With this lecture, I will seek a definition of geriatric polypharmacy and explain its consequences; I will discuss the prevalence and how too often we fail to recognize it; I will suggest methods for the Emergency Clinician to address the problem: first by suspecting it, second by preventing it and thirdly by raising concerns about our systems failure to diagnose and deal with this problem. This session was recorded on Monday, April 24, 2023 at the 29th Annual Scientific Assembly (AAEM23) in New Orleans, LA.