And, again, reiterating your point, we don’t treat a number, we don’t treat a test result. And we were like, “Wow, this is what happens with these REM periods, and this is what happens.” That now, it’s been pigeonholed into you have to have this in order to have the diagnosis. And I think that that’s where we’ve dug ourselves into a hole a little bit because of a lot of the elucidation of the pathways that we did not know before the year 2000.
I think you have narcolepsy,” but those 2 sleep-onset REM periods just are not showing up. Or I am pretty sure if somebody is telling me they have cataplexy, I’m like, “Yes. Margaret Park, MD: That has been a very, very prevalent concern these days. Now we’re getting sort of into the technical weeds here. And that is if the patient pretty clearly from a clinical perspective, you suspect cataplexy, you suspect narcolepsy, but they don’t demonstrate say the 2 sleep-onset REM periods during the MSLT, or 1, during the nighttime that’s required. I like what you said about repeating the test, but maybe we’ll talk more about that here in a second. And let me just run a couple things by you. Russell Rosenberg, PhD, DABSM: There are some challenges within the diagnostic process certainly.
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