OH does not yet have a diagnosis, but there is no doubt in my mind that he is in cognitive decline. He passes the MMSE, but has problems with long-term memory; has language difficulties; can no longer problem solve and has made some horrendous decisions; has lost most of the tasks he was once able to perform so that he can no longer make himself a meal (not even a microwave one) although he can still make himself a sandwich and coffee; he requires my help in showering and catheterising and no longer shaves; his mobility is reducing so that he needs a rollator; he sometimes coughs and chokes when eating so that I have changed to a somewhat softer diet like shepherds pie or curry with rice. In the midst of this OH has received an appointment for ultrasound check for AAA. I didnt know much about this, so I have googled it and it seems that the only treatment is complex surgery to graft a repair on the blood vessel wall to strengthen it - if the aneurysm is very large. My gut reaction is to cancel this screening appointment as I dont think surgery would be a good thing to do, so why worry about whether he has this or not? He also has lots of other appointments at the moment and we are both rather stressed. He also doesnt seem to have any of the risk factors (never smoked, doesnt have high blood pressure, no family history etc) What are your thoughts?