#145 CCP with Alex Spinoso

Hello, and welcome to another episode of construction corner podcast. I'm Dillon, I'm your host and guys today we have a super special guests. I am super pleased to have Dr. Alex Spinoso on the show. This is going to be an important show. We're talking about mental health suicide aware. Month. And we actually record this on the actual day for suicide, mental health awareness.

So without further ado, please welcome Dr. Alex Spinoso. Yeah, absolutely.  so a little bit about myself.  Dr. Alex Spinoso I went to medical school. And then completed my residency here in Southern California in the United States.  since then I worked in a prison system for the government for about three years.

And then after about three years, I got tired of it, decided to move more to the private sector building my own business called Genesis lifestyle medicine Genesis lifestyle medicine, we've grown. We've been able to grow.  from just one clinic in Nevada to now the group is about 10 clinics, my business partner, and I own about 17 medical clinics across the country doing a bunch of different types of medicine insurance-based and anti-aging most of what I do is anti-aging hormone therapy weight loss.

Yeah. CoolSculpting aesthetic type medicine. So that's what we've been doing. We've been expanding and growing across the country that way. And every once in a while, building out some clinics, which as you know, has been a bear sourcing materials and getting workers and everything like that. So that's been an interesting new aspect to these, to these clinics and our expenses.

Yeah, the the material shortages and labor issues we're having a nationwide or are enough to make your head spin.  I'm seeing it on the construction side. I can't imagine how frustrating it must be on the, on the owner side. Yeah, it is. We have one that one clinic that's being built that has been being built for, I think, eight months now.

And how large are the clinics. Roughly clinics are pretty small, roughly 1100 to 1800, some, some pushing 2000 square feet. So, so your build out should be about three months. Give or take. Yeah. Yeah. Build out should have been three months. It should have also been like 150 K and I think they're, they're pretty close to a quarter million.

Okay. Yeah, but the good news on that end is there there's signs that it's getting better. So hopefully when you're building next year, you won't have the same issues. Absolutely. As I hope. So,

what what made you want to build out your own clinics, Alex?  I got really tired of working in corporate medicine.  I have very good friends who I had worked with for a long time, and I saw them in their corporate jobs. Having the same salary for 10 years, there's no opportunity for growth, no opportunities outside of what was just given to them in their jobs.

That was a huge aspect of why I wanted to build my own thing. And. Opportunities for people to move up and to scale up and to make more money. Those people that are actually working, being rewarded rather than everybody just sitting around on their butts and making the same paycheck as each other.  that was a huge problem that I had with the government.

It was a sweet job. I worked four days a week, 40 hours in real time work. That means like eight hours a week.  so honestly it just, it. After a while it was too boring for me, it was the same thing every single day. And I could have sat there and done it for 20 years and gotten the pension and everything.

But it just, after a while, it didn't make sense. I wasn't growing as a human being and if you're not growing, you're dying. So it was just too much for me to stay there and I, to grow, I want to change. I want to challenges and I wanted to be able to bring as many people along with me. That as possible.

So that's why we of decided to build our own thing in our own thing, as well as a lot of corporate medicine and mainstream medicine, as we've now seen even more over the past year and a half, two years has been, is very, very.  money-driven and instead of what's best for the patient and healing patients, it's more okay.

How can we keep people sick? How can we profit off them being ill and treat them too late. So treating people on the front side before they get sick and, you know, delaying all those issues. Immune system or a hormone issues or things like that. And making people feel and look better well into their older age group is definitely what I wanted to focus more on in medicine.

 that's a hugely commendable way to go about it, sir. Yeah, hats off to you. Cause, cause that's that's you hit the nail on the head. You know, the mainstream medical industry is, is upside down right now. And it probably has been for a while, but it certainly seems like there's, there's more interest in the dollar than in, in productive medicine.

