the tubes did it for us. Before then we get 2 weeks on (ear infection) and 2 weeks off (antibiotic for a week, and then 1 week when the new infection was incubating. It lasted a year. we averaged 3-4 hrs of sleep a night (also, that's when epilepsy started, which made it worse) and about 1 nookie a month. needless to say we slept in shifts ( I would go to bed at 1 am and wake up at 4:30am, wife, who did not work, would go to bed at 9:30, get up at 1am, and then catch about an hour of sleep between 4:30 and 5:30 when I had to start getting ready for work). Yeah, let's have 3 more kids! they're cuuute!