Medical Empires20 Jun 2025

When Money Doesn't Motivate - EP 202

In this episode, I'm pulling back the curtain. I've built the businesses, hit the numbers, bought the cars, the house, the watch—and I'm on pace for eight figures in personal income. But here's the part no one tells you: sometimes I wake up and feel nothing. Not because I don't love the game, but because once you've "made it," the hunger changes. You're not chasing anymore—you're maintaining. And that gets dangerous.

Success without purpose becomes pressure. You stop being driven by vision and start being driven by fear—fear of losing what you built. That's not freedom. That's a golden cage. I had to ask myself real questions: What do I actually care about? What's worth suffering for? Because if you don't know, you'll burn out doing too much of what doesn't matter.

If your fire is flickering, don't ignore it. Dig in. Get honest. Because the real win isn't just building something big—it's building something that means something. Otherwise, you'll look back and realize you climbed the wrong mountain, with no one to celebrate with at the top.

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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Episoder(300)

How to Structure, Scale and Protect a Business From Scratch | Operator Standard Q&A - EP 310

I 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 actually building and ...

2 Sep 1h 19min

Your ADHD Isn't a Disorder. It's a Ferrari Engine With No Track - EP 309

When 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 hundred miles an hour ...

28 Aug 7min

The Warm Body Trap That's Quietly Killing Your Clinic - EP 308

Picture 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 standing at the gates is a gi...

26 Aug 20min

The One Broken Detail That Defines Your Whole Business - EP 307

I 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 are you talking about. H...

14 Aug 8min

You Become What You Tolerate in Yourself - EP 306

It'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 email even though nothi...

7 Aug 7min

My Mom Has Dementia, What It's Teaching Me About Life - EP 305

With 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 her. And that has forced...

31 Jul 9min

The Membership Mistakes Costing Your Clinic Six Figures a Year - EP 304

Can 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 owners can't. And that on...

28 Jul 19min

The New FDA Peptide Rules Every Med Spa and Clinic Owner Needs to Know

The 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 peptide rules mean for your...

22 Jul 48min