The Spinoso Podcast

Everyone wants the exciting part. The wins. The momentum. The days that feel like you were born to do this. Nobody talks about the years of boring, repetitive work that had to happen first before any of that was even possible. In this episode, Amanda and I get into something most entrepreneurs won't admit: they're addicted to entertainment. The highs. The lows. The rush of solving a problem. And the moment the work turns monotonous, they call it a passion problem and start looking for the exit. I've built and rebuilt businesses across multiple states. And I can tell you without hesitation, the boring work is the only work that compounds. Passion runs out. Repetition doesn't. We talk about why grit matters more than talent, why feeling stuck is almost always just boredom in disguise, what the hockey stick of growth actually looks like from the inside, and why the people who master the mundane are the ones who end up winning. If you're waiting to feel passionate before you do the work, you're already behind. Master the mundane. That's the whole game.

Most people walked into that McDonald's and saw a burger. Ray Kroc walked in and saw a machine. Same building. Same kitchen. Same food. Completely different outcome because of one thing. Attention. In this episode, I break down why attention is the most underrated skill in business right now. Not intelligence. Not luck. Not connections. Attention. The ability to slow down, look past the obvious, and see the system when everyone else is focused on the surface. We're living in a world built to destroy your focus. Endless scrolling. Constant notifications. Dopamine on demand. And the people losing aren't losing because they're not smart. They're losing because they stopped noticing. People who don't pay attention will still pay. They'll pay in missed opportunities. They'll pay in stalled growth. They'll pay in problems they never saw coming. This episode is about training the skill that changes everything. Let's get into it.

Everyone wants the highlight reel. The viral moment. The overnight success story. Nobody talks about the part that actually builds it; the boring, repetitive, unglamorous work that happens every single day before any of that shows up. In this episode, Amanda and I get into something most entrepreneurs run from: boredom. The monotony of doing the same thing over and over. The SOPs nobody wants to write. The meetings that feel pointless. The systems that seem too simple to matter. That's exactly what builds a scalable business. I've built and rebuilt companies across multiple states. And I can tell you without hesitation, the boring work is the only work that compounds. The adrenaline runs out. The grit doesn't. We talk about why most entrepreneurs sabotage themselves chasing the next shiny thing, what mastering the mundane actually looks like in a real business, why feeling stuck is usually just boredom in disguise, and how the hockey stick only happens after a very long boring handle. If you're waiting to feel excited before you do the work, you're already behind. Boring wins. It always has.

Most people spend their whole life grinding toward something. The dream car. The dream house. The financial freedom they swore they'd have someday. And then one day it happens. You get there. You have it all. And it feels nothing like you thought it would. That's what this episode is about. Not the highlight reel. Not the cars or the house or the wins. The real conversation that nobody has after they hit the goals they spent years chasing. I bought a McLaren. A Lamborghini. A Shelby Cobra for my dad. I bought the house I used to drive past and say "someday." And I'm telling you honestly, the high faded faster than I ever expected. That forced me to ask a question most successful people are afraid to ask. Why didn't that feel the way I thought it would? The answer changed how I look at everything. Goals. Success. What it actually means to build something worth building. If you're in the middle of the grind right now, watch this. If you've already hit your goals and still feel empty, watch this even more. The object was never the point. Who you become to get there, that's everything.

Everybody is busy. Nobody has time. But I am going to tell you something nobody wants to hear. Being busy is exactly what is holding you back. I have built companies to tens of millions of dollars and I can tell you right now that busy never got me there. Productive did. In this episode Amanda and I break down the four steps I actually use to cut through the noise and move the needle every single day. Block time to think. Reverse engineer what you want. Filter the loud from the important. Execute with critical tasks. Stop confusing motion with progress. Priorities do not set themselves. You have to decide what matters. You have to build your days around that decision. And you have to stop lying to yourself that being busy means you are winning.

More goals. More habits. More plans. More routines. More systems to track, optimize, and eventually feel guilty about. But almost nobody stops to ask the more important question. What should I get rid of? In this episode, I walk you through what I call soft minimalism. Not just as a design philosophy for your home, but as a blueprint for your life. Because the truth is, most people's lives aren't designed. They're accumulated. Layer after layer of obligations, habits, and routines that made sense at some point but have been quietly draining you ever since. When you remove what doesn't belong, everything changes. Your priorities get clearer. Your focus sharpens. Your energy comes back. Clarity doesn't come from adding more systems. It shows up when the noise disappears. Your life shouldn't be empty. It should have personality, character, and the things that actually make it meaningful. But it should be built on purpose. Not just stacked together over the years. So before you add anything else, ask yourself the better question. What needs to go?

Most people are not lazy. They are unfocused. And there is a difference. In this episode of The Spinoso Podcast, Dr. Alex Spinoso and Amanda break down the four enemies of focus that are quietly costing you your time, your money, and your results. These are not obvious distractions. These are the habits and patterns that feel harmless in the moment but compound into massive losses over time. If you are a business owner, a leader, or someone trying to build something real, this episode is going to hit hard. What you will learn: The real reason you cannot say no and why it is costing you everything. How indirect communication is draining your energy and destroying your culture. Why your environment is working against you and what to do about it. The hard truth about why most people never reach their goals. Focus is not a gift. It is a decision. And it is one you have to make and protect every single day. If your results are not where they need to be, this episode will tell you exactly why.

Something changes when you start having real success. You think freedom means saying whatever you want to whoever you want. No filter. No pause. You call it confidence. But if you have to react every time something triggers you that's not freedom. That's compulsion. If your responses are automatic your emotions are in control. Not you. So the shift is simple. Pause. Create space. Don't react right away. Because real freedom isn't saying whatever comes to mind. Real freedom is choosing what doesn't come out of your mouth. And the real flex is restraint.

Everybody wants to be seen as a nice person but most people do not realize that being nice is exactly what is holding them back. There is a difference between being kind and being nice and if you do not understand that difference it will cost you your team your standards and your future. In this episode we break down what really happens when you avoid hard conversations keep the wrong people around and say yes when you should be saying no. Being nice feels good in the moment but it slowly erodes everything you are trying to build. This is about leadership. This is about accountability. This is about doing what is necessary even when it is uncomfortable. If you feel stuck in your business or your life this might be the reason why.

