Category: Medicine

  • Nightmare instead of therapy – sexual predatory psychiatrist

    Nightmare instead of therapy – sexual predatory psychiatrist

    A case of sexual abuse by one of the biggest personas of the Czech psychiatric community is now seeing its day in court. Dr. Jan Cimický, once a prominent psychiatrist who helped establish the field in the country (and also novelist, poet, translator, playwright and screenwriter), is currently on trial facing charges relating to 39 accounts of sexual assault and misconduct spanning decades.

    At the beginning of the trial, the prosecutor read the text of the indictment for one whole hour.

    Cimický made his career at the renowned Bohnice Psychiatric Hospital in Prague, where he worked as a department head from the 1980s until 1996. It was there that many of the alleged assaults are said to have occurred, targeting very vulnerable patients under his care. Despite complaints, no formal investigation was carried out for many years.

    Cimický’s behavior was reportedly an “open secret” among his psychiatric peers as early as the 1980s. The former director of Bohnice, Zdeněk Bašný, has said he received numerous inquiries from concerned relatives of patients under Cimický’s care regarding inappropriate physical contact during therapy. When directly confronted, Cimický denied the allegations, but Bašný claims the accounts from multiple, unrelated individuals were deemed credible and ultimately led to Cimický’s dismissal from the hospital in 1996.
    Even after leaving Bohnice, Cimický maintained his private practice and continued allegedly preying upon vulnerable clients. And additional accusations surfaced from his time at a private counseling center as well as from students he encountered during psychiatric demonstrations at a local nursing school.

    When the then president announced in 2021 that Cimický was to receive a state award, the singer Jana Fabiánová gave her testimony. She posted on social media that Cimický had sexually assaulted her in the past and stated that with this statement she publicly protested against the awarding of the Medal of Merit to Cimický.
    This public statement gave courage to other women who subsequently began to come forward with gut-wrenching testimony.

    Quotations from the indictment:
    “He took off her clothes and attempted to have sexual intercourse with the reasoning that virginity is only for girls who deserve it.

    He failed to do so as she dodged him at various times while repeating that she did not want it. Finally he satisfied himself with his hand and smeared his semen on her lower abdomen. She left upset and never came to him again. For many years she did not confide the incident to anyone, among other things, she had completely lost faith in psychology and psychiatry, she tried to forget about it.”

    According to the indictment, in many cases, Cimický tried to abuse the patients who had previously inserted needles into their bodies as part of acupuncture. The women described that this made it difficult for them to defend themselves.

    “She was wearing only panties, and when she had the needles in her back and was lying on her stomach, he put his penis in her mouth, held her head with his hand and made movements against her head to achieve satisfaction. He then climaxed in her mouth, and since she had never had sperm in her mouth before and wasn’t expecting it, she held it in her mouth until she could get up – after longest 15 minutes, the accused returned. He pulled the needles out of her body and she was able to expel the semen into the sink. She didn’t share it with anyone and tried not to think about it. In hindsight, she doesn’t understand that she didn’t resist.”

    The indictment states that Cimický gave some patients prescriptions for medications like Xanax. Patients reported feeling tamed due to the drug.

    The youngest victim was 16 years old at the time. She was hospitalized for a failed suicide. After the sexual assault, she never came to the office again, but until she was 18, she was afraid the police would come for her and arrest her. For 20 years she avoided any psychiatric or psychological care. This experience made her fearful and apprehensive of doctors and she (like many other patients) did not seek treatment because of this.
    In the statements of the attacked patients, it was said that Cimický had sexually assaulted them on a daily basis. One of the patients was allegedly threatened with electric shocks if she spoke about the attacks.

    According to an expert report prepared for the court, “There is an obvious notion of self-importance, a fantasy of self-worth, and an association of Cimický’s person with high-ranking people. The use of interpersonal relationships to one’s own advantage. There is a noticeable lack of some empathy and ability to empathize with the feelings and needs of others.”

