As I have mentioned before my Dad has been in the earlier stages of vascular dementia & is still living independently with a lot of support from me. Despite his problems with time, date operating washing machine, cash machine etc he was mostly coherent to talk to, even being able to discuss current affairs from the news programmes he has watched. This week he has had a sharp decline in his mental capacities & is quite delusional. This coincides with him complaining of a pain in his left arm keeping him awake on Monday night. He was rubbing his arm on Tuesday as well. Took him to GP on Monday (not the useless one I mentioned before, another one in the same practise) The GP got him to do various tests, putting arms behind head etc etc & then recommended an ECG which was today & fine. I do understand that no one here even if a qualified nurse is able to give me medical advice but I am wondering if his decline is due to the much colder weather we are having with his condition being vascular or is the pain in the arm significant, (mini stroke?) He went his GP in Feb 06 with the same complaint. What I am actually looking for is any advice, I took him to the GP he has had the ECG today, is there more I can & should be doing. Do I take him back to the GP & if so what do I ask for?