Dr. John Gianfranco Muscedere – Internist / Geriatrician | Kingston, ON

With extensive experience in Internal Medicine and Geriatric Care, Dr. John Gianfranco Muscedere serves as a trusted medical specialist. Practicing in Kingston, ON, he provides comprehensive care in Internal Medicine and Geriatric Care, focusing on the unique healthcare needs of adults, including seniors. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and ethical medical services for his patients.

Dr. Muscedere graduated with a Medical Degree from Schulich School of Medicine and Dentistry in 1985 in Canada. He has completed extensive post-graduate medical training, including residency in Internal Medicine and specialized certifications in Geriatric Medicine, which equip him with the expertise to manage complex health conditions in older adults effectively.

His clinical philosophy is grounded in an evidence-based and informative approach, emphasizing individualized patient care. Dr. Muscedere is committed to serving the Kingston community and speaks both English and Italian, facilitating effective communication with diverse patient populations. He is dedicated to continuous learning and applying the latest medical evidence to optimize patient outcomes.

Dr. Muscedere provides expert care for adults with a wide range of medical conditions, including:

Endocrine & Metabolic Disorders

• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.

Complex Diagnostic & Multi-System Issues

• Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
• Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.

Select Infectious & Inflammatory Conditions

• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.

Dr. Muscedere manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.

• Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
• Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.

Note: This list represents some of the key services offered by Dr. Muscedere. As a specialist in Internal Medicine and Geriatric Care, he provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Muscedere's scope of practice, please discuss with your referring physician or contact the clinic.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Muscedere's practice is situated in Downtown Kingston, within the Queen's University area, in the Sydenham Ward neighborhood. The location is conveniently accessible via Kingston Transit, serving the surrounding communities including the West end near Cataraqui Centre. Parking is available at the facility, and the building is wheelchair accessible, ensuring ease of access for all patients.

How is payment handled for appointments with Dr. Muscedere? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Muscedere are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.

Can I book an appointment directly or do I absolutely need a referral?

A referral from your family physician or another medical specialist is required to see Dr. Muscedere. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.

What typically happens during a first consultation?

During your initial visit, Dr. Muscedere will conduct a thorough review of your medical history, symptoms, and medications based on your referral and the information you provide. He will likely perform a relevant physical examination. Following this assessment, he will discuss his findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.

What happens after the initial consultation?

After your assessment, Dr. Muscedere will typically send a detailed consultation report with findings and recommendations to your referring physician. Depending on your specific situation and the reason for referral, Dr. Muscedere may arrange follow-up appointments, order further tests, or transition care management back to your family doctor with specialist guidance. The plan will be discussed with you.

Is the focus mainly on diseases or also on daily function?

While diagnosing and managing diseases like Cognitive Impairment & Dementia Syndromes or Polypharmacy & Medication Optimization is crucial, Dr. Muscedere also places significant emphasis on maintaining or improving daily function and quality of life, especially for older adults. The goal is often to help patients remain as independent and active as possible, addressing issues like mobility, self-care (Falls, Mobility & Balance Disorders), and participation in meaningful activities.

Suite 501, 76 Stuart Street
Kingston, ON K7L 2V7

Phone: (613) 549-6666

The facility is wheelchair accessible.

Dr. Muscedere is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Muscedere-John-Gianfranco/0041557-55533