In this episode, I discuss a recent conversation with a patient facing significant knee pain and the broader implications of time management in proactive health care. We explore the challenges of balancing quick fixes like injections with the necessity of learning long-term strategies for joint care. Here are some key topics and timestamps to help you navigate through the episode:

Key Topics and Timestamps:

• [00:00] Introduction: What is rehab or rehabilitation?
• [00:03] Meet Your Host: My background and the purpose of this podcast.
• [00:28] Patient Case Study: Discussing a young patient with significant knee pain.
• [00:56] Weight Loss and Knee Pain: The impact of weight loss on joint health and pain management.
• [01:23] Long-Term Care Strategies: The importance of learning to take care of your knees.
• [03:53] Cardio and Strength Training: How typical exercise routines can exacerbate knee pain.
• [05:00] The Role of Injections and Surgeries: Balancing quick fixes with long-term solutions.
• [05:45] Predicting Knee Replacements: The role of patient behavior and approach in long-term joint health.
• [06:35] Proactive Health Care: Why making time for self-care can prevent major interventions.
• [08:23] Final Thoughts: Encouraging proactive and preventive strategies for joint health.

Thank you for joining me on this journey. I hope you find this episode insightful and helpful as you consider your own approach to managing joint health and overall wellness. If you enjoyed this episode, make sure to like and subscribe to the Talking Rehab Podcast. Have a movement-filled day!

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• Facebook: @drfredbagares
• LinkedIn: Fred Bagares DO
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In Episode 15, we dive into a unique analogy comparing our bodies to airplanes. We discuss how our physical abilities change over time and the importance of building a runway to maintain our movement and physical health. Here are some key topics and timestamps to help you navigate through the episode:

**Key Topics and Timestamps:**

- **[00:00] Introduction:** What is rehab or rehabilitation?

- **[00:28] Airplane Analogy:** Comparing our bodies to airplanes and the importance of a runway.

- **[01:17] Physical Changes Over Time:** How our physical attributes change and the need to adapt.

- **[02:09] Building Your Runway:** The importance of scaling activities and maintaining movement.

- **[03:42] Adapting to Physical Vulnerabilities:** Personal experiences and changes in training.

- **[04:56] Maintaining Physical Activity:** The importance of strength training and adapting exercise routines.

- **[05:53] Jiu-jitsu and Aging:** My personal journey with jiu-jitsu and adapting to physical changes.

- **[07:32] Encouraging Flexibility:** The importance of mental and physical flexibility in staying active.

- **[08:53] Final Thoughts:** Building longer runways and becoming better pilots of our bodies.

Thank you for joining me on this journey. I hope you find this analogy helpful and inspiring as you think about your own movement and physical health. If you enjoyed this episode, make sure to like and subscribe to the Talking Rehab Podcast. Have a movement-filled day!

---

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In this episode, I recount a personal story about a frustrating experience with an HVAC specialist and draw parallels to the expectations and realities faced by our patients. Join me as we explore the importance of understanding patient goals and delivering on their expectations.

Key Topics:

• [00:00:00] Introduction to Rehabilitation: What is rehabilitation? Let's delve into the basics.
• [00:02:40] My Background in Sports and Spine Medicine: An introduction to my journey and the purpose of this podcast.
• [00:32:56] A Frustrating HVAC Experience: How a frustrating interaction with an HVAC specialist made me reflect on patient care.
• [03:00:00] Meeting Patient Expectations: Are we, as clinicians, truly addressing our patients' needs and expectations? How can we ensure we're not just treating symptoms but helping them achieve their movement goals?
• [06:20:00] The Role of Movement Goals in Treatment Plans: Understanding and prioritizing patients' movement goals as the North Star of treatment plans.
• [09:42:76] Redefining Success in Medical Treatment: How do we measure success in treatments and surgeries? It's not just about alleviating pain but ensuring patients can achieve their functional goals.

I hope this episode encourages you to reflect on your practice and consider how we can better meet our patients' needs. Thank you for tuning in to the Talking Rehab Podcast. If you enjoyed this episode, please like and subscribe. I wish you a movement-filled day!

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• Facebook @drfredbagares
• LinkedIn Fred bagares DO
• YouTube Dr. Fred Bagares - YouTube
• Linktree linktr.ee/drfredbagares

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**Episode Title:** The Value of Diagnosis in Musculoskeletal Medicine

**Episode Description:**

Welcome to another insightful episode of the Talking Rehab Podcast with Dr. Fred Bagares, a board-certified sports and spine medicine physician in Virginia Beach, Virginia. With over a decade of experience, Dr. Bagares delves into the fascinating and challenging world of musculoskeletal medicine. In this episode, Dr. Bagares explores the value of diagnosis from both the patient's and clinician's perspectives, addressing the importance and implications of accurate diagnosis in rehabilitation.

