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Hasičský dres Soptík

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Hasičský dres Soptík

Hasičské dresy jsou vyráběny metodou sublimačního tisku. Předloha dresu je natištěna na papír a následně zalisována pří teplotě 200°C do látky. Takto vyrobené dresy se vyznačují stálobarevností, barva odolává otěru a praní. Zákazník si sám může zvolit barevnost, rozmístění log, čísel, reklam, jmenovek nebo jiné grafiky, aniž by se měnila cena dresu
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pple e as in e ven e as in e very i as in i ce i as in i nterest o as in o pen o as in p o t u as in u nit u as in u nder Vocabulary and Terminology TERM PRONUNCIATION MEANING absorption a bS O RPsh u n achlorhydria a chl o rH I Dr e a amino acids a M E n o A S i dz amylase A M i l a s anastomosis a n a st o M O s i s anus A n u s appendectomy a p e nD E Kt o m E appendicitis a p e nd i S I t i s appendix a P E Nd i ks bile b i l biliary B I L e a r e bilirubin b i l i ROOb i n bowel B O W e l buccal mucosa B U K a l m u K O s a canine teeth K A n i n t e th cecal S E k a l cecum S E k u m celiac S E l e a k cheilosis k i L O s i s cholecystectomy k o l e s i sT E Kt o m e choledocholithiasis k o l e d o k o l i TH I a s i s choledochojejunostomy k o l e d o k o j i j u N O St o m e choledochotomy k o l e d o K O T o m e DIGESTIVE SYSTEM TERM PRONUNCIATION MEANING cholelithiasis k o l e l i TH I a s i s colon K O l o n colonic k o L O N i k colonoscopy k o l o n O Sk o p e colostomy k o L O St o m e common bile duct K O M o n b i l d u kt defecation d e f e K A sh u n deglutition d e glooT I SH u n dentibuccal d e nt i B U K a l dentin D E Nt i n digestion d i J E STy u n duodenal d u o D E n a l or d u O D e n a l duodenum d u o D E n u m or d u O D e n u m elimination e l i m i N A sh u n emulsication e m u ls i f i K A sh u n enamel e N A M e l endodontist e nd o D O Nt i st enterocolitis e nt e r o k o L I t i s enteroenterostomy e nt e r o e nt e r O St o m e enzyme E Nz i m esophageal e s o f a J E a l esophagus e S O F a g u s fatty acids F A Tt e A s i dz facial F A sh u l feces F E s e z gallbladder GAWLbl a d e r gastrointestinal tract g a str o i nT E St i n a l tr a ct gastrojejunostomy g a str o j e j u N O St o m e gastrostomy g a sTR O St o m e gingivitis j i nj i V I t i s gluconeogenesis glook o n e o J E N e s i s DIGESTIVE SYSTEM TERM PRONUNCIATION MEANING glucose GLOOk o s glycogen GL I k o j e n glycogenolysis gl i k o j e N O L i s i s hepatoma 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a R O T i d gl a nd perianal p e r e A n a l periodontist p e r e o D O Nt i st peritonitis p e r i t o N I t i s peristalsis p e r i ST A Ls i s pharyngeal f a r a nJ E a l or f a R I Nj e a l pharynx F A R i nks portal vein P O Rt a l v a n postprandial p o stPR A Nd e a l premolar teeth pr e M O l a r t e th proctologist pr o kT O L o j i st protease PR O t e a se pulp p u lp pyloric sphincter p i L O R i k SF I NKt e r pyloroplasty p i L O R o pl a st e pylorus p i L O R u s rectocele R E Kt o s e l rectum R E Kt u m rugae ROOg e saliva s a L I v a salivary glands S A L i v a r e gl a ndz sialadenitis s i a l a d e N I t i s sialolith s i A L o l i th sigmoid colon S I Gmoyd K O l o n sigmoidoscopy s i gmoyd O Sk o p e sphincter SF I NKt e r steatorrhea st e a t o R E a stomach STOMak stomatitis st o m a T I t i s sublingual s u bL I NGw a l submandibular s u bm a nD I B u l a r DIGESTIVE SYSTEM TERM PRONUNCIATION MEANING triglycerides tr i GL I s e r i dz uvula U v u l a uvulectomy u v u L E Kt o m e villi V I L i Pathologic Terminology TERM PRONUNCIATION MEANING achalasia a k a hL A z e a anal stula A n a l F I St u l a anorexia a n o R E Ks e a aphthous stomatitis A Fth u s st o m a T I t i s ascites a S I t e z borborygmus b o rb o R I Gm u s cholelithiasis k o l e l i TH I a s i s cirrhosis s i rR O s i s colonic polyps k o L O N i k p o l i ps colorectal cancer k o l o R E Kt a l K A Ns e r constipation c o nst i P A sh u n Crohn disease kr o n d i Z E Z dental caries D E Nt a l K A R e z diarrhea d i a hR E a diverticula d i v e rT I K u l a diverticulitis d i v e rt i k u L I t i s diverticulosis d i v e rt i k u L O s i s dysentery D I S e nt e r e dysphagia d i sPH A j e a eructation e r u kT A sh u n esophageal cancer e s o f a J E a l K a Ns e r esophageal varices e s o f a J E a l V A R i s e z etiology e t e O L o j e atus FL A t u s DIGESTIVE SYSTEM TERM PRONUNCIATION MEANING gastric cancer G A Str i k K A Ns e r gastroesophageal reux 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I often find myself thinking back to that experience when I'm confronted with a patient who has a complaint I can't figure out, and I thought it would be useful to describe the various reactions doctors have in general to patients when they can't figure out what's wrong, why they have them, and what you can do as a patient to improve your chances in such situations of getting good care. THE SCIENTIFIC METHOD Believing a wacky idea in and of itself isn't wacky. Believing a wacky idea without proof, however, most certainly is. Likewise, disbelieving sensible ideas without disproving them when they're disprovable is wacky as well. Unfortunately, patients are often guilty of the first thought error ("My diarrhea is caused by a brain tumor") and doctors of the second ("brain tumors don't cause diarrhea, so you can't have a brain tumor"), leading in both instances to contentious doctor-patient relationships, missed diagnoses, and unnecessary suffering. Doctors sometimes aren't willing to order tests that patients think are necessary because they think the patient's belief about what's wrong is wacky; they sometimes suggest a patient's