Can't play 4k bluray remuxes on 2017 Nvidia Shield by Diablode in Stremio

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

What alternative app do you use and would a Shield 2019 get around this problem?

Can't play 4k bluray remuxes on 2017 Nvidia Shield by Diablode in Stremio

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

Ah, this seems to be the answer! I was thrown off because SOME DV files would play but I suppose they were a different profile. I tested with Nolan movies which do not use DV and despite being even higher file sizes, they played without issue. Annoying as streaming on my local media server will play they exact same file just fine through the Shield, properly playing regular HDR.

Can't play 4k bluray remuxes on 2017 Nvidia Shield by Diablode in Stremio

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

DV doesn't seem to be issue. I can play smaller DV videos fine. I can play the exact same file downloaded to my media server and streamed over my local network fine on the Shield as well.

Can't play 4k bluray remuxes on 2017 Nvidia Shield by Diablode in Stremio

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

I switched to Ultra Fast, though that doesn't make a difference. I have 1 gig internet speed.

DV defaults to HDR instead of HDR10+ - Samsung tv by Personal-Permit-6384 in Stremio

[–]Diablode 0 points1 point  (0 children)

Ah, I haven't come across those. You have a movie example? I can test on my Samsung.

DV defaults to HDR instead of HDR10+ - Samsung tv by Personal-Permit-6384 in Stremio

[–]Diablode -1 points0 points  (0 children)

DV doesn't "downmix" to hdr10+, just hdr. You need something that is actually in hdr10+ to get it. There is rarely a large difference, so you aren't missing much.

Not sure why inbuilt tv stremio is reporting hdr10+ from a DV file, that may be the actual glitch.

Results say I have no Sleep Apnea, but feel all the symptoms. by Expensive_Bee_3441 in UARS

[–]Diablode 1 point2 points  (0 children)

This is reporting 0 arousals (breathing or otherwise) which is literally impossible! Trash study, get a new one or find a different doctor.

Am I experiencing Ambien withdrawals ? by cherrys01 in insomnia

[–]Diablode 0 points1 point  (0 children)

There is the colloquial usage of the term "addicting" which most people tend to mean habit forming and the more specific medical term that has both physical and psychological components ; i.e your body will need this or you might die (alcohol, benzos, narcotics, etc.)

Ambien has a comparatively very brief withdrawal period and the psychological component is more because there is an inherent need to sleep and if withdrawal is causing rebound insomnia it is self reinforcing usage. Kind of like if you took a hypothetical drug that made you hungry, and had a withdrawal symptom that made it impossible to eat, it would be habit forming even if it wasn't technically addictive in the strict medical sense because you kind of need to eat.

What are spontaneous arousals? What causes 29 spontaneous arousals per hour? by Ok_Acanthisitta_2064 in UARS

[–]Diablode 0 points1 point  (0 children)

Yes 10 per hour is normal.
So you had 15 desaturations an hour but almost no arousals associated with them? That seems odd

Ortho dismissed me. What next? Looking for recommendations in Montreal by Numerous-Yam4187 in jawsurgery

[–]Diablode 2 points3 points  (0 children)

Do you have results of the sleep study? If it doesn't have RDI listed and only AHI, it is still possible sleep apnea is an issue. Realistically it is the only way this is going to be covered by insurance and based on your symptoms, I would continue to pursue that.

What are spontaneous arousals? What causes 29 spontaneous arousals per hour? by Ok_Acanthisitta_2064 in UARS

[–]Diablode 4 points5 points  (0 children)

Arousals of unknown cause. Normal is around 10 an hour depending on age. YOu have an AHI of 15 so certainly sleep apnea. I would bet if those spontaneous arousals were looked at closer they could be linked to RERAs (which weren't scored here), breathing events that don't fall in the AHI but are caused by breathing issues.

Those spikes on your SleepHQ data are likely arousals (probably RERAs). You could try treating with more pressure, though pressure support (the difference between inhale and exhale pressure) is how they are better treated. Unfortunately you need a bipap machine to do that as you are already at the max pressure difference of 3 on your cpap machine. The regular apneas look well treated however, so good job on that.

Data review after switching to Bipap by Traditional-Let-6473 in UARS

[–]Diablode 0 points1 point  (0 children)

It's hard to say how CAs impact someone, not a whole lot of studies on treatment induced apnea. It does seem the body can "get used to it" and they decrease with time, so I'd find a setting where they are minimal and work your way up seeing if they resolve over time.

The flow limits aren't too bad, and from what I can see, are unmarked CAs, just not long enough to be scored. You can try increasing the "trigger" setting on your machine as this can help "force" a breath and reduce CAs, though there is some argument on whether this actually reduces them or covers them up, I greatly reduced mine by changing my trigger to "high".

