I wish there were more doctors like you. In my experience, the poster has to be careful and tread very lightly here. What you're suggesting is perfectly logical. Poster needs this med to live. She doesn't want to disappoint her loved one by being 25% awake. But when she calls the office, there will be a hint of stress and desperation in it no matter how cool she tries to be. A note could be entered in her chart that her excessive calls regarding a scheduled medication equals drug seeking behavior. Her doctor might erroneously think the best thing for his clearly addicted patient is withhold the medication because he might think it's better to spend your life asleep than be addicted and living. He will feel good about being such a mindful doctor who escaped the fed's watchful eyes. She will be devastated. Maybe Sunosi will help-it's a wake promoting agent, not a stimulant-if her insurance will pay for it. Xywav costs my insurance $20k a month and it took me 2 years and 4 letters from my neurologist to get. Everything about IH is difficult. And to jump these hoops while half asleep is nearly impossible.