During this presentation, I will discuss the career trajectory from ranching a small Eastern Montana family farm and ranch to the study of axonal morphology as a Beckman Scholar. I will delve into the challenges of medical school and choosing a final career path. Chief Flight Physician at University of Chicago Medicine with a husband 1500 miles away was completely feasible. From Chicago, it was back to my Montana roots practicing as a rural Emergency Medicine Physician and first female Partner in an independent physician group. The considerations of academic vs rural medicine, balancing motherhood with your career, breaking through the unforeseen barriers of being a woman in medicine and how it all comes together will be a topic of this discussion. Farmer, Scientist, Physician and Mother...you can do it all.