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Medical Empires: Daily Summaries Delivered
by Alex Spinoso
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.
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- 4 days ago8 min
Humanity's Greatest Loser Beat Poseidon (Here's How) - EP 315
In 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 against a swordsman named Sasaki Kojiro. Not the strongest human who ever lived. Not the greatest swordsman. History's greatest loser. Kojiro lost every fight his whole life. And even after he died he kept replaying those losses in his mind, hundreds of thousands of times, until there was no move that hadn't already beaten him. So when he finally faces a god, he's already lost to every move that god could throw, ten thousand times in his head and now he knows how to counter all of it. He lost his way into a place where he couldn't be beaten. Here's the principle and our culture gets it backwards. The people who win the most are the people who've lost the most. Jordan missed the most game winners and made the most. Ronaldo missed the most penalties and scored the most. The loss isn't what happens before the success story. The loss is the curriculum. Every defeat is data. I've lived it, businesses that crumbled, bad hires, lawsuits, a year where I had to burn down parts of my company to rebuild it and every loss taught me something a winning streak never could. So stop protecting a perfect record. Staying undefeated by never fighting is the easiest thing in the world. Enter the arena, take the fight you might lose, then sit in it and study it because that's how the greatest loser in history became the one man a god couldn't beat. He didn't win his way there. He lost his way there. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso
- 6 days ago1h 4m
The Truth About Peptides, TRT and the Ozempic Boom - EP 314
I 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 California prison system, to walking away from the golden handcuffs to build a med spa company, all the way to the stuff everyone's whispering about right now: peptides, hormone therapy and the GLP-1 weight loss boom. If you've been curious what's real and what's hype in the wellness world, this is the honest version from someone who actually runs these treatments at scale, not a guru trying to sell you a protocol. On peptides, here's the truth I gave Tony. Peptides are just amino acids arranged in a specific chain and that chain flips a switch in your body, one might trigger more growth hormone production, another affects inflammation, another does something else entirely. Because they work through your body's own pathways instead of being anabolic like a steroid, they can be much safer, but there's a real catch: a lot of them are untested, the quality varies wildly and the FDA recently recategorized many that used to be legally compounded. So the "peptides fix everything" wave online has turned into the next get-rich-quick guru space and you have to know the difference between what's legitimate and what's hype. On hormones and TRT, my take is that what most people write off as a midlife crisis is very often just a hormone imbalance. Entrepreneurs get exhausted, foggy, moody, lose their drive and reach for the wrong fixes. Getting your hormones checked and balanced can do more for your sleep, focus, mood and sex life than a lot of the medications people get put on by default. You should not simply accept losing your energy and desire as you age. On the Ozempic boom, I break down the GLP-1 landscape, semaglutide and tirzepatide and why this is only the beginning. There's going to be a new, better weight loss drug essentially every year for the next several years because they're already deep in FDA trials. This category isn't a fad, it's a fundamental shift in how metabolic health gets treated. We also get into the business side that made all of this possible: how I scaled through acquisition, why you should never buy a business whose core values don't match yours, why there's no such thing as passive income in acquisitions and the mindset that pulled me out of the golden-handcuffs trap that quietly crushes so many high earners. This one is part business, part health and all straight talk. Big thanks to Tony Whatley and the 365 Driven Podcast for having me on. DISCLAIMER This conversation is for general education and entertainment only. It is not medical advice and nothing here is a recommendation to start, stop, or change any treatment, medication, peptide, or hormone therapy. Talk to a qualified physician about your individual situation before making any medical decisions. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso
- 1 weeks ago8 min
How to Raise Kids With Strong Values While Building a Business - EP 313
