Patients sometimes demand inappropriate care. Saying no could lead to unhappy patients, bad survey scores and even financial penalties. Some doctors see an ethical conundrum. “For all that doctors carry on about science and professionalism, the fact of the matter is that we want to please our patients,” says Dr. Howard A. Brody, a retired family physician who is director of the Institute for Medical Humanities at UTMB. “And patients are likelier to appear to be pleased when we do something, rather than nothing.”