The Spinoso Podcast

Life happens for you, not to you, is the one belief Dr. Alex Spinoso would keep if he lost every other framework. Here's why he means it in his bones. If he had to throw out every book, quote and framework he's ever taught and keep a single idea to carry through the rest of his life, this is the one. But this isn't bumper-sticker positivity. In this episode of Medical Empires, Dr. Alex Spinoso ear...

You started your practice for freedom, more money, your own schedule, a higher standard of care. Then somewhere along the way it flipped and now you're the provider, the biller, the HR department and the janitor, doing notes until 10pm and starting it all over the next day. In this keynote to a room of nurse practitioners and clinic owners, I break down how to take your life back and build a pract...

Everyone remembers the wigs, the rhinestones, the big laugh, the "dumb blonde from the mountains." Almost nobody realizes that was the strategy. Dolly Parton pulled off what I'd argue is the single greatest magic trick in business and in this one I break down how she did it and why it quietly made her one of the wealthiest self-made women alive. The centerpiece is a story that should be taught in...

We had a 10x offer on the table for Genesis Lifestyle Medicine, almost half a billion dollars and we walked away from it. I sat down with Josh Ponton on ASHER Health's Standing in the Gap and told the full story: why the math didn't make sense, the multi million dollar stupid tax I paid learning how to sell a company and the month Brent and I spent wallowing in self pity asking ourselves if we eve...

In 1975 there was a broke, 29 year old actor with about a hundred dollars to his name, no car and a face partially paralyzed from birth that gave him a slurred way of talking every casting director in Hollywood used as a reason to say no. He was so broke he had to stand outside a liquor store and sell his own dog because he couldn't afford to feed it. That man was Sylvester Stallone and what he di...

I joined Neal Karski on the Aesthetics Millionaires Show for a conversation every med spa and clinic owner needs to hear, especially the ones who think the path to wealth is opening more and more locations. Because that's the exact mistake that nearly cost me everything. Most owners believe scaling means expansion: more clinics, more states, more rooms. I did too. I grew fast and found myself runn...

Here's a fact that sounds made up but isn't: the Mongol Empire killed on such a massive scale that scientists say it measurably cooled the entire planet. I open this one with that because it's the strangest doorway I've ever found into a conversation about anxiety, gratitude and perspective. Almost everyone I talk to is quietly drowning in it right now. AI taking their job, the economy, the politi...

I sat down with Chris Kille on the Building Great Companies podcast and told him the whole story, including the part most people skip. Before Genesis Lifestyle Medicine was a nine figure company, my wife and I rented out our nice Palm Springs house with the pool and the mountain view and moved into a single rented room in a five bedroom house we shared with strangers so we could save every dollar...

There's a church in Barcelona called the Sagrada Familia and people walk in and literally weep. It doesn't look like it was built by human hands, it looks like it grew out of the ground. And the lesson behind how it was built is the most powerful thing I can teach you about discipline, consistency and why the boring work actually matters. That jaw-dropping, once-in-a-civilization masterpiece was b...

I got on an open forum call with a room full of operators and told them to ask me anything, no script, no filter. The very first question hit the thing almost nobody talks about: how do you survive the early years of building a business without burning out or losing your family in the process. Seven years in, with four young kids at home, I've lived every version of that grind, so we went straight...

If you've ever felt like your life, your business or your marriage slowly drifted and you never saw it coming, this is about self-discipline, consistency and why the small daily habits matter more than any big decision you'll ever make. Picture a long hallway. You walk in one end and the walls are bright, clean white. But the whole hallway is painted as a gradient, every foot one shade darker, so...

I got on an open forum call with a room full of operators, contractors, tradesmen, a realtor and told them to ask me anything, no script, no filter. The first guy started explaining his business and I had to stop him because after two minutes I still had no idea what his company actually did. That's the problem quietly killing more small businesses than any recession. The first operator runs a rem...

