In this episode, Amanda and I dig into a concept most entrepreneurs avoid—the retreat forward strategy. It’s the uncomfortable truth that sometimes the smartest move you can make is to pull back, regroup, and reset before you charge ahead. I share how this played out when we were starting Genesis Lifestyle Medicine, including why I left our Palm Springs home and downsized to save capital for the business. Retreating isn’t weakness—it’s strategy, survival, and setting yourself up to win the next battle.

We break down how this shows up in business and in life—whether it’s closing a location, simplifying a product line, stepping back to recover from burnout, or stripping a company down to the studs to rebuild a stronger foundation. I talk about how we’ve done this multiple times inside Genesis, the difference between using duct tape for a quick fix versus doing a full rebuild, and how to know when it’s time to pivot. We also hit on the mindset shifts that make retreating a mature, courageous decision rather than a perceived failure.

If you’ve ever felt the tension of scaling back when you want to charge forward, this conversation will give you perspective and tools to use that pullback as a slingshot for future growth. We talk about playing the long game, handling the embarrassment or fear that can come with retreat, and why surrounding yourself with the right people is critical when you rebuild. This is about making smart, strategic moves—even if they feel like steps backward—so you can come back stronger, more focused, and better positioned to win.

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.

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In this episode, I share a conversation I had with a sharp, high-potential business colleague who kept getting stuck in the weeds. His reasoning? “I’m just not good at that, so I should delegate it.” On the surface, that sounds like self-awareness—but I told him straight up, that’s low-level thinking. Leadership isn’t about avoiding what you’re bad at; it’s about making decisions through the lens of impact, not comfort. You don’t delegate because you’re bad at something—you delegate because it’s not the highest and best use of your energy.

I break down the elite way to approach this: as a leader, you need to be competent in every area—operations, hiring, messaging, vision, cash flow, culture, conflict—because you’re responsible for all of it. That doesn’t mean you do everything yourself; it means you develop enough proficiency to make strategic calls and then focus on the levers that truly move the needle in revenue, leadership, and legacy. The mindset shift is going from “I’m not good at that” to “I could be good at that, but it’s not where I’m most valuable.”

If you want to win at a high level, stop asking what you’re naturally good at and start asking what matters most to your business. Then do that with excellence, every single day. This episode is about moving beyond comfort, avoiding the escape hatch of “I’m not good at that,” and leading with clarity about when to step in and when to step back. That’s how you build something great, that’s how you lead, and that’s how you win. 

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.

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In this episode, I opened up about two powerful themes that have shaped my life: taking ownership and choosing to live with purpose. We start with a cautionary tale—how a simple oversight with my Lamborghini turned into an $11,000 mistake—and how the real issue wasn’t the damage, but the lack of accountability. When you’re working with high-level people, honesty matters more than perfection. I break down what that situation taught me about leadership, integrity, and why lies of omission will sink your credibility faster than any screw-up.

Then, we go deep into something that drives me at the core—Superman. Not just the superhero, but the mindset. I talk about why I tattooed the “S” across my back, what Krypton and Smallville represent in my life, and how the Superman story mirrors the entrepreneurial journey. We unpack the burden of striving for greatness, how pride can take you down faster than failure, and why your job as a leader is to be the ideal—flawed, human, but worth following. We even dive into the power of “dark energy” and how to use it constructively to fuel your mission without letting it destroy you.

If you’re trying to balance being the hero and staying human, this one’s for you. We talk about building something big without losing sight of who you are, how to use your past pain as power, and why every successful person you admire has had a doomsday moment that nearly took them out. This isn’t about playing small. It’s about being grounded, having values, facing your villains, and still showing up to save your corner of the world—even if you don’t wear a cape.

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.

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In today’s episode, I’m not here to sugarcoat it—I’m here to talk about attitude. Not the snarky kind you throw around when things go sideways, but the deep, quiet kind that seeps into your mindset when life feels unfair. I’ve had those moments—when everything feels heavy, progress feels impossible, and I want to give up. But I’ve come to realize something: someone out there, with far fewer resources and much bigger obstacles, is outworking me. And outworking you.

