I don't think of it as what is best for the patient as much as they have their training and experience and professional opinion and they give it and we make decisions based on what they have to say. I treat it like I do my medical doctor, he's there to advise me but I have to make the decision do I want this treatment or to ask questions about another, etc. But we're the only experts possible for our own lives and have to take responsibility for our decisions, whether they work out or not.

One can lead a horse to water but not make him drink and doctors can hospitalize us to try and better help us but if we're unable or unwilling to work with what's there/what we've got, eventually we get fewer and fewer options.