Medical Empires

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

In this episode of The Spinoso Podcast, Dr. Alex Spinoso takes you back to his childhood kitchen, where his mother's salsa music and Sunday morning cleaning lessons became the foundation for how he leads today. Through a story of ballroom dancing, rhythm, and a wooden spoon or two, Alex reveals how the best entrepreneurs and leaders don't just count steps—they feel the music. This isn't a motivational pep talk. It's a reminder that leadership, parenting, and business aren't about control—they're about rhythm, awareness, and trust. Whether you're running a team, building a company, or trying not to step on your own feet, this episode will help you find your groove, reconnect with your purpose, and lead with confidence—even when the beat changes.

Bezos didn't "get lucky." He built a trillion-dollar machine by obsessing over customers, thinking in decades, and refusing to slow down. In this episode, I sit down with Amanda May and break down the five core principles behind Amazon's rise and how we're applying them inside real medical businesses today. We talk customer-first without being customer-controlled, moving fast and correcting faster, designing culture with mechanisms not vibes, and why "your margin is my opportunity" should scare your competitors. If you want a playbook for scaling from seven to eight to nine figures without losing your soul or your speed, press play. It's day one.

What you'll learn:

• Customer obsession that actually drives revenue, not likes

• Day One mindset to kill complacency before it kills you

• Two-way doors vs one-way doors and making high-velocity decisions

• Disagree and commit so your team argues in the room and sprints outside it

• Playing the 10-year game and using AI to remove friction 24/7

Let's build the business, own the life, and lead at home and at work.

*]:pointer-events-auto [content-visibility:auto] supports-[content-visibility:auto]:[contain-intrinsic-size:auto_100lvh] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" tabindex="-1" data-turn-id= "8dbf4d1d-dbda-4fb8-b813-24167e4b9742" data-testid= "conversation-turn-64" data-scroll-anchor="true" data-turn= "assistant">

In this episode of The Spinoso Podcast, I tell a story from my childhood that taught me one of the biggest lessons I've ever learned about life and business. My family once took a helicopter ride in Hawaii, and when the pilot asked if we wanted the smooth ride or the crazy ride, my dad didn't hesitate—he picked crazy. What followed was chaos, terror, and one of the most breathtaking views I've ever seen. That moment became a metaphor for everything I've done since: the best views in life come when you're willing to fly through the storm.

Entrepreneurs say they want adventure, but most just want safety that looks like adventure. They want growth without risk, momentum without fear, and success without the drop that comes before it. But real growth doesn't come from staying comfortable. It comes from the crazy ride—the one that scares you, tests you, and makes you question everything, but ultimately gives you a view you'll never forget.

If you're building something and it feels uncertain, hold on. Trust the process. The turbulence is part of the journey. The fear you feel is the price you pay for creating something extraordinary. Don't waste your life asking for a smooth flight. Choose the crazy ride. That's where the perspective, the beauty, and the real growth are found.

Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow - especially in the medical business. While my experience and expertise is in scaling all types of medical businesses to 7, 8, 9-figures or more, I can be a mentor to anyone who wants to take ownership of their lives, become a better leader at home and at work, and overcome any obstacle that stands in their way.

Instagram | YouTube | Facebook | LinkedIn | TikTok | Website | Charismedx Conclave

*]:pointer-events-auto [content-visibility:auto] supports-[content-visibility:auto]:[contain-intrinsic-size:auto_100lvh] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" tabindex="-1" data-turn-id= "c4f45aa0-c32d-4bca-90d4-b72b5597fd78" data-testid= "conversation-turn-62" data-scroll-anchor="true" data-turn= "assistant">

This is Part 2 of our Founders series, and we are back with Phil Knight and the real story behind Nike. We pick up from Part 1 and go deeper into how Blue Ribbon became Nike, why "start before you are ready" still beats analysis paralysis, and how Knight kept moving even with daily imposter syndrome. I tie those lessons directly to clinics today: begin with one patient, solve one problem, pour into service, and let compounding word of mouth create momentum.

We move from origin story to brand soul. Nike did not just sell shoes. They sold a feeling, a culture of winning, and a mission people wanted to wear. I break down how to build that inside a medical business: tighten your pillars, stack services that complement each other, run on facts instead of feelings, and ask for reviews and referrals every single time. If your community talks about you and your team wants to join you, your brand has meaning. If not, we lay out simple plays to fix it.

We close with loyalty, struggle, and the long game. Knight protected his partners, fought for the vision, and endured lawsuits, supply chaos, and near bankruptcy for years before the hockey stick growth showed up. That is the blueprint. Practice aggressive patience. Make decisions, move, learn, and keep going. The cowards never started. The weak died along the way. That leaves us.

Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow - especially in the medical business. While my experience and expertise is in scaling all types of medical businesses to 7, 8, 9-figures or more, I can be a mentor to anyone who wants to take ownership of their lives, become a better leader at home and at work, and overcome any obstacle that stands in their way.

Instagram | YouTube | Facebook | LinkedIn | TikTok | Website | Charismedx Conclave