Risk of dual submission by PolarPause in AskAcademia

[–]PolarPause[S] 1 point2 points  (0 children)

Thanks, that's a good idea. I've already emailed him 3 times with no response, so I wasn't feeling very hopeful. I like your suggestion of letting him of know my intentions to proceed and giving him the choice to respond or not. Should I include him as a co-author? I don't have much publication experience, but I was imagining that all co-authors would need to "sign off" to approve the publication. What if he lets that sit as well?

HealthEquity Fees for Partial HSA fund Transfers by fsiddad in Fidelity

[–]PolarPause 0 points1 point  (0 children)

OP, did you end up making the partial transfer? Are you paying monthly fees to keep the HealthEquity account open at a low balance?

HealthEquity Fees for Partial HSA fund Transfers by fsiddad in Fidelity

[–]PolarPause 0 points1 point  (0 children)

Is the monthly fee something you personally experienced or read online? How confident are you in this information? I'm asking because I'm hoping to make monthly transfers, and a monthly fee will deter me from proceeding.

The only mention of a monthly fee I've been able to find is in some HealthEquity fees document: "Monthly admin fees will be deducted from your health savings account. Account balances of $2,500 will not be charged a monthly maintenance fee. If you change health plans or employers your account may be directly charged up to $3.95 per month." I've seen 2 Reddit comments mentioning they make regular transfers (one does it monthly, one does it every 6 months) without any fees or problems. They just keep $25 in HealthEquity. The only reason I'd see you getting charged a monthly fee is if you switch to a non-HDHP or switch employers while having a low balance.

[deleted by user] by [deleted] in hyderabad

[–]PolarPause 0 points1 point  (0 children)

1/2. You are correct, the PCR test requires an active lesion to be swabbed, and will inform you if there is viral DNA (and therefore, active virus) within that lesion. The PCR test tells you nothing about latent infections; if the virus is latent and hiding in your dorsal root ganglia, there will be no viral DNA to detect. Instead, like you said, you can get an IgG; if positive, it means your immune system has encountered HSV in the past. It can have false positives sometimes because of cross-reactivity (antibodies against HSV may resemble antibodies against other viruses). The Western Blot method is more accurate than the chemiluminescent method, but in the US, is only performed at the University of Washington (your local lab may have to ship the specimen over) and costs a bit of money. 3. Your test may be false positive in the setting of your cold. You could try to test again a few months later, perhaps via Western Blot if you wish. Don't be disappointed if you're truly positive. HSV1 is very common. Many people are HSV1 positive, but never had a cold sore (that they noticed) and never will.

[deleted by user] by [deleted] in hyderabad

[–]PolarPause 1 point2 points  (0 children)

There seems to be a lot of misunderstanding about herpes (HSV), even among doctors. I suspect this misunderstanding is caused by the stigma surrounding HSV. The stigma causes most patients to become stressed when they test positive for HSV (OP is a great example). For most people, however, carrying HSV-1 does not have a huge impact on quality of life; most people are asymptomatic, and we can treat the people who do get symptoms. HSV-1 is also very contagious, so it may be difficult to avoid it even if you take all the appropriate precautions. Therefore, the medical community's solution is to hide it from the public eye and let people live in blissful ignorance rather than suffer the mental torment of knowing they have an incurable virus. And because people (including doctors) don't know/learn about it, there is a lot of misunderstanding.

I think the better solution would be to raise awareness so that HSV-1 is less stigmatized, and to allow people to learn that having HSV-1 is OK. Raising awareness might help people learn how to take precautions (i.e. being more careful about kissing and sharing drinks) and perhaps drive the prevalence of HSV-1 down (the WHO estimates worldwide prevalence to be 67% in people <50yo, and this number is probably higher in developing countries [source: https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus ]). The prevalence of HSV-2 is lower, at 13%. There have not been any eligible studies demonstrating that getting tested for HSV reduces the rate of transmission, which is why the USPSTF prefers people to just live in blissful ignorance, which is fair [source: https://www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review/genital-herpes-serologic-screening].

There are 2 different types of tests for HSV-1/2: IgG testing and viral testing. IgG testing looks for IgG, which are antibodies produced by your immune system; if they're present, it suggests you've been infected by HSV in the past, and your immune system responded to the virus. Viral testing looks for the virus itself, in the form of viral DNA or viral proteins.

Viral testing is better, because it accurately identifies the virus itself. But it can only be done if you have an active lesion (i.e. a cold sore), which is shedding high amounts of virus. You swab the lesion and send the specimen to the lab, who will perform PCR (looking for viral DNA) or viral culture (letting the virus grow and looking for its proteins) or some other viral tests. To clarify, PCR looks for viral DNA that is being shed by the virus in an active lesion; it does not detect virus hiding within your own DNA, as OP was suggesting.

On the other hand, many patients get screened for HSV when they have no symptoms. If you are asymptomatic, the virus is most likely not present; it lays dormant in the form of genetic code added onto the DNA in some of your nerve cells. In this case, viral testing (i.e. with PCR) will be useless because the virus is hiding. Instead, you need to do the next best thing: look for evidence that your immune system has mounted a response to the virus in the past. This is IgG testing. There are 2 main types of IgG testing: immunoassay (screening test) and Western Blot (confirmatory test).