Oh, absolutely. And it's been that way for a very, very long time. People are just starting to see it, but it's a huge, massive beast that you can't really change it. You could just work around it and try and work with the people who want to, you know, stay healthy and be healthy and work towards their own health.

You can't make everybody do it as we've seen. Yeah.

To transition a little bit, you know, in our, our main topic for today is really mental health. You know, today as we're recording, this is national, you know, suicide prevention and awareness day. Uh it's. It is usually important for. Everybody let alone construction.  so as some of our listeners might not realize that construction is number one or top three in industries of the most suicides.

So this I personally have not had to go through this or know somebody that's done this within construction known other people that have So again, it's, it's a real deal. It's, it's hugely important and really want to talk through like, look, if you're having problems, you know, call somebody, use the hotline go, go get help.

 but really I want to also talk about, as I haven't had to deal with this and Alex and your travels, you know, going globally as a doctor and seeing just people in all walks of life You know, are there, are there signs, are there ways to, to kind of address this with people or how do you again, as a big, big topic to address, how do you see approaching this in a, at all right?

How do you approach it? Yeah, just like instruction in the. Quote, unquote, professional world. Anyone that needs to go higher degree lawyers, doctors, et cetera, nurses.  I, this is very close to my heart because obviously doctors do have the highest suicide rate among though they, they quoted as professionals, whatever the F that means.

But yes, it's it's very, very prevalent in our field as well, as well as construction workers.  that's a lot of, I think on both ends a lot of individuals that need to work and do their things. So they end up being isolated. They ended up being on an island also just like the medical field where doctors are supposed to take care of themselves and doctors never get sick.

You know, construction workers are supposed to be. And not supposed to have any issues whatsoever, medically. And if you do quite frankly, or a pussy or something like that, you know, that's the stigma that you're left with. So it's very, very difficult in that situation as a construction worker. But I think everybody has to realize construction workers, physicians, et cetera, included that at one point in time, The statistics are very, very high.

At one point in time, there's about 85% of people that will go through some sort of depression in their life. Now that could be different levels of depression, whether that is, oh, you know, I'm down for a week or two all the way up to, you know, medically treatable. And issues with that. So you have to realize that and people have to realize that it's a very common thing.

This is not a taboo thing to speak about because, oh, well only 25% of the people or 10% of the people are being affected by it. No, it's it's in the upper eighties, 90% of people are affected by it in some way. At some time in their life, everybody's going to go through it, whether it's from the loss of a loved one, whether it's from a job issue, whether it's from the company that we have seen, you know, suicide rates skyrocket over the last year and a half, people are going to go through it.

Most likely going to go through it. One in five people may not. And that even less than one in five people. So four out of five people are definitely going to go through some shit at some point in time. As far as signs go, the, I will tell you from the textbooks, what the signs are, but usually people, as they say afterwards, never see it coming.

And that's the difficult part about depression. Usually people are withdrawn or they may act completely normal on the outside, but have issues on the inside that they have to deal with. And that being said your normal ways of, or what the textbook says is normal depression is going to be things like, you know, giving away prized, possessions not being interested in social things that they used to be in.

 not. To see family, friends, things like that, withdrawing yourself, letting yourself go physically or mentally or things, habits that you know, people are usually on top of that. They start to fail. From my point of view and from a lot of physicians, point of view, what I would say is once you see that start to fade it, isn't like, oh, he's going through a phase or she's going through a phase for a week or a month or anything.

Once you start to see somebody that is out, I let they are normally acting like for. 24 48 hours at most three days, I would be on top of them asking you, Hey, you okay, what's going on? What you know, is there something, I feel that your offer, I see that you're normally here on time, but you're starting to, you know, come a little later, leave a little bit early.

What's going on with that. So the earlier that you can ask people the better, don't be afraid to ask. Four and a half out of five of you are going to have some issues at some point in time. So it's not like they'll never go through it, the same shit that you're going to go through. So you need to realize that, Hey, yes, reaching out, asking people, seeing changes in patterns is the biggest kind of red flag and the earliest red flag that we see in the medical field, as well as when people start to think back.

