Paul Sax @PaulSaxMD

Harvard/Brigham Infectious Diseases doctor, writer, @CIDJournal editor, educator. Prefer baseball to football, pizza to sushi, dogs to cats, Beatles to Stones. blogs.jwatch.org/hiv-id-observa… Boston, MA Joined April 2009

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Paul Sax @PaulSaxMD

5 hours ago

Hepatitis B transmission, dalbavancin for staph bacteremia, alpha-gal allergy, vaccine policy shifts, too much screening in pt care ... Some end-of-summer ID musings, with scattered other thoughts silly and not ID-related at all. And tennis, of course! blogs.jwatch.org/hiv-id-observa…

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Paul Sax @PaulSaxMD

6 days ago

For us ID doctors, the CDC has been a rock. Data, guidelines, surveillance, travel advice -- all there, vetted by experts, referenced, reliable. Perfect? No. But watching its dismantling now breaks my heart. Some thoughts: blogs.jwatch.org/hiv-id-observa…

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Paul Sax @PaulSaxMD

a week ago

When we care for PWH who have virologic suppression, but possible or confirmed NRTI resistance, can we switch them to a simple oral treatment -- once-daily BIC/FTC/TAF? This study says yes, with results strengthened by proviral DNA testing. sciencedirect.com/science/articl…

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Paul Sax @PaulSaxMD

2 weeks ago

Some great comments -- both pro and con -- have come in response to this post about screening for anal cancer in PWH. Would welcome further opinion, especially from clinicians seeing patients regularly and/or experts in cancer screening. blogs.jwatch.org/hiv-id-observa…

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Paul Sax @PaulSaxMD

2 weeks ago

Before the NEJM @JWatch blog, there was another ... and it wasn't pretty. My first blogging attempt fizzled before it even took off. But I'm grateful to the organizers for getting me started. Read more: blogs.jwatch.org/hiv-id-observa…

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Paul Sax @PaulSaxMD

3 weeks ago

The anal cancer screening guidelines for PWH recommend testing every 1-2 yrs. But the evidence base is thin, the tests are meh, and resources are limited. Here's why guidelines may be racing ahead of the data (and certainly the resources). @Amit_Achhra blogs.jwatch.org/hiv-id-observa…

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NEJM Journal Watch @JWatch

4 weeks ago

Does the fact that AI is brilliant at writing “learning objectives” prove they’re not really needed? @PaulSaxMD gives his perspective in his latest post. jwat.ch/4muUram #IDTwitter

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Paul Sax @PaulSaxMD

4 weeks ago

Well said, as usual.

Dr. Glaucomflecken @DGlaucomflecken

4 weeks ago

Well said, as usual.

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Paul Sax @PaulSaxMD

2 months ago

Ceftriaxone is a narrow antibiotic now. Plus: ID binomials, BCID magic, linezolid price madness, a Novak Djokovic apology (!), and more. 20 musings, mostly ID-related, videos included. blogs.jwatch.org/hiv-id-observa…

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Paul Sax @PaulSaxMD

2 months ago

Patient had recent surgery, abnormal labs, and clear signs of illness -- so he was admitted. He got better. That, apparently, was the problem. His insurance denied payment because he didn’t get sick enough. You can't make this stuff up. @DGlaucomflecken blogs.jwatch.org/hiv-id-observa…

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Paul Sax @PaulSaxMD

2 months ago

“Dr. Sax, what’s it like to have lived through two pandemics as an ID doctor?” The question came from a brand-new intern during afternoon sign-out. Here's what I wish I had time to say. blogs.jwatch.org/hiv-id-observa…

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Paul Sax @PaulSaxMD

2 months ago

Hello ID People Outside of USA: Looking for information on access to Uromune (MV140). Anyone know? Thanks! vax-before-travel.com/uti-vaccine-on…

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Paul Sax @PaulSaxMD

2 months ago

The isolated hepatitis B core antibody: HBsAg ⛔ anti-HBs ⛔ anti-HBc ✅ What does it mean, and what should you do? A mystery solved (mostly). Plus, a poll and a couple of great videos. blogs.jwatch.org/hiv-id-observa…

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Paul Sax @PaulSaxMD

2 months ago

This is by far the most common vaccine I strongly recommend in ID adult clinical practice. As ID doctors, we see some truly severe cases of zoster, with post-zoster sequelae that may last months or even rarely be permanent. @CIDJournal doi.org/10.1093/cid/ci…