Health knowledge made personal

Dr. Muriel G. Medical Doctor

Boston, Massachusetts
I am a physician specializing in geriatrics and palliative care. My scholarly interest is in ethical issues near the end of life, and I have written 4 books for a general audience. I see patients for Harvard Vanguard Medical Associates, a multi-specialty group practice in the Boston area, and am a... Full Bio
› Share page:

Posts

Sort by: Most recent | Name
Swimming Upstream by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health When is the right time to have a conversation about goals of care? Commentary coming soon. Read on »
Rating the Ratings by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health Earlier this month, Medicare announced that it is revising the 5-star rating system currently used to measure nursing home performance. The ratings are available on the Nu ... Read on »
The Report Card Mania by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health We give grades to nursing homes, to hospitals, to state health care systems: does this help improve quality? Post coming soon! Read on »
Farewell to All That by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health In his 1905 farewell speech to the faculty of Johns Hopkins University Medical School, Dr. William Osler  commented that the school was wise to hire someone young and ener ... Read on »
When Is It Time to Kick the Bucket? by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health Coming soon: A response to Ezekiel Emanuel's article,  "Why I Hope to Die at 75." Read on »
To Cover or Not to Cover by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health The day of decision is coming. The Centers for Medicare and Medicaid Services (CMS) will decide soon whether to go along with the recommendation of the independent review ... Read on »
To Cover or Not to Cover by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health A chest CT scan showing what is almost certainly lung cancer: the Centers for Medicare and Medicaid Services will decide soon whether to cover screening for lung cancer ... Read on »
The Coming Cataclysm by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health Some time in the next 6 years the world will experience an unprecedented cataclysm. Not a tsunami or an epidemic or a large scale war, although those are possible, too. Th ... Read on »
Crossing Over by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health See Sunday's post for a discussion of the coming cataclysm. Read on »
From Dust to Dust (or Dustbin?) by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health The new IOM report, “Dying in America,” is a masterpiece. Written in the matter-of-fact language typical of non-partisan reports by committees of experts, it makes recomme ... Read on »
On September 17, the Ins ... by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health On September 17, the Institute of Medicine will release its report, "Approaching Death: Addressing End of Life Issues," which will be the subject of my next post. Read on »
The Methuselah Prize by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health A startling new project was unveiled last Tuesday in the San Francisco Bay area. No, not Apple’s iPhone 6 or its watch, but the Palo Alto Longevity Prize . Never heard of ... Read on »
Fountain of Youth by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health For an update on plans to locate the Fountain of Youth, see my next post. Read on »
Is Medicare on the Mend? by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health A buoyantly optimistic Paul Krugman proclaimed recently that Medicare’s woes are over—after a long period of seemingly relentlessly rising costs, costs that were rising so ... Read on »
Out of Pocket Health Care Costs for the Frail are Over $9000 by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health Here's an interesting graph from the Henry J. Kaiser Foundation's recent report on out of pocket health care spending by Medicare beneficiaries. More to follow on this top ... Read on »
Penny Wise, Pound Foolish by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health What drove me crazy about practicing medicine in a nursing home wasn’t the patients, although with their many medical problems often including cognitive impairment they we ... Read on »
Modernizing Medicare by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health The Medicare Modernization Act of 2004 didn’t really modernize Medicare. It took the important step of creating coverage for prescription drugs, which are the backbone of ... Read on »
Acronyms of Doom by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health When I was in medical school, U.S. hospitals were plagued by only one kind of “superbug” or antibiotic resistant bacteria. Methicillin-Resistant Staphylococcus Aureus, abb ... Read on »
Pursuing Palliation by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health We’ve known for a long time that breaking a hip can be devastating for an older person. It often leads to a loss of independence and it's associated with a substantial inc ... Read on »
The Robot Will See You Now by Dr. Muriel G. Medical Doctor Posted in: Blog Posts in Aging & Senior Health “Disease management” is all the rage. The reason? In the US and other developed countries, most diseases are chronic rather than acute and chronic diseases can generally b ... Read on »