In this profound and meaningful episode of the Fire Chief Podcast, host Lee Scheinbart engages with Deborah Rowland, a leader in organizational change and mindfulness. They discuss the importance of mindfulness in leadership, particularly in high-pressure environments like healthcare. Deborah emphasizes the need for leaders to confront reality without judgment and to understand the difference between what 'ought' to be and what 'is'. The conversation also explores the challenges leaders face and the importance of empathy and understanding in navigating these challenges. Deborah introduces the concept of 'institutional acupuncture', advocating for minimal yet impactful changes in organizations. The episode concludes with a reflection on the role of leaders as Sherpas, guiding others through difficult journeys.