Even though there are also reports of MSG sensitivity among a subset of the population, this has not been demonstrated in placebo‐controlled trials. Controversy
Origin
The controversy surrounding the safety of MSG started on 4 April 1968, when Dr. Robert Ho Man Kwok wrote a correspondence letter to the New England Journal of Medicine, coining the term "Chinese restaurant syndrome". In his letter, Kwok suggested several possible causes before he nominated MSG for his symptoms. This letter was initially met with insider satirical responses, often using race as prop for humorous effect, within the medical community. Some claimed that during the discursive uptake in media, the conversations were recontextualized as legitimate while the supposed race-based motivations of the humor were not parsed.In January 2018, Dr. Howard Steel came forth claiming that it was actually a prank submission by him under a pseudonym. However, it turned out that there was a Dr. Robert Ho Man Kwok who worked at the National Biomedical Research Foundation, both names Steel claimed to have invented. Kwoks children, his colleague at the research foundation, and the son of his boss there confirmed that Dr. Robert Ho Man Kwok, who had died in 2014, wrote this letter. After hearing about Kwoks family, Steels daughter Anna came to believe that the admission that the letter was a prank was itself one of the last pranks by her late father.The claims of Chinese restaurant syndrome have the same symptoms as hypernatremia, so it may actually be salt poisoning.
Opioids, in overdose or combined with other depressants, are notorious for such fatalities. Treatment
Respiratory stimulants such as nikethamide were traditionally used to counteract respiratory depression from CNS depressant overdose, but offered limited effectiveness. A new respiratory stimulant drug called BIMU8 is being investigated which seems to be significantly more effective and may be useful for counteracting the respiratory depression produced by opiates and similar drugs without offsetting their therapeutic effects. If the respiratory depression occurs from opioid overdose, usually an opioid antagonist, most likely naloxone, will be administered. This will rapidly reverse the respiratory depression unless complicated by other depressants. However an opioid antagonist may also precipitate an opioid withdrawal syndrome in chronic users. Mechanical ventilation may still be necessary during initial resuscitation. Associated conditions
Disorders like congenital central hypoventilation syndrome (CCHS) and ROHHAD (rapid-onset obesity, hypothalamic dysfunction, hypoventilation, with autonomic dysregulation) are recognized as conditions that are associated with hypoventilation. CCHS may be a significant factor in some cases of sudden infant death syndrome (SIDS), often termed "cot death" or "crib death". The opposite condition is hyperventilation (too much ventilation), resulting in low carbon dioxide levels (hypocapnia), rather than hypercapnia. See also
Dyspnea
Hyperventilation
List of terms of lung size and activity


== References ==