right...
He said that he wouldn't normally do this kind of consult before lap and dye and that he had expected to just speak to me on the morning of the procedure. I was blunt and said he couldn't very well expect me to consent to a general anaesthetic and surgical procedure without talking it through properly first. He really, honestly was expecting to just talk through the op on the morning of the surgery itself
I asked him about my borderline day 21 result and queried why he had stuck to that date assuming a 28 day cycle when they knew i had longer cycles. He fobbed me off with some stupid graph he drew 
but i think my being quite persistent that i knew day 26 would have given a more accurate result put him on the back foot a bit.
We talked a lot about the blocked tube/hydrosalpinx. He muttered about the lap and dye being exploratory. I stuck to my guns. I asked him if tying/removing the tube would increase my chances of natural conception. He just went on about that only applying to IVF. I pointed out the science is the same whether natural conception or not.
So the end result of this meeting is that I am having the lap and dye. I have asked him to note the following.
If he can unblock the tube to do so.
If he has to tie/clip the tube instead to do so.
If it's worse than we thought or removal of tube is necessary then he is NOT to do that. I will discuss my options and re-consider further surgery.
He was like a broken record about two things. My being at risk of ectopic if i insist on having the tube clipped. And that it is not the end of the road as we 'could pay privately for IVF'.....i know he works for a private clinic too. I am effing furious that he KEPT saying it.
He wanted to completely discount the possibility of the hydrosalpinx preventing fertilized embryo implanting (having done a LOT of research I am convinced I have been pregnant twice and had early mc)
He did however get the shock of his life when he mentioned DH's sperm sample was 'reasonably ok' (and DH was in cloud cuckoo land at this point so I had to make him pay attention).
As soon as he said it I responded 'we weren't told that in June' - you'd have thought i'd punched him from the look on his face. I made him give me the actual results and DH's morphology is 'low but within the acceptable range'.....I was cross. I told him again that we were NOT told that before. We had been reassured that DH sample was perfectly fine.
Maybe i'm being pedantic but 'perfectly fne' and reasonably ok' are not the same thing.
Sorry this is long but I only want to type it once and this is a good reference point for me to come back to when I want to make notes for my complaint.
Oh and despite being told I would stay on the waiting list he seemed to think that insisting on this appt means I will be added to the list today and so my 'probable 18 week wait' actually starts from today and not the end of October.
It's just a bloody shambles.