A Moment of Destiny
- Richard M Fleming, PhD, MD, JD

- Oct 21
- 3 min read
Updated: Oct 25
The image of Excalibur withdrawn from the stone is a single decisive act that separates the ready from the unready, the committed from the hesitant, and the leaders from the followers. Tie the act of withdrawing Excalibur to adopting FMTVDM FRONTIER and ITIRD-aware calibration: a sovereign choice that declares a nation prepared to claim medical mastery, stewardship of population health, and moral leadership in the next era of medicine.
Excalibur as a National Mandate for Precision Medicine
• Excalibur equals commitment: Withdrawing the sword is a public stake in a new order. Adopting FMTVDM FRONTIER is that stake for healthcare — a visible, irreversible acceptance of calibrated, quantitative diagnostics as national standard.
• Excalibur equals legitimacy: Only those who accept objective, traceable metrics and ITIRD-aware protocols gain the right to lead clinical decisions, regulatory approvals, and therapeutic rollouts.
• Excalibur equals stewardship: The act signals that a country will protect its citizens by investing in tools that reduce morbidity, mortality, and costs through earlier, accurate detection and rapid evaluation of new treatments.
The Hero’s Journey Applied to National Health Systems
• The Stone: Centuries of entrenched, subjective treatment and imaging habits and semi-quantitative SUV models that obscure true physiology and slow progress.
• The Pull: Visionary leaders, clinicians, and policymakers recognize the cost of inaction and reach for transformation by committing to national calibration and FMTVDM FRONTIER protocols.
• The Draw: With calibration, A.I.2 proprietary analytics, and a national database, the nation removes the barrier to objective medicine — the decisive draw of Excalibur.
• The Reign: The country becomes a guardian of population health, accelerating safe therapies, lowering cost, and commanding scientific authority on the world stage.
Practical Parallels Between Excalibur and FMTVDM Adoption
• A Clear Test of Worth: Excalibur’s single metric — the ability to draw — mirrors FMTVDM’s single proof of readiness — adoption of calibrated, traceable imaging that yields absolute values across machines and sites.
• Ceremony and Standards: Just as Excalibur’s draw was public and legitimizing, national adoption requires transparent standards, accredited calibration, and public reporting that establishes trust.
• Guardianship Over Time: The wielder of Excalibur is entrusted to lead; adopting FMTVDM creates institutional guardianship over a national health data asset that guides policy for generations.
A Strategic Playbook for Withdrawing Excalibur
1. Publicly declare the national intent to adopt quantitative calibration and FMTVDM FRONTIER standards and licensure.
2. Establish accredited centers as the “keepers of the stone” to certify calibration and protocol fidelity.
3. Integrate A.I.2 analytics under national governance to convert calibrated outputs into standardized biomarkers.
4. Launch a visible, symbolic rollout — a national ceremony or signature policy that marks the moment the country has “withdrawn Excalibur.”
5. Use the national database as the sovereign blade to slice through uncertainty in trials, reimbursement, and public health decisions.
Closing Charge
Withdraw Excalibur now and become a member of the Three Nations. Let that decisive act declare your nation ready to lead: calibrated cameras, ITIRD-aware quantitative imaging, A.I.2-powered insight, and a national database that together transform diagnosis, therapy evaluation, and public health. The future of medicine will not bend to those who hesitate; it will crown those who act. Pull the sword, raise the standard, and rule the next age of precision medicine.





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