    “He was found to have narcissistic personality disorders. This means that a person pursues his goals at the expense of others and has a certain reduced ability to empathize with other people,” said the forensic expert.

    “The evidence is indisputable,” said the prosecutor. Cimický denies all guilt, saying that he was just always trying to help patients.

    The case has spotlighted the systemic failures that allowed such extensive abuse of power to continue unchecked for decades, severely damaging public trust in the psychiatric profession in the process, and ruining tens of lives. 

    A ruling is expected later this year.


    sources:
    https://english.radio.cz/prominent-psychiatrist-set-receive-czech-state-award-accused-sexually-abusing-8733660
    https://www.seznamzpravy.cz/clanek/domaci-kauzy-u-soudu-s-cimickym-vypovidaji-svedci-sef-bohnic-popsal-proc-ho-vyhodil-243769
    https://www.irozhlas.cz/zpravy-domov/narcistne-ladena-persona-s-nizkou-mirou-empatie-znalci-popisuji-osobnost_2401150615_vtk

  • Czech fast and cheap Covid-19 vaccine

    Czech fast and cheap Covid-19 vaccine

    At first – quick numbers: 8275 confirmed cases, 5058 recovered and 290 dead in Czech Republic.

    “SARS-CoV-2-CZ-Preval” Study shows that the degree of immunization of the Czech population is very low. In the most affected localities does not reach the value of 4% – 5%. 27000 tested people revealed 107 positive cases.
    The big news is that “Scientists from the Czech Republic top institutes have joined forces to create the new vaccine”. As Czech Health Minister Adam Vojtěch (ANO) said 4.5.2020.

    The Minister’s report surprised Czech experts, who immediately opposed it in an open letter as “totally bizarre”“sewn with a hot needle”“very naive”, and that it “raises suspicions that people without competent knowledge and necessary experience stood at its (project) beginning”.
    In decent speech” “Idea and presentation of the project is very naive, dubious and confusing.”

    Now, let’s talk about why is the project wrong on so many levels.

    The head of the project is prof. MUDr. Věra Adámková, CSc., cardiologist, member of a “Babiš” political party ANO and self-claimend “certified homeopath“, and winner of 2019 Czech Skeptics’ Club Sisyfos Golden Erratic Boulder award for “blabbering and spreading stupidity in health and science” – for this quote she said in House of Commons:
    “Because I am a certified homeopath, I must say that it is absolutely wrong for these drugs (homeopatic pills) to go on sale (without prescription), because they contain very serious substances, even in small dilutions, that can damage the human body.”

    Research should be done by three institutions – The National Institute of Public Health (NIPH), The Institute of Hematology and Blood Transfusion (IHBT) and Institute for Clinical and Experimental Medicine (IKEM).
    All of them have no experience with vaccine development, all of them are government controlled.

    The answer to critics about choosing those institutions (no public tender, no announcement at least) was “Nobody is refusing cooperation, but we (government) did not get it offered… and we cannot force cooperation on anyone.” (Věra Adámková)

    Goverment still do nothing useful to coordinate / bring experts together to do better job.

    Cost of this vaccine development will be “in the order of tens of millions of crowns” (1 Euro = cca 30 Crowns)
    Which is just ridiculous. Maybe it should be in Euros…? No, they mean it.

    Cost of feasibility study? “All participants made it in their free time and for free. To some extent. It would cost few tens of milions of crowns now.” But seriously performed feasibility study would be much much more expensive. Also, this work is made by many other institutions in Czech Rep, they just did not talk about it on TV.

    And first research results should be published in ONE year!

    Czech Republic clearly doesn’t want to share know-how, doesn’t want to share money (donated 730.000 Euro to European Commission #UnitedAgainstCoronavirus fund), wants to look like it races with othe states in who will be the first to develop vaccine.

    In real it seems that Czech government just wants to do “populist gestures”.

    It did.

    It is still doing it.

