #AgingCare

The Digital Ultrasound Revolution in Managing CVD and Diabetes Patients

Digi4Care Pilot 2: point-of-care ultrasound (POCUS) for cardiovascular and diabetes patients — plus telemedicine and remote training for healthcare teams. In this episode we explore the digital ultrasound revolution in prehospital and emergency care: how handheld, smartphone-connected POCUS devices bring ultrasound imaging to the patient's bedside and into the ambulance, why cardiovascular and diabetes patients are an ideal group for these tools, and how telemedicine lets experts guide and teach colleagues remotely — even across borders. We also look at what the pilot's teaching model (online vs face-to-face training of healthcare professionals) reveals about scaling these skills across Europe. GUESTS Dr Viktória Vadas — Anaesthesiologist, Semmelweis University, Hungary Akos Tiboldi — Anaesthesiologist & Intensive Care Physician; Researcher, Ludwig Boltzmann Institute, Austria HOST Šimon Jeseňák ABOUT DIGI4CARE Digi4Care is a transnational project bringing digital health solutions into primary and emergency care across Hungary, Bulgaria, Romania and Slovakia. The goal is to validate and introduce innovative screening, ultrasound and telemedicine tools that support earlier detection, better patient pathways and more effective, informed decision-making in everyday healthcare. If you found this useful, subscribe for more episodes on digital health and care innovation, and tell us your thoughts in the comments. #Digi4Care #pocus  #digitalhealth  #pointofcareultrasound  #telemedicine  #emergencymedicine  #healthinnovations

Digi4Care Pilot 1: AI Fundus Camera for Diabetic Retinopathy Screening in Primary Care

Digi4Care Pilot 1: testing an AI fundus camera for diabetic retinopathy screening in primary care — plus telemedicine stations for cardiovascular and diabetes risk assessment. In this episode we explore why diabetic retinopathy — often called the "silent thief of sight" — stays undiagnosed in so many patients, how AI-assisted screening can move into GP offices and outpatient clinics, and what the first results and practical challenges (from patient pathways to connectivity) reveal about scaling these tools across Europe. GUESTS Dr Borbála Bessenyey — Medical Doctor & Pilot Coordinator in Digi4Care, Semmelweis University, Hungary Mira Ganova — CEO, Digital Health and Innovation Cluster Bulgaria HOST Šimon Jeseňák ABOUT DIGI4CARE Digi4Care is a transnational project bringing digital health solutions into primary care across Hungary, Bulgaria, Romania and Slovakia. The goal is to validate and introduce innovative screening and telemedicine tools that support earlier detection, better patient pathways and more effective, informed decision-making in everyday healthcare. If you found this useful, subscribe for more episodes on digital health and care innovation, and tell us your thoughts in the comments. #Digi4Care #DigitalHealth #diabeticretinopathy

Digi4Care Pilot 3: Testing Digital Technology Uptake in CVD & Diabetes Long-Term Care

Digi4Care Pilot 3: testing wearables, apps and clinical guidance to monitor patients with cardiovascular disease and diabetes between doctor visits. In this episode, cardiologist Dr Diana Iovanovici explains how continuous monitoring can close the gap between appointments — when a patient's blood pressure, heart rate or blood sugar can shift daily, even hourly. We look at the pilot's three patient groups (standard care; wearable + app; wearable + app + clinical guidance), how data flows from a smartwatch to the clinician's dashboard, and how success is measured using quality-of-life and usability questionnaires (SF-36, SUS, TAM). We also talk about adoption among older patients, data privacy, and the shift from reactive to proactive, preventive care. GUEST Dr Diana Iovanovici, PhD — Medical Resident in Cardiology, University of Oradea, Romania HOST Šimon Jeseňák ABOUT DIGI4CARE Digi4Care is a transnational project (seven partners across Europe) bringing digital health solutions into primary, long-term and emergency care. The goal is to validate and introduce innovative screening, monitoring and telemedicine tools that support earlier detection, better patient pathways and more effective, informed decision-making in everyday healthcare. If you found this useful, subscribe for more episodes on digital health and care innovation, and tell us your thoughts in the comments. #Digi4Care #DigitalHealth #Wearables #CardiovascularHealth #Telemedicine #RemoteMonitoring #HealthTech