**Timestamps:**

- **[00:00]** Introduction to Rehabilitation: What is rehab or rehabilitation?

- **[00:09]** Meet Dr. Fred Bagares: A brief introduction and the goals of the podcast.

- **[00:27]** The Importance of Diagnosis: Why is a diagnosis valuable and to whom?

- **[00:39]** Diagnosis Context: Common musculoskeletal diagnoses and the role of Google.

- **[01:00]** Patient vs. Clinician Perspective: Differences in the value of diagnosis.

- **[01:07]** The Role of a Diagnosis: Providing context, understanding the problem, and risk factors.

- **[02:12]** Peace of Mind and Certainty: How a diagnosis impacts patient reassurance.

- **[02:56]** Emergency Room Dynamics: The focus on ruling out fatal conditions.

- **[04:09]** Chronic Conditions: Diagnosis over time and the frustration of patients.

- **[04:57]** Reassurance and Community: The psychological and social benefits of diagnosis.

- **[06:36]** Diagnosis and Compensation: The medical-legal implications of certain diagnoses.

- **[07:30]** Clinician Perspective: The diagnostic process and clinical frameworks.

- **[08:00]** Imaging and Diagnosis: The limitations and roles of different imaging techniques.

- **[09:10]** Evolution in Practice: How Dr. Bagares' approach to diagnosis has changed over time.

- **[11:02]** Managing Patient Expectations: The challenge of communicating diagnoses to patients.

- **[12:32]** The Role of Insurance: How insurance impacts the diagnostic process and treatment options.

- **[14:43]** Conservative Management: Approaches to treating shoulder pain and other conditions.

- **[16:54]** Patient Trust and Empowerment: The importance of aligning clinician and patient views.

- **[19:00]** Final Thoughts: Encouragement for young clinicians to value diagnosis beyond financial implications.

- **[19:39]** Conclusion: Reflecting on the episode's key points and encouraging further discussion.

Join us as we dive deep into the world of musculoskeletal diagnosis and its significant impact on both patients and healthcare providers. Don't forget to like and subscribe for more episodes that challenge conventional thinking and promote better patient care. Follow Dr. Fred Bagares on social media for more insights and updates.

**Follow Dr. Fred Bagares on:**

- Instagram: [@drfredbagares](https://www.instagram.com/drfredbagares)

- Facebook: [@drfredbagares](https://www.facebook.com/drfredbagares)

- LinkedIn: [Fred Bagares DO](https://www.linkedin.com/in/fred-bagares-do)

- YouTube: [Dr. Fred Bagares](https://www.youtube.com/drfredbagares)

- Linktree: [Dr. Fred Bagares](https://linktr.ee/drfredbagares)

Tune in for an enlightening discussion that promises to enhance your understanding and approach to rehabilitation!

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Welcome to Episode 12 of the Talking Rehab Podcast! I'm Dr. Fred Bagueras, a board-certified sports and spine medicine physician in Virginia Beach, Virginia. In this episode, I delve into my personal journey into the field of physical medicine and rehabilitation (PM&R) and share insights from my decade-long practice. Below are the key topics and their timestamps to help you navigate through the episode:

**[00:00] Introduction**

- What is rehabilitation? [00:00]

- Introduction and my background [00:02]

**[00:33] My Journey into PM&R**

- High school aspirations and early exposure to physical therapy [00:33]

- Transition to osteopathic medicine and work with an orthopedic surgeon [01:02]

- Initial interest in orthopedic surgery [01:42]

- Clinical rotations and the realization that surgery wasn't for me [01:46]

**[02:30] Discovering PM&R**

- Encounter with senior medical students and introduction to PM&R [02:30]

- Struggles to find rotations in PM&R and eventual exposure [03:07]

- First experiences in inpatient rehab with traumatic brain and spinal cord injuries [03:22]

**[05:00] Making the Switch**

- Conflict and decision to switch from family medicine to PM&R [05:00]

- Researching and applying to PM&R programs [05:20]

- Residency at the Rehabilitation Institute of Chicago [05:29]

**[06:00] Passion for Movement and Rehabilitation**

- Fascination with movement and how injuries affect it [06:00]

- Importance of understanding long-term outcomes [06:32]

- Close collaboration with physical and occupational therapists [07:00]

**[08:00] Musculoskeletal Focus**

- Deep interest in musculoskeletal conditions and their treatments [08:00]

- Decision to pursue a sports and spine medicine fellowship [09:00]

- Impact of fellowship training on my clinical practice [09:49]

**[10:30] Reflection and Future Directions**

- Revisiting my decision to switch to PM&R and its benefits [11:23]

- Continuous curiosity and learning in musculoskeletal medicine [13:32]

- Encouraging open discussions and questions from listeners [14:16]

Thank you for joining me on this journey. I hope my experiences and insights inspire you to reflect on your own practice and approach to rehabilitation. If you enjoyed this episode, please like and subscribe to the Talking Rehab Podcast. Your support means a lot to me.