Most people think the problem is not doing enough, but the real issue is how much time they spend stuck trying to get everything right before they move. This episode goes straight into that. The pressure to be perfect feels productive, but it actually delays the things that create real results. We talk about how your expectations of yourself are often way higher than what anyone else sees, and how that creates hesitation and second guessing. You will hear why people rarely notice the mistakes you obsess over, and how moving forward anyway is what actually builds confidence. The conversation also shifts into what happens when other people do not meet your expectations. Not because they are trying to let you down, but because they will never be as invested as you are. We break down how to set real standards, lead with accountability, and still leave space for grace. If you have been overthinking, holding back, or feeling frustrated with yourself or others, this episode will help you reset and focus on what actually moves things forward.

Everyone wants to talk about growth and scaling but almost nobody talks about the moments where you quietly lose respect for yourself. This episode goes straight into that. The real problem is not failure or bad luck. It is when you break your own standards and start saying one thing while doing another. We talk about why integrity is the foundation of confidence and how the small daily decisions you ignore are the ones that slowly destroy your self trust. You will hear how cutting corners shows up in business and in life, and why you always know when you are not giving your full effort. This conversation breaks down the difference between holding yourself accountable and beating yourself up in a way that does nothing for your growth. It also covers why perfectionism is actually holding you back and what it really looks like to focus on progress instead. If you feel off, stuck, or out of alignment, there is a reason for it. This episode will help you identify it, fix it, and get back to operating at a level you can actually be proud of.

Most people think kids slow you down. They don't. They expose you. In this episode of The Spinoso Podcast, Dr. Alex Spinoso breaks down how raising young kids forces you to level up as a leader whether you're ready or not. Chaos, emotion, unpredictability it is all there, and it is the same game you are playing in business. You will hear real, unfiltered lessons on what parenting teaches you about leadership at a high level. Why chaos is the training ground for leaders who actually scale. The reality that logic alone does not lead people and emotion cannot be ignored. How your discipline directly impacts everyone depending on you. Why your team will never rise above the standard you live by. And how kids accelerate your growth as a leader faster than anything else. This is not about parenting advice. This is about ownership, standards, and becoming the kind of leader people follow at home and at work. If you can lead in a house full of chaos, you can lead anywhere.

Most people want access. They want proximity, attention, and a moment they can post. But they have not earned it. In this episode, I break down why I stayed away from Andy Frisella and focused on something that actually matters. I did not ask questions. I did not try to get noticed. I listened, executed, and built real results. When I finally reached out, I did not come with curiosity. I came with proof. If you want to be taken seriously by high level people, stop talking about what you are going to do. Do the work. Bring evidence. Execution is the highest form of respect.

You don't have a hiring problem. You have a placement problem. Too many business owners get seduced by technical skill and completely ignore the reality of the role. You hire a killer operator, then get pissed when they can't communicate, lead, or connect. That's on you. If the job requires human skills, hire for human skills. If it doesn't, stop forcing people into positions they were never built for. In this episode, we break down the real framework behind hiring that actually scales. We talk about why mismatching skill sets will always blow up in your face and how to properly test for emotional intelligence without overcomplicating it. We also cover the truth about "weird" high performers and where they actually belong, and why your best hires care more about growth than stability. We get into the shift from managing people to coaching and leading them, and why adaptability and accountability are the traits that future proof your business. We also get into the hard truth most owners avoid. Sometimes you hire for where you are today and you know you will replace that person later. That is part of the game. But if you want to build something real, you need to start hiring for where you are going, not where you are stuck. Because the difference between a five million dollar business and a fifty million dollar business is not strategy. It is people. And the uncomfortable part is that the people who get you to the next level are going to cost you. But if you do it right, they do not cost you. They multiply you.

You think money is the ultimate unlock? I used to think that too, until I spent two years trying to get a car. I'm sitting inside my 2024 Lamborghini Revuelto, spot number 37 in the entire United States. What getting here taught me has nothing to do with cars and everything to do with how the real world works at the highest levels. Here's the truth nobody talks about. At a certain point, people stop selling to you and start choosing you. There are rooms you will never enter just because you grinded harder. There are doors that will never open just because your numbers are good. Access is the real currency, and it's earned through reputation, relationships, consistency, and character built long before you ever need anything from anyone. In this episode, I'm sharing what I'm learning in real time about playing the long game. Why revenue matters but reputation matters more. Why grinding alone will make you rich but never make you invited. And the one question you need to ask yourself right now if you're serious about reaching the next level. This isn't a highlight reel. This is day one. And I'm committed to playing it the right way. Ask yourself: If money were removed from the equation, would anyone still want you in the room? Let's get into it.

Everyone loves to talk about remote work, hybrid teams, and the "future of hiring." But most of that conversation is disconnected from reality. In this episode, I break down what hiring actually looks like in 2026, from building remote executive teams to why most people simply can't work effectively from home. We also discuss the powerful interview question used by Elon Musk to expose whether a candidate actually solved a real problem or is just repeating something from their résumé. The truth is, the companies that win aren't hiring based on prestige, degrees, or impressive job titles. They're hiring based on skill, accountability, and whether someone can actually solve problems. I explain why skill-based hiring is replacing résumé-based hiring and how businesses should evaluate character traits like humility, grit, and the willingness to learn. We also talk about the one asset that is becoming more valuable as AI expands: human skills. Emotional intelligence, communication, presence, and the ability to read people are now premium currency in business. If you want to scale a company, build strong teams, and hire people who actually move the business forward, this episode breaks down what matters and what most companies are still getting completely wrong.

Everyone loves to talk about vulnerability. The gurus post about it. The influencers film themselves crying about it. Brené Brown built an empire on it, and good for her. But somewhere between the research and the reels, we completely lost the plot. In this episode, I'm breaking down why most of what people call "vulnerability" is actually just emotional dumping dressed up as leadership, and why there's a massive difference between the two. Your team doesn't need to know how burnt out you are on a Monday morning. They need you to show up and lead. I'll tell you exactly what real vulnerability looks like, why handling your battles in private is one of the most powerful things you can do as a leader, and how to be honest and human without turning your team into your therapy group. Be real. Read the room. And for the love of God, stop using your following as your journal. If you want to build something, lead someone, or just stop getting leadership completely wrong, this one's for you.

