@budisnothome Well...same old question to be asked...what would have happened if you had asked for better anesthesia during the removal and installation of the suprapubic catheter?
I can certainly see a doctor refusing to do a NEW procedure to a patient who insists on better anesthesia, but it's harder for me to believe that a doctor would have told you "well, I don't do better anesthesia, so if you're going to insist on that you will have to find another doctor", because I think that that would be a clear-cut case of malpractice... refusing anesthesia such that the patient has to go home still "broken" and get on the phone and start calling around to find the urologist who will do it with anesthesia.
If a patient died because the doctor agreed to use anesthesia, then I think a legitimate defense would be "the patient refused treatment without anesthesia", but if the patient died because the doctor sent them home "broken" simply to avoid having to give the patient anesthesia, I don't think that that would be at all defensible... I think that that would be a clear-cut case of malpractice.