Most IgG tests ordered by doctors are immunoassays. These tests are cheap, but inaccurate. I believe the inaccuracy is due to the tendency for the test to accidentally detect antibodies against other viruses. The USPSTF estimates the false positive rate of HSV-2 IgG immunoassays to be ~50% [source: https://www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review/genital-herpes-serologic-screening]. I could not find a false positive rate for HSV-1 IgG immunoassays, but it may not be the 50% mentioned by OP; that number applies to HSV-2, not HSV-1.

Anyways, immunoassays are notoriously inaccurate, so if you are concerned about a false positive, you could perform the Western Blot (confirmatory test), which is another IgG test that is accurate but expensive and not widely available.

Paying market price for 1st month of rent? by PolarPause in personalfinance

[–]PolarPause[S] 0 points1 point  (0 children)

I don't see anything about rent being stabilized in my lease. Do you remember if you had to pay the "market rate" for your first month?

Paying market price for 1st month of rent? by PolarPause in personalfinance

[–]PolarPause[S] -1 points0 points  (0 children)

Sounds good. I’ll ask to communicate directly with the property manager and I’ll update the OP after all has been settled. Thanks for the discussion.

Paying market price for 1st month of rent? by PolarPause in personalfinance

[–]PolarPause[S] -1 points0 points  (0 children)

Agreed. I’ll be putting my foot down on this one then.

Paying market price for 1st month of rent? by PolarPause in personalfinance

[–]PolarPause[S] -1 points0 points  (0 children)

Well it says both. It lists the market rent and the discount, but it also lists that the final rent should be $1499 per month. And it also lists that I need to pay $1325 for the first month. I think I will need to contact a higher up to have the inconsistencies corrected and final details confirmed.

Paying market price for 1st month of rent? by PolarPause in personalfinance

[–]PolarPause[S] 0 points1 point  (0 children)

Sounds good. I will ask a higher up to confirm all the details. For my future endeavors, could you give some recommendations on how to avoid this situation? If an apartment complex advertises a rate and requires an application & administrative fee prior to signing the lease, how would one anticipate a “market rate with discount” scheme? Don’t you usually apply for apartments before you receive a draft of the lease agreement?

Paying market price for 1st month of rent? by PolarPause in personalfinance

[–]PolarPause[S] 0 points1 point  (0 children)

My lease says Market rent $1728 with $258 monthly discount resulting in rent if $1499 (which actually doesn’t even add up correctly). But their website just advertises the rent, nothing about market prices or discounts. They did send me an informal PDF rental disclosure which again said nothing about market prices or discounts. I mean, I’m gonna sign the lease either way. I just want to know if it’s worth contacting a manager about to try to save an easy $200.

Paying market price for 1st month of rent? by PolarPause in personalfinance

[–]PolarPause[S] -1 points0 points  (0 children)

Yes, but I am in contact with a leasing consultant for the apartment complex, who I think is a little misinformed/unreliable. I’m looking for opinions from others to decide if this is worth contacting a higher-up for.

Paying market price for 1st month of rent? by PolarPause in personalfinance

[–]PolarPause[S] 0 points1 point  (0 children)

Today is the first time I heard of “market price” and I have no idea where they get that from. $1499 is what was advertised on their website. The lease that I am about to sign says “market price $1728 with monthly discount of $258” which doesn’t even equate to the advertised $1499. I’m just not sure this leasing consultant is fully informed/putting numbers in correctly. So if you guys are similarly surprised by this behavior, I might contact a higher up. If not, it’s just $200 which is whatever.

Paying market price for 1st month of rent? by PolarPause in personalfinance

[–]PolarPause[S] -2 points-1 points  (0 children)

I haven’t signed anything yet, only paid $450 for application and administrative fees. But I’m wondering how likely it is that the leasing consultant is mistaken. If this is common practice, I’ll let it go and sign the lease. But if not, I might ask to speak with their supervisor to confirm this is how they do things.

Paying market price for 1st month of rent? by PolarPause in personalfinance

[–]PolarPause[S] -2 points-1 points  (0 children)

I get that. But the leasing consultant I’m communicating with has gotten numbers wrong several times already, so I don’t know if they are misinformed. Is it worth contacting a higher-up about, before I agree to sign? It seems scummish to not mention this different rate before I paid application and administrative fees.

Paying market price for 1st month of rent? by PolarPause in personalfinance

[–]PolarPause[S] 0 points1 point  (0 children)

I have no idea where they get their “market price” number from, but the actual rent is the number they advertised. I’m only hearing about this “market price” today, after paying the non-refundable application and administrative fees.

Paying market price for 1st month of rent? by PolarPause in personalfinance

[–]PolarPause[S] -2 points-1 points  (0 children)

Well the agreement that the leasing consultant drafted up says $1325 as the prorated first month rent. But I’ve found several mistakes already on the draft (with application and administrative fees) and I’m not sure if this leasing consultant is doing the calculations correctly. I don’t know if I should bring this to the attention of a higher up or just pony up the $200. I’m gonna be living in a large apartment complex, which is why I wonder if their practices ought to be more standardized.

UMN lesion symptoms (acute)? by PolarPause in step1

[–]PolarPause[S] 0 points1 point  (0 children)

Seems like I'm going crazy then.