“gardening tires him out more now”
Tire someone out means to make them very tired. Tire alone can mean to cause fatigue, but out emphasizes exhaustion. Gardening now leaves him more tired than before.
B1-57 / CEFR B1 / EPISODE 57
Finding a starting point for a reply
SceneFrank has a letter from the doctor who made him. A blank sheet of paper and a pen lie beside it. Tina is visiting.

WORDS & CONTEXT
Tire someone out means to make them very tired. Tire alone can mean to cause fatigue, but out emphasizes exhaustion. Gardening now leaves him more tired than before.
Count as something means to be regarded or accepted as that thing. Asking whether toast counts as dinner reveals that Frank has been eating little else all week.