EDITOR’S NOTE Second of four stories in the series “Pliegues en su piel, vacío en su corazón” (“Folds in the skin, emptiness in the heart”), which analyzes the progressive number of older adults alone in hospital facilities in Puerto Rico. This work was supported by the Journalists on Aging Fellowship, awarded by the Gerontological Society of America, along with the Journalists Network on Generations and the Silver Century Foundation.