Everyone wants momentum. Everyone wants to move fast. But most businesses don't collapse because they moved too slow. They collapse because they moved too fast without the systems to support it. In this episode, Dr. Alex Spinoso breaks down one of the most expensive lessons in entrepreneurship: speed without structure will eventually destroy what you're trying to build. After nearly selling Genesis and stepping back to evaluate what was missing, Alex shares how rebuilding systems, processes, and the right team became the foundation for scaling a multi-eight-figure company the right way. This conversation dives deep into the realities most entrepreneurs don't want to hear. There is no perfect balance when you're building something massive. There is no overnight success. And there is no sustainable growth without slowing down long enough to design the structure that can actually hold the weight of your vision. Alex also talks about the discipline required to play the long game, why most people fail because they chase speed instead of systems, and the uncomfortable truth about competition in business. If you want to build something that lasts decades instead of something that burns out in a few years, this episode will challenge the way you think about growth, leadership, and resilience. Because the companies that win aren't the ones that move the fastest. They're the ones built strong enough to survive the long game.

Everyone wants the win. Nobody wants the loss. But the ancient Greek Olympians didn't prepare by visualizing victory. They prepared by sitting alone and imagining humiliation. Public failure. Pain. Shame. They felt it fully. Then they accepted it. And once they accepted it, fear lost its leverage. In this episode, I break down what they understood that most modern entrepreneurs refuse to admit. Fear only controls you while you're protecting a version of yourself. Once that version dies, fear dies with it. This past year was the strongest year of my life on paper. Revenue up. Growth up. Big wins. And at the same time, anxiety through the roof. Exhaustion. Betrayal. Failed deals. Lawsuits. Identity fractures. The kind of pressure that strips you down to the core. What I realized is this: the crushing season is the gift. Not because suffering is noble. Not because pain is glamorous. But because defeat produces something far more valuable than hype ever could. Clarity. Depth. Resilience. Freedom. Once you've truly been to the bottom and survived it, you stop flinching. You stop posturing. You stop asking what if this goes wrong. You already know. You've lived it. This episode is about why you should stop numbing the collapse, stop dressing it up with fake optimism, and instead go all the way down. Sit in it. Let the fear burn out. Then ask the question the Greeks asked: If this is as bad as it gets, who am I now? Because when you can answer that honestly, you finally get to play the game clean.

I forgot my own name at the start of this episode, we joked about donuts, shouted out Sugar Llamas in Heath, Texas, and then we went straight into something that actually matters. This episode is about what Stonehenge taught me about building companies. Stonehenge was not built in a summer, it was not built by one person, and it was not built perfectly. It was layered, refined, adjusted, and expanded over centuries, and that hit me hard because most founders today are trying to compress centuries into six months. They want to go viral, hit eight figures fast, open ten locations before optimizing one, and scale as quickly as possible without respecting the one thing they cannot control, which is time. No matter how much money you have, you cannot speed up time. That is the most frustrating part of business, because even when you have capital, resources, and leverage, things still require reps, iteration, feedback, and failure. In this conversation we break down why instant mastery is a social media illusion, why fast growth often builds fragile foundations, why perfection kills momentum, why ego pushes expansion instead of optimization, and why every serious entrepreneur eventually hits a moment where they think everything might collapse. If you are in that moment right now and wondering why it feels like you are getting punched in the face every day, it is not because you are uniquely unlucky. It is because you are trying to build something real. Every founder I know who has built eight and nine figure companies has gone through bankruptcy scares, massive staff turnover, and moments where liquidation felt inevitable. Those are not detours. They are rites of passage. You do not build something legendary in a summer. You build it in layers, you survive the gauntlet, and you play the long game.

On this episode of The Spinoso Podcast, I'm talking about shoes. But not really. I've built multiple seven, eight, and nine figure medical companies. I've negotiated with investors. I've rebuilt P and Ls from scratch. I've scaled clinics across the country. And I've also walked into rooms feeling like I didn't belong there. So when I read Shoe Dog by Phil Knight, the founder of Nike, I expected strategy. I expected playbooks. I expected legendary brand moves. What I didn't expect was this: the guy behind one of the most iconic brands in human history struggled deeply with imposter syndrome. Lawsuits. Banks breathing down his neck. Competitors trying to bury him. The company on the verge of collapse more than once. And still, he felt like he didn't belong in the room. That hit me. Because imposter syndrome isn't weakness. It's proof you're in the arena. It means you're building something big enough to scare you. It means you care. It means you're not coasting. In this episode, I break down what I learned from Phil Knight's journey and my own. Why pressure forges real leaders. Why every great company looks like a dumpster fire at some point. And why you don't wait for confidence to start moving. You move first. Confidence catches up later. If you're building a business and part of you feels unqualified, outmatched, or a little scared, good. That means you're exactly where you're supposed to be. Throw on your sneakers. Get out of your head. And just do it.

In this episode of The Spinoso Podcast, I sit down with my business partner and CEO of Stature Skin, Amanda May, and we cut through the noise in the skincare industry. No fluff. No 30-step routines. No marketing hype. We break down what actually works when it comes to tone, texture, hydration, brightening, and long-term skin longevity. Why most people fail with skincare isn't because products don't work. It's because they're confused, inconsistent, and sold too many things they don't need. We talk about actives versus buzzwords, why aggressive exfoliation is overrated, why hydration is misunderstood, and how we built a simplified system designed for real consistency. We also get into the business side—why we refused to rush products to market, how to simplify retail inside a clinic, and what's coming next. If you want skin that looks strong, healthy, and built to age well without 15 steps, this episode is for you. Disclaimer: This episode is for educational purposes only and is not medical advice. Always consult a licensed healthcare professional before starting any skincare or medical treatment. Individual results may vary.

