Medical Empires
by Alex Spinoso
Latest episode
Life Happens For You, Not To You (And I Can Prove It) - EP327
Life Happens For You, Not To You (And I Can Prove It) - EP327
About this podcast
In 2017, I was living in 150 square foot bedroom in a house that was rented out to five other people and I was serving as a doctor to inmates in Nevada. Today, I live in suburban, Dallas and run multiple 7 and 8 figure businesses. I'm here to tell you – what I have done, you can do. The purpose of my podcast is to motivate you to take ownership of your life, to show you how to operate on elite levels in business and life, and to embrace the mindset that you can overcome anything that stands in your way. It's time to go after what you want - and get it.
Episodes
The newest 50 of 300 episodes
- Life Happens For You, Not To You (And I Can Prove It) - EP327 · 7 minLife happens for you, not to you, is the one belief Dr. Alex Spinoso would keep if he lost every other framework. Here's why he means it in his bones. If he had to throw out…
- How to Stop Your Clinic From Running Your Life - EP326 · 43 minYou started your practice for freedom, more money, your own schedule, a higher standard of care. Then somewhere along the way it flipped and now you're the provider, the biller…
- Dolly Parton Said No to Elvis: The Business Lesson That Made Her Rich - EP325 · 8 minEveryone remembers the wigs, the rhinestones, the big laugh, the "dumb blonde from the mountains." Almost nobody realizes that was the strategy. Dolly Parton pulled off what I'd…
- Why I Walked Away From a Nearly $500M Offer for My Medical Business - EP324 · 1 h 46 minWe had a 10x offer on the table for Genesis Lifestyle Medicine, almost half a billion dollars and we walked away from it. I sat down with Josh Ponton on ASHER Health's Standing…
- The $360,000 Decision That Made Sylvester Stallone - EP 323 · 7 minIn 1975 there was a broke, 29 year old actor with about a hundred dollars to his name, no car and a face partially paralyzed from birth that gave him a slurred way of talking…
- The Smartest Way to Grow Your Med Spa (Most Owners Get This Wrong) - EP 322 · 58 minI joined Neal Karski on the Aesthetics Millionaires Show for a conversation every med spa and clinic owner needs to hear, especially the ones who think the path to wealth is…
- Genghis Khan Killed So Many People It Cooled the Planet - EP 321 · 6 minHere's a fact that sounds made up but isn't: the Mongol Empire killed on such a massive scale that scientists say it measurably cooled the entire planet. I open this one with…
- How I Built a Medical Empire From One Rented Room - EP 320 · 34 minI sat down with Chris Kille on the Building Great Companies podcast and told him the whole story, including the part most people skip. Before Genesis Lifestyle Medicine was a…
- Why Your Masterpiece Is Hiding in the Boring Work - EP 319 · 6 minThere's a church in Barcelona called the Sagrada Familia and people walk in and literally weep. It doesn't look like it was built by human hands, it looks like it grew out of the…
- How to Survive the Early Years of Building a Business | Operator Standard Q&A - EP 318 · 2 h 16 minI got on an open forum call with a room full of operators and told them to ask me anything, no script, no filter. The very first question hit the thing almost nobody talks about…
- Why Your Life Changes Without You Ever Noticing - EP 317 · 6 minIf you've ever felt like your life, your business or your marriage slowly drifted and you never saw it coming, this is about self-discipline, consistency and why the small daily…
- Niche Down or Stay Broke: The Truth About Focus | Operator Standard Q&A - EP 316 · 1 h 46 minI got on an open forum call with a room full of operators, contractors, tradesmen, a realtor and told them to ask me anything, no script, no filter. The first guy started…
- Humanity's Greatest Loser Beat Poseidon (Here's How) - EP 315 · 8 minIn Record of Ragnarok on Netflix, the gods put humanity on trial, greatest humans ever versus Zeus, Poseidon and the rest, and the fight I can't stop thinking about is Poseidon…
- The Truth About Peptides, TRT and the Ozempic Boom - EP 314 · 1 h 4 minI sat down with Tony Whatley on the 365 Driven Podcast for a long, wide-open conversation and we ended up covering everything from my early years as a physician working in the…
- How to Raise Kids With Strong Values While Building a Business - EP 313 · 9 minWhen I interviewed for my all boys high school, I mentioned in passing that my family ate dinner together every night. I didn't think it was special. That's just what we did…
