Most parents try to do everything “right.” Sandy discovered that real growth began only when she stopped performing strength—and started telling the truth.

• Sandy shares how raising Zach, her son with profound disabilities, dismantled her identity as a high achiever and forced her to build an inner world grounded in honesty, imagination, and meaning.
• She reflects on entering coaching from desperation, not ambition—and the moment she realized there might be a way forward when she learned that people are whole, capable, and resourceful.
• Early resistance to the disability system wasn’t denial, but a lack of imagination; what she saw felt bureaucratic and limiting, not life-giving.
• Finding Mosaic marked a turning point—leaders willing to be honest, creative, and experimental, and partners to co-create with rather than comply for.
• Through trial, proximity, and chemistry, Zach’s world expanded into friendships, woodworking, yoga, card games, and everyday joy.
• Sandy names the deeper barriers—poverty, burnout, outdated beliefs—and why caregiver growth is non-negotiable for true belonging.

This conversation isn’t about disability—it’s about courage, reciprocity, and how ordinary moments become extraordinary when imagination and partnership replace control.

Most physicians assume the only way to lead well is to work harder—until they realize the cost of that belief is far higher than they ever imagined.

• Dr. Tamara Moores-Todd shares how growing up as the smallest athlete on her team shaped her grit, her leadership instincts, and her belief in the power of setting others up to shine.
• She describes entering medicine with the assumption that perfection came from relentless effort, even tracking her study hours in a spreadsheet to prove she was “working hard enough.”
• As an emergency physician, she began seeing the limits of individual heroism and the necessity of well-designed systems—ultimately leading major workflow innovations and large-scale COVID efforts.
• When she became interim CHIO—with a newborn at home—she found herself sleeping four hours a night and questioning whether she could keep going without losing herself or her family.
• Through coaching, she discovered that radically caring for herself—starting with tiny habits like a nightly facial routine—transformed her energy, her presence, and her leadership.
• She learned to delegate deeply, release the hero role, and lead as a “setter,” empowering her team to execute flawlessly without her always being in the room.
• She reflects on a near-death experience that sharpened her clarity about what truly matters and ignited a commitment to build systems that help people feel alive in their own lives.

This conversation reveals why the most effective clinical leaders stop trying to be the hero—and instead lead from wholeness, clarity, and a deep commitment to staying fully alive.

Most physicians imagine leadership as a linear climb. But for Dr. David Marcozzi, the real ascent began when he was stuck—unsure of his path, working as an orderly, and quietly absorbing everything around him.

• Dr. Marcozzi reflects on his earliest formative role as an orderly, learning that healing is a calling—and leadership can emerge from any level of an organization.
• A surgeon’s offhand comment about his insight sparked the belief that he could become a physician, igniting a life-changing pursuit.
• His work at Ground Zero after 9/11 profoundly shaped his sense of purpose, catalyzing a two-decade career in military medicine, federal leadership, and crisis response.
• Facing initial humiliation in the U.S. Senate (despite elite credentials), he learned that humility and trust-building matter more than titles.
• During the COVID-19 crisis, he drew on lessons from combat and trauma response to lead through uncertainty, anchoring his team in preparedness and calm.
• He shares how small pauses, private emotional honesty, and a relentless drive for positive impact keep him grounded amid pressure.

This conversation reveals why leadership in healthcare demands both relentless execution and deep personal alignment—and how discomfort can be the clearest sign you’re growing.