Everyone is chasing upgrades. Better hair. Better body. Better house. Better brand. Better numbers. And I get it. I've done it. I was going bald. I hated it. So I fixed it. I got the transplant. I built the clinic. I grew the beard. I leaned into it. Look good, feel good, play good. I'm not anti-upgrade. I built businesses around external upgrades. But here's what nobody tells you. Fixing the outside does not fix the inside. Hair didn't give me direction. Looking better didn't give me purpose. Confidence without clarity is still hollow. Success without alignment is still exhausting. In this episode, I break down the trap high performers fall into. The belief that if we just optimize the surface, the depth will sort itself out. If I make more money, I'll feel settled. If I look sharper, I'll feel clear. If I upgrade the body, the noise in my head will finally shut up. It won't. At some point, the mirror stops being the problem. The real work is internal. It's discipline over distraction. It's deciding who you're becoming. It's building a life that feels aligned instead of just impressive. It's the quiet decisions you make when nobody is watching. Upgrade the outside if you want. You should. Just don't confuse upgrades with answers. Because what's in the mirror isn't the work.

Let's stop pretending this isn't happening. AI does not get tired. It does not argue with its spouse before work. It does not transpose a decimal. It does not forget to ask the question you were supposed to ask. It works 24/7. No holidays. No emotion. No ego. No fatigue. Just execution. In this episode, we break down what artificial intelligence and telemedicine are actually going to do to medicine, business, and leadership. Not the fear-based nonsense. The reality. We talk about robotic surgeons outperforming humans. AI qualifying patients before they ever speak to a provider. Contracts summarized in 30 seconds. Chief Revenue Officer brains built from decades of sales and marketing data. What happens to low-level employees. What happens to average performers. And why high-value operators are not going anywhere. We also cover compliance, DEA regulations, synchronous vs. asynchronous telehealth, HIPAA systems, and where the legal lines still exist. Because discipline still matters. Here's the truth: AI is not replacing excellence. It is replacing mediocrity. If you are great at what you do, AI amplifies you. If you are average, it exposes you. The future of medicine is speed, precision, consistency, and scale. The companies that win will remove bottlenecks, eliminate busy work, and deliver service faster than ever before. The human connection will still exist. It just will not live in the same place it used to. This is not about fear. It is about leverage. Adapt or get replaced.

In this episode of The Spinoso Podcast, I tell a story I don't share often. It's the first year of Arete. I'm broke, overworked, and all-in. I'm working three jobs. I've spent half my life savings just to be in the room. And then Tim Grover takes the stage. Next thing I know, he stops the room and asks for me by name. Not because I was special. Not because I asked for it. But because he was paying attention. He publicly breaks down who I am, what I'm doing, and why excuses don't survive in the presence of discipline. He compares the work ethic required to build a real business to the standard demanded by people like Michael Jordan and Kobe Bryant. And then he drops a line I'll never forget. That moment didn't change my trajectory overnight. But it fueled the hell out of it. We talk about being recognized when you're not looking for applause, what it means to be a "Cleaner," why Cleaners never think they are one, and how quiet execution compounds over time. This is a full-circle moment, a leadership lesson, and a reminder that the work always shows… eventually.

In this episode, I break down where business is actually going, not where people hope it's going. Telemedicine, AI, automation, and remote services aren't trends. They're the new front door. And if your business isn't built to deliver speed, access, and convenience, someone else will eat your lunch. This isn't just healthcare. This applies to every industry that touches a customer. We get real about why most outpatient medicine no longer needs a physical exam, how telehealth has quietly existed for decades, and why cash-pay, convenience-driven care is accelerating fast. I talk about hormones, weight loss, MedSpas, commoditization, big players like Hims, regulatory shifts, and why the businesses that adapt early will scale while everyone else complains about margins and churn. Then we zoom out. Real estate, beauty, architecture, home design, retail, customer service, training, content, even checkout experiences. Every industry has its own version of telehealth. The winners are building hybrid models that remove friction, move faster, and let technology do what humans shouldn't be doing anymore. This episode is a warning and a roadmap. Adapt now, or get left behind.

Most people don't fail because they lack information. They fail because they're addicted to the idea that their situation is different. In this episode, I break down a lesson that's followed me since Jesuit high school. A priest once explained why nothing shocks him anymore. Not sin. Not failure. Not excuses. And it turns out that lesson is the exact framework most adults need to stop sabotaging themselves. Running businesses. Raising kids. Leading teams. Getting punched in the face by lawsuits, chaos, staff issues, market shifts, and pressure. I've lived all of it. And here's the hard truth: none of it is unique. Your market isn't special. Your schedule isn't special. Your stress isn't special. Your excuses definitely aren't special. The moment you stop arguing for your own exceptional suffering is the moment you stop hunting for magical answers and start executing on the boring fundamentals that actually work. This episode is about dropping the drama, killing the ego, and reclaiming momentum. Because you don't need a custom solution built in a lab. You already know what to do. You just don't want to do it. And that honesty? That's where progress starts. If you're ready to stop whining, stop romanticizing struggle, and get back to work, this one's for you.

In this episode of The Spinoso Podcast, I break down what it really means to be "unemployable" and why that's not an insult. It's a standard. It's the inability to tolerate mediocrity, the refusal to be comfortable, and the discipline to push past "good enough" in every area of life and business. We talk about the difference between being truly unemployable and being undisciplined, why the people who build systems rarely fit inside them, and why growth requires living in constant discomfort. I share stories from my dad, from building Genesis, from leading high-level teams, and from choosing the wild ride over the safe one every single time. We also get into generosity without optics, giving without expecting anything back, and why money doesn't change who you are, it just amplifies it. These are principles that apply whether you're building a business, leading a team, raising a family, or trying to live with more intention and integrity. If you're someone who feels out of place in average environments, gets restless when things get easy, and knows deep down you were meant for more, this episode will hit home.

There's a difference between being healthy and being alive, and most people confuse the two. In this episode, I break down why waiting to feel ready is the fastest way to waste your life. I tell the story of Carroll Shelby, a man who raced Le Mans with a failing heart, nitroglycerin under his tongue, and zero permission from the universe. Not because it was safe. Because it mattered. We talk about builders, founders, and creators who didn't wait for perfect conditions. Frida Kahlo creating from a hospital bed. Stephen Hawking rewriting physics with a body that was shutting down. People who moved anyway, even when fear was loud and the body wasn't cooperating. This isn't motivation. This is reality. The fear never goes away. The timing is never perfect. Your heart will always pound when it's time to move. That's not a warning sign. That's life telling you you're in the driver's seat. If you're building a business, carrying a vision, or standing at the edge of a decision you keep delaying, this episode is your reminder: you don't need to feel ready. You need to move. Don't wait to feel safe. Don't wait to feel steady. Don't sit at idle. Get in the car. Drive anyway.

