Why treatments can fail.

Talking Rehab with Dr. Fred Bagares

In this episode, I share my insights from ten years of medical practice on why treatments don't always work as expected. I explore everything from the basic inefficacies of certain treatments to the complex interplay of dosages, patient compliance, and personal beliefs. I discuss the critical role of setting appropriate expectations and the often-overlooked impact of personal interactions and the healthcare environment. Join me as I unpack the multifactorial reasons behind treatment outcomes and share real-world experiences that highlight the importance of a holistic approach to patient care.

Here are the timestamps organized by main points for the podcast transcript:

1. **Introduction to Treatment Failures**

- [00:00.000 - 00:26.640] Introduction and overview of why treatments fail.

2. **Common Reasons for Treatment Failure**

- [00:27.280 - 00:59.720] Discussion on ineffective treatments and correct diagnoses.

- [01:00.000 - 01:23.640] Underdosing and its impacts.

- [01:23.640 - 02:01.320] Medication build-up in the system and its necessity (e.g., gabapentin).

3. **Patient Compliance and Expectations**

- [02:01.320 - 03:08.120] Challenges with patient compliance and setting expectations for treatment effectiveness.

- [03:08.120 - 04:11.200] Economic considerations and patient affordability.

4. **Disease Progression**

- [04:11.200 - 05:04.420] How advanced stages of conditions affect treatment success, using arthritis as an example.

5. **Setting Realistic Expectations**

- [05:04.420 - 06:09.000] Importance of clear communication between doctors and patients about what to expect from treatments.

6. **Impact of Personal Beliefs**

- [06:09.000 - 07:00.180] How personal beliefs and the power of suggestion influence treatment outcomes.

- [07:00.180 - 08:08.020] Examples of self-sabotage and the influence of others' opinions on treatment acceptance.

7. **The Role of Healthcare Providers**

- [08:08.020 - 09:06.700] Discussing the influence of healthcare providers' suggestions and the importance of their communication skills.

8. **Interpersonal Interactions and Staff Influence**

- [09:06.700 - 10:20.100] The significance of interactions between healthcare staff and patients, and how these can affect treatment perception.

9. **Concluding Thoughts**

- [10:20.100 - 15:26.180] Recap and final thoughts on why understanding these factors is crucial for both patients and healthcare providers.

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