Dr A G Alias

About the author

Aikarakudy Alias

The details of my autobiographical account may be irrelevant to many readers and may be disregarded, what I posted below in small letters, along with other matters, the latter may or may not be relevant to the readers:
I am a retired Indian American psychiatrist, arrived in the USA in 1971. I have over fourteen, (only but) mostly single-author publications to my credit, including a short one in The Lancet – “Androgen- Dysgenesis: A Predisposing Factor in Schizophrenia?” (1972), which is more relevant now, with the discovery of neuroactive sex-steroids in the brain than in the 1970s when some complex combination of hyper as well as hypoactivity in the dopamine system in critical brain sites was seen as the determinant of 1 schizophrenic psychopathology.
I sensed schizophrenia more as a quantitative variation from a “mean normal” psyche rather than as a qualitative variation. Behavioral scientists by and large, however, view schizophrenia more as a qualitative variation with hallucinations and delusions, so do the educated lay public. Genetic studies of the recent past, however, seem to cast doubts on a too narrower view of schizophrenic psychopathology, to confine the search in the dopamine system. Besides, neuroactive steroids influence the “dopamine system,” as well as other neurotransmitters in a variety of ways.
A prominent Ayurvedic physician in Kerala treated me in 1952, for my migraine with a medicated oil to be applied on the scalp, along with some other Ayurvedic medicines including a purgative. He strongly advised me against engaging in both mental and physical heavy work. I took it to heart, “forcing” myself to be lazy, without sensing that I was already habitually lazy, and becoming still lazier ever since. But my migraine disappeared except once when I was ‘burning midnight oil’ while preparing for a midterm college examination/test. Some readers may be interested in this elaboration: Before I ever experienced my migraine “attacks,” if I took a nap during the daytime, I sensed unusual nausea after I woke up. I then automatically [without any training] and forcefully would exhale through my nose, which was audible to others. Eventually, the nausea would go away, and I would feel normal. Amitriptyline also had relieved my nausea, if I occasionally experienced it, even now. The medicated oil when applied to the scalp had also relieved my nausea-like sensation, in addition to relieving my migraine, though not instantly.) Since around age 16, nevertheless, I developed an extraordinary confidence in my intuitive reasoning ability – my hypomania may have enhanced this confidence. Periodically, however, the recognition of that dormant schizophrenia (schizotypy) challenged that confidence. I have also been quite low in likeability. Not infrequently, I tend to bring out the worst instincts in people I interact with (as confirmed by my wife, since 1969), though rather rarely, people do appreciate me, very much so, nonetheless – Schizotypy tends to diminish likeability, while hypomania enhances it. I had very few if any close friends. And I tend to bore people too often. And when I begin to voice an opinion, the listeners often would look for ways to refute me, as if I had no right to opine on anything, unless I am (very rarely) unusually articulate. Though many experts in behavioral science have trashed my theory on the schizophrenic psychopathology, late Prof. George Ulett, MD, PhD (who lived until 97), of the University of Missouri commented (Nov. 3, 1999), on my 12,000-word-manuscript, “I found your excellent paper to be most interesting.… Your hypothesis has importance not only for schizophrenia but also for greater understanding of mental processes and dreaming.” I published that paper in Medical Hypotheses, 2000;54(4):537-552.
I published another single-author, short paper in The New Eng. J. Medicine (1985), on the unique value of sugar as the cheapest source of (protein-sparing) calories (the caloric yield per hectare for sugarcane is several fold greater than that for rice, wheat or corn) which can be stored and transported without getting spoiled, indefinitely, as a cheap source of calories particularly in famine-stricken areas (since sugar WAS considered a luxury food item for centuries, it is quite difficult to view sugar as a CHEAP article of food) – About 20% of the calories of “high protein” nutritional supplements, such as Ensure or Boost, has been from sugar, including “Africa’s miracle food” Plumpy’nut, despite a popular notion that sugar is “toxic” – 93-year-old Warren Buffett, in good physical and mental health, consumes some five cans or equivalent of regular cherry-coke (700 Cal.) daily! In 2015, Buffett told Fortune he was “one-quarter Coca-Cola.”
When caloric intake is limited, tissue protein would be robbed to maintain blood sugar and to synthesize peptides for immune functions, etc. So, adequate intake of, not excess, calories are necessary. Increased protein intake under limited caloric intake won’t help much. In 1974, a paper in The Lancet, entitled, “The Great Protein Fiasco” was quite critical of the public’s obsession with protein. I wish, in famine relief camps, 10-30% of the calories the residents are fed were from sugar, say as soda, (about U.S. 18.00 cents/1,800 Calories) to reduce the cost, also to limit contamination. I have also made some thirty (mostly, poster) presentations at various medical conferences, the abstracts of them have been published in different medical journals.
