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September 8th, 2022

A Back To Work ID Link-o-Rama

A few nuggets are rattling around in the inbox post Labor Day, including this extraordinary photo of our family dogs Zelda, Zoe, and Louie, posing for their latest album cover. Woof! Besides, I haven’t done one of these Link-o-Ramas since January 11, 2021! That was either 20 months ago or 20 years, hard to keep track of […]


September 22nd, 2021

What I’ve Been Busy Doing, Besides Seeing Patients — and Bonus Animal-Related Infection Podcast

Long-time readers of this site (and I thank you deeply for that) might have noticed a lengthier gap than usual between today’s post and the previously published one. Nearly three weeks! Wow! What on Earth is he doing? He must be really busy. That or just lazy. In order to reassure you that the former is a […]


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 […]


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 […]


October 12th, 2020

“Dying in a Leadership Vacuum” — Defended

This past week, the Editors of the New England Journal of Medicine published a piece entitled “Dying in a Leadership Vacuum.” It’s a scathing indictment of the United States government’s response to COVID-19, in particular our inability to have a science- and evidenced-driven approach to control a disease that has now killed more than 215,000 Americans. One […]


May 6th, 2020

Early Memories of Burton “Bud” Rose, Founder of UpToDate — and Medical Education Visionary

Let’s rewind the clock a bit — OK, a lot. Ancient history. It’s winter, 1986. An interview day for medical residency at Brigham and Women’s Hospital. A bunch of us nervous medical students sit in a conference room, wearing our interview suits, while Dr. Marshall Wolf tells us what to expect that day. Amazingly, Marshall knows all […]


May 12th, 2019

On Mother’s Day, a Tribute to a Mother Who Doesn’t Celebrate Mother’s Day

My siblings and I are pretty lucky, because our mother may be the smartest person in the world. Let me reassure you that this is not just our biased opinion. Everyone who knows her well thinks the same thing — including my wife, who told me today, on Mother’s Day, that my Mom’s remarkable brainpower should […]


March 24th, 2019

Tetanus Case, No More MAC Prophylaxis, Playing in Dirt, and Low-Level Viremia — A National Puppy Day ID Link-O-Rama

In honor of spring (March 20), and the very important National Puppy Day (March 23), here are a bunch of ID and HIV-related recent items for consideration, contemplation, and perusal: A life-threatening case of tetanus in an unvaccinated boy highlights the personal and financial cost of the anti-vaccine movement. How deeply embedded are these false beliefs? The […]


January 6th, 2019

Rabies After Trip to India, Aortic Dissections with Quinolones, a Vaccine for Candida, Koala Bites, and More: A Welcome-to-2019 ID Link-o-Rama

As 2018 tips over into 2019, here are a bunch of ID- and HIV-related studies that, for one reason or another, haven’t made their way to this site yet — but still yearn for your attention: Cases of infective endocarditis have increased since release of the 2007 dental prophylaxis guidelines. Recall that those guidelines only recommended prophylaxis […]


November 4th, 2018

Your Next ID Cartoon Caption Contest — Yearning for Your Submission

The nice people who write our hospital’s newsletter interviewed me recently about this blog, and we covered a whole lot of territory. How it got started … inspirations … popular posts … fax machines … why an ID doctor from Mexico asked me about my dog Louie. There was, however, a grave omission — nowhere in this […]


HIV Information: Author Paul Sax, M.D.

Paul E. Sax, MD

Contributing Editor

NEJM Journal Watch
Infectious Diseases

Biography | Disclosures | Summaries

Learn more about HIV and ID Observations.