Oh yeah. Okay. Now all those little things made sense. You know, pushed it out of my mind and you don't want to push those things out of your mind when, you know, somebody acts a certain way and does a certain thing and you see them do opposite or different from what you know is normal for them. That's abnormal and you should be asking right away, Hey, what's going on?

Yeah. You know, I think it, you hit the nail on the head and a lot of spots there. Specifically in the construction industry, you know, the whole macho tough guy thing is, is huge. You know, it's old school, but it's, it's so very prevalent every day. So, you know, I think there's a huge contingent. Of construction industry workers, whether your field guys or office guys for that matter, that, you know, just still don't feel comfortable talking about feelings, right.

It's still too woo. It makes them uncomfortable. So they shoved that stuff away. They bottle it up and it just goes, it goes unnoticed until the, the breaking point, really, you know, and if you go on, you know, the, the suicide prevention. Sites and whatnot, the signs they tell you to look for, some of them make sense.

Some of them are, are similar to what you just said, but a lot of them are almost comical in a way, you know, they're, they're, they're blatantly obvious, like the person who says, oh, I'd be better off dead. You know? And I think it's a, it's a more systemic problem than that. W we have to be able to see farther in the future, then that point, because in my mind, when somebody reaches that point, they're right on the edge.

Right. I mean, you gotta be able to see, like you said, you got to pick up on the small cues and pay attention to them and we can't be afraid to talk about it or ask absolutely.

One thing I noticed for me in particular, At the end of projects, like in building out new software, new products, new things that I, and probably a lot of you guys at the end of a project, right. You've reached this air of accomplishment and it's kind of that what next? Right? You might go into a low state for maybe a day a week and just kind of looking for that, that next thing.

You know, it might be in a form of depression, but I guess Alex, and some of those where, you know, somebody accomplishes something, it could be a marathon, it could be finishing a big project. It could be opening a clinic. What do you, you know, in those kind of low states to, to kind of help prevent it from getting to where it is.

There's no return from what are maybe some of the things that you would recommend to somebody? Because again, we go through, we were in project work, right? That's the nature of construction is hopping from one thing to the next. You have a, a high to a waiting period and a low, how do you, would you help somebody kind of through those transitionary phases?

I think there should be two things that you really focused on in those transitionary phases.  if your number one being, if you finish something, whether it's a, a marathon or whether it's building a new clinic or whether it's you just finished. And you're starting to have that law or that you, you feel those feelings coming on, you have to connect creation because that means that your mission or your vision isn't big enough for you.

So you need to have a mission or a vision to where it's so big that you don't have time to waste where you have two or three days to be like, oh, I'm done with that project. I'm feeling kind of rough. What's the next. So right now, my vision is to create a hundred. So after I build a clinic, I need to focus on next clinic to get to a hundred.

I don't want to do it in five years. It could be as simple as, Hey, you know, once I'm done with this construction project, I want to make it the most beautiful construction project that they've ever seen, or, you know, I want to make sure that everything that I do is part of this project. The most perfect.

It could possibly be. Then you finish with that. It's going to, okay. I want to make the next project as perfect as I can possibly make it. So no, I have to do whether that's more training or more learning or, you know, talking with my boss to say, Hey, what, what about that last job? Could I have done better on.

Getting prepared for the next job. So when that next job comes, you're doing an even better job at it. And that's going to help you fulfill, you know, one of your six human needs, which is not only that certainty that, Hey, I'm going to do the best I am every single time, but also growth aspect. To where, Hey, every single time I'm going to get better and better and better at this.

And you're heading towards a mission or vision that can almost never be fulfilled. And that may make some people think, oh, well, if I never fulfill it, then why don't I try, you know, one of the greatest stories that I've ever heard is the architect and artist. He did a lot of buildings, Barcelona, all those weird looking buildings.

