Everything is now in
Old Person Large Type mode
I went to Display in Control Panel and set the size to something a wee bit more manageable. It did make things a little more
Steely Eyed Fighter Pilot but the desktop is now bigger than the screen so half the stuff disappears off the edge

and I have to scroll all over the place to see it all.
Any ideas on how to set the font size to something small without making the display area bigger than the screen?
(I've hidden all the sharp objects in the house)