HIV and ID Observations

August 2nd, 2021

Provincetown July Celebration a Challenging Stress Test for the COVID-19 Vaccines

When the complete history of the COVID-19 pandemic is eventually written — and boy oh boy, can’t wait for that — certain events will feature prominently as sites of notable outbreaks. The Diamond Princess cruise ship The Biogen Leadership conference The Skagit Valley Chorale practice The Sturgis motorcycle rally The Amy Coney Barrett White House reception And now: The Provincetown Independence Week celebration […]

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July 1st, 2021

Five Reasons Why ID Doctors Are the Paperwork Champs

As they often do, the inquisitive folks over at Medscape polled doctors around the country on various topics. This one hit home: We're #1! https://t.co/4peKM1frWx pic.twitter.com/wwCrcXBrVI — Paul Sax (@PaulSaxMD) June 17, 2021 Say what you will about Medscape’s methodology, or representativeness, or need for statistical analysis. But we’re clearly #1 in the Paperwork and Administration category — and […]

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June 1st, 2021

We’re Allowed to Say that Some COVID-19 Vaccines Are Better than Others, Right?

Over on the CDC website, an amazing resource, there’s this statement about the COVID-19 vaccines: The best COVID-19 vaccine is the first one that is available to you. Do not wait for a specific brand. I certainly agreed with that comment back in late 2020 and early 2021, when demand for vaccines exceeded supply, and we […]

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April 25th, 2021

The Decision on the Johnson & Johnson COVID-19 Vaccine Surprised Me — Here’s Why

The “pause” on the one-shot Johnson & Johnson (J&J) COVID-19 vaccine is over. Based on a further review of safety data that occurred on April 23, both the CDC and the FDA said the vaccine may resume here in the U.S., provided the label includes a warning about a serious, but rare, side effect — […]

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February 7th, 2021

Does Taking Vitamin D Prevent or Treat COVID-19?

Vitamin D supplementation — critical in prevention and treatment of COVID-19? Or does it do nothing — except further enrich the vitamin and supplements industry, which is worth more than 100 billion dollars? The challenge is figuring out which of these is the truth, and after several weeks of thinking about the issue, I find it’s far […]

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January 11th, 2021

After Ivermectin Controversy, A COVID-19-Free ID Link-o-Rama

Wow, quite the week for this country of ours. We’re all deeply saddened by the events, very hopeful that the transition in leadership will be peaceful. And also an eventful week for this little blog. When I wrote “Enter ivermectin — and let the controversy begin,” little did I know. Amazingly, this is already the second-most widely […]

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January 4th, 2021

Ivermectin for COVID-19 — Breakthrough Treatment or Hydroxychloroquine Redux?

It’s an indisputable fact that we need better treatments for COVID-19. This is particularly true in the outpatient setting. Let’s count how many we have today, hmm, this shouldn’t take long. That would be zero — the same number we had over a year ago, when the disease first emerged in China. Something safe, easy to take […]

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November 24th, 2020

Some ID Things to Be Grateful for This Holiday Season — 2020 (!) Edition

“Grateful?” some might wonder. “He must be out of his mind.” But even in the cursed year that began shortly after the first report of the disease now known as COVID-19 on (almost) New Year’s Eve, we can still find some things to praise, and to offer our gratitude. Or at the very least, acknowledge that […]

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October 18th, 2020

Does Remdesivir Actually Work?

Quick answer — it’s complicated. Let’s start with a clinical anecdote — rightfully considered the weakest form of evidence, yet paradoxically holding great power over us because we’re imperfect humans. It’s the way we’re wired. In April, a patient of mine with stable HIV came into the hospital with COVID-19 pneumonia. (Certain details changed for privacy.) She works […]

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September 7th, 2020

Relieving the COVID-19 Testing Logjam by Separating the Symptomatic from Asymptomatic

As the days grow shorter and we celebrate Labor Day here in the United States, the end of summer looms awfully near. With that will soon come colder temperatures, more time spent indoors, kids back in school, and the inevitable respiratory virus season. How we address these “viral URIs” in the midst of the COVID-19 pandemic […]

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