Dr. Seuss like buildings, they called he built them all. And one of his greatest was obviously the giant chapel that's in Barcelona and he died. He never finished it, but his plans for that construction actually lent for 250 years. He had it all planned out and he knew he wasn't going to see the end of it.

Vector is not finished. I think it's supposed to be finished by, it was supposed to be 20, 26, but I'm guessing the construction now maybe a little bit later, but he knew it was going to take that long. And when people asked him, well, why are you building this thing when you know that you won't see the end of it?

And he said, well, the person that I'm building it for God has no sense of time. So it doesn't. Yeah. And that's kind of the same thing that you should realize is, Hey, if you build something legendary or if you're building something world changing, or even if you're build something, something that's family changing, legacy changing for your kids, your grandkids, there should be no concept of time because when you're gone, you can't take any of that shit with you.

Anyway. So making sure that you're building something for your family, making church, believing for your grandkids, making something that you're just building it for yourself as well. And putting your name on a building is something that I think a lot of people kind of can kind of help them through those lull times where it's like, Hey, I'm building something.

I want to be greater. Not only for myself, but I want to be greater for everyone else. No everybody thinks they can change the world by going out there and giving giant speeches and everything like that. You know, it only takes one person to change his family and that family can inspire others to change, which can inspire ne and in countries to change.

So working on yourself first and then showing that what your family can showing your family, what you can do and how you can change will inspire them. Changing your family will inspire them. And so that's kinda how I tell people to focus on that mission, focus on the vision. That's something that's bigger than that.

The second thing is more of a practical, which don't change your habits. So a lot of people will be like, well, I'm done. You know, I can relax now for a couple of days. Well, if you're not used to relaxing, if you're used to the go go, go, then stay on the Gogo. Now that is outside of vacation time or weekends or, or things where you are scheduled not to work and your habits are to do something else.

But if you have a lull, the more you sit there and do nothing so worse, that low is going to be because then your mind starts to wander and your mind is your greatest. So if you don't have time for your mind to wander, because you're consistently, Hey, in the morning I hit the gym or I read the Bible or you can go eat breakfast, or I take my kids to school, continue those habits.

Then there won't be that time to lull and think of yourself as, oh, well I'm done. And, and filling in the gaps. This is sort of to elaborate a little bit on construction pieces for, for our listeners. Yeah.  if you're in a leadership position, if you're in the role of leading a team in, you know, knowing that you have a gap coming up is to put in trainings is to put in other pieces to reaffirm what that mission is, where you're going.

Maybe it's doing other pieces of their marketing rapids. That project doing more things for it, so that you have something to kind of bridge the gap between when one project ends and another starts far too often. I see so many firms that, that don't work on their templates, their standards, their processes, or training or anything like that.

 you know, where a lot of, for professional engineers, like we've got our continuing ed, you know, same with physicians. Continuing ed to keep up with your licensure is treat everybody like that, where they need to go through different continuing education not to necessarily maintain their licensure, but from a improvement standpoint, from a, you know, ability to keep busy and keep doing things, keep their, their mind and somewhat body occupied and doing things.

Yeah. There's a lot that, that we try and do, you know, from my end. And that's what those are those times when we push. All right, guys, let's go re up your OSHA certification. Let's, let's get some sort of new safety process going. Let's set up toolbox talks for the next project. Let's let's get organized, but I think it's, I guess I've never really thought.

As a, as a lifestyle change or, or as a mental health fix. But I, I agree with you and I see the value in that, that, you know, you got to, first of all, as a leader, you have to lead by example. You know, we have, we have guys on our job sites everywhere from, from an executive all the way down to a day laborer.

And it's upon us as leaders in the industry to, to figure out how to break through to every single one of those guys or women, you know, to, to, to make it realistic to them and to, and to show each one of them that listen, you're just because you're making $10 an hour. Cleaning up the shit at the end of the day, your worth and your value here is still just as much as the suit walking around pointing out deficiencies, you know, and, and a lot of it it's difficult to do, but what we have to do it.

