Medical Empires20 Aug 2025

The Retreat Forward Strategy - EP 217

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.

Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

Episoder(300)

Life Happens For You, Not To You (And I Can Prove It) - EP327

Life 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 every book, quote and fram...

30 Okt 7min

How to Stop Your Clinic From Running Your Life - EP326

You 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, the HR department and ...

28 Okt 42min

Dolly Parton Said No to Elvis: The Business Lesson That Made Her Rich - EP325

Everyone 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 argue is the single gr...

23 Okt 7min

Why I Walked Away From a Nearly $500M Offer for My Medical Business - EP324

We 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 in the Gap and told the...

21 Okt 1h 46min

The $360,000 Decision That Made Sylvester Stallone - EP 323

In 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 every casting director in...

16 Okt 6min

The Smartest Way to Grow Your Med Spa (Most Owners Get This Wrong) - EP 322

I 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 opening more and more loca...

14 Okt 57min

Genghis Khan Killed So Many People It Cooled the Planet - EP 321

Here'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 that because it's the str...

9 Okt 5min

How I Built a Medical Empire From One Rented Room - EP 320

I 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 nine figure company, my w...

7 Okt 34min