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welcome to Mayo Clinic sleep medicine podcasts a series for Physicians advanced practice providers nurses and other health practitioners treating Sleep Disorders or interested in learning about state-of-the-art advances in sleep medicine and sleep health Iamp;#39;m your host Dr Michael Silber and Iamp;#39;m your co-host Dr MRI Juna we are both Consultants at the center for sleep medicine at the Mayo Clinic in Rochester Minnesota thank you all for joining us for todayamp;#39;s sleep medicine podcast todayamp;#39;s topic will be 45 years of the mslt where are we now Mary carscadden first developed the mslt in 1978 so the technique has been used in the diagnosis of narcolepsy for nearly 4 5 years you might have expected that by now the performance parameters and interpretation of the test would be highly standardized although there are several controversies that still exist to discuss the mslt in 20124 Iamp;#39;m joined today by my guest Dr Michael silur professor of Neurolog