Dr. Anthony Lombardi
Science & Tech • Fitness & Health
A community for Acupuncturists to learn and receive support about physical assessment, electro-acupuncture, motor point acupuncture, orthopedics, case studies, and much more.
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Stay true to the system and it won’t let you down

Why crowdsourcing treatment advice almost never works

It’s exhausting when you don’t have a system to work within. When every patient that comes in is like starting over and not knowing what to do. Every treatment is guesswork and not knowing if something will work, or why it did one time and not another. Or worse yet, why what you’ve used before flared up this new patient.

Too often practitioners work on assumptions or guessing. They base treatment on what worked for a past patient, or because a colleague said it worked on their patient.

And much of these recommendations come from Crowdsourcing for treatment advice on social media. I started a group that has over 7500 members. But I had to get away from it.

The issue is, absent using a working system, crowdsourcing is ineffectual at best, and reckless at worse. It was the same thing over and over. Tons of people hopping in offering random suggestions absent any real case history, and it was all piecemeal. It was unhelpful and only confused the practitioner who posted the original question even more. The practitioner wasn’t taught how to fish. They were just fed temporarily. But even worse, the fish wasn’t even edible. (Ok enough analogies)

Can you imagine if your patient knew you were trying some random technique because another practitioner offered advice on Facebook?! When you think about it that way it’s pretty crazy.

But asking for advice CAN be helpful when it’s done in a certain way. Asking questions on a forum is much more valuable when it’s within a system and we’re speaking the same language. You can build within a system. You can make sense of the patient when you have a base of knowledge to work from. When someone posts a history of the patient, better advice can be offered. This also helps practitioners grow and not just have a crutch. I want practitioners to ask questions and learn more than just “here try this”. It’s much better to know the why and empower them to be more self sufficient…to grow into getting the answers themselves and knowing how to find them. Offering treatment advice is much more profound in this way.

A forum works much better this way and it works extremely well on our Locals community, where EXSTORE is the system that everyone works under. Its just a more responsible - and very effective - way of running a forum.

Size doesn’t matter. Having a smaller more effective community is better. The community continues to grow, but not just for the sake of growth.

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August 16th & 23rd at 3:30pm EDT!

Everyone needs to get to these August labs—this is your chance to bring your toughest patient cases straight to Anthony and get real answers. Come for solutions, stay for the kind of knowledge that takes your practice to the next level. 🏆

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Hi @Exstoreman , I have come across my first case of notalgia parasthetica . He’s has a persistent itch in the left intrascapular region at around T6 level ( about the diameter of a golf ball). It started 9 months ago after a bad sunburn. It’s not actually the reason why he’s seeing me but he mentioned he had this annoying persistent itch and that’s what I think it is. He’s seeking treatment for muscular tension in the neck and shoulders and he also suffers from cluster headaches ( hasn’t had any for 5 months). But my question is for the notalgia parasthetica: I’m using T6-9 HJJ (no estim) for that . Any other tips? Can I expect full resolution with consistent treatment?

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Are you Bored, Burned Out? Is it Time to Specialize?

Comment below on this post on how you're doing - and be honest! Are you feeling kind of blah about practicing? Feeling stuck? Not sure if you're bored or burned out? And are you tired of seeing certain patients, maybe you find them exhausting, but you're not sure how to say no?

It may be time to specialize. Comment below and let me know if you'd like a webinar on this. We can get you excited again to practice!

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