Lisa Massey calls herself a fourth-generation working mom, a third-generation healthcare professional, a second-generation entrepreneur, and a first-generation Lisa. In this episode, she and Julie talk about what it takes to become that last one.

Lisa is a physical therapist and the burnout and meaningful movement coach behind Evolving with Motion. She grew up as a three-sport athlete who learned that anger was fair game on the court and sadness made you weak. She carried that rulebook into healthcare, where service earns praise and burnout hides in plain sight. She describes burnout as a fourth-degree burn: at first you stop feeling anything, and when it starts to heal, you feel everything.

Together they explore the beliefs we inherit without ever choosing them, how to borrow courage from people already living the life you want, why a day off can feel harder than a packed schedule, and the difference between your capability and your capacity. Lisa also shares Fancy Drink Friday with her daughter, her emotional support water bottle, and the slow-hurry mantra that changed how she moves through her days.

If you’re a high-achieving woman learning that rest, ease, and peace are safe, this one is for you.

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Connect with Lisa @evolvingwithmotion on instagram or by going to her website

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00:00 Meet Lisa Massey

02:07 Fourth-generation working mom, first-generation Lisa

16:38 Anger was allowed, sadness wasn’t

19:39 Burnout is a fourth-degree burn

35:44 Take a day off just because (and why peace feels so uncomfortable)

44:30 Capacity vs. capability

1:05:13 Lightning round and Walktober

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What would a PT with 35 years behind her tell you about the career you're in right now?

Julie Laracy is 62, recently semi-retired, and busier than she's ever been. In this episode, she looks back on a physical therapy career that took her through pediatrics, wound care, school-based PT, nursing homes, outpatient private practice, her own in-home Parkinson's practice, and an acute care job she never expected to love. She talks honestly about the moments the profession started to lose its magic, from managed care to the day post-COVID visits shrank back to 45 minutes and she knew she couldn't do it anymore.

Julie shares what she'd tell the 30-something new mom and the 40-something woman juggling it all, why she took a per diem job as an emotional safety net while building her own business, and why your emotional needs matter as much as anything on your to-do list. She also opens up about the lifelong habit of making no waves, how she's learning to tell the truth instead, and how that shift rewrote the story of her relationship with her mother.

Whether you're a student, a brand new PT, or decades into your career, this conversation is a tap on the shoulder from a wiser version of you. You matter, regardless of the work you do.

00:00 Welcome and meet Julie Laracy
07:17 Why retirement made her busier than ever and why you need to remember what you like
20:13 From lottery-winning PT grad to a disenchanted clinician
32:23 Give it time and build a safety net before you leap
42:39 Telling the truth as the ultimate act of self-care
51:49 Rewriting the story of her mother
59:26 Lightning round

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If you went to physical therapy school between 2000 and 2020, you were trained under Vision 2020 — a genuinely good vision that also quietly taught you that you'd never be enough as you are.

In this Notes from a Fart Walk episode, recorded raw on an actual dog walk, Julie names the chip on the shoulder that almost every PT is carrying: the reason you keep collecting certifications, the reason you're looking at PA and NP programs at 41, and the reason so many women who pivot out of clinical work land somewhere new and think, huh, this isn't it either.

You didn't pack this baggage. It's still yours to unpack.

03:54 What a fart walk is, and why this one is unfinished

04:49 The clinician who did everything right and still felt behind

06:09 This isn't a failure of the profession, and it isn't yours either

07:22 Don't tell me you don't have a chip on your shoulder 1

5:07 What Vision 2020 taught 22-year-olds without meaning to

16:53 Who you are with no letters behind your name

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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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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

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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

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Charmaine Horn spent eight years as a psychiatric inpatient nurse before she did something a lot of us have done — Googled her way out of a spiral and accidentally found her life's work. What followed was a series of full-commitment pivots: personal trainer, certified life coach, weight loss coach, Qigong teacher, somatic coach, nervous system educator. Each one felt right until it didn't. Each one left her with something she didn't know she'd need later.

In this conversation, Charmaine and Julie trace the through-line of a story that will feel uncomfortably familiar to a lot of women in healthcare and high-achieving careers — the dread that builds slowly, the body screaming what the brain won't say, the belief that one more career change will finally fix the feeling. And the moment you realize the medicine you keep trying to give everyone else is actually the medicine you need most.

This one is funny, honest, and moves fast. Don't miss it.

07:12 — From psychiatric nurse to "not this": the dread nobody talks about

19:30 — The Google search that changed everything

25:38 — Leaving nursing during a pandemic (and what the universe had to say about it)

33:50 — When the pivot you were so sure about stops fitting

37:22 — Finding Qigong: from knee injury to the thing that changed everything

43:44 — Coming full circle: why none of it was wasted

-- Love what you hear & want to stay connected to Charmaine?

Read more of her story and about her work at her website here

Find out What Nervous System State You're In - take the free quiz here

Stay connected with Charmaine at @coachcharmainehorn on Instagram and Tiktok

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!

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You're in the middle of something — a career pivot, a business transition, a relationship shift — and someone asks a perfectly innocent question like "How's life?" or "How's work going?" Your throat clenches. You either say too much or nothing at all, and walk away feeling like you lied either way.

This solo episode introduces one of Julie's most-used client frameworks: Truth Lasagna. Rooted in her grandmother's wisdom — you can't tell everything you know — Truth Lasagna is a practical, body-based way to navigate the messy middle without oversharing, shutting down, or betraying yourself in the process. The framework is simple: your truth has layers, like lasagna. Your deepest, rawest, most unprocessed truth belongs to very few people. The middle layer is real and honest, but considered. The outer layer is brief, diplomatic, and true — it's just not everything. Choosing the right layer for the right person isn't hiding. It's discernment.

Julie unpacks why high-achieving, empathetic women are especially prone to the all-or-nothing truth trap, how the fawn response quietly masquerades as dishonesty, and why ethically nondisclosing or withholding isn't the same as hiding parts of yourself or lying. You'll also learn about Truth Buckets — how to pre-sort who gets which layer of your truth, so you can stay connected to people without flooding the room or going silent.

If you've ever avoided a networking event, a coffee date, or a family dinner because you didn't have a clean answer to a loaded question — or you've ever overexplained until you regretted it — or you've walked away from a conversation quietly wondering if you could have shared something better — this episode is for you.

06:09 — Truth Lasagna: The Framework Your Grandmother Already Knew

08:41 — The Wobbly Middle: Why Identity and Belonging Make This So Hard

10:55 — The Fawn Response and What It's Actually Trying to Do

18:23 — Oversharing Isn't Honesty — It's a Stress Response in Disguise

30:15 — The Three Layers: Who Actually Gets Your Deepest Truth

36:51 — Truth Buckets: Pre-Sorting People So You're Not Frozen in the Moment

42:38 — How to Practice This When It Feels Messy and Imperfect

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