ZA DOCENTEM MUDR. JANEM NĚMCEM (Cor et Vasa/Prof. MUDr. Josef Veselka, CSc.)

Když se na IV. interní klinice Všeobecné fakultní nemocnice objevil v roce 1989 mladý lékař jménem Jan Němec, musel si ho každý okamžitě všimnout. Typická chůze dlouhými kroky, rozcuchané vlasy a na zádech batůžek skrývající jeho bibli s názvem Oxford Textbook of Medicine. 
Honzu Němce však daleko více charakterizoval jeho vnitřní svět a v něm byly skautské zásady jako čest, spravedlnost, pravdomluvnost, skromnost nebo přímost v jednání. Ano znamenalo ano, ne znamenalo ne. To v předrevolučním i těsně porevolučním životě kliniky bohužel nebyly ty nejvíce ceněné vlastnosti, a tak i s pomocí doc. Bartůňka a MUDr. Schirgera odešel mladý lékař v roce 1993 do USA, a to rovnou na Mayo kliniku, kde strávil svou rezidenturu i „fellowship“. Mezitím si ještě stačil odskočit na Harvard, kde působil ve výzkumné laboratoři.
Později se MUDr. Němec vrátil na dva krátké roky do Prahy, pak však natrvalo odešel do USA, a to nejprve do Minneapolisu a později na kardiologickou kliniku do Pittsburghu (University of Pittsburgh School of Medicine and UPMC Heart and Vascular Institute), kde se věnoval nejen klinické arytmologii, ale i výzkumu.
Docent Němec svými dlouhými kroky už za pacienty chodit nebude. V den jeho pohřbu na něj vzpomínám a uvědomuji si, že důležitější než jeho náhlý odchod je jeho odkaz. Když jsem ho kdysi přemlouval k opuštění Čech, nedokázal jsem domyslet, že by někdy mladá generace českých kardiologů snad nevěděla, kdo je či kdo byl doc. Němec. Dnes tomu ale tak je, a proto bychom o něm měli mluvit i psát. 
Myslím, že Honza byl nejinteligentnějším a nejinspirativnějším lékařem, jakého jsem kdy potkal. Chodící medicínská encyklopedie a současně studnice kreativních nápadů pro výzkumné projekty. Přísný a férový soudce medicínských studií i osobních názorů. Především ale svobodomyslný člověk s velikým citem pro spravedlnost a nesmlouvavým sarkasmem vůči pragmatismu. Současná mladá generace českých kardiologů by v něm našla kolegu s absolutní morální integritou a skvělého kardiologa i vědce světové úrovně. Byl by pro ně fantastickým vzorem.
Ač nevěřící, představuji si, že Honza teď kdesi sedí, na očích své staromódní brýle, ruce sepjaté na temeni hlavy a mírně se usmívá. Kolem kulhá jeho jednooký pes Jánoš a je jim spolu dobře. Určitě se již necítí tak osamoceně jako čínský student čelící rozjetým tankům na náměstí Tchien-an-men.
České kardiologii bych přál více docentů Němců. Mladí by měli autentické vzory a žilo by se nám tu lépe.

Prof. MUDr. Josef Veselka, CSc.,
Kardiologická klinika, 2. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice v Motole,
e-mail: josef.veselka@fnmotol.cz

Featured obituary: Jan Nemec / Noted cardiologist, educator specialized in heart disorders

To Jan Nemec, principles weren’t vague guidelines to follow when it was expedient to do so. They weren’t trite expressions meant to be massaged or compromised when the going got tough. To him, they were everything.

The cardiologist, researcher and educator at UPMC devoted his life to curing disease, doting on his children and making life better for those less fortunate.

And Dr. Nemec understood misfortune.

After spending the first half of his life in a communist country, Dr. Nemec built what most would consider a successful life, admired by his colleagues and patients and an expert in complicated heart procedures.

But, even in the face of this happy and accomplished existence, Dr. Nemec refused to submit to what he saw as oppression and took his own life at his Swissvale home on May 8. He was 54.

