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.

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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

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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

In this episode, I take on the buzzword everyone loves to post about: vulnerability. I am all for being real, but somewhere along the way, we confused leadership with live-journaling our breakdowns on social media. I break down the difference between honest transparency and emotional dumping, and why context matters. The way you are vulnerable with your spouse is not how you should be vulnerable with your team.

We talk about the leader's job in hard moments: inspire, stabilize, and provide clarity. Your people do not need to carry your burdens to trust you. They need direction, standards, and a steady hand. I share practical guardrails for sharing just enough to be human without turning staff meetings into group therapy, plus a simple test to decide what to share, when, and with whom.

Bottom line: handle your battles in private, show up in public with strength, and use your words to move people forward. Be real, be honest, but do not overshare. Leadership is not about you. It is about who you are leading. Be the person your team can lean on, not the person your team has to carry.

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

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In this episode of The Spinoso Podcast, I kick off a new series inspired by the Founders podcast and dive into Phil Knight's story from Shoe Dog. We break down how Nike started as Blue Ribbon Sports with shoes sold out of a car trunk, why "start before you're ready" beats analysis paralysis, and how Knight battled daily imposter syndrome yet moved anyway. We pull out practical lessons for clinic owners and entrepreneurs who need to make faster decisions, test in the real world, and course-correct without fear.

We also look at the brand side. Nike did not just sell shoes. They sold a feeling, an identity, and a culture of winning. We talk about how to build that kind of meaning inside a medical business: tighten your pillars, stack services that complement each other, operate on facts not feelings, and turn great service into reviews and referrals. If your community talks about you, trusts you, and returns often, your brand has a soul. If not, we share the simple plays to fix it.

Finally, we connect mindset to execution. Make the decision, move, and learn. Hold a massive vision people want to join. Set clear standards, live your core values in front of patients, and care enough to ask for the referral. Whether you are at one location or scaling to many, these founder principles translate directly into more impact, more loyalty, and more profit.

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

In this episode of The Spinoso Podcast, I get real about something most entrepreneurs don't want to admit: imposter syndrome. I share how reading Shoe Dog by Phil Knight, the founder of Nike, hit me hard. Here's a man who built one of the most iconic brands in history, stared down banks, lawsuits, and failure after failure, and still felt like he didn't belong in the room. That hit home because I feel that too, every single day. From selling my house to build a business to standing in rooms full of investors and leaders, that voice of doubt never completely goes away.

But what Phil Knight's story taught me, and what I've learned through building multiple seven, eight, and nine-figure companies, is that imposter syndrome doesn't disqualify you. It defines you. It means you care. It means you're building something big enough to scare you. Every entrepreneur who's ever built something worth talking about has felt that same fear. The difference is, they didn't let it stop them.

So if you're out there feeling unqualified, outmatched, or a little afraid, remember this: you're not alone, and it's not a weakness. It's a sign you're exactly where you're supposed to be. Lace up, get out of your head, and, yes, just do it.

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

In this episode, I sit down with my friend Clint to share the unfiltered version of my story. I went from being a prison doctor on a 2,000-inmate yard to building an eight-figure medical wellness company. The turning point was risking half my savings to join a mastermind, selling my house, and opening our first clinic out of two rented rooms in a chiropractic office. That leap became Genesis Lifestyle Medicine, now 40+ locations and entering what we call Genesis 2.0.

My mindset had to change from "what if it fails" to "what if I don't try." Analysis paralysis almost kept me in a safe government job. The truth is, for most medical entrepreneurs, the worst case is going back to what you were already doing. Once I accepted that, I could move fast, learn faster, and keep betting on myself even when it felt uncomfortable.

We dig into building a purpose-driven company that actually cares for people and still scales. I walk through operating on facts, not feelings, stacking services that complement each other, and creating a culture that asks for referrals, earns reviews, and delivers with integrity. If you are a provider or owner who wants to grow without losing the mission, this conversation gives you the playbook I use every day.

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