It Could Be Much Worse

"So, how's the retina look?"
"It's not much worse."
"So, it's worse?"
"No."
"But you just said it isn't much worse."
"It isn't."
"So, then, it's a little worse, but not much?"
"No.  It's not worse."
"So, it's not better, it's not worse?"
"That's correct."
"So, it's the same."
"Yes."
"So, maybe next time, just say that."