- The Hardest Truths About Scaling a Business | Operator Standard Q&A - EP312 · 1 h 53 minI got on an open forum call with a room full of operators and told them to ask me anything, business, hiring, scaling, partners, family, all of it. No script, no filter, just…
- I'm Old Enough to Buy Eggs (Stop Shrinking Yourself to Fit In) - EP 311 · 8 minEvery Halloween growing up, my dad didn't just take us trick or treating. He dressed up too, in full costumes he hand sewed himself. And this grown man would walk right up to the…
- How to Structure, Scale and Protect a Business From Scratch | Operator Standard Q&A - EP 310 · 1 h 19 minI sat down with a room full of operators from East Tennessee and told them to throw every business question they had at me. No script, no filter. Just real questions from people…
- Your ADHD Isn't a Disorder. It's a Ferrari Engine With No Track - EP 309 · 7 minWhen I was a kid I got diagnosed with ADD. Back then they called it something else but the story was the same. I couldn't sit still. I couldn't shut it off. My brain was going a…
- The Warm Body Trap That's Quietly Killing Your Clinic - EP 308 · 20 minPicture the Trojans, ten years into the war. Ten years of dead sons, food running low, hope running lower. Then one morning the Greek camp is gone, the ships are gone and…
- The One Broken Detail That Defines Your Whole Business - EP 307 · 9 minI was driving with a buddy a while back and we pulled up next to a Nissan Versa. Out of nowhere he goes, how much you want to bet the rear passenger hubcap is off? I said what…
- You Become What You Tolerate in Yourself - EP 306 · 7 minIt's 11:14 at night. You're in bed, phone in your hand. You told yourself two hours ago you'd be asleep by 10:30. You're not. You scroll one more reel, then one more. You check…
- My Mom Has Dementia, What It's Teaching Me About Life - EP 305 · 9 minWith dementia you don't lose someone all at once. You lose them a little bit at a time. Some days my mom knows exactly who I am. Some days I'm just a kind face sitting next to…
- The Membership Mistakes Costing Your Clinic Six Figures a Year - EP 304 · 19 minCan you say out loud right now exactly how much money is going to hit your account next month? Not a guess. Not "it depends on how busy we are." An actual number. Most clinic…
- The New FDA Peptide Rules Every Med Spa and Clinic Owner Needs to Know · 49 minThe FDA just reclassified peptides and it is going to reshape how med spas and medical practices operate in 2026. In this episode I break down exactly what the new FDA 503A…
- Your Standards Should Not Depend on the Scoreboard - EP 303 · 9 minMexico had already won their group. They rested players. So why did they play like it was the final? I flew to Mexico City with my wife to watch that match and I walked away with…
- If You Disappeared for 30 Days, Would Your Clinic Survive? - EP 302 · 20 minHere's a question I ask almost every single clinic owner I coach, usually within the first ten minutes of working with them. If you disappeared for 30 days, no phone, no email…
- Stop Trying to Overcome Imposter Syndrome: Do This Instead - EP 301 · 10 minI used to think confidence was something you earned. Build enough businesses, hit enough milestones and eventually that voice in your head telling you that you don't belong would…
- What 300 Podcast Episodes Taught Me About Scaling a Business - EP 300 · 1 h 2 minAmanda and I sat down to actually look back at what three years of doing this taught us and I'm gonna tell you right now, most of it isn't what you think. Genesis is growing…
- Your Clinic Story Is a Hero's Journey: Here's the Map - EP 299 · 17 minI grew up a comic book nerd. Spider-Man, Batman, Iron Man, Captain America, Wolverine. I loved all of it. But here is what I want you to understand. It was never about the powers…
- From Prison Doctor to 18 Clinics | Dr. Alex Spinoso on The Todd Hartley Show | Guest Podcast – EP298 · 28 minI was a prison doctor two years out of residency, watching the clock, getting yelled at for seeing too many patients and planning a double pension by 60. I thought I had it…
- The Most Dangerous Thing in Your Clinic Isn't Breaking the Law, It's the Fear of It - EP 297 · 15 minMost clinic owners think the biggest threat to their business is the medical board, the FDA or some regulation they didn't know about. It's not. The most dangerous thing in your…
