Thanks to everyone who has given suggestions for how to fix this. Unfortunately most of them require me standing up for longer than I can manage, so I've mainly just fiddled with settings (since I can do that from my bed).
but when I can, I'll be:
* calibrating the extruder
* trying to clear clogs in the hot-end
* calibrating the z-axis offset (which is a multistep nightmare in this setup)