And I think we have to do it consistently and, and talk about it more and it, it just increases awareness and, you know, increasing awareness is, is part of the solution to this. Absolutely. And, you know, Alex, I love the piece that you brought up in really improving and casting that vision back, you know, for, for you, right.

It's building a hundred clinics and go into the next one and. Other owners, it could be chasing that dream client. It could be you know, looking to build the next stadium coming to your town, right? Like to be a part of, of that in some of these, you know, massive monster projects or to chase. You know, and, and envision what that new hospital, that new school, that new project could look like.

 one, it's a great piece of marketing collateral, but it's also a great way to keep your people engaged, busy, you know, thoughtful.  I've even seen architecture firms design.  little like shotgun houses to be, you know, thoughtful and creative and ways for, for housing. It's not a typical thing that they, they do.

That's, you know, they're traditionally a commercial firm, but it gave their, their people a way to be innovative and creative in a way also to showcase to the community, you know, Hey, we care about more than, than the schools or libraries that we're building in, in doing vision obviously, you know, being part of apex executives, And, you know, really working on yourself, what are some of the ways that people can if they don't have a practical way to work on vision, what's something that you've used to try to increase your vision, your mission, and really make that bigger than, than just yourself.

One of the greatest lessons that I was taught by a mentor.  Andy Frisella and you guys know him as well is if your vision or your mission doesn't encompass, or at least be able to allow everybody inside your company to achieve their mission and vision, then your mission and vision is too small. So if you feel like you have no idea what your vision is or what your mission is, ask your guys what they want to do.

You know, ask your girls, Hey, where do you want to be in life in 10 years? Where do you want to, when do you want to retire? What kind of car do you want to have? What kind of house do you want to have?  you know, and, and have them describe it to you in vivid detail. And then when you start to think in your mind, well, how can I give this person that?

Or how can I give them the means to possibly get those things or head towards that direction, then you'll start to have your own vision and your own values and your own mission.  kinda come out of that and be birthed from that where you can say, okay, I know that Susan wants to retire by the age of 52.

How can I get her to that point? Or, you know, this employee may simply want a new car because she's driving around in jalopy. Bumpers falling off. How can she make money to get a new car? And then to back it up, you can also give them opportunities. Hey, I know you wanted to get that new car. You know, I have an extra job for you where you can make a little bit more money, or if we hit this certain goal that may be a goal you've never hit or hit before in your life and your business.

If you hit this certain goal, you know, we can work towards getting you that car, or you're going to get a bonus, which is going to be the down payment on that. And you'll be surprised how much more you can get out of your employees and how much stronger they will fight and work for you when you're helping them fight and work for what they want out of life.

And then you'll start to realize, man, that feels really good. How can I do this more? And then you start to get that vision and that mission rolling. And you can do the same thing with your family. Same thing with your, with your kids. It's it's, it's kind of that top down.  being able to decentralize command where all these people that are going to be, you're going to give them a mission, a vision, a goal, and they're going to work amongst them, their own team to achieve that because you gave them something to strive for something better.

Some hope everybody will work and they'll kill it.

Yeah. W I like that, you know, because I think a lot of times what happens is, you know, I'm just going to keep harping back to the construction site example. Cause it's, it's topical and it's easy, but you know, a lot of the guys on our site, it, they, they haven't put that thought in. You know, it's just a, it's a job for a lot of them and it's, let's get to five o'clock or three o'clock, whatever the time is and, and get out of here and go hit the bar, come back the next day and do it again every day, till till Saturday, then we take a break.

So I think it could be really powerful and very important to, to stress this vision casting throughout the organization. But also like you just said, that kind of almost roadmap. The creation of a vision out for your people and for the people that you're around. So to help them help themselves in a way.

