The Spinoso Podcast

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...

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...

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 st...

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 ca...

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 t...

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 Genesi...

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. Fe...

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 expan...

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...

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'...

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 outs...

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 medicin...

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 payin...

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 abo...

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...

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...

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...

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...

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 au...

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 no...

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. Th...

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 s...

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...

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...

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,...