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Accomplished
MD Challenges Perceptions
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When
the third year medical students in a Temple
University physical diagnosis class were
presented with patient Thomas Strax, they
were pretty sure he might have some rehabilitative
potential.� As they looked at the thin man
sitting in a wheelchair in a white hospital
gown, they saw that he obviously had cerebral
palsy. �Students decided that the patient
may be able to "sell pencils on Broad
Street," and the patient was wheeled
out.
A
few minutes later, the guest lecturer arrived.�
Dressed in a dress shirt and tie and doctor's
lab coat, the guest professor introduced
himself as Thomas Strax, M.D.�To the students'
surprise, this guest lecturer was none other
than the patient they just dismissed minutes
earlier as only having a future in a sheltered
workshop.� Dr. Strax, a physician who specialized
in physical medicine rehabilitation, had
a message for these beginning doctors and
for others. "We see what we are looking
for.� We look for what we know.� What we
don't know, we never see."
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Strax,
who experiences Cerebral Palsy, has spent
a lifetime challenging what people see in
him.� He was the first student with a developmental
disability to go through the New York City
School System.
Strax
knew early on that he wanted to be a physician.�
Others, however, were not so sure that this
was a good choice. �On the first day of
his first chemistry lab in college, he knocked
over a 3 gallon bottle of sulfuric acid.�
Although the chair of the department decided
that chemistry could be waived, Strax insisted
that he needed chemistry to get into medical
school.� The chair agreed to give him a
2 week trial period. Strax was able to come
up with a solution with the help of a family
friend in the medical supply business, who
built a lab-set out of wood encasements
where the test tubes and vials could sit
without moving.� Strax was then able to
use both hands to pour from a dropper or
test tube without disturbing the chemistry
set.� He was also able to do some experiments
at home and went on to do fine in chemistry.
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Strax
applied to, and was rejected from, several
medical schools.� He did get accepted to Albert
Einstein Medical School, but had his heart
set on attending New York University School
of Medicine, the alma mater of several of
his family members.� After five interviews,
he finally was accepted.� However, he had
some anxiety over his acceptance
feeling
that it may have been due to family influences
rather than his own merits.� His worries were
eased after talking to a member of the Board
of Directors of the medical center.� "He
said, 'What does it matter? Only you can get
to the second year.' And that's true,"
said Strax as he pointed to his NYU diploma
hanging behind his desk. |
He
did not need a large number of accommodations
in medical school.� He was allowed to take
some of his exams orally, which he found helped
him "think on [his] feet."� Many
advancements in medical equipment enabled
him to be more functional as a physician.�
One such advancement was the vacuutainer,
which allowed him to be able to draw blood
easily using one hand.� He also found the
Kelly clamp very useful in dissections and
other functions that required a high level
of hand dexterity.�� Most "accommodations"
that work for Strax have been new technology
and advances in medicine that have made it
easier for healthcare professionals in general. |
Strax
has done everything from drawing blood and
aspirating joints to delivering babies and
treating shotgun victims in the ER.� He went
on to choose a field of medicine where his
skills would allow him to be most successful.
"The big joke when I was in college was
that Tom would be a neurosurgeon.� Well, I
would never go into something that my disability
would make me handicapped.� I wanted to be
very good and do what I did well.� I think
all people want to do the right thing and
do it well."� Strax feels that most doctors
go into what they will be most successful
at and tend to avoid areas of medicine that
don't compliment their skills. |
He
credits advances in technology with opening
the doors for more individuals who have the
talent to become doctors, but may have some
physical limitation.� "Technology is
essentially creating new opportunities for
people who are intelligent and caring and
have the desire to be able to do and make
them equal with the people who have the dexterity
that theyve not had," he explains. |
"As
we move along, that crazy idea of Tom doing
neurosurgery someday seems possible because
it will all be machines.� Its whether
Tom understands machines or not, or he knows
what you need to do or not.� Not whether he
can dexterously make the incision here.� There
will be a laser attached to a computer that
will have a dampening device that will be
calibrated with my particular movements.�
Or, I might just speak and it will do."�
This use of technology that Strax describes
is becoming less science fiction and more
of a reality every day.� Medical scientists
are discovering new ways to improve medical
care by going beyond the limits of the human
hand, eye, and ear and in turn, opening up
new possibilities for a more diverse talent
pool to enter into medical professions.� (To
learn more about telesurgical technology,
click here.) |
Even
with the advances in technology, there may
still be certain skills that some prospective
medical doctors may not be able to complete.�
This becomes a problem for otherwise qualified
medical students due to the "undifferentiated
graduate" stipulation at most medical
schools requiring all students to complete
a rotation in all areas of medicine.� To this
issue, Strax responds, "Most [doctors],
except surgeons, would not want to be in the
OR with a scalpel in their hand.� Many surgeons
are not ready to handle some of the non-invasive
medical issues in serious cardiac emergency.
The concept of doctors needing to do everything
is invalid to begin with.� This has been used
as a barrier to admitting [people with disabilities].�
It is my feeling that all students must be
able to meet certain basic things.� They must
be able to understand the information that
is given to them, synthesize it, and come
up with up an idea.� Be empathetic, be able
to communicate with their patient and fully
examine their patient.� They must be able
to do certain kind of procedures.� In everything
I just mentioned there are numerous ways for
people to be able to accomplish things other
than the regular ways." |
Strax
has become an expert on accomplishing things
by using methods "other than the regular
ways."� �After years as both a pediatric
and geriatric rehabilitation specialist, he
is currently professor and chairman of the
Department of Physical Medicine Rehabilitation
at Robert Wood Johnson Medical School, the
medical director of the JFK �Johnson Rehabilitation
Institute, and the current President-Elect
of the American Academy of Physical Medicine
and Rehabilitation.� He says he has lived
by this proverb:� "If there's no wind,
row." |
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