This episode is a wake-up call. I share stories of people fighting cancer while raising kids and running businesses, of people living in war zones still chasing their dreams, of men and women who have every reason to quit—but don’t. I talk about my own experience on Mount Kilimanjaro, where I was weak, sick, and struggling—and it was the local guides, with next to nothing, who carried me through. These people have grit. They have perspective. And they prove that effort doesn’t require privilege—just character.

If you’ve been stuck in self-pity, waiting for the perfect time, or blaming your circumstances, this one’s for you. It’s time to stop whining, stop comparing, and start owning everything you’ve been given. Because greatness isn’t about having more—it’s about doing more with less. So ask yourself: are you really doing everything you can with what you’ve got? If not, let’s fix that. No excuses. Ever.

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.

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In this episode of the Spinoso Podcast, I dive deep into the Law of Reciprocity—what it is, how it shows up in life and business, and the mindset shifts required to keep your heart open even when the world doesn’t always give back. I share stories from my own entrepreneurial journey, how I’ve been burned, how I’ve given too much, and how I’ve learned to keep giving anyway—without expecting anything in return. My co-host Amanda joins me for a real, raw conversation about how generosity and boundaries coexist, and how we keep going even when the ROI isn’t immediate or obvious.

We talk about the hard truth that being a business owner—or a parent—isn’t always rewarding in the moment. You give time, energy, love, money, resources… and sometimes people leave, fail to appreciate it, or never change. But we also explore the deeper fulfillment that comes from playing the long game, staying true to who you are, and letting karma—or energy, or flow—handle the rest. Whether it’s building a team, raising kids, or dealing with clients, reciprocity isn’t a formula. And that's why you have to give because it’s who you are, not because you're trying to get something back.

If you’ve ever been tempted to stop giving because you feel drained or taken advantage of, this episode is your reset. Amanda and I break down how to stay generous without becoming resentful, how to lead without being soft, and how to build a life and business that reflect who you truly are. It's not always easy—but if you stay open, aligned, and unattached to the outcome, the right people, opportunities, and results eventually show up.

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.

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This week, I want to talk about a simple but powerful reminder I saw in an Instagram post from my buddy Jacob. He said, “If you want to work with elite people and be their go-to, it’s not that complicated—just do what you say you’re going to do.” And he’s absolutely right. When you say you’ll deliver something by Friday at 1 PM, deliver it by Friday at 1 PM. Not later. Not the next morning. Elite performers don’t have time to chase people or babysit broken promises. Their world is a tight system of responsibilities and decisions that depend on momentum—and when you miss your deadline, you don’t just slow yourself down, you stall their entire machine.

That one post got me thinking even deeper about where trust really begins—not just trust from others, but trust in yourself. The truth is, real confidence doesn’t come from recognition or praise. It comes from following through on the promises you make to yourself. When you say you’re going to hit the gym, make the call, solve the problem—and you actually do it—that’s when self-belief grows. It’s not about hype, it’s about consistency. The more you keep your word to yourself, the more you trust your own ability to handle what life throws at you.

So yes, be the person others can count on. Keep your word to your clients, your team, your mentors. But if you really want to level up—if you want to lead, to build, to win—you’ve got to start with yourself. Your integrity with yourself is your foundation. Without it, nothing else holds. And with it? You become unstoppable.

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.

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In this episode, Amanda and I dive into the unexpected ways that parenting shapes leadership. From toddler meltdowns to team dynamics, we’ve realized how much raising kids mirrors building and managing a business. Whether it's communicating clearly, creating structure, or learning how to stay patient while being pulled in ten directions, kids have a way of teaching you what kind of leader you really are—and what kind of leader your people need you to be.

We talk about the emotional intelligence that parenting builds, the importance of presence, and the power of spending quality time with both your family and your team. Just like our kids, our staff need structure, support, and someone who shows up for them consistently. We share stories from our own families—both the funny and the messy—that have influenced how we lead at Genesis and how we think about legacy, loyalty, and culture inside our business.

