[badtake]

Not everything is “fixable” in health and sometimes this means that there isn’t one “right” choice for treatment. Involving the patient in the decision making process is important because people have preferences for what is right for them and their life and the doctor can act as a well informed partner in care.

I have multiple sclerosis. There’s not a cure but there is highly effective medication. There’s also less effective medications. The highly effective stuff is various degrees of immunosuppressive or has a risk of fatal brain infection that is manageable with proper testing and monitoring. The less effective stuff can seem “safer” because it lacks these particular risks. A regular neurologist might not know very much at all and give outdated advice and treatment plans compared to some specialists and for this reason advocating for oneself is hugely important as long term outcomes can be greatly different based on the treatment choices. The fact is that you can’t just let “medicine happen to you” because the person that cares the most about your medical outcomes is you. Obviously this is an extreme example but it’s one of many.