So, after I clicked off the checkbox that was hiding resolutions it didn't think my monitor could use, I chose the highest one my monitor would allow (1440x...) and then zoomed to 75% and made the icons medium.
It's close. It allows him to do his work. And that's the critical thing he needs until Microsoft can tell the hundreds of people using this forum, and probably tens of thousands out there how to fix this. The techs don't seem to know. And just wait until Monday when most workers who have taken the holiday off come back to their screwed up computers.
There are a lot of people out there with very little knowledge, and what we are suggesting is so far beyond them. Computer tech services are going to make bank over this stupid upgrade.