    And Babiš is still winning thanks to steps like this.


    resources:
    https://covid-imunita.uzis.cz/index.php?pg=vystupy-a-vysledky
    https://www.radio.cz/en/section/curraffrs/czech-study-shows-extremely-low-level-of-collective-immunity-to-covid-19-virus
    https://www.sisyfos.cz/clanek/1319-zlaty-bludny-balvan-v-kategorii-druzstev-za-rok-2018-tomio-okamura-vera-adamkova-andrej-babis-a-dalsi-hvezdy-ceskeho-politickeho-nebe
    https://www.ceskatelevize.cz/porady/10117034229-168-hodin/220452801100510

  • Homeopathy is not officially recognized medical practice

    Homeopathy is not officially recognized medical practice

    Homeopathy is not a medical service, there is no scientific evidence, the court ruled this month.

    At the beginning there was a fine of almost €2.000 imposed by the Regional Council of the Zlín Region on a woman who provided homeopathy counseling.

    The fine was confirmed by the Ministry of Health. Both administrative bodies assume that homeopathic services meet the definition of health care under the Health Services Act and can therefore only be provided by the holder of the authorization to provide health services issued by the Regional Council.

    But the Regional Court in Brno annulled the decision of the Ministry of Health, and it filed a cassation complaint with the Supreme Administrative Court.

    Conclusion – Considering the views of the applicant, the Ministry of Health, the Czech Medical Chamber and representatives of homeopathic practice, the Extended Chamber concluded that homeopathy is not a health service. Health services must be provided according to rules of science and recognized medical practices. According to the same assertion of all the persons who expressed themselves to the court during the proceedings, the effects of homeopathy have not been scientifically proven. Therefore, the judges of the Extended Chamber concluded that if homeopathy could not be provided according to the rules of science and recognized medical procedures, because they did not have any proven effects, then it could not be a health service.

    Judge of the Extended Chamber Petr Mikeš stated:
    “It is the right of citizens, as single individuals, to try to solve their health problems using methods that, according to current scientific knowledge, have no effect, unless they are misled as being a health service under the Health Services Act. The state is not supposed to prevent them from finding their happiness, although it may believe that this path is inefficient.”

    “If an alternative medicine service provider were to deceive consumers about the true nature of the services provided, they would be affected by unfair commercial practices under the Consumer Protection Act. The homeopath or other healer shall also be liable to the consumer in civil matters for the harm suffered and criminal liability may be inferred, in particular for the commission of the crime of bodily harm.”

    Anyway – Court did not ban homeopathy. Homeopaths can still serve their diluted sugar pills. It’s just not officially recognized medical practice.


    sources:
    http://www.nssoud.cz/files/SOUDNI_VYKON/2017/0122_2As__1700073S_20190919102944.pdf
    http://www.nssoud.cz/Homeopatie-neni-zdravotni-sluzbou-podle-zakona-o-zdravotnich-sluzbach/art/27722
  • Minister of Health, homeopath

    Minister of Health, homeopath

    Minister of Health of the Czech Republic cautiously opposes the TCM and fails to fight homeopathy.
    Even worse, he advocates it.

    Let’s take a quick look into modern history of homeopathy in the Czech Republic:

    In 1990, ČMHS – Czech-Moravian Homeopathic Society was established. In 1991 the Minister of Health declared homeopathy as a medical method (along with acupuncture), and the Czech-Moravian Homeopathic Society was duly admitted to the Czech Medical Society (ČLS JEP).
    But in 1996 ČMHS was excluded because, according to the ČLS statute, ČLS associates exclusively representatives of those medical disciplines that perform scientifically recognized procedures. New, Czech Medical Homeopathic Society was established. (One of the leaders is MUDr.Eleková, a symbol of the Czech antivax movement)

    Since the Velvet revolution in 1989 homeopathy has been paid by health insurance companies. It was canceled in 1997 and homeopathic treatment now belongs to the standard that the patient has to pay for himself.

