Final answer:
The patient is alert all the time due to increased levels of cAMP caused by coffee consumption.
Step-by-step explanation:
The patient in this case is alert all the time because of increased levels of cAMP. Coffee contains a substance called caffeine, which acts as a phosphodiesterase inhibitor. Phosphodiesterase breaks down cAMP, a molecule that helps regulate alertness and sleep. By inhibiting phosphodiesterase, caffeine increases the levels of cAMP in the brain, leading to increased alertness.