In this episode of The Spinoso Podcast, I break down the five rules my dad taught me growing up. Not theory. Not feel-good advice. Real rules that shaped how I lead my family, my team, and a multi-state medical organization. We talk loyalty as a code, not a concept. Why disagreements belong behind closed doors. Why there are no fair fights in business, only fights won or lost. Why grit, suffering, and struggle early in life are not disadvantages but prerequisites for long-term success. And why complaining, venting online, or looking for external validation is one of the fastest ways to lose respect, leverage, and momentum. This episode is old-school, direct, and unapologetic. If you are a founder, leader, or entrepreneur who wants to build something real and keep it standing when things get hard, these are the rules you need to hear.

We are living in the most advanced, resource-rich era in human history. Better medicine. Better technology. Better data. Better tools than any generation before us. And yet more people than ever are drifting through life with no real direction. In this episode of The Spinoso Podcast, I break down a hard truth most people do not want to hear. Optimization is not purpose. Feeling better does not automatically tell you where you are going. And no amount of hormones, peptides, apps, wearables, or supplements will fix a life that lacks meaning. I walk through a real-world example I see every day in my clinics. People who are physically optimized, medically dialed in, and still deeply unfulfilled. Stronger bodies. Better labs. Longer lifespans. Empty marriages. Distant kids. Busy days with nothing that actually matters. We talk about the two questions that actually determine the quality of your life. What do you want? And are you disciplined enough to go after it? This episode is about responsibility. About character. About doing the boring, unglamorous work that no tool can do for you. Technology can raise your ceiling, but it cannot give you direction. It cannot build your values. And it cannot tell you what your life should mean. Use the tools. Take care of your body. Leverage science. Respect progress. But do not confuse resources with responsibility. Longevity without purpose is not a gift. It is just more time to avoid becoming who you are meant to be. Build the life first. Then use the tools to support it.

The rules of marketing have officially changed. If you're still trying to outsmart Meta, Google, or the algorithm with hyper-targeting, you're already losing. In this episode of The Spinoso Podcast, we break down why creative is the new targeting and how AI platforms like Meta's Andromeda are deciding who sees your ads long before you ever touch an audience filter. This isn't about hacks. It's not about tricks. And it's definitely not about running one ad for six months and hoping it works. We talk about why broad targeting now beats narrow targeting, why your ads are burning out faster than ever, and why raw, real, imperfect content is outperforming polished, cinematic nonsense. Selfie videos. UGC. Real conversations. Different hooks, angles, visuals, and formats. Not one version. Ten versions. If you're a clinic owner, business owner, or marketer who feels like ads "used to work" and now everything feels volatile, this episode will reset how you think about growth in 2026 and beyond. The algorithm isn't the enemy. Boring content is. All tools and resources mentioned in this episode are linked in the description so you can actually implement what we're talking about. Stay creative. Stay relevant. Or get left behind.

We built Genesis Lifestyle Medicine fast. Too fast. On paper, it looked perfect. Revenue up. Locations growing. Applause everywhere. But behind the scenes, the systems were brittle, the standards were fuzzy, and everything depended on me holding it together. In this episode, I talk about the moment every real leader hits. When fixing is not enough. When patching cracks only delays the collapse. This is about why growth eventually demands destruction. Not chaos. Discipline. From the Great Chicago Fire to Howard Schultz shutting down every Starbucks in America, I break down what rebuilding from zero actually looks like and why it is sometimes the only way forward. Not just in business. In your habits. Your routines. Your relationships. Your identity as a leader. If something in your world feels like it is burning right now, this episode will reframe it for you. The fire is not punishment. It is permission.

Meta flipped the table. Overnight, ads stopped working, costs spiked, and a lot of business owners were left confused, frustrated, and pissed off. In this episode, I sit down with Amanda and we break down what's actually happening with Meta's Andromeda update, why the old way of running ads is dead, and what you have to do now if your business depends on paid traffic. I'm not an ad guru. I don't sell marketing services. But I run multiple companies that live and die by digital advertising, and I'm getting hit by the same changes you are. I walk you through what's breaking, what's still working, why content volume matters more than precision targeting, and how AI, UGC, and on-platform lead forms are becoming non-negotiable, including the exact tools we're using like Meta Ads across Facebook and Instagram, Google Ads, GoHighLevel, Captions, Otter.ai, ElevenLabs, PullTube, and Downie. We also get into the uncomfortable stuff. AI replacing humans. Fake versus ethical content. Why speed beats "human touch" more often than people want to admit. And how staying calm when things are on fire is a required skill if you want to scale anything. If you're running a clinic, a service business, or any company relying on Meta ads, this episode isn't theory. It's real-world adaptation. Because this isn't slowing down, and the people who don't pivot are going to get wiped out.   AI, Content, & Creative Tools ChatGPT https://chat.openai.com/ ElevenLabs (AI voiceovers) https://elevenlabs.io/ Sora (AI video generation reference) https://openai.com/sora Video & Audio Workflow YouTube (Source for viral shorts) https://www.youtube.com/ PullTube (YouTube video downloader) https://mymixapps.com/pulltube/ Downie (Alternative downloader) https://software.charliemonroe.net/downie/ Otter.ai (Video/audio transcription) https://otter.ai/ Social Content Creation Captions (Auto captions + AI UGC avatars) https://www.captions.ai/ CRM, Funnels, & Operations DEFCON (Lead handling, automations) https://defcon1marketing.com  Zoom (AI support example) https://zoom.us/

Let's get serious. Somewhere along the way, our culture got addicted to being rescued. Waiting on gurus. Waiting on motivation. Waiting on someone else to fix what's broken. In this episode, I tell you the truth most people don't want to hear and absolutely need to hear. No one is coming to save you. I talk about how I learned self-reliance as a kid, not from quotes or podcasts, but from necessity. Broken faucets. Dead cars. An old Craftsman toolbox in my dad's garage that smelled like WD-40 and responsibility. You figured it out because you had to. That same rule applies to business, leadership, marriage, and life. We break down why faith is not passivity, why waiting kills momentum, and why there are no miracles without motion. I share real moments from my own journey. Staring at payroll. Feeling stretched thin. Watching confidence disappear. And the exact shift that turned all of that from heavy to freeing. I also tell the story of Ross Perot. A Texas legend who didn't wait for permission, didn't wait for backing, and didn't wait for someone else to step up. He just did the work. If something in your life is broken right now, this episode is your reminder. You already have the tools. You already have the fire. Stop waiting. Pick up the wrench. And start fixing it.

