Got more detailed sleep study results. The night time sleep went fine. But they said during the daytime sleepiness, I fell asleep during all 5 naps. I didn't know I fell asleep for all of them, just maybe 1-2.
He says it could be a different form of narcolepsy, but doesn't present standardly because there's no REM.
He could rx a stimulant like provigil or nuvigil, but with my Vyvanse, it might have bad side effects. He says I could try vyvanse every day rather than PRN and that might help. Otherwise copious amounts of caffeine or getting naps is really only it.