Ms. Sara Yamata is a well 79-year-old woman, currently living alone in a condominium in your community, who attends an appointment with you, her longstanding Family Physician, for the purpose of a periodic health examination. Ms. Yamato is a retired High School English Teacher, who was widowed three years ago. She has one daughter, Elizabeth, and two grandchildren, all of whom live nearby. She is unaccompanied at the visit. Ms. Yamato reports that she has been doing well since you last saw her (for a blood pressure check six months ago), with no interim illnesses or admissions to hospital. Her chronic diseases remain well-managed. She reports having sustained at least one fall over the past 12 months (on the ice, when shoveling her driveway), but fortunately did not sustain any injuries. She remains independent with her ADLs and most of her IADLs; her daughter, Elizabeth, assists her with larger shopping trips and with preparation of her taxes. Her condominium performs the outdoor maintenance for its residents. Ms. Yamata continues to drive, with no reported difficulties, and remains active in her community by volunteering in the gift shop at her local hospital and attending a weekly social group at the Community Centre. With this information, you think about Ms. Yamato’s frailty status using a frailty model with which you are familiar. You review her past medical history and corresponding treatments, as listed in your EMR. Ms. Yamato brings her current prescription medications, in their original bottles from the pharmacy, to the appointment. At your request, she has also brought with her the multiple over-the-counter (OTC) and herbal medications that she is taking at home. She recognizes that she has “many bottles of pills” with her, and wishes to discuss which ones could be discontinued, if any. You spend some time thinking about approaches to deprescribing and approaching “polypharmacy” in older adults.