Saturday, July 6, 2024 Basic Website Questionnaire Name Aikarakudy Alias Book Title Vastly Discordant Remunerations: Case for Modestly Higher Progressive Taxation Genre socio-economic, political or social commentary Receiver email for customer inquiries: aliasag@yahoo.com Disclaimer: By clicking the submit button, you hereby declare that all the information on the form is correct. Any changes after the form is submitted may incur additional charges. Moreover, service/s can no longer be refunded. Brief Synopsis of the Book: This book discusses the disparity in remunerations received by workers with comparable skills and effort, say fast food cooks without job security and “union” auto workers, with significantly higher pay as well as job security, or between an average worker and the CEO, who admittedly has superior “skills,” of a given company, which was about fifteen times in 1965 as opposed to currently at about 350 times. Taxes the CEOs pay are substantially less now, percentagewise, than they paid in the 1960s, or until 1988, when the Reagan tax-cuts took effect. During the 1940s and 1950s, the top marginal income tax rate was 90+%, on over around $4 million, which was then reduced to 70% on over around $1 million, both in 2020 dollars. A top rate of 50% on the top 0.1% of all incomes. And four other rates of 40%, and 45% between 37% and 50%, as well as a 60% rate of on over $25 million and 70% rate on over $50 million are suggested, the latter two either as temporary or permanent, as opposed to 91% during the entire eight years of Eisenhower presidency, in the 1950s. The reduced taxation on investment incomes, etc. ought to end when incomes cross about $300,000. Furthermore, a moderate wealth tax, akin to what Sen. Elizabeth Warren suggested, which could replace the inheritance tax if programed well, which could also be a selling point. Specific Instructions: NA Preferred Domain Name: agalias.com Preferred Domain Name (option 2): aliasag.com Author Bio: The details of my autobiographical account may be irrelevant to many readers and may be disregarded, what I posted below in small letters, along with other matters, the latter may or may not be relevant to the readers: I am a retired Indian American psychiatrist, arrived in the USA in 1971. I have over fourteen, (only but) mostly single-author publications to my credit, including a short one in The Lancet – “Androgen- Dysgenesis: A Predisposing Factor in Schizophrenia?” (1972), which is more relevant now, with the discovery of neuroactive sex-steroids in the brain than in the 1970s when some complex combination of hyper as well as hypoactivity in the dopamine system in critical brain sites was seen as the determinant of 1 schizophrenic psychopathology. I sensed schizophrenia more as a quantitative variation from a “mean normal” psyche rather than as a qualitative variation. Behavioral scientists by and large, however, view schizophrenia more as a qualitative variation with hallucinations and delusions, so do the educated lay public. Genetic studies of the recent past, however, seem to cast doubts on a too narrower view of schizophrenic psychopathology, to confine the search in the dopamine system. Besides, neuroactive steroids influence the “dopamine system,” as well as other neurotransmitters in a variety of ways. I have been suffering from an enduring depression, which was mixed with an underlying hypomania, so to speak, almost all my life, which I suspected could also be a case of dormant schizophrenia. But this dormant schizophrenia helped me, I believe to develop a better insight into the psychopathology of schizophrenia. I had a fairly typical migraine with aura, in the form of scotoma, since age 15. (Since 1965, I have been taking smaller doses of amitriptyline, works as a prophylactic to migraine, and other antidepressants [higher doses induced anxiety, becoming tongue-tied while speaking], as well as a tiny dose of a long-acting benzodiazepine, like Valium, just 1 mg daily lately; both of which have been substantially beneficial, though medication has its limitations – Until 1971, I took 15 mg of phenobarbital, when I needed to speak to an audience, which eased my stage fright. A prominent Ayurvedic physician in Kerala treated me in 1952, for my migraine with a medicated oil to be applied on the scalp, along with some other Ayurvedic medicines including