I purchased Medical Pattern Paper by Cardinal Health sold by Medical Rite. I read the negative critical review and found it quite helpful. I wonder why people have to be critical when it is not the seller's fault that someone tried a different style of Medical Pattern Paper and another paper did not meet their expectations??? Go to a retail Medical Supply company and let them help you find what you need. Get the exact name and description then go online and search for what you want. I worked almost 20 years as a nurse and know what I am talking about. This paper is perfect for when no blood is expected which is why it is so thin. I was looking for tissue paper to reduce the amount of taping those squares together. To say that this is only good for packing is not accurate. Certain professions may find this paper too thin for usefulness for their projects. I could see this paper cutting costs for many projects including weddings, quince, birthday parties and more. Some people can only think one dimensionally. If a product cannot be used that one way they want to use it, then its a bad product. It is true that this is great paper for protective packaging products, and I thank the reviewer for the tip.This is NOT freezer paper and NOT matte on one side and slick on the other - true . Those papers are going to be heavier and thicker than this Medical Pattern Paper. This Medical Pattern Paper is thicker than tissue pattern paper, but certainly not the thick kind described in the negative review. The roll is lightweight compared to freezer paper.There are two kinds of medical exam tissue paper that I have worked with: One kind was described in the negative review. That kind is for a "wet" exam room. You see -- the thick Medical Paper is designed to capture blood and urine (and guts) and other liquids. Certainly this paper is not designed for liquids.For quilting, this paper is easily torn. That's what its designed for - tearing. I have attached a photo with a comparison between tissue paper from a Simplicity pattern and this Medical Pattern Paper. It is easily sewn for pennies. Quilters often have never sewn a garment from a companies like Simplicity. Quilters and private pattern makers use a much thicker paper like freezer paper. This is a very thin tissue paper. It is good for quilting projects that require easily sewing and torn paper.For occasional crafters: sure, this is overkill - get some tissue paper from the dollar store.For sewists: This is very thin, but not as thin as Simplicity.For embroidery: would work as a tear away and will wash; however, I recommend removing as much paper as possible before washing or sending to customers. Experiment first because it will degrade when wet.For pattern sellers: This is very thin.For people who want to copy and preserve their old patterns quickly and easily: This works but it is thin (let's see -- did I say "thin" enough times for people to get that understanding?)Buying tissue paper for $1 at a time adds up. Plus you have to tape all those pieces together. For a one time project, that's okay. Thick pattern paper is bulky. This paper can drape but more like medium starched cotton. Everyone wants their paper to do something different.For my projects: This paper is just fine. For your projects, it may not work at all. For me, this paper is lightweight and versitile. I can use it for sewing, quilting (which is NOT the same as sewing), pattern drafting, gardening (cut a seam, plant seeds, cover with mulch which gives seeds a chance to grow ahead of the weeds - yeah I am a lazy gardener.) This paper is also great for paper mache. Got a lot of kids to entertain with paper mache? This is the product as it holds water-based paints and glues (be sure to give it a coating to prevent water damage.)FYI -- for long term pattern re-use - I will buy a thicker paper like freezer paper, cardboard, and even construct some from wood and metal templates. I certainly would not expect this paper when used as a pattern paper to hold up to more than 20 uses.I have included a photo which is a comparison Simplicity pattern tissue and Medical Pattern Paper tissue. I have NOT done a pH test.