The CDC says disabled people should just die already.

Weight stigma impacts negatively healthcare quality and hinders public health goals. The aim of this review was to identify strategies for minimizing weight bias among healthcare professionals and explore future research directions. An electronic search was performed in PubMed, PsycINFO and Scopus (until June 2020). Studies on weight stigma reduction in healthcare students, trainees and professionals were assessed based on specific inclusion and exclusion criteria. A narrative synthesis was undertaken to analyze emerging themes. We identified five stigma reduction strategies in healthcare: (i) increased education, (ii) causal information and controllability, (iii) empathy evoking, (iv) weight-inclusive approach, and (v) mixed methodology. Weight stigma needs to be addressed early on and continuously throughout healthcare education and practice, by teaching the genetic and socioenvironmental determinants of weight, and explicitly discussing the sources, impact and implications of stigma. There is a need to move away from a solely weight-centric approach to healthcare to a health-focused weight-inclusive one. Assessing the effects of weight stigma in epidemiological research is equally important. The ethical argument and evidence base for the need to reduce weight stigma in healthcare and beyond is strong. Although evidence on long-term stigma reduction is emerging, precautionary action is needed.

Patients have a federal right to “request to amend” their medical record. This right is conferred by the Standards for Privacy of Individually Identifiable Health Information, otherwise known as the HIPAA Privacy Rule of 2001 (45 C.F.R. § 164.526).

The provider may deny a patient’s request to amend. In denying the amendment, the provider must provide an explanation to the patient for the denial in plain language and in a timely manner. In this notification, the patient must be given the option to submit a statement of disagreement. The patient must also be given options to further complain, such as the name and telephone number of the health system’s compliance officer and relevant government agencies. If the patient submits a statement of disagreement, then the provider may issue a rebuttal statement.
Recordkeeping is crucial because ignoring a patient’s request to amend the record is a HIPAA violation. The Office for Civil Rights (OCR) has an online complaint portal and a toll-free number to trigger investigations. The OCR is empowered to assign civil money penalties and, with the Department of Justice, to enforce criminal prosecutions to medical providers.
If the record is amended, be sure to note the amendment in the medical record. Providers should never delete any portion of the medical record. Penalties skyrocket if there is evidence of retaliation against the patient. Retaliation could be evident if something derogatory is written about the patient in the chart because of the request to amend the medical record.
The Privacy Rule does not allow the provider to charge a fee to the patient for any work performed to receive, deny, or approve a patient’s request to amend the health record.

Providers have 60 days to respond but may extend another 30 days if needed.

It gets harder to multitask as you age

The main areas of serotonin research provide no consistent evidence of there being an association between serotonin and depression, and no support for the hypothesis that depression is caused by lowered serotonin activity or concentrations.

I’ll often say something like the way Zoloft works, is, it increases the level of serotonin in your brain (or synapses, neurons) and, presumably, the reason you’re depressed or anxious is that you have some sort of a deficiency. And I say that [chuckles] not because I really believe it, because I know the evidence really isn’t there for us to understand the mechanism—I think I say that because patients want to know something. And they want to know that we as physicians have some basic understanding of what we’re doing when we’re prescribing medications. They certainly don’t want to know that a psychiatrist essentially has no idea how these medications work