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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Anthony's 51 patient day

Anthony chronicled his 51-patient day.

No matter how many patients you want to see, how many days a week you want to work, whatever your goals are...EXSTORE™ gives you the ability to see more patients in less time while getting even better results.

00:02:57
50 today, 50 three days ago

You can see as many patients as you want if you learn the Exstore system to the level that you master it. And the best way to master it is come to the clinical intensive this October. There’s two spots left and there’s nothing that can replace this intensive learning experience . You will treat over 60 patients in two days. There’s nothing else like it and no other instructor anywhere in the world is offering anything close to this.

00:00:51
50 patient day

A word for Dr. L after seeing 50 patients.

00:01:00

📱 What repeatable systems have helped increase your clinic’s inbound calls?

For many months, my clinic has averaged only about 20–25 inbound calls per month in total with about 50 outbound calls.

This includes calls from new patients, current and returning patients, insurance inquiries, scheduling questions, spam, and general calls.

My average new-patient volume is 7.14 patients per month.

Because this has been a consistent pattern rather than a temporary slowdown, I’m looking for repeatable systems that can generate more qualified inbound calls each month.

This is one of my main bottlenecks.

For those willing to share:

What consistently generates calls for your clinic?

How do you stay in contact with former patients?

Do you have a referral, reactivation, community outreach, advertising, or content system that you repeat each month?

Which activities have produced a measurable increase in calls or new-patient appointments?

I’m especially interested in systems that can be tracked and ...

August 04, 2026
Post Shingles Pain + Live Lab

Join us this Saturday for a free webinar for post shingles pain: Assessment, Pathophysiology and Evidence-Based Acupuncture Management. This webinar is followed by live lab!
📅: Saturday August 8th 2026
⏰: 1:30pm EDT

Must register to attended:
https://us02web.zoom.us/meeting/register/EXweYis1QvOvmayxF_sVSw

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Spinal Stroke

I have a patient who had a spinal stroke at C3-4. He has numbness and tingling through his left arm and leg, weakness in left glutes. I have done upper and lower perfusion treatment on him twice a week for the last 3 mos. He has had some improvement. Should I also be doing any local channel points, scalp points? Anything else other than perfusion?

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