a purgative. He strongly advised me against engaging in both mental and physical heavy work. I took it to heart, “forcing” myself to be lazy, without sensing that I was already habitually lazy, and becoming still lazier ever since. But my migraine disappeared except once when I was ‘burning midnight oil’ while preparing for a midterm college examination/test. Some readers may be interested in this elaboration: Before I ever experienced my migraine “attacks,” if I took a nap during the daytime, I sensed unusual nausea after I woke up. I then automatically [without any training] and forcefully would exhale through my nose, which was audible to others. Eventually, the nausea would go away, and I would feel normal. Amitriptyline also had relieved my nausea, if I occasionally experienced it, even now. The medicated oil when applied to the scalp had also relieved my nausea-like sensation, in addition to relieving my migraine, though not instantly.) Since around age 16, nevertheless, I developed an extraordinary confidence in my intuitive reasoning ability – my hypomania may have enhanced this confidence. Periodically, however, the recognition of that dormant schizophrenia (schizotypy) challenged that confidence. I have also been quite low in likeability. Not infrequently, I tend to bring out the worst instincts in people I interact with (as confirmed by my wife, since 1969), though rather rarely, people do appreciate me, very much so, nonetheless – Schizotypy tends to diminish likeability, while hypomania enhances it. I had very few if any close friends. And I tend to bore people too often. And when I begin to voice an opinion, the listeners often would look for ways to refute me, as if I had no right to opine on anything, unless I am (very rarely) unusually articulate. Though many experts in behavioral science have trashed my theory on the schizophrenic psychopathology, late Prof. George Ulett, MD, PhD (who lived until 97), of the University of Missouri commented (Nov. 3, 1999), on my 12,000-word-manuscript, “I found your excellent paper to be most interesting.… Your hypothesis has importance not only for schizophrenia but also for greater understanding of mental processes and dreaming.” I published that paper in Medical Hypotheses, 2000;54(4):537-552. I published another single-author, short paper in The New Eng. J. Medicine (1985), on the unique value of sugar as the cheapest source of (protein-sparing) calories (the caloric yield per hectare for sugarcane is several fold greater than that for rice, wheat or corn) which can be stored and transported without getting spoiled, indefinitely, as a cheap source of calories particularly in famine-stricken areas (since sugar WAS considered a luxury food item for centuries, it is quite difficult to view sugar as a CHEAP article of food) – About 20% of the calories of “high protein” nutritional supplements, such as Ensure or Boost, has been from sugar, including “Africa’s miracle food” Plumpy’nut, despite a popular notion that sugar is “toxic” – 93-year-old Warren Buffett, in good physical and mental health, consumes some five cans or equivalent of regular cherry-coke (700 Cal.) daily! In 2015, Buffett told Fortune he was “one-quarter Coca-Cola.” When caloric intake is limited, tissue protein would be robbed to maintain blood sugar and to synthesize peptides for immune functions, etc. So, adequate intake of, not excess, calories are necessary. Increased protein intake under limited caloric intake won’t help much. In 1974, a paper in The Lancet, entitled, “The Great Protein Fiasco” was quite critical of the public’s obsession with protein. I wish, in famine relief camps, 10-30% of the calories the residents are fed were from sugar, say as soda, (about U.S. 18.00 cents/1,800 Calories) to reduce the cost, also to limit contamination. I have also made some thirty (mostly, poster) presentations at various medical conferences, the abstracts of them have been published in different medical journals. 2 Owing to a series of misfortunes, along with faulty judgments on my part, I couldn’t get a stable academic appointment in any American universities, though I had an Emeritus Professor (biochemistry) status in an Indian (Amrita, Kochi) University – I have a doctoral degree in biochemistry in the Faculty of Medicine from the University of Kerala, 1970, secured only with my second attempt.
