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More On:
Medicine
Physical Disabilities
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Accomplished MD Challenges Perceptions

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."

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.

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 they’ve not had," he explains.
"As we move along, that crazy idea of Tom doing neurosurgery someday seems possible because it will all be machines.� It’s 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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