Absolutely. Yeah. It's, it's guiding them, but also it is on you as a manager of business owner, et cetera, to start to learn those things about sure.  you know, And obviously there'll be a point where if you have 50, a hundred, 250 guys and girls, you can't learn everybody's, but that's where you start to have managers and sub managers that start to learn and you teach them how to help people drive towards their goals.

 and that's how you can expand very, very quickly because everybody's going to be bought in from the manager down to the lowest person on the totem pole, where. You, the gifts may be maybe different at each level or the goals might be different at each level, but everybody has got a goal to set a and a goal to get to

in this environment, Alex, you know, from the companies or maybe from what you've seen. And I don't even know if there's stats or anything pulled on this, but from environments that are positive, that do have a great leadership and in terms of vision and mission casting, right. And creating this environment where everybody does want to succeed and how.

Much better, not just, you know, we can talk about company performance and all that stuff is, but the mental health of employees, the absolutely happiness, you see where I'm going with this? No, absolutely, absolutely. No. The suicide rates in those companies where the, where the employees are actually bought in there and happy is infant tests, similarly small compared to those other ones.

 that's why construction is such a huge It's such a huge part of suicide rates and same thing with, you know, physicians, it's such a hard part of suicide rates, cause it's a thankless job. You know, the person who gets a PR you know, the client, their house is the realtor. You know, nobody realizes that the builder actually built the fucking house.

The realtor just put you know, their names. Yeah, but you know, built, built by Keller Williams. No, it fucking wasn't. It was built by a bunch of dudes who worked for this construction company. So it's a thankless job. It, same thing with physicians, you know? Okay. You help somebody. That's what you're expected to do in construction.

You're expected to build houses. Don't make me thank you for bucking. Build them the house. So it's on us. As leaders in your own company to make sure you're thanking your people for what they do and making them feel important. And that's a big part is that growth and making people feel like they're part of something that's bigger than that.

So it is the it's making sure that, Hey, you know, we housed and you could even the word it like that. Well, we housed a hundred thousand families. That's better than saying, well, we built a hundred thousand houses. Well, nobody fucking cares about a hundred thousand houses, man. Nobody said thank you for building their house.

So you got to make it more personal for them and tell them, Hey look, you're changing people's lives, man. You are building these things that people are actually going to live in, have kids in grow up in, not want to sell when their kids are teenagers and leave because of all the memories that were inside of it.

You guys are memory creation. And that's the way leaders and, and your company has to start thinking in the construction world, because yes, it's a totally thankless job. And there are stats out there that show that those thankless jobs have a much higher suicide rate than people that are getting consistently thanked consistently patted on the back because it comes, everybody wants to feel.

Welcomed. Everybody wants to feel like they're a part of something that's bigger than them. So it is up to you as a leader in your construction company to give your employees that, because they're not going to get it from anybody outside of the company, family. Yes. But within their job, that's that nine to five where they're, I'm just going to go there and show up to work.

If they feel like there's, there's no thanking them, then why are they even there? You are so right, Alex, because it's, if you build it right, great. Whatever, if you fuck it up and you break something or you build it wrong, there's absolute hell to pay. And it's gotta be the same in the medical field. If you cure someone or you treat someone, whatever, what if somebody's somebody gets sick or dies, then it's everyone's up in arms and it's yeah, it's a constant.

Constant battle on, on job sites on across the nation. Exactly. Exactly. So that's something that you got to bring to the culture in that construction world where, Hey, you're thinking people and it doesn't mean you have to go around and freaking slap everybody on the ass every single freaking time, but make sure that you're like, The electrical team got this shit done in a day and they was supposed to take Creek in three days, you know, reward them for that.

And I know it's a lot of sub contractors and stuff like that, but those sub contractors will continue to work for you if you're giving them that recognition. Because they're not going to work for the guy. Who's consistently yelling at them to get shit done faster and that they fucked up versus the guy who's going to be like, Hey, you guys did an awesome job.

