This is such a silly metaphor I am going to ignore it and answer the initial question. Why? Because the things I personally value in my life and health are not

This is such a silly metaphor I am going to ignore it and answer the initial question. Why? Because the things I personally value in my life and health are not always aligned with the things doctors try to optimize for. I’ve told the story here a number of times but my tonsils swelled up to the size of grapefruit a number of years ago. After 6 months of steroids and having them drained I wanted them removed. My doctor did not think it was necessary, even though I was living in misery. I ended up just going to a doctor about an hour away and had them out within the week.