Medical Empires12 Sep 2025

Own Your Cheeks - EP 224

In this episode, I share a story from my college days when I was hustling to make ends meet and wound up modeling nude for the art department. One day, I walked past the campus art museum and saw a life-sized painting of myself—ass cheeks and all—displayed right in the front window. People pointed, some laughed, but I didn't flinch. I owned it. That moment taught me a lesson I carry into business and leadership today: eventually, the world is going to see the real you, and when that happens, you can either shrink back or stand tall.

We live in a world obsessed with curation—perfect captions, polished images, and "authenticity" that's been edited into a brand. But the truth always shows up. Your team sees how you lead under pressure, your clients see what your culture actually looks like, and the people closest to you see if your confidence is real or just performance. Leaders who last don't run from exposure—they use it. I break down examples from Lady Gaga, Dave Chappelle, and Elon Musk, all of whom were mocked before they were celebrated, but who understood that hiding their weird would only dilute their power.

Authenticity doesn't mean dumping your trauma online or pretending flaws are strategy. It means being willing to own your story—the hustle, the grind, the mistakes, and the scars—because those are the very things that make you credible. In this episode, I talk about why your credibility as a leader doesn't come from being flawless, but from being real. When the world inevitably sees the real you, make sure it's not a façade—make sure it's a masterpiece worth putting in the front window.

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)

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