In this episode, Jamie and Matt unpack one of the most complex questions in modern healthcare: when patients ask for one thing, but need another—who gets to make the call? Together, they explore the tension between patient autonomy and clinical expertise, the importance of health literacy, and why building trust may be more important than being right. From patio metaphors to health system philosophy, this episode offers real insight into what it means to guide instead of dictate—and how we build a healthcare model that respects both evidence and empathy.