Episode 28: Why I Left My Career as a Pharmacist, with Manasa Murthy

by Priscilla | Jun 25, 2021 | AAPI, STEM

Show Notes:

When you think of “pharmacist”, you probably think of your local friendly retail-store pharmacist who fills your prescriptions, right? On this episode, Manasa Murthy talks to us about being a different kind of pharmacist that works in a hospital ICU setting, watching people fight for their lives everyday. Manasa walks us through how she became a critical care pharmacist, and why she decided to leave that path behind to take a huge risk: get an MBA and lead healthcare strategy to fix the structural issues she experienced first-hand as an ex-pharmacist.

Transcript:

Manasa Murthy: I would oftentimes see someone almost die every single day, so really realizing that life is short and you really want to make sure what you’re doing with your life is something that makes you happy and provides meaning and so similarly, I think when you’re evaluating different paths, everything is not going to always be greener but just really making sure that you’re doing something for the right reasons and that you feel good about it and ultimately, you don’t want to have any regret.

[INTRO]

Priscilla Esquivel-Weninger: Welcome to the Early Career Moves podcast, the show that highlights remarkable young professionals of color killing it on their career journeys. I’m your host Priscilla Esquivel-Weninger, proud Texas Latina, daughter of immigrants and lover of breakfast tacos. Meet me for a coffee chat every Friday as we dive into a special guest story and hear all about their challenges, milestones and lessons learned. If you’re a young professional of color and you’re feeling lost in your career or just need a dose of inspiration, you’re in the right place. Let’s get started.

[INTERVIEW]

Priscilla Esquivel-Weninger: Hey, everyone, welcome to Episode 28 of Season One of the Early Career Moves podcast. Today, I’m really excited to introduce to you Manasa Murthy. Manasa’s story is really cool. She was a… or still is a pharmacist. She has her PharmD from the University of Arizona and for several years she was a clinical ICU pharmacist working in super high intense situations in hospitals and on this episode, she’s going to talk about what that career path was like, what it took to get to that point and also why she decided to take a step back from being a pharmacist and decided to get her MBA to pivot into more of a health care strategy role and today, Manasa works at H-E-B which is a pretty big deal, a grocery retailer in Texas and she’s leading their health care strategy and yeah, it’s just like been behind the scenes working on a lot of health care initiatives. So, really excited to share her story with you. I think her last point at the end of the episode, she talks about her perspective on career and how being a pharmacist has informed her perspective in terms of taking risks and not having any regrets. So, make sure to tune in for that but yeah, enjoy this episode. I think it’s just really cool to see behind the scenes what it means to be a pharmacist, what it takes to get there and also, what it’s like to step away from such a prestigious career. All right, enjoy.

Okay everyone, today we have a very special guest. We have Manasa Murthy and super excited to welcome you. Welcome to the show.

Manasa Murthy: Thank you, Priscilla. I’m excited to be here.

Priscilla Esquivel-Weninger: Yeah. So, why don’t you go ahead and get us started by sharing a little bit about your personal background.

Manasa Murthy: Yeah, sure. So, I’m originally from Southern California. My parents are from India and they immigrated here and have lived in the US pretty much longer than they’ve lived in India now and so I grew up in Southern California and growing up, I wasn’t really sure what I wanted to do. My whole family’s pretty much kind of a bunch of doctors and health care providers, so I always was interested in that space. My dad’s a dentist and he would do a lot of community work in a lot of rural areas and there’s also a professor at a university. So, I was really interested in a lot of the science behind that and what it brought but I was always really scared of blood and so I hated going to the doctor, the dentist and ] all of that and so when it came down to going to college and deciding what I wanted to do, I always knew I wanted to do science but I was like not into going into medical school or nursing school or dentistry just because the blood aspect and we happened to have some close family friends who were pharmacists and they weren’t retail pharmacies.

They worked in hospitals and the husband was a professor at a local pharmacy school. So, I got to shadow them and I thought that was a really interesting field to play in; the science field but not have to be directly involved in patient care and so, with that, I decided to embark on a pharmacy career. So, I was debating between where to go for college and growing up in California, generally, I always thought the UC’s are where I’d end up but I randomly applied to the University of Arizona because at the time, they had a really good pharmacy school and they also had this pre-pharmacy program. So, I applied, not thinking much of it and then I was accepted but they also gave me a pretty big scholarship to go. So, I figured, why not change it up? And I mean, a pretty big decision to go out of state without knowing anybody and decided to go to U of A for undergrad and that was a really great experience. So, that’s a little bit background, I guess.

