as an RN myself, here's what I might suggest: if the doctors do "rounds" outside your brother's room (aka stand around with a bunch of other docs, residents and nurses and talk about your brothers care in the morning), then whoever is your brother's advocate can mention his night owl habits and preference for therapies in the later morning/afternoon then. you could also ask his physical and occupational therapists if they can change their schedules to see him in the afternoon. The health care team may say, however, that they're trying to fit as much therapy/progress in as they can during the day. Also, PTs and OTs (at least in my hospital) usually don't see people past the early afternoon. These might be reasons why they get him up so early. Good luck, keep advocating and asking questions. And Happy Thanksgiving.