I may add, I haven’t been that good a student. I was about average, throughout. I am a very slow reader. I had repeated first & third grades, partly because of attendance deficiency; I was away. I passed my Psychiatry boards in 1979, only at the fifth attempt; I took MRC-Psych examination but couldn’t make it. For SSLC (Secondary School Leaving Certificate, 1953), however, my rank was 6th of 135 students; and I was among the top third for MBBS (equal to MD/DO, in the U.S.). I have also published several articles in Indian lay press on how to revise the Indian Constitution from a dangerously unstable Parliamentary system to a more stable Presidential system as in the U.S., but substantially modified – Prime Minister’s power is too elastic, from that of a mere puppet if their parliamentary majority is precarious, to that of a dictator if their parliamentary majority is comfortable as well as in a strong personality, when the Prime Minister controls both the executive and the legislative branches of the state. (The President controls only the “Executive” branch.) Both Jawaharlal Nehru and Indira Gandhi had, and used dictatorial powers, so has Narendra Modi, but in between there were Prime Ministers who hardly ruled, or lasted any significant length in office. The omnipotent Congress party, of the 20th century, has all but shrunk to extinction, largely because, I think Rahul Gandhi, Indira Gandhi’s grandson is a weak leader; a “substitute” leader outside the Nehru family turned out to be unacceptable to the rank-and-file Congress party members. Curiously, Sanjay Gandhi was the heir apparent to Indira Gandhi when he was living but his widow and son are regular members of the Bharatiya Janata Party (BJP), no less! But in an “immature” democracy, the President could abuse their power, as Vladimir Putin does. Then again, the title could have less relevance, dependent on the strength of the leader’s personality, charisma and eloquence. Adolf Hitler secured absolute power, even stronger than that of most monarchs, in a matter of months, as Prime Minister equivalent, Chancellor. Furthermore, in one of the most mature democracies, USA, Donald Trump almost assumed dictatorial powers! Even over three years after leaving his presidency, his hold on the Republican legislature is phenomenal! My reading is that it was a reflection of his amazingly powerful personality and charisma, albeit his mind is disordered, which makes it all the more difficult for the majority to see him that charismatic – Michael Cohen, after he split with Trump, writes in his book, Disloyal, 2020, Pp., 42-43: “I confess I never really did understand why pleasing Trump meant so much to me, and others. To this day I don’t have the full answer. In a matter of couple of months, I had started under the spell of Donald Trump. … It seemed to them [my wife and children] that I wouldn’t listen to anyone … as I gradually gave up control of my mind to Trump.”
Many scholars contend that religion is the root of all/most evils. Hindus and Muslims, besides living peacefully side-by-side for centuries, but have occasionally fought and killed each other in India, which was profound during the Partition in 1947. But Sunni and Shia Muslims have also killed each other. ISIS has been more brutal to fellow Muslims. Catholics and Protestants carried out a 30-year bloody civil war in Northern Ireland. (There have been other Christian denominations that argued and fought with each other, over the centuries) Throughout human history people fought and killed each other, which actually has been the “other side” of human tendency to congregate and enjoy each other’s company on the one hand, but then they tend to repel from one another, for one or another reason and fight and kill each other. Both instincts are natural, an example of the buffering mechanism. I may quote a couple of lines from that poem: “… I call life a pendulum, obeying the law; Happiness and sorrow are the pendulous swings. By life, excited the pendulum; By this, a solution is aspired to. Science, Philosophy, Religion, will you solve? Answer me, answer me….” Another good example is the value and convenience of plastic in everyday life, which is coming with its nuisance in the ocean and elsewhere as well as a more dangerous contamination of microplastic and probably still more dangerous nanoparticles we consume regularly, perhaps!
Trump’s silent influence on the populace who identify as Republican is amazingly strong and unprecedented! Trump’s detractors ridicule him, mercilessly so, nonetheless, as he habitually presents himself in the light of that disordered mind, but his followers (disciples, so to speak) ignored or couldn’t recognize that disorder – I may be wrong, but my diagnosis is that he has a very rare, unique case of chronic hypomania but without the inevitable depressive swings, in a narcissistic personality. Nassir Ghaemi, a prominent Iranian American psychiatrist writes in his book on leaders’ characteristics, “Depression makes leaders more realistic and empathic (Trump is exhibit ‘A’ who is devoid of empathy, and he refuses to accept reality – he insists he won the November 2020 election, which is echoed by an amazing number of his ardent followers [!],) while mania makes them more creative and resilient.” – Trump’s prescriptions for Covid, by attacking the virus with Lysol, etc. could also be viewed as examples of his creative brainstorms but few would accept such an argument other than seeing it as purely irrational. In 1960, I wrote a poem, the only poem I have written, penning down the idea I developed a few years earlier, in which I alluded to the natural “buffering” mechanism whereby any changes to a ‘system in equilibrium’, are often accompanied by a natural canceling/depleting out mechanism inherently built into it, say as scientific progress coinciding with scientific destruction. Even religious belief systems tend to reverse their intended impacts – Conception of sin in Christianity, unlike the prescriptions for good and bad deeds in the Old Testament, is too slippery. Christ pardoned the mythical prostitute, Mary Magdalene who eventually became his disciple, no less. At the same time, he told a rich young man who adhered to all the ten commandments about strictly, to do more, a lot more by renouncing all, not half or a sizeable portion of his assets. Christ was too liberal, completely forgiving of the sinners on the one hand, as he did with the thief on his right side (St. Dismas) while he was crucified, but his demands on the righteous were too burdensome, completely divorced from his Jewish faith and its prescriptions! This illustrates the built- in, buffering mechanism even in the prescriptions of religious teachings.