Unfortunately the loudest ones (or the ones that compulsively RT and stuff) are the must heard, I just hope they're not the most listened to, slight but important difference.
Considering what you said about what Yoshiki RT, I'm kind of afraid x) I stopped looking at his tweets and FB post because of all the vampire/HK stuff, basically everything but X Japan ^^"
Still, I have a hard time understanding Yoshiki and the delaying of the surgery. I mean music is his life and what is said here is clearly "you either go under surgery or you won't be able to play any instrument ever again". Plus, considering that he had troubles with his wrist and neck for years (if not decades!), I don't see the point of such a dangerous behaviour (by not going under surgery I mean).
As you put it even the most fangirliest fans would want him to heal in order to continue his music.
I get that in the music industry, time = money and Yoshiki has plenty of work and take some time off to be fixed can be damaging to his business and maybe reputation but some priorities has to be set.
Again "just" leaving out the playing music himself (I understand that it can be really hard for him) and focusing on his producer and other works field during all the healing process seems like the reasonable thing to do.
Anyway, hope he doesn't do anything stupid and irreversible, he'll get better, he'll be back into music and give us some X Japan comeback-back x)