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Why didn’t someone discover ITIRD and FMTVDM before Dr. Fleming?

  • Writer: Richard M Fleming, PhD, MD, JD
    Richard M Fleming, PhD, MD, JD
  • Sep 21, 2025
  • 4 min read

Updated: Oct 25, 2025

This question recognizes the significant advancement that Dr. Fleming's InflammoThrombotic Immunologic Response (ITIR) Disease (ITIRD) Theory and FMTVDM patent provide. A once in a century advancement not previously understood.

 

As Dr. Fleming notes during his presentations "All truths are easy to understand once they are discovered; the point is to discover them." (Galileo Galilei).

 

Like Galileo, Hubble, Einstein, Semmelweis, Bentham, Socrates, Hippocrates, Sterne, Sargent, Aristarchus of Samos, Wegener, Clause, Shannon, Lavoisier, Neumann & Nash, and others - paradigm shifts are shifts in the paradigm because they had not previously been recognized, but once recognized, they become obvious.

 

When ITIRD is first discussed, many people will say "Inflammation and Heart Disease" demonstrating they do not understand the important interplay between "Inflammation", "Thrombosis" and the "Immune System", just as they do not understand the multiple factors responsible for these ITIRD changes.

 

Failure to delve below surface ideas, all too often limits our understanding of any problem and it limits our ability to find solutions to problems. Advancements in science, including medicine, requires a deeper investigation into the causes of disease, as well as how to find and treat those health problems. The deeper we go, the greater our understanding of the ITIRD process becomes, providing the much-needed information explaining "why" our health can become compromised.

 

When FMTVDM is first discussed, all too often clinicians, scientists and others fall back on the idea of diagnostic and treatment mistakes - recognizing a fundamental problem underlying our prior developments in diagnostic evaluations and treatment decision making. This is demonstrated when people ask what the sensitivity (ability to find a problem) and specificity (ability to exclude a problem) of FMTVDM is? FMTVDM is not plagued with sensitivity and specificity problems. These errors occur when our minds are set to a yes/no - on/off – approach to solving a problem or answering a question. Like a light switch, turned on or off, the question can be asked "Is the light on or off?

 

FMTVDM is more than a yes/no – on/off – picture. FMTVDM is a measurement, requiring calibration. The question of FMTVDM accuracy was one of the first questions addressed by Dr. Fleming, as he recognized the need for standardization/calibration of the nuclear cameras. Prior to Dr. Fleming it was assumed, without evidence to support the assumption, that what was detected by the nuclear camera and reported to the nuclear computer, to make the images, was in fact reality. As Dr. Fleming demonstrated, this assumption was and is incorrect.

 

Once Dr. Fleming corrected these calibration errors, accuracy (not sensitivity/specificity) was no longer a concern. FMTVDM - like a rheostat - measures changes in tissue health (metabolism and blood flow) that occur across a continuum. Clearly people do not go from being healthy to having myocardial infarctions (heart damage) or cancer – there are transitional changes that occur; changes that cannot be measured with an on/off light switch approach.

 

Our question is no longer limited to, or plagued by, the yes/no, light on or off approach. Just as a rheostat can be adjusted for increasing or decreasing levels of illumination (the analogy of change in metabolism and blood flow), allowing us to see differences in levels of light – rather than just the presence or absence of light; so too does FMTVDM measure these sequential changes in tissue metabolism and blood flow produced by the ITIR.

 

This FMTVDM rheostatic measurement, also allows us to determine if a treatment is working for a given individual, for that individual’s specific health concern, by measuring the impact of the treatment on tissue metabolism and blood flow; i.e. health problem.

 

It is easy for us to believe we fully understand something, allowing us to reject a paradigm shift in mindset, particularly if we have a vested interest in the outcome answer. It is harder to challenge ourselves or question that which we believe, or have been taught, and yet it is not uncommon for people to appreciate that what they learned earlier in life, might very well be wrong as they add to their fundamental knowledge and experience. A classic example is the Bohr model of the atom, taught to every student taking a chemistry class. While many people think this is what an atom looks like, the Bohr model is simply wrong. It is nonetheless the first phase of teaching you something, that you might not otherwise understand. Armed with this wrong model of an atom, many people are satisfied. However, if you work in physics or other fields requiring a deeper understanding of atoms, you will ultimately discover that the Bohr model is wrong. Only by discarding the errors of what you had been taught can you possibly move forward, or be shackled to the errors of the past.

 

Consequently, it is easy to respond to a paradigm shift with resistance rather than recognition.

 

As you read through the example of the rheostat, you undoubtedly began to appreciate FMTVDM's ability to accurately measure changes in tissue metabolism and blood flow - changes produced by the ITIR. However, if you had never seen or heard of a rheostat, or if the rheostat had never been invented, you would not have understood this example explaining the FMTVDM and ITIRD paradigm shift.

 

"All truths are easy to understand once they are discovered; the point is to discover them." The answer to why the ITIRD Theory and FMTVDM had not previously been discovered is simple. Truths are only discovered by people who are uncomfortable enough to question what they were taught or believe and are willing to allow the truth to teach them.  Like Hubble, Einstein, Semmelweis and others before him, Fleming was uncomfortable enough to ask questions. Those questions provided answers that disagreed with what he had been taught or was led to believe was true. Like others he had the option of rejecting the truth or following where it led him. Like many before him, he chose to follow the truth, and that truth led to ITIRD and FMTVDM.  

 

Measuring ITIRD Health Problems with FMTVDM Defines a Person's State of Health Across of Continuum of Change.
Measuring ITIRD Health Problems with FMTVDM Defines a Person's State of Health Across of Continuum of Change.

 
 
 

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