Dr. Nemec’s daughter, Katerina Nemcova, 25, a psychologist from Sydney, Australia, said her father wasn’t depressed, but chose to end his life rather than pay nearly half of his annual income for spousal support as he was ordered to do in a recent divorce order.

“Freedom and liberty were all very important to him. He didn’t want to conform to the norm,” Ms. Nemcova said. “He’d been planning this for at least three years — we now know this.”

What courts in Minnesota — where her mother filed for divorce four years ago — saw as fairness, he saw as injustice that he could not tolerate, said Ms. Nemcova, who received an email from her father on the day after he died, detailing his heartbreaking decision.

“He was always very, very anti-communist. This was definitely about his moral principles,” Ms. Nemcova said. “He thought this was a poorly designed system and just didn’t want to be a part of it and would rather give the money to a worthy cause.”

Her father waited until his divorce was finalized for exactly 30 days and left the majority of his estate to the organization Doctors Without Borders, which he supported with his time and money for many years, she said.

In the final missive to his daughter, Dr. Nemec said: “I wish I had the opportunity to quit my job and be a gardener in Costa Rica, but I can’t do that because I would go to jail and that’s terrifying.”

Dr. Nemec was born and raised in Prague, in what was then communist Czechoslovakia, a totalitarian regime under Soviet rule from 1948 to 1989. He obtained his medical degree from the Charles University School of Medicine in the Czech Republic.

Dr. Nemec emigrated to the U.S. in 1993 as a fellow in cardiology and electrophysiology at the Mayo Clinic in Rochester, Minn.

He was recruited by UPMC in 2006, and moved to Swissvale to work as an academic, researcher and physician in the subspecialty of electrophysiology in cardiology.

Much of his research focused on inherited disorders of the heart, rhythm and channel mutations.

Dr. Nemec often did complex procedures, said colleague Joon Lee, chief of cardiology at the University of Pittsburgh School of Medicine.

“He was functioning at a very high level, doing procedures which required a great deal of discipline, concentration and intellect,” said Dr. Lee, who knew Dr. Nemec for 11 years.

Dr. Nemec also served as an associate professor of medicine at the University of Pittsburgh School of Medicine and UPMC Heart and Vascular Institute. He was recognized as the top educator by trainees at the medical school in 2007 with the Edward I. Curtiss Memorial Teaching Award.

Dr. Lee said he and his colleagues had no inkling of Dr. Nemec’s deep distress.

“It’s safe to say none of us within the department saw anything coming,” Dr. Lee said.

Dr. Nemec’s loss will be felt beyond the local medical community, Dr. Lee said.

“It’s clear that he was an outstanding and internationally known cardiologist and he was certainly beloved and respected by our whole department,” Dr. Lee said. “It’s a tremendous loss to us, but it’s also a tremendous loss to the field.”

Ms. Nemcova said that although she understood her father’s decision, it was devastating for her.

“I lost the person who was the closest to me, but I respect his choice,” said Ms. Nemcova, who took her father hiking on Kangaroo Island off the south Australian coast during a visit in January.

“He was full of life, and one of the happiest people I knew. He was brilliant and kind and very, very generous.”

Along with his daughter, Dr. Nemec is survived by a son, Jakub Nemec, 27, of Minneapolis, and his mother, Dr. Marcela Nemcova of Prague, in the Czech Republic.

Services for Dr. Nemec were held Monday. The family requests that donations be made to Doctors Without Borders. Arrangements were by John A. Freyvogel Sons Funeral Home, Shadyside.

Janice Crompton: jcrompton@post-gazette.com, 412-263-1159 or on Twitter @janicecrompton.

Found on: http://www.post-gazette.com/news/obituaries/2017/05/19/Obituary-Jan-Nemec-Noted-cardiologist-educator-specialized-in-heart-disorders/stories/20170517002 

Condolences

Hello, Katrina,
I met your father almost 5 years ago in the cardiac ICU at Presby.  My husband had suffered a cardiac arrest & your father was taking care of him. He was so kind to me, and helped lessen my fear & anxiety. I have been a nurse for many years & have dealt with many physicians...none like your father!.
He helped save my husband & because of him, my husband is doing well today! My husband loved him & so did I!!
If we could have done anything for him, we would have! 
He had told us about you & your brother,  and I know he loved you very much and was very proud of you both.

