From the Wards

Paul Thomas Paul Thomas (3 Posts)

Contributing Writer Emeritus

Wayne State University School of Medicine


Critical thinker, photographer, and writer, Paul Thomas has an unquenchable thirst for knowledge and understanding. He studied biology and bioethics at Michigan State and is finishing his medical degree at Wayne State. His clinical skills have been enhanced by serving the uninsured in Detroit and by learning from patients with unique challenges.

Recently, Paul has been trying to cure a severe case of wanderlust — cross country road trips and backpacking adventures have thus far been unsuccessful. He once came in second place in a three-legged race, which both cemented his status as a good team player and reminded him of his own fallibility. He blogs, he tweets, and he holds merit badges in astronomy and motorboating.




Street Medicine Detroit

Editor’s note: This article was originally published here by contributing writer Paul Thomas. This morning, I had the good fortune of practicing medicine in a homeless shelter with Street Medicine Detroit (SMD). SMD is a student-run organization at Wayne State University School of Medicine that ventures out into the community and provides compassionate medical care to the underserved and homeless of Detroit. Because of the cold weather in Michigan, our “street run” took place inside a church just off …

Experiencing Rural Medicine in First Nations Communities in Northern Canada

Since that fateful day when I read the words ‘Congratulations, you have been accepted…’, I consider my medical education to be my ticket into the world of international development. With the tools I obtain through my medical degree, I dream of setting up medical clinics in remote jungles and responding to need following natural disasters. Prior to medical school, I served at a rural Salvation Army medical clinic in Ghana, where I was the lone …

My Contribution

Not everyone has the pleasure, or should I say honor, of being a part of the miracle that is life; even fewer get to say that they witness and influence that miracle every day. As a medical student, I have been privy to a whole new world of opportunities that have opened my eyes to how fragile life truly is and how much of a difference one person can make to affect the life (or …

Anecdotes from the Wards

Scene I: 7:30 a.m. in the OR at the VA [Elderly gentleman with too many comorbidities to be induced into sleep. He is given local anesthesia and lies draped on the operating table. General surgery is suctioning a fluctuant mass from his upper left thorax. Case has been opened.] Patient behind curtain: Oh, God. Oh, God! Errrgggggh! Anesthesiologist: We’re just gonna give you some more medicine. Chief Resident: It’s right around your broken rib. There …

Non-medical-school Medical School Curriculum

I’m sitting by the window in a hospital room with my eight-year-old sidekick who is being treated for rhabdomysarcoma, here for chemotherapy. Sidekicks is a student-led initiative at UMass Medical School that matches medical students with pediatric oncology patients in order to build long-term, non-medical relationships. He is watching his favorite cartoons and so he is unresponsive to my attempts at engagement. My own five-year anniversary of being in remission from Hodgkin’s lymphoma just passed …

Eating Soup With a Fork: My Sign-Out from Rural Tanzania

22 June  Jambo! Leaving today. A bit apprehensive considering how busy I have been and how unprepared I feel.   13 July: Day 1 I’d be lying if I told you I imagined my first day to be anything like this. Everything leading up to today made me think that this externship was an opportunity to see some very interesting cases, while conducting my hypertension research in a modern, Swiss training facility in rural Tanzania. …

What the Doctors Know and What the Doctors Don’t Know

Since the beginning of medical school, I have always been astonished at the fact that my preceptors often had no idea what was going on with their patients. Many times, they resorted to prescribing Tylenol, simply telling their patients to come back if the condition became worse. Gastric ulcer? Tylenol. Terrible headache? Tylenol. Joint aches? Tylenol. Period cramps? Tylenol. Of course, they were family doctors with years and years of experience, but it came to …

Mind Your Perspective

Third years — this one’s for you. You’re already a few months into the year, and probably getting the hang of things by now. As you wade through the ocean of scut, progress notes, and evaluations, it can be easy to lose sight of the potential bias in your perspective.  However, if you remain mindful of your perspective, you may be a better judge of your specialty interests while simultaneously getting more enjoyment out of your …

Friend or Foe?

A patient with a past medical history of hypertension and IV drug use (IVDU) presents to the ED. He reports a one month history of neck pain. He denies any trauma. He also reports having upper extremity weakness for two weeks. He denies any previous episodes like this. He denies any fevers or chills. He reports an IV drug history for a number of years and reports that his last heroin injection was two days …

The Chair

A little humor goes a long way with a lot of patients. The degree to which a positive attitude—on their part and ours—can help them get through a difficult time in their lives never ceases to amaze me. One patient came to us with massive lower extremity swelling and an EF of 15 percent. He was an inpatient for over a month and had a Foley catheter for more than three weeks. He had an …

The Beginning

It was 6:58 a.m. and it was my first day in the hospital as a third-year medical student. I was excited. I had my short white coat on and my pockets were full of little gems recommended by those more experienced than myself. As I found my team I saw the second-day-interns nervously preparing for rounds. I hoped my excitement was not too obvious. I could not believe I was about to round on real …

Reflections on Internal Medicine Clerkship

During my internal medicine rotation, I learned many things about medicine, and many things about patient care, and they are not always one in the same. By far the most influential piece of knowledge I will take away from this clerkship is the importance of clear verbal and written patient instructions and education, as well as the benefits of keeping patient care in a network of physicians.

Alixandra A. Scheufler Alixandra A. Scheufler (1 Posts)

Contributing Writer Emeritus

Wayne State University School of Medicine


Alixandra is a Class of 2013 medical student, planning to pursue a career in radiology. She is currently serving in her second year as the executive senate president, and also enjoys serving as a member of the Gold Humanism Honor Society as well as the Aesculapians Honor Society. Alix studied history of art and gender and health studies at the University of Michigan.