Here's a night out to dinner or, Hey, you know, I heard that your son liked Dallas Cowboys. Here's a Dallas cowboy hat for your son, et cetera. They're going to remember those things. And the sub contractors will start to charge you less for their time because they like working. And it's the psychology of production too.

I mean, there's a, there's a, win-win there. Right? And when you, when you treat people really great, they'll not just show up to your jobs. They will bust ass on your jobs and then everybody wins and everybody's better for it. Yup. And mentally there'll be in a much, much better place because you provided any, you could really.

It's why Genesis has grown so much because we have that no drama policy. We don't deal with any of that garbage. We treat our people, right? I mean, you can have a monopoly on a industry, construction, medical, et cetera. If you just treat your people right. Because they're so used to being treated like shit that even if you just treat them right, they will never leave.

And if they leave, it's usually for a better job that you couldn't give them and you should be happy for them because Hey, that's the whole point is to make people better. Absolutely. Yeah. I see that so much in construction that if somebody leaves or goes to another company, especially like in a lot of this.

You kind of reach a ceiling. And I did this early on in my career where I reached a ceiling. My boss either had to retire or get hit by a bus for me to move up in the company, you know, and I was young. I was, you know, 23, 25 and he was, you know, still had 15 years left in him or more if he decided to. And I think a lot of us hit those plateaus and then I get an opportunity to go somewhere else as a manager, that again was 15 years early in my career.

And, you know, there were some people that were for sure, happy for that opportunity and others that were, you know, bitter and not nice about it. So by the people that were nice. I remember, I also remember the people that were spiteful and mean for that. And, you know, we always, Carmen always gets everybody, but in having.

 kind of offensive environments where you're, you're doing things preemptively where you're not waiting for a problem to happen. And this goes for clients. This goes for end of jobs. This goes for warranties and checkups. I'm sure in the medical community too, where you don't want somebody calling you and telling you that something's wrong, it's that showing up before, before something bad happens or just seeing how they're doing things like that.

Especially after like surgeries and big procedures to where, Hey, did everything actually go fine for you? Or is this a problem? You know, what can we do to fix it? If something did happen? So not, not a great outcome and the same in construction, right before that hype breaks, before that air handler goes bad or whatever it might be that you're checking in.

And if you're not late, maybe you're early on a problem and they know they can call you to solve it before it becomes a, a lawsuit where nobody talks to each other. It's like a bad divorce where just nobody is happy with the situation. So. Alex before I kind of start to wrap things up a little bit. Where can they find you?

Where can they find Genesis?  what are just a few of the things that you guys do? I know you mentioned that they're at the beginning.  but working they can find me at, at, on Instagram, Alex, Alex, Spinoso underscore.  my website is just Genesis lifestyle, medicine.com. You won't see my name or anything on that because in our company we are a team and nobody's more important than anybody else.

So we don't have any names or about us or anything like that on there. So you can't read about me on there?  most of my stuff is, yeah. So gram, but when it comes to kind of what we do, we do a lot of aesthetics and stuff like that. But I think the most important thing to tell your listeners, especially in the construction world is, I mean, my dad was his contractor.

He's owned his own construction business for 30 years. And one of the biggest things that I've told him is when you get into your upper thirties and forties and fifties, before anybody ever tells you. Males or female that you're depressed or you're having, you know, anxiety or those issues are mental.

Make sure you get your hormones checked because one of the biggest reasons for. A primary care doctor putting a patient on anti-psychotics or, you know, antidepressants or anything like that is really that our hormones are off your hormones, control everything, your attitude, your feelings you know, that's why there's antidepressants that change your hormones and change your neurotransmitters in your brain to make you feel better.

That's why they work. So making sure that you're getting those checks. By a physician before throwing yourself on any type of medication or anything like that. Cause that can start to be the beginning of a slippery slope where a primary care doctor is usually just used to throwing meds at you, but making sure you're finding some sort of provider or physician that will say, okay, well let's look and see what the root cause of maybe this.