    There were 6,500 homeopaths with medical education in the Czech Republic in 2005.
    Same year the Ministry of Health asked the ČLS JEP for an opinion on homeopathy. The Bureau of ČLS JEP decided that prof. Blahoš writes a disapproving opinion that the Bureau considers homeopathic diagnostic and therapeutic methods to be non-scientific, non-evidence-based.

    On July 27, 2011, the Regional Court in Brno confirmed a 10 month suspended sentence for the doctor Jana Šteclová for treating the patient for a long time only with homeopathics. Between 1999 and 2006 Šteclová treated her patient for the thyroid disease only by homeopathics and did not control changes in her condition. According to the court’s finding, the condition of the patient worsened so much that she died in her subsequent hospitalization.

    Czech Skeptics’ Club Sisyfos repeatedly organizes Happening 10:23, during which Sisyfos members publicly “overdosed” themselves by allegedly very strong homeopathic medicines, with no real harm.

    Despite all this the current Minister of Health said:
    “My attitude to homeopathy is positive. I think it’s a really good alternative to classic medicines. I think they really should be a part of medicine. I think it would be a good idea for homeopathy to be in the hands of a doctor or other health care professional who is educated.”

    “As far as teaching is concerned, I can not fully evaluate the question of whether this may be part of teaching at pharmaceutical or medical faculties, or it would be a special course. But I really think homeopathy, even if it is a little different discipline than standard medicine and pharmacotherapy, should be in the hands of a doctor or general practitioner because it should not be prescribed and applied by everyone.”

    He knows what he was talking about – he has a positive experience with homeopathy because he has “cured” himself the cold!

    What can I say…?


    Sources:
    wikipedia
    Zdravotnický deník
    Homeopatické přípravky

  • Short report on measles situation in Czech Republic

    Short report on measles situation in Czech Republic

    The situation is not critical but also not good. Vaccination rates are declining, the number of cases of infection is rising.

    94 patients has measles just in Prague since the beginning of the year:

    • children and adolescents up to eighteen – 31 cases (9 children vaccinated, 6 was under 13 months of age and 16 was not vaccinated because their parents rejected or postponed it, 7 was vaccinated in Ukraine, parents of 2 (foreigners) did not find necessary information about the vaccination of their kids)
    • adults – 63 cases

    There are 154 cases of measles in Czech Republic from January to the end of October 2018. 

    Prior to the introduction of vaccination, thousands to tens of thousands of cases of measles occurred in the Czech Republic (89712 cases in 1966 f.ex.). Regular measles vaccination begun in 1969. See the difference in the graph below?


    Sources:
    Hygienická stanice hlavního města prahy
    Avenier
    SZÚ

  • TCM in a tight corner

    TCM in a tight corner

    Good news, everyone!

    For three years the TCM ambulance has been operating at the Hradec Kralové’s University hospital. However, the planned TCM Center’s construction stopped.
    The new large Center was originally planned as a part of the hospital structures, but in

    March the Health Ministry’s expert group decided that it could remain at the originally planned site but only as a separate organization.
    And recently members of Czech Parliament removed TCM from the list of medical disciplines. 
    At last TCM can not be officially taught at medical schools. And due to the change of law, “TCM therapist” will be newly defined as healers.

    “The main objection to Chinese medicine as a regular component of the Czech healthcare system is not only the fact that it is not possible to verify the quality of Chinese doctors, but especially that money for this alternative may be missing elsewhere, for example in the treatment of rare diseases,” senate proposal said.

    Another reason is that these forms of assistance should not been paid by insurance companies.
    “There is a relatively high aversion to TCM today. I’m not sure it’s a good time to start building. We should agree on the conditions in which we can start and whether at all. At this point, the degree of uncertainty is such that we can not begin. Investors’ promises that it is financially covered are only oral, we have no written evidence that it really is. Quite realistic is the variant that the center of Chinese medicine in Hradec will not develop,” said Roman Prymula, Deputy Minister of Health and vaccinologist..

