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The Pathology Pivot
Manage episode 479767273 series 3576927
In today’s episode, I dive into a fascinating case that changed the way I think about diagnosis and treatment. I share the story of a patient with chronic lateral foot pain who everyone thought had a tendon problem—but it turned out to be something completely different. This experience taught me about what I now call the "pathology pivot"—how we tend to assume our diagnosis is correct if the treatment works, even when it might not be.
If you're a clinician, therapist, or even just someone who’s been on a confusing healthcare journey, this one's for you.
Timestamps to Navigate the Episode:
- [00:00] – Introduction: Who I am and what this podcast is about
- [00:35] – The case begins: Chronic lateral foot pain without clear trauma
- [01:40] – The original (incorrect) diagnosis and why it made sense
- [02:54] – Why the MRI and ultrasound told a different story
- [03:28] – The real cause: A small overlooked nerve
- [04:34] – Discussions with surgeons and therapists: Skepticism and resistance
- [07:00] – Introducing the concept of the "Pathology Pivot"
- [08:01] – Why getting better doesn’t always confirm your diagnosis
- [09:30] – Real-world examples of treatment success not meaning diagnostic success
- [11:02] – How outcome bias affects clinicians and patients alike
- [13:00] – Final thoughts on mental errors we all make in healthcare
Thank you so much for listening! I hope this episode helps you think a little differently about diagnosis, treatment, and patient care.
If you enjoyed it, please like, subscribe, and share it with a friend or colleague!
Follow me:
- Instagram: @drfredbagares
- Facebook: @drfredbagares
- LinkedIn: Fred Bagares, DO
- YouTube: Dr. Fred Bagares
- Linktree: https://linktr.ee/drfredbagares
57 episodes
Manage episode 479767273 series 3576927
In today’s episode, I dive into a fascinating case that changed the way I think about diagnosis and treatment. I share the story of a patient with chronic lateral foot pain who everyone thought had a tendon problem—but it turned out to be something completely different. This experience taught me about what I now call the "pathology pivot"—how we tend to assume our diagnosis is correct if the treatment works, even when it might not be.
If you're a clinician, therapist, or even just someone who’s been on a confusing healthcare journey, this one's for you.
Timestamps to Navigate the Episode:
- [00:00] – Introduction: Who I am and what this podcast is about
- [00:35] – The case begins: Chronic lateral foot pain without clear trauma
- [01:40] – The original (incorrect) diagnosis and why it made sense
- [02:54] – Why the MRI and ultrasound told a different story
- [03:28] – The real cause: A small overlooked nerve
- [04:34] – Discussions with surgeons and therapists: Skepticism and resistance
- [07:00] – Introducing the concept of the "Pathology Pivot"
- [08:01] – Why getting better doesn’t always confirm your diagnosis
- [09:30] – Real-world examples of treatment success not meaning diagnostic success
- [11:02] – How outcome bias affects clinicians and patients alike
- [13:00] – Final thoughts on mental errors we all make in healthcare
Thank you so much for listening! I hope this episode helps you think a little differently about diagnosis, treatment, and patient care.
If you enjoyed it, please like, subscribe, and share it with a friend or colleague!
Follow me:
- Instagram: @drfredbagares
- Facebook: @drfredbagares
- LinkedIn: Fred Bagares, DO
- YouTube: Dr. Fred Bagares
- Linktree: https://linktr.ee/drfredbagares
57 episodes
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