matilda more than baffling. That, along with the cryptic non-information letter is making me suspicious. I forgot to say the letter said at the bottom 'Action: await patient's decision.' Like, I have the right information to make a decision.
I have been analysing the letter. He has not said there is no prolapse. But, that there is no 'clear' re-occurance of the prolapse for which I had surgery. This means that he has not said there is no prolapse, nor that the surgery has completely removed all the prolapsed disc, only that any prolapse is not clear, as opposed to not there at all. He has said the results appeared to be improved, but not fully sorted. He said that there are changes, and that this can be managed conservatively, but has chosen not to tell what those changes are - disc? arthritis/stenosis? something else? so, why has he not said what they are? And finally, he has said that if I want to consider surgery I can discuss it with him. So, this means to me that whatever changes are happening which might be contributing to pain, can be addressed with surgery. But, he has not offered it outright and not told me what surgery he is talking about (but we all know he is talking about fusion). He has spent some time carefully wording this letter, it has not been quickly written, there is caution in ensuring he has not stated/written down diagnosis, being careful to not say something he can't later on retract easily, in case it is misunderstood? Misinterpreted? He puts his foot in it? He has placed the decision making regarding surgery in my court, while giving me no information on which to base this 'decision', thus making it a non-decision.
He is, as denial rightly stated, and as DH has said also, that he wants me to just go away. Preferably now, but if not now, he will agree to surgery so that I go away? Why does he want me to go away? 
I am not sure if this is because I am a natural cynic, which is either caused by, or is the reason for, working in my profession. But, I am sniffing something. I am definitely going to meet with him. I might ask for my notes too. Will he know if I ask for them?