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The Pathology Pivot

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Manage episode 479767273 series 3576927
Content provided by Fred Bagares. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Fred Bagares or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://staging.podcastplayer.com/legal.

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:

Support the show

  continue reading

57 episodes

Artwork
iconShare
 
Manage episode 479767273 series 3576927
Content provided by Fred Bagares. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Fred Bagares or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://staging.podcastplayer.com/legal.

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:

Support the show

  continue reading

57 episodes

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