Where do you get the idea that consent doesn't matter to us? My patients are more than welcome to refuse my interventions. It has happened many times before. They can refuse to be seen at all. I have had many refusals that I have no doubt had negative consequences or eventually were seen due to what was going on. In any of the above situations, as long as they can make informed choices then they can do as they wish. I'm not interested in fighting people who adamantly refuse to listen to what I have to say.