I am praying daily for him, and you & your brother.
Please accept our deepest condolences, and I would love to make a donation in his name to Borders without Doctors.
Know that he was better than the best! 

His brilliance, compassion, and love of medicine will continue through many generations, I am sure.

Sincerely,

Vicki & Pat Forte

My thoughts and prayers go out to the family!! Dr . Nemic was an incredible doctor. He was responsible for saving my life. When I was in fear of what was going on with my body, he always made sure I knew that I was in good hands. 2 ablations later my life is back to normal. I was so grateful to him and just compassion and care that he showed. He will be missed!!

V M

Dr. Nemec was my Mothers heart DR.. He was so humble and kind.. I'm so saddened to hear of his passing.. We lost a outstanding Dr in the Pittsburgh area..He was loved by our family.. Debbie Mason & Lillian Komacko and Family. My MOM REALLY LOVED HIM.. 

June 05, 2017

I just found out that he past away today in a letter from UPMC heart & Vascular & I am in shock & sadden over this.He was a marvelous physican & human being,he saved my life and gave me strength and stamina back with 3 ablations & just in March he put in my pacmacker I am going to miss him very much,my sincere condolences to his family and colleagues.

Rchard & Sandra Conlon,

Pittsburgh, Pennsylvania

June 03, 2017

RIP Dr. Nemec

June 02, 2017

Dr. Nemec was one of the smartest most patient physicians I've ever had the pleasure of knowing and working with. His knowledge was vast, his kindness was endless, and the time he spent with his patients was never rushed. His passing is an absolute shock. He will be very missed. <br /><br />To his children, your father was the very best physician. He never became annoyed when we paged him,...no matter the time. Even if it was a mistake, he would try to help staff figure things out from his end. As smart as he was, he never made those with less knowledge feel inferior; he freely shared what he knew. He was an amazing educator to both patients and staff alike. My deepest condolences to your family at this very difficult time. I will keep you all in my prayers.

a coworker,

Pittsburgh, Pennsylvania

June 01, 2017

Dr Jan Nemec was a caring doctor who took the time to explain any procedure before he did it . Because of him my husband is with me today we will forever miss him . Prayers to his family. He will be greatly missed. My husband and myself were so sad . Heaven gained a beautiful angel.

Robert and Leigh Yatsko,

New Salem Pennsylvania

May 31, 2017

Srikanth Seethala,

chattanooga

May 31, 2017

Jan,
I will miss you. I am going to be an electrophysiologist because of you.

Srikanth Seethals,

chattanooga, Tennessee

May 27, 2017

A caring Doctor who went out of way to explain the details of my heart issues. He also liked to talk to me in Slovak.

Peter Mulik,

Bluffton, South Carolina

May 22, 2017

Just heard of his death today. He was my cardiologist and I loved him. He changed my life for the better and gave me my strength and stamina back. When I would see him for my annual checkup, I would call him "My Hero". I will miss him tremendously. He was a marvelous physician. My sincere condolences to his family and colleagues.

Alan Lefcort,

McKeesport, Pennsylvania

May 19, 2017

Sympathy to family, A great doctor and human being.I will miss him.u

Kay Chemsak,

White OAk,PA.

May 19, 2017

Sympathy to the Family. We just heard about His death. He was my Husband's Doctor. R.D.Smith

Smith,

White Oak, Pennsylvania

May 18, 2017

Condolences to the family!! I worked at the Uniontown office with Dr Nemec. His intelligence was beyond my grasp. He will be sincerely missed

Tammy D'Eletto,

Carmichaels, Pennsylvania

May 17, 2017

May God be with you always to sooth your aching heart. My prayers are with you.
KA

May 16, 2017

My husband and I wold like to extend our deepest sympathy to Dr Nemec's family. 
He was my husband's doctor and was always very patient and kind. He was never rushed and made sure he took the time to answer and questions we ha.
He was a wonderful doctor and a good man. May he rest in peace. God bless you Dr. Nemec.

