the old man standing with a cane and trembling knees; his hand cupped to his ear to hear better
the old man standing with a cane and trembling knees; his hand cupped to his ear to hear better

There was once a very old man.  His eyes had become dim.  He could not see well.

His ears had become dull.  He could not hear well either.  When he stood his knees trembled.

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