symptoms are psychosomatic when every test they run is negative but the symptoms persist; and they sometimes offer explanations for symptoms the patient finds improbable but refuse to pursue the cause of the symptoms any further. Sometimes these judgments are correct and sometimes they're not---but the experience of being on the receiving end of them is always frustrating for patients. However, given that your doctor has medical training and you don't, the best strategy to use in these situations may be to do your best to ensure you're being handed judgments based on sound scientific reasoning rather than unconscious bias. EXPERT VS. NOVICE THINKING But even the most rational scientist is teeming with unconscious biases. So an even better strategy might be to attempt to leverage your doctor's biases in your favor. In order to do this, you first need to know how doctors are trained to think. Medical students typically employ what's called "novice" thinking when trying to figure out what's wrong with patients. They run through the entire list of everything known to cause the patient's first symptom, then a second list of everything known to cause the patient's second symptom, and so on. Then they look to see which diagnoses appear on all their lists and that new list becomes their list of "differential diagnoses." It's a cumbersome but powerful technique, its name notwithstanding. A seasoned attending physician, on the other hand, typically employs "expert" thinking, defined simply as thinking that relies on pattern recognition. I've seen carpal tunnel syndrome so many times I could diagnose it in my sleep---but only learned to recognize the pattern of finger tingling in the first, second, and third digits, pain, and weakness occurring most commonly at night by my initial use of "novice" thinking. The main risk of relying on "expert" thinking is early closure---that is, of ceasing to consider what else might be causing a patient's symptoms because the pattern seems so abundantly clear. Luckily, in most cases, it is clear. But sometimes it isn't. In those cases, your doctor may do one or more of the following things: 1. Revert to "novice" thinking. Which, in fact, is completely appropriate. We're taught in medical school that approximately 90% of all diagnoses are made from the history, so if we can't figure out what's wrong, we're supposed to go back to the patient's story and dig some more. This also involves reading, thinking, and possibly doing more tests, for which your doctor may or may not have the stamina. 2. Ask a specialist for help. Which requires your doctor to recognize he or she is out of his or her depth and needs help. 3. Cram your symptoms into a diagnosis he or she does recognize, even if the fit is imperfect. Though this may seem at first glance like a thought error, it often yields the correct answer. We have a saying in medicine: uncommon presentations of common diseases are more common than common presentations of uncommon diseases. In other words, presenting with a set of symptoms that are unusual or atypical for a particular disease doesn't rule out your having that disease, especially if that disease is common. Or as one of my medical school teachers put it: "A patient's body often fails to read the textbook." 4. Dismiss the cause of your symptoms as coming from stress, anxiety, or some other emotional disturbance. Sometimes your doctor is unable to identify a physical cause for your symptoms and turns reflexively to stress or anxiety as the explanation, given his or her awareness that the power of the mind to manufacture physical symptoms from psychological disturbances is not only well-documented in the medical literature but a common experience most of us have had (think of "butterflies" in your stomach when you're nervous). And sometimes your doctor will be right. A physician named John Sarno knows this well and has a cohort of patients who seem to have benefited greatly from his theory that some forms of back pain are created by unconscious anger. 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They feel like they don't have enough time to do a good job. With fewer and fewer resources, doctors are being asked (like everyone) to do more and more. 4. They have to deal with a morass of paperwork in a hopelessly inefficient health care system. The amount of time most doctors must spend justifying their decisions to third-party insurance carriers is growing at an alarming rate. A sampling of unconscious biases that influence doctor behavior include: 1. Not wanting to diagnose bad illnesses in their patients. Leading sometimes to an incomplete list of differential diagnoses. 2. Not wanting to induce anxiety in their patients. Leading sometimes to insufficient explanations of their thought processes, which often paradoxically leads to more patient anxiety. 3. Over-relying on evidence-based medicine. Though the practice of evidence-based medicine should be the standard, many physicians forget there's a great difference between "no evidence existing in the medical literature to link symptom X with disease Y" and "no evidence existing to link symptom X with disease Y because it's not yet been studied." 4. Not liking their patient. Leading to impatience, not listening, and not taking enough time to think though the patient's complaints. 5. Liking their patient too much. Leading to biases #1 and #2. 6. Thinking a patient's symptoms are caused by one diagnosis instead of many. Also known as Ockham's razor, sometimes it's true and sometimes it isn't. 7. Wanting to be right more than wanting their patient to get better. Res ipse loquitur (the thing speaks for itself). 