Aisha Farouk left hospital with eleven medicines, four of them new, and a printed sheet she describes as perfectly clear and completely useless.

Strength training in the eighties works. It is prescribed rarely, described cautiously, and generally offered later than it should be.

Continuity matters more here than in almost any other population, because the history is long and the person telling it may not be the patient.

The list only ever grows because only one direction has a process attached to it.

Illustrative composite

The list grows because every appointment can add and almost none are structured to remove. Nobody is at fault; the mechanism simply only runs one way.

“At my age you’re told to expect more,” she says. “Nobody suggested it could go the other way.”