Let's look at it. This isn't sitting on the couch and saying, you know, when I was six, I had a bad time. It's it's okay. Well, what are your hormones? Making sure those are normal. And if those are normal and balanced, then focusing more on the other aspects that could be causing depression. You've got to make sure that chemically you are completely imbalanced before anything from the outside is going to help you whatsoever.

So that's the biggest thing that we do in our clinic. Would pertain specifically to that suicide and anti-depression and things like that is making sure that you're getting your hormones checked because I see more females and males in their forties that come to me and say, well, I, you know, I was depressed.

So my doctor put me on this. And when I ask they never had a real depression issue, it was a real mental issue. At that point, it was a hormonal issue. Manifested as a mental issue. Of course, if you have no hormones, no hormones, you're running on an engine that has zero gas in this tank. You're not going to go very far.

So when it comes to that mental awareness type thing, make sure that you're taking care of your body. No putting in good fuel, you know, drinking tons of water exercising, or at least getting out in the sun construction guys. You don't have to worry about that. Cause you guys are out in the fricking sun all day, but making sure you're drinking tons of water out there twice, as much as you normally would because you guys, guys, and girls are sweating and dying twice as fast as everybody else out there.

And you're going to get depressed at the end of the day because your body is just drained. Can't produce any neuro-transmitters that are gonna make you happy at the end of the day. So making sure that you're taking care of yourself and the inside. That will be reflected on the outside of the body as well.

Like it Alex, I just want to thank you for coming on, man. You, you, you've given us a lot of tactical steps and really kind of a holistic overview of how we can tackle some of these problems. And I think it was, was absolutely very helpful. So thank you. You're welcome. Yeah, Alex. Thank you so much, guys.

Go, go follow Alex. He is a Dr. Spinosa. He's a great follow on.  I'll also want to say congratulations on your upcoming.  well, it's not yours, but Stephanie's pregnant. Stephanie, she's pregnant. Not me. Everybody's like we're pregnant. I'm like, no, it doesn't work like that. But for your, your upcoming triplets and loosen up those white, new balances, you know, gonna be exciting phase for you here.

 It's going to be great. I'm busting out the old construction jorts for sure. Yeah. Congrats man. That's exciting. Thank you. Guys to wrap up the show. I mean, go follow Alex. He's been on top of everything for the last year and a half. Been very honest, transparent, and really a lot of the science. He's one of the most read guys and I read a lot.

So for me to say that that Alex is well-read well researched, you know, it's a big deal, especially in this environment. So Alex one, thank you for that.  thank you for coming on and guys, you know, play some often. Like help help your people with vision on what their goals are, making that real concrete in their minds congratulating the team, not just beating them up at every, every deadline, every milestone through the projects, you know, Work through if there are problems work through them, B be positive, or try to be more upbeat on every phase of a project from, you know, framings up to top outs, to design completions really everything, not just the grand opening of the building, you know, but every, every milestone, every phase for that project, because it is important.

 and then to know that all this comes from the inside out, right? Like Alex said that it's internal goals and. Being the one to change your family tree forever. I know Alex is working on that and in many ways, Matt and I are doing the same. And for you to find what that legacy play is for your company, your team, heck even your family in changing your outlook, your.

It could be, you know, your financial position, but even just the way that you perceive your place in the world, you know, we're all important. We all have our role to play and all of that is important. So know that you're not alone through any of this, know that there are people that, that care about you that wants you to succeed and want you to do well.

 obviously come and get it checked. If you have any issues are starting to get off your teens. I think that's super important to, to start to do, especially as you age and. Don't feel bad about it. You know, again, you're not alone. This is a majority of people and we want you to succeed, to do well, to be great, obviously in construction, but whatever you decide to do this is there's an opportunity for everybody, especially here in the us, that whatever you decide you can do and achieve with a little bit of work.

So again, Alex, thank you so much for coming on and guys until next time. Thank you. Thank you, man. That was great.