May 15, 2017

He was a good man. Sad he is gone

Joyce BVanhulten,

Pittsburgh, Pennsylvania

May 15, 2017

Dr. Nemec and I shared many conversations in the Electrophysiology office suite before I retired in 2015. He always had a smile for me. It was part of my job to ask if he wanted to upgrade his flip phone to an iPhone but he was happy with the older technology; that was in keeping with his old-world charm. His research and relationships with patients are well-known and he was an icon in the Heart and Vascular Institute. He will be missed. My condolences to the family and friends.

Adrienne Weiss,

Monroeville, Pennsylvania

May 15, 2017

Dr. Nemec was very kind and I enjoyed working with him. His passing is shocking and sad. My deepest condolences to his family, friends, and patients.
With sympathy,


Christina Smith CRNA

May 15, 2017

I've only had the pleasure of knowing you for such a short time but during that time I appreciate your service as my doctor. My condolence to your family, staff, and the lives of others you have touched. Prayers of comfort and strength during this difficult time.

Shawnel C,

Pittsburgh, Pennsylvania

May 15, 2017

Isaiah25:8 tells us he God will swallow up death forever.

More at: http://www.legacy.com/obituaries/name/JAN-NEMEC-obituary?pid=1000000185385125&view=guestbook

 

Obituary Post Gazette

DR. NEMEC JAN, MD


Age 54, of Pittsburgh, unexpectedly passed away on May 8, 2017. He is survived by his daughter, Katerina (Sydney, Australia); son, Jakub (Minneapolis, Minnesota); his mother, Dr. Marcela Nemcova (Prague, Czech Republic); and a legion of colleagues, devoted patients, and friends. He also leaves behind his chocolate Labrador, and longtime companion, Med. Dr. Nemec was a dedicated physician, an intellectual, a champion of social justice, and a loving father. An Associate Professor of Medicine at University of Pittsburgh School of Medicine and UPMC Heart and Vascular Institute, Dr. Nemec was an internationally recognized expert in the subspecialty of Electrophysiology in Cardiology. Beloved by his patients for the careful and dedicated clinical care he delivered, Dr. Nemec remained active and recognized for his research throughout his career. He was especially focused on inherited disorders of the heart rhythm and channel mutations. Dr. Nemec was born in Prague, of then communist Czechoslovakia, on November 7, 1962. He obtained his medical degree from the Charles University School of Medicine in the Czech Republic. After completing his medical residency in the District Hospital in the Czech Republic, he came to the United States to complete another residency in internal medicine, fellowship in cardiology and Electrophysiology at the Mayo Clinic in Rochester, Minnesota. He was recruited to UPMC in 2006 where he embarked on a very productive career as an academic physician. In addition to his research and clinical care, Dr. Nemec was a dedicated teacher and was awarded Edward I Curtiss Memorial Teaching Award in 2007. Alarmed by the injustices he witnessed and experienced as a child and young adult in a communist state, Dr. Nemec remained dedicated to the cause of social justice throughout his adult life. He donated countless hours during his vacations and personal wealth to serve the most underserved populations throughout the world in their fight against poverty, disease, and war. Jan will be dearly missed by his family, friends, colleagues, and patients. Friends will be received at JOHN A. FREYVOGEL SONS, INC., (freyvogelfuneralhome.com) 4900 Centre Avenue at Devonshire Street, Pittsburgh, PA (412-621-1665), on Monday May 15, 2017, from 3-5 p.m. and followed by a memorial service at 5:00 p.m. In lieu of flowers, the family requests that donations be made to Doctors Without Borders in honor of Dr. Jan Nemec. http://www.doctorswithoutborders.org/

Published in Pittsburgh Post-Gazette from May 14 to May 15, 2017

Found at: http://www.legacy.com/obituaries/postgazette/obituary.aspx?pid=185385125

Petr Blazka (Pet) povidani

Když odejde někdo z našich blízkých, uvědomíme si jeho jedinečnost, chybí nám, chybí nám to, co jsme u něj považovali za všední. U Jana jsme si jeho jedinečnost, originalitu, neopakovatelnost a nenahraditelnost uvědomovali stále a stále jsme si to za jeho zády navzájem říkali. Jeho blízcí v rodině, jeho spolupracovníci z práce i jeho přátelé, kterých bylo mnoho.