In Record of Ragnarok on Netflix, the gods put humanity on trial, greatest humans ever versus Zeus, Poseidon and the rest, and the fight I can't stop thinking about is Poseidon against a swordsman named Sasaki Kojiro. Not the strongest human who ever lived. Not the greatest swordsman. History's greatest loser. Kojiro lost every fight his whole life. And even after he died he kept replaying those l...

I sat down with Tony Whatley on the 365 Driven Podcast for a long, wide-open conversation and we ended up covering everything from my early years as a physician working in the California prison system, to walking away from the golden handcuffs to build a med spa company, all the way to the stuff everyone's whispering about right now: peptides, hormone therapy and the GLP-1 weight loss boom. If you...

When I interviewed for my all boys high school, I mentioned in passing that my family ate dinner together every night. I didn't think it was special. That's just what we did. Nobody got up until everyone was finished. Afterward the priest pulled my dad aside and asked if it was really true, every night. My dad said yeah, every night, no matter what. The priest said something my dad never forgot: I...

I got on an open forum call with a room full of operators and told them to ask me anything, business, hiring, scaling, partners, family, all of it. No script, no filter, just real questions from people actually building. This is the stuff that doesn't make it into a polished keynote. We covered a lot of hard truths in this one. The first one I hit them with up front: to get where you want to go yo...

Every Halloween growing up, my dad didn't just take us trick or treating. He dressed up too, in full costumes he hand sewed himself. And this grown man would walk right up to the door next to us and say trick or treat. People would look him up and down and go aren't you a little old for this? And every time he'd look them dead in the eye and say well, I'm also old enough to buy eggs now. Give me t...

I sat down with a room full of operators from East Tennessee and told them to throw every business question they had at me. No script, no filter. Just real questions from people actually building and the same answers I'd give if we were sitting across the table. We covered a lot of ground in this one. When it actually makes sense to acquire another business versus pouring that money into what you...

When I was a kid I got diagnosed with ADD. Back then they called it something else but the story was the same. I couldn't sit still. I couldn't shut it off. My brain was going a hundred miles an hour in every direction at once, all day, every day. So the school did what schools do. They looked at my parents and said we think you should put him on medication, calm him down, get him to sit quietly i...

Picture the Trojans, ten years into the war. Ten years of dead sons, food running low, hope running lower. Then one morning the Greek camp is gone, the ships are gone and standing at the gates is a giant wooden horse. One man, a priest named Laocoon, throws a spear at it and screams don't bring that thing inside our walls. They ignored him. They were too tired to be careful and that one bad night...

I was driving with a buddy a while back and we pulled up next to a Nissan Versa. Out of nowhere he goes, how much you want to bet the rear passenger hubcap is off? I said what are you talking about. He goes, just watch. We get closer and sure enough, rear passenger side hubcap, gone. Turns out his wife used to drive a Versa and that one hubcap would never stay on. So they started noticing them eve...

It's 11:14 at night. You're in bed, phone in your hand. You told yourself two hours ago you'd be asleep by 10:30. You're not. You scroll one more reel, then one more. You check email even though nothing's new. Nobody sees this moment but you. Your wife is asleep next to you. Your kids are down the hall. Your team is offline. The only person watching what you do right now in the dark is you. And th...

With dementia you don't lose someone all at once. You lose them a little bit at a time. Some days my mom knows exactly who I am. Some days I'm just a kind face sitting next to her. And that has forced me to sit with a kind of grief most people don't talk about, the grief that shows up while the person you love is still here. In this episode I get personal about what my mom's dementia has taught me...

Can you say out loud right now exactly how much money is going to hit your account next month? Not a guess. Not "it depends on how busy we are." An actual number. Most clinic owners can't. And that one blind spot is quietly costing them six figures a year. I had a call in my medical mastermind with a clinic owner who had been open almost four years. Good clinician, steady patients, decent reviews,...

The FDA just reclassified peptides and it is going to reshape how med spas and medical practices operate in 2026. In this episode I break down exactly what the new FDA 503A peptide rules mean for your med spa business, which compounds are still legal to prescribe and the four step framework I am using to protect my own clinic and actually grow from this instead of getting crushed by it. Most clini...