A 3-Year-Old Boy Who Couldn’t Sleep

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Who doesn’t love sleeping? But what if one wants to sleep but can’t fall asleep? The body is tired, but the brain wants to stay awake… sounds fictitious, though!

But it is not so unreal. Doctors were baffled by the case of a 3-year-old boy, Rhett Lamb, who couldn’t fall asleep.

His mother, Shannon Lamb, while explaining the consequences of lack of sleep, said:

“His body would give out, but his mind wouldn’t; he’d still be awake. He’d still be alert. It was extremely scary. He was in a bad mood all the time. He couldn’t play; he didn’t interact with other children. His frustration level was so high, and it just kept getting worse and worse and worse. He couldn’t communicate with anyone. It was heartbreaking.”

The inability to sleep at night made Rhett tired and frustrated during the day. He would get cranky, and his temper got bad to the point that his mother would hit him.

“He would hit you, he would bite you, he would head-butt you and anything else around him, and you didn’t know from one minute to the next what was going to happen,” his mother said.

Rhett’s dad, David Lamb, seconded what Rhett’s mother said, by saying:

 “It was like he was losing his mind, and there was nothing we could do to help him.”

His parents admitted that Rhett would require constant supervision, so they both had managed their work schedules in a way that one of them could stay back home to look after Rhett.

His mother added:

“You get to the point where you can’t function anymore, and you can’t think straight, and you get up in the morning, and you take a shower to go to work, and you drive to work, and you’re a robot. You are an absolute robot. And then you dread coming home ’cause you know it’s the same thing.”

Rhett’s journey was not only about the frustration of not being able to sleep, but the countless visits to different doctors to find out the reason behind his insomnia. After years of struggle and dozens of different diagnoses, the insomniac boy was diagnosed with Chiari malformation.

Image Source: Kids Health

Chiari malformation, in a lay-man terminology, is a condition in which the brain tissue extends (displaces) into the spinal cord. The disease didn’t even steal his sleep but also led to abnormal growth. His milestones and behavior were that of an 18-year-old boy who couldn’t speak or compete with his peers.

Rhett was scheduled for surgery to correct the displacement, but the surgery had only a 50% chance of being successful, so the chances of Rhett being able to sleep were also 50%.

Despite the reservations, the parents decided to go ahead with the surgery, and Rhett was successfully able to sleep through the night. A proper sleep throughout the night improved his behavior too.

After the surgery, a substantial improvement was noticed. Besides proper sleep, his growth started to pick up, and within a period of few months, he was able to catch up with his peers.

His mother gladly said:

“You couldn’t give him a hug or touch him or anything, and now he walks through the door and wants a big hug, and it’s heartbreaking at this point because you just look at him and think, ‘This is something I never thought I would have.'”

Source: https://abcnews.go.com/GMA/Sleep/medical-mystery-boy-sleep/story?id=4828035

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Dr. Arsia Parekh
Dr. Arsia Hanif has been a meritorious Healthcare professional with a proven track record throughout her academic life securing first position in her MCAT examination and then, in 2017, she successfully completed her Bachelors of Medicine and Surgery from Dow University of Health Sciences. She has had the opportunity to apply her theoretical knowledge to the real-life scenarios, as a House Officer (HO) serving at Civil Hospital. Whilst working at the Civil Hospital, she discovered that nothing satisfies her more than helping other humans in need and since then has made a commitment to implement her expertise in the field of medicine to cure the sick and regain the state of health and well-being. Being a Doctor is exactly what you’d think it’s like. She is the colleague at work that everyone wants to know but nobody wants to be. If you want to get something done, you approach her – everyone knows that! She is currently studying with Medical Council of Canada and aspires to be a leading Neurologist someday. Alongside, she has taken up medical writing to exercise her skills of delivering comprehensible version of the otherwise difficult medical literature. Her breaks comprise either of swimming, volunteering services at a Medical Camp or spending time with family.

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