An ongoing dialogue on HIV/AIDS, infectious diseases,
March 2nd, 2026
Farewell to This Blog — and Hello to NEJM Voices
After 18 years of HIV and ID Observations, this is my final post here.
That’s nearly 1000 posts since March 2008 — commentary on new HIV data, debates about antibiotic duration, EMR rants, cartoon caption contests, conference highlights, pandemic pain and progress, and more than a few peeves about “quick questions.” Along the way we built something I value enormously: a community of readers who care about infectious diseases, good clinical reasoning, and (occasionally) a joke about drug names. Or a ridiculous video.
Blujepa, anyone?
I’ve written before about how grateful I am for your attention and engagement. The good news is that this won’t change — beginning today, March 2nd, you’ll find me in a new home: NEJM Voices. Same writer, new URL.
If you’re signed up for notifications, you’ll continue to receive them automatically.
And finally, after all this time, it’s time to retire the title. HIV and ID Observations always felt strangely temporary, but we could never come up with a mutually agreed upon replacement.
(Sax, Bugs, and Drugs remains available, in case anyone is wondering.)
I’ll be posting the same content you’ve come to expect, with support from NEJM Group, in this new location and format. New platform, same stuff!
I look forward to seeing you over at NEJM Voices — and to whatever comes next. Sign up to be alerted about new posts here.
For those who want more content, often in a longer, non-medical form, I’ve also been writing on my Substack. Hope you’ll sign up for that, too.
And yes, I’m hoping the silly videos will be coming with me.
(Blujepa drawing by talented sister, Anne Sax.)
11 Responses to “Farewell to This Blog — and Hello to NEJM Voices”
Leave a Reply
Paul E. Sax, MD
Associate Editor
NEJM Clinician
Biography | Disclosures & Summaries
Learn more about HIV and ID Observations.
FROM NEJM — Recent Infectious Disease Articles- Communicating about Vaccines in a Politically Contentious Climate March 21, 2026Recent changes in U.S. vaccine policy are sowing confusion and threatening the health of children and the wider population. How should pediatric clinicians communicate with parents to stem the damage?
- Massive Intravascular Hemolysis from Clostridium perfringens Bacteremia March 12, 2026A 73-year-old woman presented in shock with a 1-day history of malaise, dyspnea, and confusion. Serum samples could not be processed owing to gross hemolysis. Dehemoglobinized red cells and bacilli were seen on a peripheral-blood smear.
- Postpartum Persistence of Ebola Virus in Breast Milk March 12, 2026To control EBOV outbreaks, defining potential sanctuary sites where the virus may persist and lead to transmission is important. In this report, persistence of EBOV RNA in breast milk was identified and characterized.
- Case 8-2026: A 57-Year-Old Woman with Chest Pain, Dyspnea, and Syncope March 12, 2026A 57-year-old woman was evaluated because of 2 days of chest pain and dyspnea. Ultrasonography showed a pericardial effusion with diastolic inversion of the right ventricle. A diagnosis was made.
- Soft Tick Relapsing Fever March 12, 2026A 74-year-old man was admitted to the hospital with a 3-week history of intermittent fevers, muscle aches, and vomiting. Thin blood smears showed spirochetes.
- Communicating about Vaccines in a Politically Contentious Climate March 21, 2026
Hi Paul, does NEJM voices have a RSS/atom feed? I can’t find it on NEJM’s rss feed page. Sorrg, but some of us are still stuck in the 00’s.
Signed,
A geriatric millennial
Paul,
Your educational value is second to none.
I have followed you all 18 years.
Obviously you will be missed greatly.
Best to you in your future.
Alan,
Hope you’ll follow me at these new spots! Easy to sign up.
1. NEJM Voices: https://store.nejm.org/signup/nejm/register/voices-paulsax?promo=ONFOPS05
2. Substack: https://paulsaxmd.substack.com/
Paul
Glad to hear you will be continuing this Paul and will certainly sign up. Since I have gotten older and moderately retired I no longer attend CROI (your recent blog reminded me of how much I miss it)
I wish the directors would not be so possessive of the data which is hard to access even the abstracts….will you be doing your highlight piece soon. Hopefully so. And many thanks for all the wisdom you have shared with those of us working in HIV/AIDS for many years 1989 for me
This will be missed! Thank you for everything, Paul!
Hi Jeff, as I noted with another comment, going to continue writing elsewhere:
1. NEJM Voices: https://store.nejm.org/signup/nejm/register/voices-paulsax?promo=ONFOPS05
2. Substack: https://paulsaxmd.substack.com/
Hope you’ll sign up!
Paul
All signed up and looking forward to posts from the new platform!
Signed up. Been reading your posts for too long to say goodbye now!
I have retired from active ID practice and walking the wards, but my desire to learn has not dimmed. Your blog is educational and amusing–keep them coming.
Thank you for all this huge continued effort over the years. A super-gifted mind that sees many things way before we see them, not only in the HIV field but across all IDs. Will continue to learn from you at NEJM Voices.
I’m a primary care doc who only became aware of your genius blogging starting with the pandemic. But no way I would ever consider leaving, and I’m so glad to see you’re not leaving either, just moving URLs. Whew! Thanks so much for your brilliant, informative, and often amusing posts.