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

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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

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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

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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!

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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

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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!

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Mbong Henry is a physical therapist specializing in sporty pelvises, a health coach, mom of three, and — as of her 40s — a competitive Olympic weightlifter. But this episode is really about something underneath all of that: what it looks like to build a life and a business around what actually feels good, not what you're supposed to want.

Mbong walks us through leaving the hospital system after years of feeling unsupported, building Radiance PT on her own terms, and discovering that being unapologetically herself was the most effective business strategy she had. She talks about fun as a values filter, fierceness as a skill she had to learn (and then brought straight back into the birth room), and what it means to have a reach goal you've completely untethered from your identity.

If you've ever wondered what it looks like to say no to the thing that looks like the right thing — this one's for you.

00:01 — Welcome and introduction to Mbong Henry
01:48 — Hitting the wall: the hospital years and what finally broke
12:08 — Building Radiance PT and learning that being yourself is the strategy
24:11 — Fun as a values filter: how she knows when she's drifted
27:07 — Olympic weightlifting at 41: how it started and what it unlocked
33:13 — Fierceness, the birth room, and the mighty morphing power ranger uterus
42:00 — Kindergarten, margin, and the next chapter
48:23 — Lightning round
55:06 — Where to find Mbong

Love what you hear and want to stay connected to Mbong?

VIsit her website at https://www.radiancept.com/ by tapping here

Follow her on Instagram: @mbonghenry.dpt

--

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

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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!

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Substack @drjuliegranger

You did everything right. The credentials, the business, the team, the referrals. And now you're sitting in the parking lot before work, not tired, not late — just unable to make yourself go in.

In this solo episode, Julie tells the story of Marjorie — a composite of the clients she's walked alongside who hit this exact wall. PT, business owner, fully booked, deeply respected. And quietly falling apart on the inside.

What unfolds isn't a roadmap or a pep talk. It's an honest look at what it actually costs to keep following a map someone else designed for you — and what's really missing for the high-achieving women who can't seem to move from the life they've outgrown into the one that's pulling them.

Spoiler: it's not a new certification. It's not better boundaries. And it's definitely not more progesterone.

00:01 — Meet Marjorie (why Julie tells composite stories — and who this one is really about)

02:21 — She Had It All and Still Sat in the Parking Lot (the voice that started quietly and got impossible to ignore)

06:22 — Everything She Tried to Make It Stop (supplements, sabbaticals, yoga, dog walks — and why none of it touched the voice)

08:17 — When Resentment Moves In (watching the clock, dreading sick calls, and the guilt that comes with both)

27:26 — What She Finally Said Out Loud (the Soul Story Mapping session, and the thing Julie didn't see coming)

34:40 — Surrounded by People and Completely Alone (the relational reckoning, and the co-regulatory nutrient nobody talks about)

51:34 — The Three Things Actually Keeping Her Stuck (co-regulation, financial safety, and learning to follow your own compass)

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

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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!

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Ashley Martinez is a women's health pelvic floor PT, integrative nutrition health coach, single mom, and highly sensitive person who spent years leading with her credentials — until life made that impossible.

In this episode, Ashley shares her story publicly for the first time: the deployment, the divorce, the infidelities on both sides, the church that excommunicated her, the family that demanded achievement in exchange for love, and the body that quietly kept score through it all. What emerged on the other side wasn't a redemption arc with a bow on it. It was something messier and more honest — a woman who stopped trying to be righteous and started getting curious.

We talk about what it really means to create healing space for patients (hint: it starts way before the intake form), why your symptoms are your body speaking and not your identity, the difference between a groove and actual health, and what happens when you finally stop running from the uncomfortable thing and just... sit in it.

This one went beautiful places. Come ready to feel something.

00:00 — The Ick Factor of Polished People
16:50 — Floor to Flourishing: The First Three Years of Single Motherhood
29:14 — There Are No Villains Here
34:02 — Boundaries Are Between Me and Me
47:06 — Your Body Was Always Speaking
58:46 — Stop Making Your Diagnosis Your Identity
01:00:39 — What She'd Whisper to Her Younger Self

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