When 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. Nobody got up until everyone was finished. Afterward the priest pulled my dad aside and asked if it was really true, every night. My dad said yeah, every night, no matter what. The priest said something my dad never forgot: I can count on less than four fingers the families I've ever met who actually do that. Hundreds of families and fewer than four ate together every single night. I didn't get it until years later. My senior year we did a three day retreat built to help kids find their identity. My parents asked what I learned. I said the food was good. There was nothing left to find because my identity was already built. It got instilled at the dinner table, one ordinary night at a time, before any retreat got a shot at me. Here's why it matters if you're building something. Whether you like it or not, the world is going to disciple your kids. Their phone, their friends, the culture, somebody is going to tell them who they are. The only question is whether you got there first. And this is straight leadership too: what you protect daily is what you actually value, not the words on your website. My dad ran a business and still made the table non negotiable. You can be a killer in the boardroom and completely present for twenty minutes at home. Those two things are not in conflict. So pick your table. Maybe it's dinner, maybe it's the drive to school, maybe twenty minutes before bed. Then make it a law, not a nice idea. Because you can build an empire and still lose the only people it was ever supposed to be for. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso #parenting #fatherhood #raisingkids #familyfirst #intentionalparenting #leadership #legacy #worldclasslife #entrepreneurship #DrAlexSpinoso
- 1 weeks ago1h 53m
The Hardest Truths About Scaling a Business | Operator Standard Q&A - EP312
I 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 real questions from people actually building. This is the stuff that doesn't make it into a polished keynote. We covered a lot of hard truths in this one. The first one I hit them with up front: to get where you want to go you're going to have to sacrifice more than you think is enough, for probably twice as long as you think you'll have to. Most people quit right in the middle of that stretch. I also got into why, if I could scale again, I'd go slower. Growing too fast meant hiring a pile of bodies and then turning around and firing them and getting back to our core values meant replacing most of the team to rebuild the standard we started with. What got you here won't get you there. I broke down the mistake of expanding into too many cities and states at once and why you should own your zip code first, become the go to business in your city, then spread one zip code at a time instead of jumping four cities over. We talked about when to actually take on an investor and the trap of giving up equity to someone who only brings money when a bank would give you that same money without taking a piece of your company. If a partner brings money and the expertise and the life you actually want, that's a different conversation and I walked through how to structure equity, voting rights and buy-back so you never end up a minority in your own business. Then we got into leadership and people. Why you build systems and processes that carry your core values instead of holding the whole thing together with your own hands. Why keeping a talented person who doesn't fit your standards lets the problem spread through the whole company. And a mindset that changed how I lead, everybody around you is making decisions because they think that decision will make them happier and understanding that gives you grace as a leader without lowering your standard. If you're an operator, a founder, or a tradesperson trying to build something real, this is a long, honest Q&A full of the things I wish somebody had told me earlier. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso #scalingabusiness #entrepreneurship #businessgrowth #leadership #operatorstandard #smallbusiness #hiring #foundermindset #businessadvice #DrAlexSpinoso
- 2 weeks ago7 min
I'm Old Enough to Buy Eggs (Stop Shrinking Yourself to Fit In) - EP 311
Every 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 door next to us and say trick or treat. People would look him up and down and go aren't you a little old for this? And every time he'd look them dead in the eye and say well, I'm also old enough to buy eggs now. Give me the candy or I'll be back later. I thought he was just being goofy. It took me years to see what I was really watching. A man being completely, unapologetically himself in a world that kept telling him he was too old, too big, too much. And he did not care even a little. This episode is about that voice in your head, the one that shows up the second you want to say the thing, build the thing, become the thing and whispers act your age, that's not professional, what will people think. That voice is not you. It's a committee. Every teacher who told you to sit down, every boss who wanted you smaller, every person who was more comfortable when you were a watered down version of yourself. You've listened to it so long you think it's your own voice. It's not. Most people spend their whole lives being who they think they're supposed to be. They pick the safe major, the respectable job, they sand off every edge that makes them