  • AKTIP, dangerous alternative medicine scam

    AKTIP, dangerous alternative medicine scam

    There is (not only) one alternative medicine case in Czech republic which could be the igniter for an strong effort to a legislation change.

    The Ministry of Health of the Czech Republic is preparing a law on healers in these days.
    The ministry also wants to be able to examine if the healers did not harm the patients by their activities so this law should introduce the registration of healers and the obligation to keep the documentation. Those who will practice healing without the authorization or duty to compensate or the damage caused will be punished.

    The ministry came with this regulation of healing after Czech TV broadcasts a document “Health Business” about Prague’s fraudulent Alternative Medicine Center Aktip.
    (AKTIP holds Sisyfos silver Erratic Boulder award in the category of teams for the year 2016.)

    I’m treating my hypothyroidism for eight years, I’m okay with the results, but I feel still tired.” says Ivana, Czech television infiltrator, who secretly filmed the reportage.
    Psychological analysis was absurd and manipulative, somatic investigations were conducted by uncertified devices.” She also learned that she is an angel, she may be suffering from cancer and cerebral palsy.
    As a solution they offered me to find myself a lover or to undergo detoxification after which cancer be literally defecated. (Detoxification by Joalis preparations and special drops, in which analysis found 20 % of alcohol and 80 % of water.)

    After the reportage was broadcasted, more former patients started to speak.
    A young woman who suffered from severe kidney disease and thanks to Actip treatment ended up on day-to-day dialysis.
    Oncology patients who had been treated in Aktip and then came late to the professional institutions in a state where they could no longer be rescued.
    All those people spend too much money on this scam system. (Even one patient took a loan of €40.000)

    This case could have the power to change opinion of many Czechs on Alternative medicine and healers.
    But I remain skeptical…

    I am now translating short wiki article to English. You can see it here.

  • The present legal status of the TCM in the Czech Republic

    The present legal status of the TCM in the Czech Republic

    “Endowment Fund to Support Traditional Chinese Medicine and Alternatives” in Prague is preparing commencement of operations of “TCM infocenter”.

    20.6.2018 happened one of actions connected with this affair. It was Czech-Chinese meeting of people of various professions. Diplomats involved.Prof. JUDr. Ivo Telec, CSc. had a speech named “The present legal status of the TCM in the Czech Republic” which could be interesting resumé of TCM in Czech republic viewed from “the other side”.

    “One of the political and legal aims of this draft is based on the political and medical degradation of the TCM and its expulsion from the Czech national health system categorization from „medicine“ to „healing“. The medical concept and words were also changed from the international well known traditional chinese „medicine“ to the mere traditional chinese „healing“ with its lower standard and significance level.”

    You can read the whole speech here.

    P.S.: Ivo Telec is a Czech lawyer, an expert in intellectual property law. He is also listed as a StB agent under the cover name “Vilém”.

  • Czech-Chinese medicine dance

    Czech-Chinese medicine dance

    Medicine sometimes snatches away health, sometimes gives it.
    – Ovid

    Center of Traditional Chinese Medicine was opened in Hradec Kralové’s University hospital in June 2015. Opening was in the presence of Chinese Vice-Prime Minister Liu Yandong, Czech and Chinese ministers of Health departments, and Hospital director Roman Prymula.
    Big show.
    Inauguration one year later was lead by the Chinese president Xi Jinping in personam.
    Bigger show.

    It all started in 2013, when the then minister of Health department Martin Holcát visited China along with two directors of University Hospitals Roman Prymula from Hradec Králové and Svatopluk Nemecek from Ostrava.
    Prymula later told the press he never thought about any cooperation in the field of TCM, but when he came back to Czech rep. he was excited and he spoke about the plan to build a clinic focusing on TCM.
    Things gained speed and political support, more visits in China took place, ten million euros was promised from CEFC, cooperation between Chinese and Czech Hospitals was negotiated, and voilà – two years later first centre of TCM in Central and Eastern Europe saw the light of the world.
    Although some of Czech doctors protested (f.ex. Czech Doctors’ Chamber (CLK) President Milan Kubek).

