Hmm, Is this an old story or a recent one, as I have heard of this happening to someone before who was either playing counter strike or starcraft.
Anyway, you should not die because you stay awake for 48 hours should you? That said, he may have been awake a long time prior to this stint. I think people do suffer more quickly from lack of sleep than lack of food or water. I hear you will die more quickly from lack of the former.
I used to routinely pull "all nighters" if I had a deadline. Once, I did 72 hours, and having got my work in, went out for beers afterwards but I felt VERY VERY sh*t. You certainly "feel" the strain in your chest and you generally fell tired etc, but you can get a "second wind".
I havent pulled that kind of thing in ages though, I dare not, now I am older.
Many people work long shifts, some younger doctors, very long periods.
Interesting subject though, I would be inclined to think he had an underlying heart condition maybe.
Also, sleep is important for physiological as well as psychological reasons. When you are asleep, your lymph drains from your lower body, the immune system recovers and all sorts of other things happen.
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