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Who helps you make orthopedic decisions?
Have you ever been told you’re “bone on bone” — and walked out of the appointment feeling terrified, confused, and unsure what to do next?
In this episode of The Talking Rehab Podcast, Dr. Fred Bagares, DO, Sports & Spine physician and founder of MSK Direct VB, explains how medical language can influence your decisions more than you realize — and how to tell when your doctor is nudging you versus truly guiding you.
Through the story of a patient named Tom, Dr. Bagares reveals how three words — “bone on bone” — completely changed one man’s belief about his body, leading to months of fear, inactivity, and unnecessary suffering. You’ll learn how to interpret your diagnosis with clarity, ask the right follow-up questions, and stay active and informed while deciding on surgery or conservative care.
If you’ve ever left a visit with more fear than answers, this conversation will help you rebuild confidence and make medical decisions from a place of knowledge — not panic.
Timestamps + Key Themes
[00:00] Tom’s story: “Bone on bone” and the fear that follows
[01:00] When the system fails: urgency without guidance
[02:00] How medical words shape beliefs about fragility and damage
[03:00] The psychology of “nudges” in medicine — why language steers behavior
[04:00] The missing piece between diagnosis and decision
[06:00] How to bridge the gap with actionable guidance
[08:00] Reframing arthritis: from fragile to adaptive
[10:00] Why injections, PT, and movement still matter before surgery
[12:00] Spotting the difference between nudging and genuine guidance
[14:00] Three red flags in medical communication
[15:00] Five questions to ask your doctor to make confident decisions
[17:00] What Tom’s story teaches about trust, guidance, and control
[18:00] Closing reflection: urgency moves you — guidance directs you
f this episode helped you see your diagnosis differently, hit subscribe and share it with someone facing a tough medical decision.
For clarity consultations and advanced treatment options, visit MSKDirectVB.com
or
FredBagares.com.
Support the show
View all episodes
By Fred BagaresHave you ever been told you’re “bone on bone” — and walked out of the appointment feeling terrified, confused, and unsure what to do next?
In this episode of The Talking Rehab Podcast, Dr. Fred Bagares, DO, Sports & Spine physician and founder of MSK Direct VB, explains how medical language can influence your decisions more than you realize — and how to tell when your doctor is nudging you versus truly guiding you.
Through the story of a patient named Tom, Dr. Bagares reveals how three words — “bone on bone” — completely changed one man’s belief about his body, leading to months of fear, inactivity, and unnecessary suffering. You’ll learn how to interpret your diagnosis with clarity, ask the right follow-up questions, and stay active and informed while deciding on surgery or conservative care.
If you’ve ever left a visit with more fear than answers, this conversation will help you rebuild confidence and make medical decisions from a place of knowledge — not panic.
Timestamps + Key Themes
[00:00] Tom’s story: “Bone on bone” and the fear that follows
[01:00] When the system fails: urgency without guidance
[02:00] How medical words shape beliefs about fragility and damage
[03:00] The psychology of “nudges” in medicine — why language steers behavior
[04:00] The missing piece between diagnosis and decision
[06:00] How to bridge the gap with actionable guidance
[08:00] Reframing arthritis: from fragile to adaptive
[10:00] Why injections, PT, and movement still matter before surgery
[12:00] Spotting the difference between nudging and genuine guidance
[14:00] Three red flags in medical communication
[15:00] Five questions to ask your doctor to make confident decisions
[17:00] What Tom’s story teaches about trust, guidance, and control
[18:00] Closing reflection: urgency moves you — guidance directs you
f this episode helped you see your diagnosis differently, hit subscribe and share it with someone facing a tough medical decision.
For clarity consultations and advanced treatment options, visit MSKDirectVB.com
or
FredBagares.com.
Support the show