Before Genesis. Before the seven and eight figure companies. I worked as a physician in the California prison system and yeah, that's why I joke that I was in prison. And I'm telling you right now, it was one of the most intense jobs I've ever had. One minute you're dealing with a sprained ankle. Next minute a guy walks in stabbed. Sirens. Powder rounds on the yard. Chaos. And you learn fast that panic gets people hurt. In this episode, Amanda and I talk about what that environment taught me about leadership, composure, and human nature. Why respect is a currency and how it gets enforced. Why you can't control what walks through the door, but you can control how you respond. And why the calm, grounded leader is the one who wins, in prison and in business. We also get into culture and accountability, how people really change, what I learned from terrible bosses, and why most "structure" in broken systems teaches you exactly what not to do. If you're building a business and you feel like you're constantly putting out fires, this one will hit home.

I got an F in Spanish class for breaking the rules. That F ended up teaching me one of the most important lessons of my life. In this episode, I tell the real story. Senior year. Jesuit High School. A Spanish project everyone else played safe with. Posters. PowerPoints. Famous Spaniards. I went the opposite direction. I made a full-blown music video. Cinematic. Ridiculous. Over-the-top. And yeah, it was in English. The teacher failed me on the spot. But what came next mattered more. A friend hid that video inside the senior DVD as a secret Easter egg. Years later, it resurfaced. And I've been remaking that same video every decade since, louder, bolder, worse decisions included. That moment taught me something about creativity, leadership, and building anything meaningful in the real world. Creativity makes rule followers nervous. Innovation looks reckless while it's happening. And the thing you get punished for early often becomes the very thing that defines you later. We talk about why rule breakers are almost always misunderstood in real time. Why obedience is easier to grade than engagement. And why some of the most influential creators and founders in history weren't wrong, they were just early. If you've ever been told your idea was dumb, reckless, immature, or didn't fit the template, this episode is for you. Because sometimes the only difference between a failure and a legend is time, persistence, and one person willing to hide your masterpiece in plain sight. Break the rule. Make it excellent. And if they give you an F for being different, smile. Your Easter egg is still in there.

In this episode, we get into my Dartmouth cancelation story, what happened during COVID when I spoke out, why certain people lost their minds, and why most of it was just noise from people who didn't know what they were talking about. We talk about the real rule that should exist in the world, don't open your mouth until you've done the research. Facts first. Emotion last. Because the second you let feelings replace truth, you get mob behavior, fake outrage, and people trying to ruin careers with zero consequences. I also break down how I deal with criticism without taking it personally, how to filter opinions fast, and why integrity is the only thing that doesn't fade when the internet gets loud. If you're building anything real, you're going to have haters. That's part of the price. The goal isn't to be liked. The goal is to stay aligned with your core values, protect your people, and keep moving forward. If you've been struggling with being misunderstood, criticized, or attacked for having a stance, this episode is for you.

This episode isn't about feeling ready. It's about moving when your heart is pounding and your hands are shaking. I break down why most people confuse being healthy with being alive, and why the builders who actually leave a mark never wait for perfect conditions. From Carroll Shelby gripping the wheel at Le Mans with nitroglycerin under his tongue, to Frida Kahlo painting through pain, to Stephen Hawking rewriting physics with almost nothing left to work with, the pattern is always the same. The greats act in spite of reality. Entrepreneurs stall themselves the same way. Waiting for clearer timing. Better systems. More confidence. Less fear. That moment never comes. The fear is the signal. The discomfort is the invitation. In this episode, I talk about cars, purpose, pressure, and why idling is the real danger. You don't need to feel strong. You don't need to feel steady. You just need to get in the car. If you're breathing, you're capable. If you're hurting, you're human. And if you're still willing to move, you're alive. Don't wait to feel safe. Don't wait to feel ready. Drive anyway.

Everybody wants "work from home" because it sounds comfortable. Pajamas. Flexibility. No commute. Cool story. For most people, it is a productivity death sentence. In this episode, I break down why working from home should be about efficiency, not comfort. Why your "morning routine" can quietly cost you weeks of output every year. And why the truth is simple: 99.9% of people can't do it, because they do not have the discipline, the boundaries, or the family buy-in to protect their focus. We talk about setting hard guardrails with your spouse and kids, building a home setup that eliminates distractions, and why in our companies we stopped allowing remote work, because the data did not lie. We also get into the uncomfortable part: there is no work-life balance if you want to lead at a high level. You either accept that, or you keep pretending and wonder why you are stuck. This isn't parenting advice. This isn't marriage coaching. This is just what's worked for me so far, what's failed, and what you need to hear before you keep lying to yourself about being "productive at home."

If you want to be liked, stay quiet. If you want to build something real, speak anyway. In this episode, I talk about cancellation, conviction, and the real cost of leadership. Not for crimes. Not for corruption. But for having an opinion, telling the truth, and refusing to repeat the approved script. I share what happened when I spoke up during COVID, why mobs form, and why small-minded people always come for builders eventually. This is not new. Churchill lived it. Michael Burry lived it. Every era punishes the people who tell the truth too early. We break down the real leadership lesson here. Cancellation is not about morality. It is about control. And when it comes, you have two choices. Shrink or build. This episode is about choosing to build. About using rejection as a filter, anger as fuel, and results as the only scoreboard that matters. History does not remember the mob. It remembers the builders who stood still, told the truth, and outlasted everyone. If you want comfort, skip this one. If you want greatness, press play.