Priscilla Esquivel-Weninger: Yeah. So, with the PharmD, like what does that path look like? Like do you have to start in undergrad to get your PharmD? How does that work?

Manasa Murthy: Yeah. So, a PharmD is very like a similar pathway to an M.D. or a DDS, so you need to do undergrad first and then apply so it’s a graduate degree. The nice thing about pharmacy school though is you can do a lot of the prerequisites and still apply for a PharmD but it’s become pretty competitive. So, for me, I finished undergrad in two years and applied but there were only two people with that. The majority of people had an undergrad degree and I think more so now, everybody else finishes a four-year degree and then applies to pharmacy school and then pharmacy school itself is four years after undergrad.

Priscilla Esquivel-Weninger: Okay, so you were in school like six years total?

Manasa Murthy: Yeah, so I did six years and then after that, I… within pharmacy, there’s a lot of different options. I think people traditionally think of retail, CVS, Walgreens but there’s a lot of other roles for pharmacists outside of the retail setting. So, whether that’s in the hospital or an ambulatory care clinic. So, clinics that help you with chronic disease states or research or even in pharma and so for me, I always knew I wanted to be more on the clinical side of pharmacy because oftentimes, you learn a lot in pharmacy school, it’s the same, it’s equivalent of medical school in terms of duration but you don’t necessarily get to use all those skills in the retail setting. So, I knew I wanted to go on the hospital side of it so I decided to pursue a residency which is generally how you can be more specialized in pharmacy school and the residency processes, again, it’s very similar to medical school. So, it’s a match system, you interview with a bunch of hospitals and then wherever match, you go so it can be anywhere from one to two years.

Priscilla Esquivel-Weninger: And so, back then, did you think like, this is going to be my forever career?

Manasa Murthy: Yeah, back then I did because I still think pharmacy and a lot of these health care professions have a lot of opportunity and reach within them. Like I mentioned, within pharmacy, there’s a lot you can do and I ultimately specialize in critical care, so working in ICUs and what not and I thought that’s what I’m going to do for the rest of my life because even within that, there’s kind of a career ladder you can grow ultimately to have your own ICU or have the mix of patient care and leadership and teaching and so, that’s really what I set my goal out to be going out of… graduating from Pharmacy school.

Priscilla Esquivel-Weninger: Yeah, I honestly had no idea that there were pharmacists in ICUs but now that I think about it, that makes total sense.

Manasa Murthy: People don’t realize because again, you always think pharmacists are just retail but like in the ICU setting, your average patient has anywhere from 20 to 40 medications and so you think about it in medical school or nursing school, they probably get one to two semesters of pharmacology. So, even though they’re great from a physician perspective, you really have the skills to diagnose and assess the patient. The therapeutic side is really where the skill of the pharmacist comes in. Understanding the evidence behind how you treat and what you should use is really important there.

Priscilla Esquivel-Weninger: What do you think people, like young people should know about pharmacy school? What are the things that they should be prepared and get ready for?

Manasa Murthy: I mean, I think very similar to all of these health care degrees, they’re all pretty competitive to get into but I think they’re all worth it. There’s a lot of opportunity within the health care field and pharmacy school itself is not easy either. There’s a lot of science and what not that goes into it but I think what they should know is I think the field of pharmacy is also really growing and changing and it’s an interesting time now, more so to be involved within it, especially as you look at some of these trends in health care where… when I graduated, I graduated Pharmacy school 10 years ago, I was pretty young when I finished and then a lot of the trend was go to hospitals and I mean, it’s more specialized but now, when we think about health care, there’s a big focus to try to make it more localized, essentially to help improve outcomes and save costs and so you can see that with changes in retailers where even things like companies like CVS and Walgreens are trying to bring medical care within the retail footprint and with that, comes changes in how pharmacies practice which ultimately, in my hopes, is to drive towards more of the skills that we’ve learned in school and not be just focused on dispensing medications but really using more of the clinical knowledge that you learn.

Priscilla Esquivel-Weninger: Mhm.

Manasa Murthy: So, yeah, that’s what I would say.