interesting until they're smooth and forgettable and then one day they're fifty wondering why their life feels like it belongs to someone else. I'm a doctor who refused to be what a doctor is supposed to be and here's what I've learned. The loudest voice telling you to shrink usually comes from someone who already shrunk themselves, and it kills them a little to watch you refuse to do the same. That thing you keep talking yourself out of is usually the most valuable thing you've got because it's the one thing nobody can copy. Anyone can be the acceptable version. There are ten thousand of those. There's exactly one of you being you. You're going to get old either way. The only question is whether you spend those years being yourself or being a costume the committee approved. CHAPTERS 00:00 My dad went trick or treating in full costume 01:15 I'm old enough to buy eggs 01:56 What I was actually watching all those years 02:20 The voice in your head is a committee, not you 03:16 How people shrink until their life isn't theirs 03:51 The doctor who refused to stay in the lane 04:37 The people telling you to shrink already shrunk 05:09 The thing you talk yourself out of is your biggest asset 06:41 Kill the committee and be yourself on purpose Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso #beyourself #authenticity #selfconfidence #mindset #peoplepleasing #personaldevelopment #fittingin #selfworth #motivation #DrAlexSpinoso
- 2 weeks ago1h 19m
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 the same answers I'd give if we were sitting across the table. We covered a lot of ground in this one. When it actually makes sense to acquire another business versus pouring that money into what you already have and the expensive mistake I made expanding into too many territories before I dominated the one I was in. If I could go back, I'd build ten locations and make each one the go to place in its city, instead of spreading myself across eighty and watching them all spin their wheels. Own your zip code first, then move to the next one. I got into how I actually structure my companies. Separate LLCs for each business so nothing cross-contaminates in a lawsuit, a management services agreement running up to a Delaware based mother ship, and management fees flowing out to personal LLCs so there are layers of protection around your income. I'm not your attorney or your CPA and you need to have that conversation with your own tax person, but I walked them through exactly how mine is built and why. We talked vertical integration, how to look at your P&L, find your highest cost of goods and decide whether to negotiate it down, partner strategically or acquire a piece of the supplier so you're getting your product at cost. I explained why I'd avoid taking out loans at almost any cost when you're starting, why learning to run a business with no money is what makes you resourceful and why handing a broke operator a pile of cash usually ends the same way it ends for lottery winners. And I shared the note taking system I actually used to build everything, the part nobody does, which is going back and applying one lesson at a time instead of just collecting notes you never use. If you're an operator, a founder, or someone trying to build something real from scratch, this is ninety minutes of the stuff I usually only say behind closed doors. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso #entrepreneurship #businessgrowth #operatorstandard #smallbusiness #scalingabusiness #assetprotection #verticalintegration #businessstructure #foundermindset #DrAlexSpinoso
- 3 weeks ago7 min
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 in every direction at once, all day, every day. So the school did what schools do. They looked at my parents and said we think you should put him on medication, calm him down, get him to sit quietly in a chair like the other kids. My parents said absolutely not. My dad was blue collar, Metallica in the garage, Craftsman toolbox, figure-it-out kind of guy. My mom was Puerto Rican, salsa and movement in the house all the time. These were not soft people. And when the school said let's medicate your son so he's easier to manage, my dad basically said you're not sedating my kid so he's more convenient for you. We'll handle it. And here's how they handled it. They didn't try to make me calmer. They gave me somewhere to put it. At one point I was in five different sports at the same time. They kept me moving, they kept me challenged and my dad's whole thing was school is your job, do it well, then go burn the rest of that energy off on the field. They didn't treat my intensity like a problem to dial down. They treated it like fuel that needed somewhere to go. Here's what I've come to believe after living this myself. And let me be clear, because I'm a doctor. Some people genuinely need medication. That's a real medical decision made with a real physician and I'm not touching that. I'm talking to the other group, the big group, the ones using the diagnosis as an excuse for why they can't be successful. For a lot of you it was never a broken brain. It was