In some cases, doctors might feel they need to put their patients' wishes first, even if it goes against regular ethical rules. Here are some situations where this can happen:

1. Cultural Sensitivity: This is when a patient's cultural beliefs are very different from standard medical practices.

2. Respecting Choices: This happens when a patient makes an informed decision that doesn't match typical medical advice.

3. Special Medical Cases: Sometimes, there are rare situations where standard treatments don’t meet a patient's specific needs.

However, these situations can be tricky. There are risks, different values to consider, and tough choices to make. To handle these challenges, doctors can:

• Talk openly with patients about their options.
• Get advice from other healthcare professionals.
• Focus on making decisions together with patients that satisfy both their goals and ethical standards.