A listener writes in after being told they had stage four lung cancer and six to eight months to live. Dr. Lodi answers with arithmetic. Picture a doctor, he says, telling a hundred patients they will be dead by a certain date unless they do as he says: eighty agree, twenty walk out, and from that point the twenty are "lost to followup", so that doctor has no data on the ones who refused. "You're wearing a white coat, they call it a medical opinion," he says. "You're not wearing a white coat, they call it a lie." He calls a prognosis a prediction, and a prediction a guess.
The longest block of the show stays with that letter. He takes the four stage system apart and argues that by the time one colony of what he calls chronically fermenting cells is found, others are already elsewhere, held back by signals from the dominant one, and a biopsy or a removal lifts that brake. He allows one exception, for surgery on a mass blocking a vital function or one that is extremely painful; on a biopsy he allows none. He files the big cancer centers together: "they're all Toyota dealers". The letter goes on to immunotherapy, Addison's disease and steroid replacement, and its line about needing meat for protein opens the protein argument, where his position is that we need not protein but nine essential amino acids, which he says the largest animals get from plants. As he puts it, "It takes seven lions to bring one elephant down."
The show also covers itching and burning at night on a parasite protocol, whether AI will replace doctors, which he thinks it will while calling it "artificial idiots", a listener switched from pork insulin to a synthetic version who says they feel terrible, chronic lymphocytic leukemia and methylene blue, Crohn's, a tumor entangled in the brachial plexus in a listener with breast cancer, and non-alcoholic fatty liver. He ends on language, and on what he says he is after: restoring balance and health.
Covered in this episode
- Itching and burning on a parasite protocol
- What stage four means, and what he says it misses
- Why he calls a prognosis a guess
- Addison's disease after immunotherapy
- What he says we need instead of protein
- Whether AI will replace doctors
- Type 1 diabetes and the switch from pork insulin
- Chronic lymphocytic leukemia and methylene blue
- Crohn's and what he calls dysbiosis
- A tumor entangled in the brachial plexus
- Morgellons and what listeners report
- Non-alcoholic fatty liver
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