a Ferrari engine sitting in a school desk in first gear, redlining, going nowhere. The problem was never too much energy. The problem was nobody gave that energy a track to run on. This episode is about ADHD, intensity, and why the exact wiring people keep telling you to calm down is the thing that builds companies. Every person I know who has built something real is a little bit wired wrong by normal standards. The calm, easy-to-sit-next-to people are wonderful and they're usually working for the intense ones. But here's the catch. An engine with no track destroys itself. If you don't give that energy an outlet it doesn't disappear, it turns on you. It becomes anxiety, ten unfinished projects, lying awake at two in the morning with your brain screaming at you. The energy is coming out either way. The only question is whether you build the track or it tears up the whole car. So stop trying to become the calmer person. You're not going to become the calmer person. Build the outlet instead. Structure means systems and real processes so your brain isn't the only thing holding the business together. It means hiring the calm, detail-obsessed operator who does the thing you'll never do, so you can run down field where you're actually valuable. And you still need the physical outlet, the gym, the sport, the place to dump the excess so it doesn't leak into your marriage or your team. Stop treating your wiring like a diagnosis you're stuck with. Stop letting a label become the ceiling you build your whole life under. If you genuinely need help, go get it, no shame in that. But if you've got a powerful engine and no track, quit trying to sedate it, quit apologizing for it, and go build something big enough to hold all of it. They didn't turn me down. They pointed me at the field and let me go. CHAPTERS 00:00 The decision my parents made when I was a kid 00:17 The school wanted to medicate me 00:54 Who my parents were and why they said no 01:26 They didn't make me calmer, they gave me somewhere to put it 02:03 The part I have to say as a doctor 02:39 A Ferrari engine stuck in first gear 03:08 You don't fix a powerful engine by choking it 03:29 To the entrepreneur who can't turn it off 03:58 Your intensity is the asset, not the defect 04:22 An engine with no track destroys itself 05:01 Stop trying to be calmer, build the outlet 05:45 The life I'd have if my parents said yes 06:15 Stop letting a label become your ceiling Get on my email list at dralexspinoso.com Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso TikTok: https://www.tiktok.com/@dralexspinoso #adhd #entrepreneurship #adhdentrepreneur #mindset #focus #discipline #productivity #mentalperformance #selfimprovement #DrAlexSpinoso
- 3 weeks ago20 min
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 giant wooden horse. One man, a priest named Laocoon, throws a spear at it and screams don't bring that thing inside our walls. They ignored him. They were too tired to be careful and that one bad night at the gates cost them everything they had built. That is exactly how most clinic owners hire. In this episode I break down the warm body trap, the hiring mistake that has destroyed more clinics than slow months, bad rent and crappy marketing combined. A warm body is anyone you hire because they have a pulse and credentials, not because they fit your character and your standards. And owners don't hire them because they're dumb. They hire them because they're exhausted and that horse in the moment represents the one thing they want more than anything, which is relief. I get into the real math of a bad hire and it's uglier than owners think. That 120 grand nurse practitioner doesn't cost you 120 grand when she's wrong. She costs you somewhere between 180 and 360 grand once you count the salary you keep paying while she fails, the revenue a good person would have produced, the damage she does to your best people, the patients she quietly runs off and the cost of starting the whole search over from a worse position. I walk through a real story of an owner who hired in pain, watched an NP build a personal patient base for twelve months, then lost half a million dollars when that NP walked out the door and opened up down the street. Then I get into the alternative, how to hire the right way so you stop bleeding. Always be recruiting, even when you don't have an open seat. Hire on character and core values, not credentials. Evaluate with stories, not claims. And be the most picky exactly when you are the most desperate. Because every person you let in the door is a vote for the kind of business you're becoming. Let in warm bodies and you become a warm body clinic. Let in the right people and you become a clinic of right people. If you own a med spa, aesthetics practice, chiropractic, dental or any clinic where your staff is the product, this one will save you a hire you're about to regret. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso TikTok: https://www.tiktok.com/@dralexspinoso
About Medical Empires
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.
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