In this episode I finish walking through the five rules my mom gave me for grace, grit, and growth, and how they shaped the way I lead, build businesses, and live my life. I start with a story from my MCAT days. I decided to be smart and take Ritalin for a practice exam because everyone said it helped them focus and crush tests. I felt like a superhero, finished the test in half the time, and walked out convinced I had destroyed it. Then I got the worst score I had ever seen. That experience slapped me in the face and reminded me that shortcuts, stimulants, and hype cannot replace discipline, structure, and actually doing the work. From there I talk about the early days at Genesis. We had four locations, almost 700 different documents, and every clinic doing things their own way. No real systems. No real structure. No way to easily replace people or scale. It sucked to tear all of that apart and rebuild it, but cutting the noise and simplifying the systems is what allowed us to grow from a handful of clinics to dozens. The unsexy work is what creates the freedom and the speed later. I also dig into three things my mom modeled for me that still drive how I lead today: Leading softly and using presence instead of screaming Being kind, but not "nice," and why kindness and accountability can exist together Taking pride in how you present yourself, because how you show up is how people experience your brand We talk about why I challenge executives and vendors on everything, why feelings cannot drive big decisions at scale, and why data has to win when millions of dollars and years of work are on the line. I share how we think about dress code and standards inside a health and wellness brand, and why those details matter more than most owners want to admit. To wrap it up, I share why you need coaches and masterminds at every stage, and why you should get in the room with people who are ahead of you as soon as you can afford it. My mom gave me the fire and the grace I needed to handle pressure, build structure, and still stay human in the process. If you are a clinic owner, entrepreneur, or leader who is stuck in chaos and "busyness," this episode will help you see that structure, discipline, and calm leadership are not cages. They are the lifeboat that lets you go faster, grow bigger, and actually enjoy the life and business you are building.

In this episode, I am pulling back the curtain on something most founders never admit out loud. We scaled Genesis Lifestyle Medicine fast. Too fast. On paper it looked perfect. Revenue rising. Locations multiplying. Everyone celebrating the success. But behind the scenes, it was chaos. Systems barely holding together, culture drifting, people unclear on what excellence actually meant. And for a long time, I thought the answer was to fix it, patch it, tweak it. I was wrong. What I really needed to do was strip the entire thing to the studs and rebuild it starting with what I knew then, not what I guessed when we began. That was not failure. It was evolution. If you plan on building anything that lasts, you cannot get sentimental about old structures. You cannot hold on to outdated versions of yourself. You have to burn it down, rebuild it, and when the time comes again, burn it down once more. In this episode, I talk about the Great Chicago Fire, Howard Schultz shutting down every Starbucks in America for one day, and the moment I finally understood that fires are not punishments. They are permission. Permission to evolve, to redesign, to lead at a higher level. Your systems, your habits, your team, your mindset, every part of your life has an expiration date. The greats are the ones willing to let the old version die so the stronger version can emerge. If something in your world is breaking right now, your business, your routines, your relationships, this is your signal. Not to panic. To rebuild. To redesign the future instead of repairing the past. Let's get into it. This one is personal. This one is honest. And if you are standing in your own fire, this one is for you.

In this episode of The Spinoso Podcast, I am going to the other side of my DNA. We have talked a lot about my dad, his businesses, his intensity, and how that shaped me as an entrepreneur. Today I am breaking down what I learned from my mom. I am talking through five rules she modeled that still drive how I lead and operate today: staying calm, keeping momentum, living with structure, leading softly, and taking pride in yourself. I share the story of collapsing after a sprint race in high school, feeling my heart go sideways, and waking up in my mom's arms as she ran me to the car and drove me straight to the hospital. No screaming. No freezing. No waiting for anyone else to fix it. That moment formed how I see leadership under pressure: grace beats panic every single time. We connect that to business chaos, legal threats, partner drama, and why the calmest person in the room always has the most power and the clearest thinking. From there, I dig into movement and structure. Momentum is medicine. Action is the cure for anxiety, overthinking, and analysis paralysis. I talk about why a simple, brutal to do list solves more problems than any new hack, why structure with your time and systems actually gives you freedom, and how my mom's "on time or you are screwed" mentality shows up inside multi eight figure companies. If you are a founder, leader, or someone who feels stuck but knows you are built for more, this episode will call you out, give you perspective, and help you move forward with more grace, more grit, and a lot more real growth.

If you have ever sat there wondering, "How the hell am I the one in charge?" trust me, I have felt the same way. In this episode, I talk about the part of entrepreneurship people avoid admitting. Most of us were not the straight A, perfectly behaved kids. We were the ones causing chaos long before we ever built anything meaningful. I tell the true story of how I cost my high school forty thousand dollars by throwing the shocker in every single yearbook photo, all one hundred and twenty of them, and how that stunt almost got me suspended, expelled, or exorcized by a Jesuit priest. The same reckless energy that made me a problem in school turned into the fire that helped me build multiple seven, eight, and nine figure companies. I break down why the traits you think make you "too much" are the exact traits that made people like Steve Jobs, Richard Branson, Muhammad Ali, Lady Gaga, and Oprah who they are. They were not polite. They were not balanced. They were not agreeable. They were rebels who learned how to give their intensity a direction. This episode is about channeling who you already are instead of trying to change it. Rebellion without direction is chaos. Rebellion with purpose is power. When you learn how to aim your own madness, you stop apologizing for it and you start building with it. So if anyone has ever told you that you are too intense, too wild, too outspoken, or too crazy, good. Maybe you are not broken. Maybe you are just early. Maybe the thing that got you detention at seventeen is the same thing that can make you unstoppable at thirty nine. In this episode, I show you how I turned my chaos into creation and how you can do the same.

Love him or hate him, Elon Musk is rewriting entire industries – rockets, cars, tunnels, brains – and doing it on timelines that make normal people want to throw up. In this episode, I sit down with "Griselda" herself to break down the realplaybook behind that kind of domination and how you can steal it for your clinic, your business, and your life. We get into why Musk never starts from "best practices," and instead tears everything down to first principles: physics, reality, truth. I share stories of how he built drills that crawl like moles, hacked $150,000 parts down to $5,000, and why he's allergic to extra steps, middlemen, and bloated corporate bullshit. Then we translate it straight into your world: how to question every process in your clinic, strip out friction, and borrow systems from completely different industries to run leaner and faster. We also talk about the thing that actually separates people like Elon from everyone else: obsession. Working weekends. Sleeping on the factory floor. Setting "impossible" deadlines so big they make your team's eyes bleed—and why I'd rather see you hit 70% of an insane goal than 100% of a safe one. We hit mission over profit, sacrificing margin to stay in integrity, cutting toxic "networking," and choosing a circle that actually helps you win. If you've ever wondered whether you're crazy for wanting more, this episode will either make you feel seen… or call you out for coasting. Either way, you're going to walk away with a clearer standard for how you lead, work, and build something that actually matters.