8. Believing their first thoughts about the diagnosis are more likely to be correct than any subsequent thoughts. If your doctor is too attached to a diagnosis simply because it's the one he or she thought of first, or has seen it more than other, less common diagnoses, he or she may avoid pursuing other possibilities. 9. Failing to consider that a test result may be in error. This doesn't happen commonly, but it certainly does happen. 10. Wanting to avoid feeling ineffectual. Some diagnoses are more amenable to therapy than others. No patient wants to have an untreatable illness and no doctor wants to diagnose it. 11. Having an aversion to being manipulated. Manipulation is especially common in patients suffering from chronic pain syndromes (who may at times appear drug-seeking rather than pain relief-seeking). No one likes to be manipulated, but a wise mentor of mine once said, "The question isn't whether or not your patients will try to manipulate you. The question is how will they try to manipulate you." Coming to terms with this truth is vital for any doctor to have successful relationships with their patients. HOW TO GET YOUR DOCTOR ON YOUR SIDE Unfortunately, your ability to raise your doctor's life-condition is as limited as your ability to raise anyone else's, and even more so when you don't feel well. Good humor, if you can muster it, may be your best option. But in dealing with your doctor's biases, you have on your side a fact I firmly believe to be true: most doctors want to do a good job and help their patients as best they can. So what exactly can you do to maximize your doctor's ability to help you? 1. Position your symptoms and requests carefully. Don't demand medications or tests. Ask about them. Wonder about them. It's perfectly all right to bring up research you've done about your symptoms, but explicitly express your openness to the possibility that your ideas might be wrong. Not that you should aim for subservience by any means, but rather for a genuine partnership. 2. Remain reasonable even when you're irritated. Most doctors, even when stressed, will respond to reason and reasonableness in kind. 3. If your doctor suggests your symptoms might be due to stress, acknowledged they may be right. Even if you disagree. First of all, your doctor may be right, even if it doesn't feel that way to you. Secondly, if you dismiss the notion out of hand, you might make your doctor defensive and therefore more likely to cling to an idea that a moment before was only one possibility among many. 4. Ask questions that promote transparent, logical thinking. Many doctors don't explain their thought processes clearly. Write all your questions down before your visits and ask smart questions that actually help your doctor think through your symptoms and his or her approach to working them up ("What possibilities will this test rule in or out?" "What else is on your list of possible diagnoses?"). Of course, this presumes you're comfortable knowing the answers. I recommend you summon your courage to ask these questions, however, because they'll encourage sharper thinking from your doctor. 5. Be explicit about how you want your doctor to work with you. Show them you're interested in understanding the process of medical detective work. Position yourself as your doctor's student. Nothing helps improve someone's thought process like having to explain it to someone else. 6. Ask your doctor to explain the risks and benefits of any proposed test or treatment quantitatively. Get percentages for risks and compare them to the risks of activities you tolerate every day. For instance, your annual risk of dying from a motor vehicle accident is 0.016%. You'd be surprised how many worrisome side effects to drugs, for example, occur at an even lower frequency. 7. Get second opinions. And sometimes third opinions. And sometimes more. Do this carefully, recognizing that in doing so you risk ending up even more confused than you were with only one opinion. But don't assume because your doctor doesn't know what's going on that no one else does either. There's almost no way for you to be sure your doctor doesn't know what's wrong because he or she doesn't know or because no one knows. Sometimes you have to go through multiple doctors until you finally find the right one with the right experience to figure out your problem (if your insurance will let you, of course). Neither doctors nor patients like to acknowledge this, but serendipity sometimes plays a role in finding the right diagnosis. I once figured out why a patient had been nauseated for 30 years after they'd been seen by almost as many doctors. The patient said something that just happened to make me think of an obscure diagnosis I'd never seen but had read about. I looked it up, sent the patient for a test, and found the answer. I have a small cadre of patients who suffer from symptoms more horrible than I can describe, some with known diagnoses and some without. In all cases, my ability to help them is tragically limited. Sometimes I want to ignore these patients. Sometimes I cringe when they call, not because I don't like them or because they complain to me too much or because I don't care about them but because I have so little real relief to offer them. I know how much my simply being present and being willing to listen has meant to them (they tell me this all the time) and I don't discount it. And I do my best to diagnose and treat what problems I can and sympathize with them when I can't. But it's hard. I must constantly be on guard not to fall under the influence of the thought errors and biases I've described here. So while I hope everyone who reads this post finds it helpful, the person to whom I actually wrote it was myself. https://www.levitradosageus24.com/levitra-half-dose/
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