Blissfully, my brother slept from 2:15 until 5:15 am before the next pain spike. Relief is setting in for this spike and he's slowly going back to sleep. I'm not sure what he's running on. Calorically, he's only ingested small volumes of orange juice, milk or pepsi in the last few days. Somewhere in the 2 am hour, my mom noted that he's two months to the day and hour of his 40th birthday. Even at this point, she still hopes for a miracle.