Every so often, an intrepid reader steps forward to enlighten the community by organizing notes from a conference that few fellow Alzforum readers got to attend. This week, Donna Wilcock of the University of Kentucky shares her impressions from VasCog, the annual meeting of the International Society of Vascular Behavioral and Cognitive Disorders, held in September in Tokyo. New epidemiology, pathology, brain imaging techniques, and mouse model data are strengthening the link between vascular damage and cognitive dysfunction; alas, the data remain correlative and the overlap between vascular and AD-specific mechanisms difficult to separate out.