Stay connected and keep moving! Follow me on:

- Instagram: @drfredbagares

- Facebook: @drfredbagares

- LinkedIn: Fred Bagares DO

- YouTube: Dr. Fred Bagares - YouTube

- Linktree: [Linktree](https://linktr.ee/drfredbagares)

Thank you for listening, and I wish you a movement-filled day!

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Today, I delve into the often-overlooked issue of how inactivity—not just physical inactivity but subtle changes in our daily movement patterns—can lead to significant health problems like pain and stiffness. From my experiences over a decade in sports and spine medicine in Virginia Beach, I've gathered insights that I believe will challenge conventional thinking and enrich your understanding of musculoskeletal health.

[00:39:08] **The Misunderstood Role of Inactivity** - Exploring how subtle inactivities contribute to pain syndromes, often overlooked by both doctors and patients.

[01:42:56] **Real-life Cases and Insights** - Sharing case studies from my clinic where inactivity played a crucial role in patient symptoms.

[05:26:36] **The Broader Impacts of Inactivity** - Discussing the physiological changes due to inactivity and its broader implications.

[09:07:52] **Challenges in Clinical Practice** - The difficulties clinicians face in recognizing inactivity as a trigger for symptoms.

[11:34:28] **Call to Action** - Encouraging both clinicians and patients to reevaluate the impact of lifestyle on health.

Join me as we explore these critical issues, aiming to spark discussion, challenge the status quo, and ultimately enhance our approach to health and rehabilitation. Thanks for tuning in, and don't forget to engage with us through email or social media to share your thoughts and stories!

Follow me on:

Instagram @drfredbagares

Facebook @drfredbagares

LinkedIn Fred Bagares, DO

YouTube Dr. Fred Bagares - YouTube

Linktree https://linktr.ee/drfredbagares

Support the Show.

### Episode Description: Embracing Dr. Google in Rehabilitation

In this episode of the Talking Rehab Podcast, I dive into the ever-evolving landscape of medical information and self-diagnosis in the age of the internet. I'm Dr. Fred Bagares, a board-certified sports and spine medicine physician in Virginia Beach, Virginia. With over a decade of experience, I'm here to share my insights, challenge existing dogmas, and spark discussions on musculoskeletal medicine.

#### Key Topics & Timestamps:

**[00:00] What is Rehab or Rehabilitation?**
I start by defining the core concepts of rehabilitation and what it means in the context of musculoskeletal medicine.

**[00:02] Introduction to Dr. Fred Bagares**
Learn more about my background, my passion for musculoskeletal medicine, and the purpose of this podcast.

**[00:14] The Lingering Questions**
I discuss the lingering questions and thoughts I've had since my residency and fellowship, which continue to drive my practice today.

**[00:27] Welcome to the Talking Rehab Podcast**
A warm welcome to all listeners, setting the stage for today's episode.

**[00:33] The Rise of Dr. Google**
Exploring the pros and cons of self-diagnosis with Dr. Google. I share my initial resistance and how my perspective evolved over time.

**[01:01] Using Dr. Google as a Tool**
How I learned to use Dr. Google as a tool to better understand my patients and improve their care.

**[01:08] Patient Perspectives and Diagnoses**
Analyzing the differences in patient diagnoses based on their online searches and the implications for clinical practice.

**[01:57] Common Reasons Patients Consult Dr. Google**
Delving into why patients turn to Dr. Google and how it affects their visits to the clinic.

**[03:00] The Influence of Search Engine Optimization**
Discussing the impact of SEO on medical information and the challenges it poses for accurate diagnoses.

**[06:04] Balancing Patient Expectations and Clinical Judgement**
How to meet patients where they are and guide them through their health concerns without dismissing their self-diagnoses.

**[08:03] Encouraging Open Dialogue with Patients**
The importance of fostering an open dialogue and building trust with patients to improve outcomes.

**[09:03] Adapting to the Digital Age in Medicine**
Reflecting on the need for clinicians to adapt to the increasing role of AI and online information in patient care.

**[13:01] Final Thoughts and Takeaways**
Wrapping up with key takeaways on the integration of Dr. Google into clinical practice and maintaining an open mind.

**[14:09] Closing Remarks**
Thank you for tuning in! I hope this episode has provided valuable insights and encouraged you to reflect on your own practice.

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Facebook @drfredbagares

LinkedIn Fred Bagares, DO

YouTube Dr. Fred Bagares - YouTube

Linktree https://linktr.ee/drfredbagares

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