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Paul Sax

@PaulSaxMD · Boston, MA · joined 13 Apr 2009

Harvard/Brigham Infectious Diseases doctor, writer, @CIDJournal editor, educator. Prefer baseball to football, pizza to sushi, dogs to cats, Beatles to Stones.

60 124Followers
1 586Following
6 259Posts total
85.9KViews on collected posts

Against accounts of the same size

9 posts from the last 90 days, next to the 10K–100K follower range. shown widely, but few of those viewers react.

Median views3 601this account1 089median for 10K–100K
Reach, %5.99%this account3.50%median for 10K–100K
Engagement, %0.43%this account2.00%median for 10K–100K
MetricThis accountMedian for 10K–100KRatio
Median views per post3 6011 0893.31×
Reach (views ÷ followers)5.99%3.50%1.71×
Engagement rate0.43%2.00%0.22×

Others in this range →   Compare with another account →   How these benchmarks are built →

Growth & engagement

How the posts we collected actually performed: views and reaction rate post by post, what the audience did with them, and where the follower count goes.

Views per post

8.8K21 Aug
34.4K25 Aug
2.1K
1.1K
204
11.6K26 Aug
3.6K2 Sep
22.5K4 Sep
1.6K5 Sep

Last 9 collected posts, oldest on the left. The scale is logarithmic: one post can outrun the rest a hundred times over.

Engagement rate per post

0.18%21 Aug
0.32%25 Aug
2.35%
0.46%
2.45%
0.43%26 Aug
1.11%2 Sep
0.20%4 Sep
0.19%5 Sep

Reactions — likes, reposts, replies and quotes — divided by views. Median for 10K–100K accounts is 2.00%.

What the audience does

Likes71.8%255 in total
Reposts6.5%23 in total
Replies11.3%40 in total
Quotes2.0%7 in total
Bookmarks8.5%30 in total

Share of every reaction we collected for this account. Replies mean argument, reposts mean endorsement, bookmarks mean the post was worth keeping.

The follower curve appears once this account has two daily snapshots — we take one a day, and this one is on its first.

Latest posts

Writing about football (the American version) again. Yeah, I do that from time to time. 🤷🏻‍♂️ @NEJM 1.6K views · 2 likes · 0 reposts · 1 replies 05 Sep 2026 · Open on X →
A new chronic traumatic encephalopathy study won’t change football overnight, writes @PaulSaxMD in a new NEJM Voices blog post, but it may inform the conversation parents have about whether their kids should play it. Learn more and sign up for email alerts: https://t.co/n28QbQS 22.5K views · 33 likes · 9 reposts · 1 replies 04 Sep 2026 · Open on X →
Despite the small size of this randomized trial, immediate use of injectable CAB and RPV was more effective than oral ART in PWH who have adherence-related viremia. @CIDJournal Link in first reply https://t.co/d6Sw0aTmqy 3.6K views · 26 likes · 10 reposts · 4 replies 02 Sep 2026 · Open on X →
so why do we have to put up with this nonsense? does anyone in @HeyEpic care what the clinician user interface is like? 11.6K views · 34 likes · 1 reposts · 15 replies 26 Aug 2026 · Open on X →
@PaulSaxMD Perhaps the strangest part is not that “viral endocarditis” appears first, but that acute, subacute, chronic, and unspecified all map to B33.21. The system demands a distinction it does not retain. Is there a better example of false precision in medicine? 204 views · 5 likes · 0 reposts · 0 replies 25 Aug 2026 · Open on X →
@PaulSaxMD Whatever the reason for the changes in icd 10 needing so many details , it’s not working. Especially because epic won’t even let you review your note when it prompts you for things like left/right and all the other details, I hope people know that stuff is all wrong 1.1K views · 2 likes · 0 reposts · 2 replies 25 Aug 2026 · Open on X →
@PaulSaxMD I hate it when the patient has viral endocarditis. The crp doesn't go down no matter how much pip tazo I give. 2.1K views · 48 likes · 0 reposts · 2 replies 25 Aug 2026 · Open on X →
When you enter "endocarditis" in our epic system, these are the *first* default diagnoses that pop up since "endocarditis" alone isn't sufficiently specific for billing. Who designed this system, and what did they thing "viral endocarditis" was when they listed it first? https:// 34.4K views · 94 likes · 1 reposts · 12 replies 25 Aug 2026 · Open on X →
Easily could be a Monty Python skit Right @JohnCleese? 8.8K views · 11 likes · 2 reposts · 3 replies 21 Aug 2026 · Open on X →

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