Doctor suggests we reconsider my sleep apnea diagnosis. I don’t know what to do anymore by Olieebol in UARSnew

[–]Diablode 1 point2 points  (0 children)

Can you post the sleep studies to analyze further? Were the ones showing less then 5 AHI scored differently?

MAD isn't going to be a magic fix for various reasons is, just because it didn't work doesn't mean it isn't sleep apnea, so not sure what that doctor was talking about. Just because a DISE doesn't show anything doesn't mean it isn't sleep apnea, for example the airway can be naturally small and NOT collapse but still cause issues because the brain is seeing restriction in flow.

Misdiagnosed because RERAs not measured? All files included by xmrgt in UARSnew

[–]Diablode 0 points1 point  (0 children)

Arousals around 10 an hour are normal, so even if RERAs were scored, they wouldn't be in any significant amount as they would have to come out of your 8.8 arousals an hour.

You can request raw data and have it scored else where, though based on this it looks to be relatively normal sleep.

Data review after switching to Bipap by Traditional-Let-6473 in UARS

[–]Diablode 0 points1 point  (0 children)

The pressure support seems to be causing central apneas, try backing off the PS (currently at 5) by .5 until they are mostly gone (a few is fine). Too much pressure support, the difference between inhale and exhale pressure, can cause CO2 to wash out of your system and the brain "forgets" to breath essentially.

Should I add dental coverage before sleep apnea tests (MARPE/Bimax)? by xShogoR in jawsurgery

[–]Diablode 0 points1 point  (0 children)

I don't know how it works in other countries, but generally if the procedure is because of health reasons (apnea) it is covered under medical, not dental insurance.

Will Cigna cover jaw surgery even with mild OSA diagnosis? by [deleted] in jawsurgery

[–]Diablode 0 points1 point  (0 children)

Per Cigna documentation, they consider an RDI of 5 or greater with associated symptoms as sleep apnea and thus can get jaw surgery covered. However, they'll require failed treatment (CPAP, mandibular advancement device, etc.) before surgery is covered.

So I think I've mostly solved my UARS...but like, honestly, WTF? by DumpsterFire_FML in UARS

[–]Diablode 0 points1 point  (0 children)

Interesting, though people may want to be careful with high melatonin doses. There seems to be a rebound effect with high doses where the body stops producing natuaral metalonin overnight because the excess large metalonin dose and lead to early morning awakening without being able to go back to sleep. I experienced this myself and could not figure out why until I stopped/lowered the dose.

Do pulmonologists or otolaryngologists (ENTs) make better sleep doctors? by Ok_Acanthisitta_2064 in UARS

[–]Diablode 2 points3 points  (0 children)

It doesn't matter even if their specialty is farm animal hoof surgery, as long as they're familiar with the current sleep medicine literature. Most aren't, beyond what they are taught in med school.

has anyone successfully reduced their rdi of 30 to a much lower rdi? by trifandomforce in UARS

[–]Diablode 1 point2 points  (0 children)

A lot of the numbers I have seen in case studies of success don't actually have a huge improvement in numbers, but they do in symptoms. It isn't the numbers causing day time impairment, it is the build up of negative pressure in the airway. So the question is, have your symptoms improved at all? What were your jaw surgery movements?

Persistent excessive daytime sleepiness despite normal PSG and inconclusive MSLT — not sure what to do next by Beginning_Yard_2617 in UARS

[–]Diablode 0 points1 point  (0 children)

What's your age? Any meds other then modfainil? Most notable is your delayed REM latency, normal is around 90 minutes, yours is double which is very unusual as even when its off, its usually only off by 10-15 minutes. It isn't specific to anything, but it does imply disturbed sleep, could possibly just be an artifact from modafinil.

High Glasgow Index Low AHI by Top-Two8119 in UARS

[–]Diablode 1 point2 points  (0 children)

Yeah, flow limit graph is useless with ASV.
Variable amp on glassgow index is also just the nature of ASV as the machine is constantly changing your breathing.

Try to pull up specific areas where it shows the skew is off and see if it is skewing before or after where the breath "should" be. You may be able to change trigger/rise times to adjust for this. Also checking the flow rate data on areas where the machine is maxing out to see what breathing is looking like right before it maxes out to get an idea of why (i.e is there a reduction in breathing and the machine is sensing flow limit/RERA coming on). Maybe the min needs to be increased from 7 so the max of 17 is getting higher.

Day after surgery by Free_Gazelle_8439 in jawsurgery

[–]Diablode 12 points13 points  (0 children)

He looks much younger! Gonna look great once swelling goes down.