In this episode, I tell you a story I have never fully shared. This is how I became a part-time private investigator on Instagram and how that mission led me to the woman who would later become my wife, Stephany. This is not a tutorial. It is not a lecture on what you should do. This is me telling you exactly what I did. It started on a stair mill at EOS Fitness in Palm Desert, where I saw a girl in a pink outfit, froze like a rookie, walked out without saying a word, and then sat in my car determined to find her again. What followed was early-era geo tagging, hours of scrolling, detective work through mutual friends, and the kind of focus that belongs in a Netflix crime documentary. But underneath all of it is the real lesson. Everything I did to find my wife mirrors the same mindset I used to build multiple seven, eight, and nine figure medical companies: Persistence when other people quit Following clues when opportunity stays quiet Being willing to look a little crazy in pursuit of something that matters Understanding that the difference between creepy and committed is usually the result Knowing that obsession is not a flaw when you aim it at something noble Realizing that most people lose because they convince themselves the timing is not right If you are hesitating to make the call, send the pitch, launch the campaign, or chase the dream you say you want, let this episode be your reminder. Someone out there is doing the unglamorous work you keep avoiding. That person wins because they follow through. This is the story of how I met my wife. This is the story of how I built my life. And this is your reminder that success is not something you casually pursue. It is something you hunt with intention. Tune in and start stalking your success.

Most clinic owners swear they are "doing pretty well" until the numbers punch them in the face. In this episode, I break down why your memory, your ego, and your feelings are some of the worst decision makers in your business and why data is the only thing you can really trust. Amanda and I get into how I went from running on gut instinct to running every service, vendor, and hire through hard numbers – including the moment I realized one of our "busiest" services was actually losing us money every year. We talk art, sketching, and Disney characters as a framework for building your business in shapes and structure first, then refining as the data tells you where to erase and where to double down. We also dig into: Why past experiences are a terrible primary filter for present decisions How obsessing over your losses creates fear and analysis paralysis The 90-day rule we use before deciding if a new idea lives or dies Why leadership is basically signing up to be the "shit filter" for your company Tetris, stress, and why problems do not go away as you grow, they just get bigger If you are tired of "feeling" like things are fine and you actually want to know, this episode will either piss you off or wake you up. Ideally both. If you own a medical, aesthetic, or cash-pay clinic and want to plug into a community that runs on real numbers instead of Instagram fantasies, head to dralexespinoso.com or joincharismedx.com and grab a free business consult with my team.

This episode is a trip back in time, literally. I'm taking you into one of the wildest moments of my childhood, a moment that rewired how I look at life, business, leadership, and risk. Growing up, my family didn't really do vacations. We did "events disguised as vacations," which really meant soccer tournaments. But one day, in Hawaii, my dad had the chance to choose between the smooth helicopter ride… or the crazy one. And of course he chose crazy. What happened next was part terror, part beauty, and all perspective. A nose dive off a waterfall, my sister screaming, my mom trying to hit my dad mid-air, and then suddenly, the most breathtaking view I'd ever seen in my life. A view we never would've reached if we stayed safe. That moment taught me everything I know about growth: Smooth feels safe, but smooth never changes you. Crazy tests you, shakes you, scares you, and then gives you a view that stays with you forever. In this episode, I break down why the easy path is an illusion, why fear is the tax we pay for doing something meaningful, and why the "crazy ride" in business is the one that ultimately makes you better. If you're facing something right now that makes your stomach drop, a new hire, a big investment, a risky move, this one's for you. Hold on, trust the pilot, and look out the window. The fear won't last. The perspective will. Let's talk about why the only ride worth taking is the one that makes you feel alive.

Most entrepreneurs think they're "saving money." What they're really doing is burning hours they can never get back. In this episode of The Spinoso Podcast, I break down exactly how I've re-wired my brain around time, money, and freedom. We revisit the principle of buying back your time—but this time, we're going way beyond hiring a VA to answer emails. I talk with Amanda about why time is the only currency you can't refill, why folding your own laundry and mowing your own lawn are actually expensive decisions, and how I turn almost every decision in life and business into a math problem. We get into when to outsource, when to build full-time roles, how to think like an investor instead of an overworked operator, and what "freedom" actually means as your business scales. If you're stuck doing everything yourself, stressed, and telling yourself you're "saving money," this episode is the smack in the face you probably need. In this episode, we cover: Why "saving dollars" while wasting hours is killing your growth How to use simple math to decide what to outsource at home and in your clinic The difference between buying back minutes with tasks vs. buying back freedom with real roles When to stop using agencies and contractors and start building an internal team Why a great CFO, VP of Ops, or provider can be your highest ROI investment How investors actually look at your business valuation (and why you'll get devalued if you try to do it all yourself) What real freedom looks like as an entrepreneur—and why 98% of people shouldn't run their own business If this episode hits you in the gut, share it with another clinic owner or entrepreneur who's drowning in "doing it all" and needs to start thinking bigger. 🔗 Want help building and scaling your medical business? Join my medical mastermind: joincharismatics.com Work with me: dralexspinoso.com DM me on Instagram: @dralexspinoso Chapters 0:00 Buying Back Your Time: Introduction and Concept 39:43 The Value of Time and Financial Management 40:15 Practical Examples of Outsourcing and Automation 40:32 Delegating and Automating Tasks for Business Growth 40:47 Evaluating the Worth of Time and Delegation 41:02 Building Internal Teams for Scaling 41:17 The Role of Transparency and Data in Business Decisions 41:32 The Importance of Hiring for Impact and Growth 42:11 The Impact of Hiring on Business Valuation 52:28 The Concept of Freedom in Entrepreneurship