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 outside does not fix the inside.

Hair didn't give me direction. Looking better didn't give me purpose. Confidence without clarity is still hollow. Success without alignment is still exhausting.

In this episode, I break down the trap high performers fall into. The belief that if we just optimize the surface, the depth will sort itself out. If I make more money, I'll feel settled. If I look sharper, I'll feel clear. If I upgrade the body, the noise in my head will finally shut up.

It won't.

At some point, the mirror stops being the problem.

The real work is internal. It's discipline over distraction. It's deciding who you're becoming. It's building a life that feels aligned instead of just impressive. It's the quiet decisions you make when nobody is watching.

Upgrade the outside if you want. You should.

Just don't confuse upgrades with answers.

Because what's in the mirror isn't the work.

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 medicine, business, and leadership. Not the fear-based nonsense. The reality.

We talk about robotic surgeons outperforming humans. AI qualifying patients before they ever speak to a provider. Contracts summarized in 30 seconds. Chief Revenue Officer brains built from decades of sales and marketing data. What happens to low-level employees. What happens to average performers. And why high-value operators are not going anywhere.

We also cover compliance, DEA regulations, synchronous vs. asynchronous telehealth, HIPAA systems, and where the legal lines still exist. Because discipline still matters.

Here's the truth:

AI is not replacing excellence. It is replacing mediocrity.

If you are great at what you do, AI amplifies you. If you are average, it exposes you.

The future of medicine is speed, precision, consistency, and scale. The companies that win will remove bottlenecks, eliminate busy work, and deliver service faster than ever before. The human connection will still exist. It just will not live in the same place it used to.

This is not about fear. It is about leverage.

Adapt or get replaced.

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 paying attention.

He publicly breaks down who I am, what I'm doing, and why excuses don't survive in the presence of discipline. He compares the work ethic required to build a real business to the standard demanded by people like Michael Jordan and Kobe Bryant. And then he drops a line I'll never forget.

That moment didn't change my trajectory overnight. But it fueled the hell out of it.

We talk about being recognized when you're not looking for applause, what it means to be a "Cleaner," why Cleaners never think they are one, and how quiet execution compounds over time. This is a full-circle moment, a leadership lesson, and a reminder that the work always shows… eventually.

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 about why most outpatient medicine no longer needs a physical exam, how telehealth has quietly existed for decades, and why cash-pay, convenience-driven care is accelerating fast. I talk about hormones, weight loss, MedSpas, commoditization, big players like Hims, regulatory shifts, and why the businesses that adapt early will scale while everyone else complains about margins and churn.

Then we zoom out. Real estate, beauty, architecture, home design, retail, customer service, training, content, even checkout experiences. Every industry has its own version of telehealth. The winners are building hybrid models that remove friction, move faster, and let technology do what humans shouldn't be doing anymore. This episode is a warning and a roadmap. Adapt now, or get left behind.

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 themselves.

Running businesses. Raising kids. Leading teams. Getting punched in the face by lawsuits, chaos, staff issues, market shifts, and pressure. I've lived all of it. And here's the hard truth: none of it is unique.

Your market isn't special. Your schedule isn't special. Your stress isn't special. Your excuses definitely aren't special.

The moment you stop arguing for your own exceptional suffering is the moment you stop hunting for magical answers and start executing on the boring fundamentals that actually work.

This episode is about dropping the drama, killing the ego, and reclaiming momentum. Because you don't need a custom solution built in a lab. You already know what to do. You just don't want to do it.

And that honesty? That's where progress starts.

If you're ready to stop whining, stop romanticizing struggle, and get back to work, this one's for you.

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 who build systems rarely fit inside them, and why growth requires living in constant discomfort. I share stories from my dad, from building Genesis, from leading high-level teams, and from choosing the wild ride over the safe one every single time.

We also get into generosity without optics, giving without expecting anything back, and why money doesn't change who you are, it just amplifies it. These are principles that apply whether you're building a business, leading a team, raising a family, or trying to live with more intention and integrity.

If you're someone who feels out of place in average environments, gets restless when things get easy, and knows deep down you were meant for more, this episode will hit home.

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 builders, founders, and creators who didn't wait for perfect conditions. Frida Kahlo creating from a hospital bed. Stephen Hawking rewriting physics with a body that was shutting down. People who moved anyway, even when fear was loud and the body wasn't cooperating.

This isn't motivation. This is reality. The fear never goes away. The timing is never perfect. Your heart will always pound when it's time to move. That's not a warning sign. That's life telling you you're in the driver's seat.

If you're building a business, carrying a vision, or standing at the edge of a decision you keep delaying, this episode is your reminder: you don't need to feel ready. You need to move.

Don't wait to feel safe. Don't wait to feel steady. Don't sit at idle.

Get in the car. Drive anyway.

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, and struggle early in life are not disadvantages but prerequisites for long-term success. And why complaining, venting online, or looking for external validation is one of the fastest ways to lose respect, leverage, and momentum.

This episode is old-school, direct, and unapologetic. If you are a founder, leader, or entrepreneur who wants to build something real and keep it standing when things get hard, these are the rules you need to hear.

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 automatically tell you where you are going. And no amount of hormones, peptides, apps, wearables, or supplements will fix a life that lacks meaning.

I walk through a real-world example I see every day in my clinics. People who are physically optimized, medically dialed in, and still deeply unfulfilled. Stronger bodies. Better labs. Longer lifespans. Empty marriages. Distant kids. Busy days with nothing that actually matters.

We talk about the two questions that actually determine the quality of your life. What do you want? And are you disciplined enough to go after it?

This episode is about responsibility. About character. About doing the boring, unglamorous work that no tool can do for you. Technology can raise your ceiling, but it cannot give you direction. It cannot build your values. And it cannot tell you what your life should mean.

Use the tools. Take care of your body. Leverage science. Respect progress. But do not confuse resources with responsibility.

Longevity without purpose is not a gift. It is just more time to avoid becoming who you are meant to be.

Build the life first. Then use the tools to support it.

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 not about tricks. And it's definitely not about running one ad for six months and hoping it works.

We talk about why broad targeting now beats narrow targeting, why your ads are burning out faster than ever, and why raw, real, imperfect content is outperforming polished, cinematic nonsense. Selfie videos. UGC. Real conversations. Different hooks, angles, visuals, and formats. Not one version. Ten versions.

If you're a clinic owner, business owner, or marketer who feels like ads "used to work" and now everything feels volatile, this episode will reset how you think about growth in 2026 and beyond.

The algorithm isn't the enemy. Boring content is.

All tools and resources mentioned in this episode are linked in the description so you can actually implement what we're talking about.

Stay creative. Stay relevant. Or get left behind.