    O.K. Prymula – professor of medicine, former Dean of the Medical Faculty explained that Czech evidence based medicine will explore possibilities of enrichment western science of eastern knowledge. Science research? Nice idea. But only until TCM ambulance department was opened three months later. Alternative medicine under the auspices of a faculty hospital!

    “It will help improve the health condition of Czech citizens” Prymula said.

    TCM has the status of a independent department within University Hospital divided to two divisions – TCM ambulance and a Czech-Chinese Centre for Research into TCM. And the whole Center belongs under Hospital field of internal medicine!
    Does it mean that now Czech doctors are practicing with acupuncture, cupping therapy and other alternative/pseudo-medicine based on faith rather than science?

    Head doctor of the whole center of TCM František Musil performed on the TV show DVTV in interview where he said that the TCM “more than morphological and biochemical relationships focuses mainly on the energy side. Every organism has energy in itself, otherwise I would not be able to move hands, feet, …”
    ” … TCM enables smooth flow of energy.”
    “…reservations against TCM stem from ignorance.”
    Great. University Hospital treatment.

    Another thing is use of Chinese herbal mixture.
    No one outside Hospital knows which herbs are used, how much, or anything.
    Director Prymula refused to answer to these questions.
    It is just said (in Informed consent of the Center) that “Imported herbs are tested by accredited laboratories of the Health Institute, mainly for the presence of heavy metals.” One have to trust Chinese industry.
    Easy, right?

    To be fair – operating costs of Center were covered by sponsorship. By the strange Mixed Czech-Chinese Chamber of Mutual Cooperation, where some former Czech politicians found an asylum.

    This is happening in situation, when about thirty nurses are missing in this hospital. Their deficiency is already at such degree that the surgical clinic is forced to close the thirty-bed department since December. Intensive care unit have limited operation, although the hospital offers 100,000 CZK (3.900 EUR) for new recruits in this specialization. The need for nurses is 15. Few nurses are also in regular bed wards.
    “We are glad that we have money at least to operate.” said Zdeněk Tušl, deputy director.

    When one come to TCM Center, Czech doctor will examine him in classical western medicine way and than some Chinese man (Wang Bo is not a doctor according to Czech laws) examine him in his way. Speaking in Chinese with interpreter.
    But no not-doctor can practice in Czech hospital. The law is strict in that. So politicians came with personal exceptions.
    Solved.

    08.06.2017 Czech Senate adopted an amendment to the law. An amendment about non-medical healthcare professions, which was needed. But there was a rider to it – the inclusion of a therapist and traditional Chinese medicine specialist among healthcare professionals.
    The amendment passed easily, half of senators left senate building, the other half voted “yes”. No one was against this crooked law! (Except the deacons of the medical faculties, Jan Evangelista Purkyne Czech Medical Society, the Czech Medical Chamber and the Senate Medical Committee.)

    Former Heath Minister Svatopluk Němeček after visiting China said about Czech-Chinese contract: “What really matters to the Chinese is the very last point of the contract – The Czech Republic should serve as a gateway for Chinese products to Europe, where registration of them has been successfully defended. However, if SUKL (Czech State Institute for Drug Control) will accept them, other drug institutes in Europe should accept them as well.”

    Actual Health Minister Miloslav Ludvík has advocated the need for rules for Chinese medicine providers by not being able to validate the education, scope and quality of Chinese healers’ care offered.
    According to plans, the education is to be provided due to the disagreement of medical faculties at the health and social faculty. The training program should be developed in cooperation with partner Chinese universities.

    Situation is slightly different now – two senators came with a proposal for the repeal of the law. In their words:
    “The Senate has granted Chinese medicine the status of a medical field, thus favoring Chinese healing versus other healing methods.”
    These senators are also concerned that Chinese healers would benefit from a bachelor’s or a magistrate’s degree, and their services could be covered by health insurance companies.

    The Senate will deal with their proposal in December.