The Medical Joyworks Monthly


Connect to MJ's thriving community

Issue #22 (July 2021)


Dear Reader,

Some months back I wrote about the urgency to innovate beyond the science itself if we are to resolve regional and global healthcare challenges. We need fundamental changes to our institutions, our communities, logistics networks, and more.
It is great to see some steps in this direction! In March, the Vietnamese Government announced a request to financial institutions to directly aid citizens by facilitating credit access, shorting loan applications, and reducing/exempting interest rates for affected customers. In April, Eva de Bleeker, Belgium's State Secretary for the Budget and Consumer Protection, had the courage to release details about the confidential COVID-19 vaccine agreement between the EU and Pfizer. In May, the United States Government announced a plan to temporarily waive patents for vaccines in order to help supply countries worldwide.   

Actions like these are placing pressure on large corporations to rethink their priorities, forcing necessary public debates, and helping people. I can only hope that they continue.

In the meantime, Medical Joyworks continues changing as well. Our goal to become a business funded primarily by our subscribers is progressing fast. Other revenue sources such as specialized services for companies and entrepreneurs are also starting to take shape. And every dollar we generate is being reinvested into our operation, to produce more learning modules, upgrade our technology, improve our IMB program, and more. Just have a look at our latest iteration of to learn more.

That is all for now. Have a great month!

Miguel Angel Molina
Chief Operating Officer
Medical Joyworks


The latest from MJ

  • Medical Joyworks just got an entirely new website. Enjoy the hypnotic, live-feed visualization of our thousands of users worldwide; see whether our products and services can help your company or entrepreneurship; or get to know our team better by visiting
  • To help us peer-review learning modules, we need specialists in: general surgery, orthopedic surgery, pediatrics, obstetrics and gynecology, neurosurgery, intensive care, critical care, psychiatry, urology, neurology, nephrology, endocrinology, and pulmonology. If you are a specialist (or specialist in training), or know of someone who fits the part, contact Julia Botija at
  • Finally, we are very close to releasing our 700th learning module in Clinical Odyssey! Expect to see this milestone achieved in the coming weeks; along with other great news.


International Medical Board Members

Name: Dr. Eduardo Tomas Alvarado MD
Speciality: Pediatrics, Pediatric Cardiology, Medical Education, Medical Technologies
Designation: Pediatrician
Work institute: Department of Pediatric Cardiology, The Mexican Institute of Social Security
Graduated from: National Autonomous University of Mexico, Mexico City, Mexico
What attracted you to your specialty?
My specialty gives me the opportunity to find answers to how we function! The human body is a wonderful, perfect machine worthy of understanding. Moreover, it is important to be able to guide and respond to inquiries from patients seeking help.

What have you learned about your specialty solely from experience?
I have learned several important things throughout my work: the true value of pain; that we — physicians — have a great responsibility in our hands (healing, caring, and accompanying others); that empathy and continuous growth are important; that one must look at diseases from different angles; that we play a valuable role within society; and that respect for human life demands that we always strive to maintain and improve it.

What is a common misconception associated with your field of study?
Oftentimes, people mistakenly think that children are small adults. They are not; and pediatrics and pediatric cardiology (especially) are impressive worlds, actually. When addressing pediatric pathologies, care, delicacy, and dedication are extremely important. The patient is a child, after all. Another misconception is the unwarranted fear that exists towards a pediatric patient. We must make an effort and disseminate information that can help our colleagues mitigate such fear.

What is your biggest research interest today?
My biggest curiosity is the implementation of technology in medical education, particularly the use of artificial intelligence (AI) in my world of pediatric cardiology (including the diagnosis of congenital heart disease).

What publication / research are you most proud of?
I am most proud of my work in Fallot tetralogy course not corrected during pregnancy. You can read it at

In your opinion, what is the greatest challenge in your field today?
One of the greatest challenges in pediatric cardiology is ensuring optimal medical and surgical management of children with congenital heart disease. Poor administration and the lack of specialized centers coupled with a high incidence of heart disease reduce the overall likelihood of good outcomes. Although advances in surgical techniques, procedures, and technology increase the survival of pediatric patients, many patients still progress to become adults with congenital heart disease. Timely diagnosis and correct treatment is a goal that we must all pursue.

What will be a game-changer innovation in your field?
I think there are several interesting innovations underway. AI, large dataset analysis, global instant communication (amongst institutions and individuals), and new training technologies for specialists in congenital heart disease are just some of the things that come to mind. Of course, new tissue technologies for the treatment of congenital heart disease will be a real paradigm shift — something that I want to witness, know about, and apply. 

How has MJ helped advance your professional objectives (in terms of teaching, research, management, personal development, etc.)?
Medical Joyworks offers continuous practice, up-to-date content, and a fun educational format. I can identify with these characteristics since they too drive my own professional development. Just the same, they are qualities that motivate my students. Giving them access to Medical Joyworks’s content allows me to easily help them acquire new concepts and reaffirm concepts that they may already know.


Q&As from our user community

Clinical Sense: Mimetic (Osteomyelitis)

Q: Couldn't this child's clinical findings have been interpreted as  Osgood Schlatter disease, rather than osteomyelitis?
A: Osgood-Schlatter disease (OSD) is indeed common in this age group. However, several aspects of the history and examination raise red flags for a more serious condition. First of all, OSD presents with tenderness over the tibial tuberosity; however, this patient has point tenderness over the medial tibia. He also reports pain that developed over just four days; such a rapid onset is not typical of OSD. Last but not least, the pain was severe enough to keep him awake at night; this is suggestive of a more sinister cause, such as osteomyelitis.
If you would like to play this scenario or join the conversation, go to the Clinical Sense app in your mobile device.

Prognosis: Your Diagnosis: Surprising (Cavernous Sinus Thrombosis, Septic)

Q: You recommend drainage of the facial furuncle. Doesn't that run a risk of scarring? Given the rich facial blood supply, why not try antibiotics?
A: You are correct: the rich blood supply of the face aids antibiotic penetration. However, a furuncle is a large infectious collection; it will be difficult for antibiotics to fully infiltrate it; and delay in drainage risks continued or recurrent infection. It is a good general principle to  avoid procedures that may risk scarring of the face; however, in this case, the potential consequences of ongoing infection outweigh such risks.
If you would like to play this scenario or join the conversation, go to the Prognosis: Your Diagnosis app in your mobile device.


Recently released stories

Visible - Play it free online
Obstetrics & gynecology
Urgent - Play it in Clinical Odyssey
Inside - Play it in Clinical Odyssey
Transported - Play it free online
Nocturnal - Play it in Clinical Odyssey
Unusual - Play it in Clinical Odyssey
Carpal tunnel syndrome - Read it free online
... and more.
That's all for now!

Tell us what you think or share valuable insights with the community by writing to us at:


You are receiving this email because you requested to be kept informed about our activities or because you asked to be added to our email mailing list.

Want to change how you receive these emails?
You can update your preferences or unsubscribe from this list.

Our mailing address is:
4023 Kennett Pike #55630, Wilmington, DE 19807, United States of America

Our website is:

Copyright © Medical Joyworks LLC, 2021. All rights reserved.