First, big hugs to you both!! As far as reflux and props/AP goes, all the rules go out the window. Babe needs to be comfortable, do what is needed to achieve this. Once the 'flux is better under control, then we fix all the AP stuff. Are they sleeping with the head of the crib elevated? Helps keep stuff in the tummy. Pacifiers encourage sucking/swallowing. This soothes the pain. So if it helps babe sleep, go for it. Maxmum, you need to break the overtired cycle. I'd try whatever you need to get some good sleep time into him, then when he feels better, work on keeping that up. I wonder if his med is doing a good job, or if he just sees bed=ouch?