Jeho hluboká vzdělanost měla neuvěřitelně široké rozpětí. Četl si velmi odborné knihy o posledních objevech v teoretické matematice a fyzice plné nám nesrozumitelných rovnic a řeckých symbolů se stejným zaujetím jako jsme my ostatní četli knihy dobrodružné. Spektrum jeho zájmu se klenula od přírodních věd k vědám společenským. Jeho znalost historie byla neuvěřitelně komplexní. Osudy států i jednotlivých lidí nejen úžasně znal, ale měl je navzájem propojeny souvislostmi, které léta sbíral a objevoval. A také si je pamatoval, měl fenomenální paměť. Historii si promítal do současnosti, znal jména i osudy snad všech významných světových státníků a i mnoha těch, o kterých jsme vůbec netušili, že existují. Tyto vědomosti mu umožňovaly být vtipným komentátorem světového dění. Byl angažovaným účastníkem politického dění v Česku i ve světě, chodil na demonstrace za správnou věc, podepisoval petice. Podporoval řadu neziskových humanitárních organizací. Zajímal se o ekologii, církevní dějiny, politologii, botaniku. Jeho zájmy byly široké.

Vystudoval medicínu a stal se lékařem. Všechny své intelektové schopnosti napřel k tomu, aby byl lékařem co nejlepším. Začínal od píky na oddělení nemocnice v Ústí nad Labem. Jako lékař rychle rostl a jeho schopnosti jej dovedly do jedné z nejlepších světových klinik Mayo v americkém Rochesteru. Aby mohl pracovat jako lékař v USA, musel uspět v dlouhých a náročných testech a zkouškách, musel být lepší, než 50 % amerických postgraduálních lékařů. Jan byl lepší, než 98 % a mohl si vybrat nejlepší kliniku. V posledních letech pracoval jako kardiolog na klinice v Pittsburgu. Dělal každý měsíc desítky náročných, mnohahodinových operací srdcí svých pacientů, kterým zachraňoval nebo zkvalitňoval životy. K tomu navíc pracoval v laboratoři, dělal špičkový výzkum, psal články do nejprestižnějších medicínských časopisů. Říkali jsme, že je to jediný génius, kterého osobně známe.

Lidé takto mimořádně intelektuálně vybavení mívají často nedostatky v citové oblasti. Jan byl ale mužem lásky. Věnoval se jako lékař neznámým starým lidem ze skrovných poměrů se stejným úsilím jako celebritám. Měl-li někdo z nás zdravotní problémy, byl ochotný po své namáhavé práci v nočních hodinách ještě studovat naše lékařské zprávy a poradit nám, co by bylo nejlepší.

V devíti letech jej rodiče přivedli do skautského oddílu. V normalizačních letech se oddíl pochopitelně jmenoval jinak. Zde se posílil svůj zápal pro pravdu a spravedlnost. Naučil se překonávat překážky.  Když dospěl, věnoval se výchově malých skautů. Byl neuvěřitelně trpělivý a empatický. Spokojenost a názory každého malého skautíka pro něj byly stejně důležité jako celý vesmír. Ostatní vedoucí tehdy říkali, že je rozmazluje, ale po letech na Jana jeho tehdejší, dnes již dospělí svěřenci krásně vzpomínají a říkají, že je jeho vedení hodně obohatilo. S přáteli z oddílu si stále psal a často s nimi hovořil přes počítač. Když jeho děti, Kateřina a Jakub odrostly, trávil s oddílovými souputníky i některé dovolené. Opakovaně jim zaplatil letenky do vzdálených zemí, kde spolu pak putovali, seděli večer u ohně a zpívali. Zpíval rád a dobře. Byl i hudebně vzdělán, jeho oblíbencem byl J. S. Bach. Také rád diskutoval o všem možném. Debaty byla Janova vášeň, dokázal hodiny diskutovat, když našel schopné partnery.

Jeho tragická a předčasná smrt nás všechny zaskočila, byl plný energie a života, rozdával, úsměvy, radost a optimismus.