Ultimately, this conversation is about redefining success. Not just through revenue or accolades, but through the relationships we build—at home and at work. Fatherhood and motherhood have forced us to look at the long game, to think generationally, and to consider how our leadership impacts not just the people in the room today, but the future we’re building for them. If you’re a parent, a leader, or both, this one’s going to hit home.

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.

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Today, I’m sharing a story about my brand-new Lamborghini Revuelto and how a small mistake turned into a massive lesson in trust, leadership, and communication. I took the car to a trusted shop for some paint protection film, and while it sat there, the battery died. No big deal, right? But instead of calling me or Lamborghini, they tried to fix it themselves… and jumped it using the wrong port. What followed was a series of bad decisions, a fried battery system, and worst of all, no one told me the truth until I found out the hard way.

This wasn’t just a car issue; it was a communication breakdown. I don’t think they were trying to be shady. I think they were trying to protect me from bad news. But in doing so, they made the situation worse and broke trust. And that’s the point. If you work with high-level people, honesty and speed matter more than perfection. Mistakes won’t get you fired. Covering them up will. Leaders can’t fix what they don’t know. And when you wait too long to speak up, that silence becomes more damaging than the problem itself.

If you’re a leader, listen closely: you train your team with your reactions. If your people are afraid to be honest, you’ve trained them to lie. That’s not leadership, it’s fear. On the other hand, when someone brings you a problem and a plan, and you respond with calmness and support, that’s how you build loyalty and a strong culture. The test of any team or business isn’t whether people make mistakes, it’s whether they trust you enough to tell you when they do. Honesty might be expensive, but dishonesty will cost you everything.

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.

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Ambition is essential if you want to build something that lasts. It’s what drives legacy, growth, and impact—but if you’re not careful, it can also destroy your health, relationships, and identity. In this episode, we’re talking about the double-edged sword of ambition. We’re pulling back the curtain on what happens when you let the hustle take over your life, and sharing real stories about burnout, identity loss, and the price we’ve paid trying to chase more, do more, and be more. This isn’t about quitting ambition—it’s about managing it, so it doesn’t manage you.

We also dive into how we keep our ambition in check with habits that ground us—whether that’s working out, spending intentional time with our kids, or unplugging to recharge. We talk about how our ambition has evolved over time and how our definitions of success have shifted. It’s not just about being busy anymore—it’s about being effective. And we reflect on the identity traps that come when your worth is tied too closely to what you achieve, instead of who you are becoming in the process.

This episode is for every entrepreneur who’s felt like ambition is both the engine and the enemy. We’re here to say: it doesn’t have to be that way. Ambition, when aligned with purpose, can fuel you instead of drain you. But only if you build the right systems, habits, and self-awareness around 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.

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As a kid, I was obsessed with cars, monster trucks, hot rods, supercars, all of it. I told my dad I wanted to be a mechanic one day, and he gave me a perspective I never forgot. He told me there was honor in that path, real, honest work—but then he asked me something that changed everything: “Do you want cars to be your livelihood… or your hobby?” That question shifted my entire trajectory. Fast forward to today, and I finally bought my dream car, a blue Aegir Pearl Lamborghini. Not leased. Not borrowed. Custom-built, piece by piece. And as it rolled off the truck, it wasn’t just a car; it was a childhood dream fulfilled.

But here's what most people don’t expect: that feeling didn’t last. And it wasn’t supposed to. For high performers, the goal isn’t the thing. The goal is growth. That car was emotional, rewarding, and meaningful, but I celebrated, took it in, and then asked myself, “What’s next?” The dream got checked off, so the bar moved. Not because I’m ungrateful, but because I’m still breathing. Still building. Still capable of more. Real entrepreneurs don’t stop once they’ve “made it.” They keep leveling up, again and again.

So, whether you’re chasing your first six-figure month, your dream home, or your own supercar, hit the goal, and then raise the bar. Because our purpose isn’t to achieve one dream and stop, it’s to become the kind of person who keeps dreaming, keeps evolving, and keeps doing the work to become worthy of what’s next. This episode is about the real payoff of achieving your goals and why the best thing you can do after hitting one is to go build the next.

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.

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