This song tells the story of an old lady who lives in a nursing home. She lives a quiet and still existence as she gradually loses her memory. It was inspired by Costello's grandmother, who suffered from Alzheimer's disease.
Paul McCartney wrote this with Costello. The lyrics are reminiscent of McCartney's Beatles song "Eleanor Rigby."
Is it all in that pretty little head of yours?
What goes on in that place in the dark?
Well, I used to know a girl and I could have sworn
That her name was Veronica