- How I Scaled To 80 Locations By Documenting Everything - EP 296 · 41 minMost business owners hit a ceiling and never figure out why. The answer is almost always the same. They keep everything in their head instead of documenting it. That is what this…
- The Real Reason You Can't Focus: It's Not Discipline, It's Clarity - EP 295 · 16 minEveryone keeps telling you the same thing. Social media is killing your focus. Your phone is hijacking your attention. Modern life is too distracting. And look, some of that is…
- Newton Invented Calculus During the Plague: What's Your Excuse - EP 294 · 14 minEverybody keeps asking the same question. What if it gets worse. What if AI replaces everything. What if the whole thing falls apart. That question has no floor. You can ask it…
- How a $50,000 Bet on Himself Changed Everything: Dr. Alex Spinoso's Origin Story - EP 293 · 1 h 10 minAt 30 years old I had a government job a nice house in Palm Springs a view of the mountains and I wanted to walk into traffic. Not because my life was falling apart. Because it…
- What Michael Jackson's Obsession Teaches Every Entrepreneur - EP 292 · 8 minMichael Jackson rehearsed 6 to 8 hours a day. Not occasionally. Constantly. The same moves. The same transitions. The same runs. Over and over until they stopped being something…
- Motivation Will Let You Down: 5 Things That Build Your Business - EP 291 · 41 minMotivation is going to let you down. It's not a matter of if, it's when. I've pulled out of a PE deal that should have been the biggest win of my career, rebuilt Genesis from the…
- This Is the Way: What the Mandalorian Teaches Entrepreneurs About Discipline and Leadership - EP 290 · 7 minMost people think discipline is about motivation. It's not. Motivation is temporary. Feelings are temporary. Standards are supposed to be permanent. In this episode I'm pulling a…
- Why Motivation Is a Trap: What Actually Drives Results in Your Business - EP 289 · 43 minMotivation is not going to save you. It never was. I sat down with Amanda May to break down why chasing motivation is exactly what keeps most people stuck. We opened with real…
- Business Isn't Fun. And That's the Point - EP 288 · 4 minEveryone wants the fun part. The wins. The momentum. The days where it all clicks. Nobody talks about the years of boring, repetitive, unglamorous work that had to happen before…
- Discipline vs Motivation: Why Boring Work Is the Only Work That Compounds - EP 287 · 39 minEveryone wants the exciting part. The wins. The momentum. The days that feel like you were born to do this. Nobody talks about the years of boring, repetitive work that had to…
- Ray Kroc's Secret to Building McDonald's: The One Skill That Made Him a Billionaire - EP 286 · 4 minMost people walked into that McDonald's and saw a burger. Ray Kroc walked in and saw a machine. Same building. Same kitchen. Same food. Completely different outcome because of…
- Why Boredom Is the Secret to Building Discipline in Business - EP 285 · 37 minEveryone wants the highlight reel. The viral moment. The overnight success story. Nobody talks about the part that actually builds it; the boring, repetitive, unglamorous work…
- I Got Everything Then What - EP 284 · 5 minMost people spend their whole life grinding toward something. The dream car. The dream house. The financial freedom they swore they'd have someday. And then one day it happens…
- How to Stop Being Busy and Start Being Productive - EP 283 · 56 minEverybody is busy. Nobody has time. But I am going to tell you something nobody wants to hear. Being busy is exactly what is holding you back. I have built companies to tens of…
- Why Focusing on One Goal Beats Chasing Many - EP 282 · 5 minMore goals. More habits. More plans. More routines. More systems to track, optimize, and eventually feel guilty about. But almost nobody stops to ask the more important question…
- What's Actually Killing Your Focus - EP 281 · 57 minMost people are not lazy. They are unfocused. And there is a difference. In this episode of The Spinoso Podcast, Dr. Alex Spinoso and Amanda break down the four enemies of focus…
- The Real Flex Is Restraint - EP 280 · 3 minSomething changes when you start having real success. You think freedom means saying whatever you want to whoever you want. No filter. No pause. You call it confidence. But if…
- Being Nice Is Costing You - EP 279 · 57 minEverybody wants to be seen as a nice person but most people do not realize that being nice is exactly what is holding them back. There is a difference between being kind and…
