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)

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 every...

11 Sep 8min

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 peopl...

9 Sep 1h 53min

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 s...

4 Sep 7min

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