Julie West — who goes by Julie Earthy — holds two master's degrees in international environmental science, published peer-reviewed work on aquatic ecosystems in semi-arid countries, and did field work that took her from Burkina Faso to Vienna. She also spent those years watching herself and half her cohort get flattened by depression.

She was leading demonstrations in Copenhagen. She was hypersensitive, deeply attuned, and trying to hold the entire planet in one body. The guilt of admitting that it was depleting her kept her in it long after she knew.

In this conversation, Julie traces the career line from climate activist to somatic psychedelic facilitator on land in the Appalachian Mountains — and it turns out to be one line, not two. Her thesis: the earth is depleted for the same reason we are, and childhood trauma is the through line. Not as metaphor. As mechanism.

We talk about what came first when the burnout finally won, which was not a protocol or a program. She went to work on a farm and put her hands in the dirt. Her body started untangling things she hadn't consented to untangling, and she describes that process honestly — it was not comfortable, and she doesn't pretend otherwise.

Then she describes the first time she sat with a microdose so small that most people feel nothing, and felt safe in her body for the first time in her life. What undid her wasn't the experience itself. It was realizing she'd had no idea the opposite had been running the whole time.

We also get into screaming in the woods, why there's nowhere left for women to use their voices at full volume, the paradox of caring about the impact of everything down to the pigment in your paint, and the piano she taught herself as a kid by feel because a piece moved her enough to learn it.

If you've ever cared about something so much it made you sick — and then wondered whether shrinking your scope was a betrayal or a homecoming — this one is for you.

00:00 Two master's degrees, four languages, and a career that looked right
07:35 Front lines in Copenhagen and the depression nobody was naming
12:45 Hands in the dirt: what she did when the burnout finally won
15:14 The microdose that let her feel safe for the first time
24:26 "I didn't realize my reality wasn't the reality"
44:36 Screaming in the woods and the feral self
55:09 Whales, pineapple pizza, and the piano she taught herself

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👉Looking for more of where this came from?

Get career and coaching support from Julie in a Career Compass Activation Coaching Session

Need some space to sit with your career questions and journal about them? Download the free Be the Boss of Your Career Guide

Want to know you're not the only woman in healthcare choosing differently in your career? Come hang at a free monthly Just Be with Julie meditation circle

Keep up with what's going on by joining the Notes from a Fart Walk Newsletter and don't miss an episode or update

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Social Media: Follow Julie for clips, bonus content, and updates throughout the week. You can also shoot her a DM to connect!

Instagram @drjuliegranger,

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You know how to treat a patient with an overuse injury. It’s time to take your own medicine and apply that to your career.

You would never tell a runner with six months of knee pain to keep foam rolling, keep scrolling Facebook groups, and keep stacking new interventions until something sticks. You'd look at her form, her shoes, her training plan, her sleep, her whole life. You'd land on a diagnosis. Then you'd give her the smallest possible dose of the thing that would actually help — because you know you'll lose her if you hand her twelve things on the first visit.

In this episode, I illuminate how women in healthcare do the exact opposite for themselves. When the work stops feeling right, the reflex is to add. Another certification. Another course. Better sleep, better labs, more meditation. All of it well-intentioned, none of it aimed at a diagnosis, because nobody has helped you make one.

We apply the principles of PT assessment to what a real assessment of your career "overuse injury" would look like, why burnout is more accurately named moral injury, and how the four stress responses show up in your career decisions — including the freeze and fawn responses, which are the ones that feel like progress and are the biggest traps.

And then there's the trap underneath it all -- you're looking for answers inside the same system that's wearing you down, from the mentors that are invested in keeping you swimming in the same current that's not right for you anymore.

No one is telling you to blow up your life. That was never the ask. The ask is to stop carrying the whole experience by yourself.

00:58 — The thing you'd never tell a patient to do (yet here you are doing it to yourself)
02:05 — The patient who piled on everything and it still didn't work
04:35 — Minimum effective dose: where you'd start with a patient that you're not doing for yourself
05:45 — What piling on looks like when it's your career
07:25 — Nobody is telling you to burn your career down and start over
11:05 — The real flex: why it feels brave to say "this isn't working anymore"
14:20 — Why your nervous system is behaving how it is — and how to step out of the current you're swimming in

If this episode speaks to you, hit subscribe, leave a review, and share it with a friend

👉Looking for more of where this came from?

Get career and coaching support from Julie in a Career Compass Activation Coaching Session

Need some space to sit with your career questions and journal about them? Download the free Be the Boss of Your Career Guide

Want to know you're not the only woman in healthcare choosing differently in your career? Come hang at a free monthly Just Be with Julie meditation circle

Keep up with what's going on by joining the Notes from a Fart Walk Newsletter and don't miss an episode or update

Watch full video episodes and clips on Youtube

Social Media: Follow Julie for clips, bonus content, and updates throughout the week. You can also shoot her a DM to connect!

Instagram @drjuliegranger,

Substack @drjuliegranger

Dr. Kari Lindegren is a physical therapist, educator, and swimmer who has spent her career working with youth athletes — specifically adolescent girls navigating pelvic health concerns. In this episode, she and Julie trace the through-line from Kari's childhood as the quiet, high-achieving "perfect student" who came fully alive only at the pool, through a series of cross-country moves, a job that was quietly breaking her, and the moment she walked into a children's hospital interview and said out loud: I just need to be here.

What unfolds is a conversation about safety, belonging, and the cost of ignoring what your body already knows. Kari and Julie go deep on what pediatric medicine gets right about the whole human — and what adult medicine keeps missing — and how that shapes not just how Kari treats patients, but how she's learning to parent, let go of control, and step into the next chapter of her career: leaving one-on-one clinical work behind to educate other clinicians and multiply her impact.

05:24 — The kid at the pool: growing up as the perfect student
13:02 — Moving across the country when you hate change
26:51 — The job that was quietly breaking her
36:05 — What pediatrics gets right that adult medicine doesn't
50:44 — Motherhood, control, and learning to let go
57:36 — Stepping into education and what comes next

Love what you hear and want to stay connected to Dr. Kari?

Follow her on Instagram here

Visit her website here

If this episode speaks to you, hit subscribe, leave a review, and share it with a friend

👉Looking for more of where this came from?

Get career and coaching support from Julie in a Career Compass Activation Coaching Session

Need some space to sit with your career questions and journal about them? Download the free Be the Boss of Your Career Guide

Want to know you're not the only woman in healthcare choosing differently in your career? Come hang at a free monthly Just Be with Julie meditation circle

Keep up with what's going on by joining the Notes from a Fart Walk Newsletter and don't miss an episode or update

Watch full video episodes and clips on Youtube

Social Media: Follow Julie for clips, bonus content, and updates throughout the week. You can also shoot her a DM to connect!

Instagram @drjuliegranger,

Substack @drjuliegranger