Priscilla Esquivel-Weninger: Yeah and who do you think is a good fit for this career, like in terms of strengths or interests?

Manasa Murthy: I mean, I think now it’s really interesting. I think, before, it was more of a focus on science and the ability to learn and distill down information because there’s a lot of information you learn within pharmacy but I think a big… a really important skill within pharmacy, regardless of where you work, is the ability to communicate. Working in hospitals, for example, everybody knows what the role of a physician is, what the role of nurse is, the pharmacists role can change depending on where you are because even the idea of a clinical pharmacist, meaning a residency trained pharmacist, is not widespread or the same model everywhere and the ability to communicate your knowledge and provide recommendations in a meaningful way is ultimately how you can drive value for cost for patients and so I think communication is a really big key aspect that we might have the best recommendation but if you can communicate it, that’s a really important skill. I think another one is in analytics, ability to understand how things come together, especially now when more of that is driving the trends towards pharmacy and it’s really interesting when I had students who are learning a lot more analytics within pharmacy because the pharmacy space itself is really being disrupted by a lot of these [0:10:11] companies and even tech companies. So, I think if you could have those skills, you can create your own career or changing career than what we traditionally thought of as pharmacy.

Priscilla Esquivel-Weninger: And so, now, take us to the point where maybe you finish your residency. Like, how old were you at that point and what was your first job like as a pharmacist?

Manasa Murthy: Yeah, well, I did two years of residency. My first year was just a general pharmacotherapy residency. So, that’s really how you understand how hospitals work, working with… and you’re essentially rounding with different medical teams just like you do when you’re a medical resident. So, that’s how you get really good training and just that’s foundational to understand how health care is provided in a hospital setting. The second year where I specialize in critical care. So, working in nine different ICU, the pediatric ICU, the neuro ICU, cardiac, all of those because there’s a lot of nuances on how you treat those patients and so after that, I had an ICU job. So, like I said, I’m originally from Southern California, I did my residency in Northern California at UC Davis Med Center in Sacramento.

My first job was at Cedar Sinai in L.A and there they have I want to say six, I forget now, six ICUs and I would rotate between all of them essentially and it’s a really cool experience because as you start to realize like each hospital has its own kind of way of functioning and protocols and what not. So, Davis, where I trained, had a huge ICU kind of population. We had burn and different patient populations and a lot of trauma. Where at Cedar’s, Cedar Sinai, there’s a lot of other level one trauma centers there. So, there’s like UCLA, USC, all within kind of a short distance. So, Cedar’s was really interesting because one of the things that was different is they had a big transplant population. So, we did a lot of cardiac transplants and kidney transplants and liver transplants. So, I got to basically see different types of practices and that was really valuable.

Priscilla Esquivel-Weninger: So, a lot of exposure in your first two years.

Manasa Murthy: Yeah and just learning about how people practice differently and even just different kinds of care. As you know, Cedar Sinai is an interesting hospital because, again, you have celebrity doctors who can come in and practice, where UC Davis is your traditional academic teaching center, where it’s much more protocolized and research heavy. So, just learning about the different fields, about how these systems work was just really valuable I think.

Priscilla Esquivel-Weninger: So, working on the ICU sounds very high pressure, like a very high pressure environment. Did you thrive in that or what was that like for you?

Manasa Murthy: Yeah, I mean, I enjoy that. So, for pharmacy, I think ICU or emergency medicine, two of those are probably the more kind of high pressure environments because again, like I never worked in a pharmacy, I wasn’t touching drugs, you’re rounding with teams and telling them what they should prescribe and monitoring of patients and working very closely with physicians and nurses and other allied professionals. So, it’s really cool because you have very hands on experience with that and I mean, the irony is I didn’t go into these other fields because I didn’t like blood but working in the ICU, you pretty much blood everywhere, you are and you get accustomed to it but it is high pressure, in the sense, you have to be able to make pretty quick decisions and especially, when there’s kind of cold blues where somebody’s lost their pulse and the pharmacist role on that is really anticipating the drugs to draw up and help understand like what’s the reasoning behind these codes. So, you play a pretty big role in that as well.

Priscilla Esquivel-Weninger: And there’s also like no margin for error, right? In this role or what does that look like?

Manasa Murthy: I mean, I think the value of having a pharmacist within especially the ICU, I guess you can say is, again, evaluation of appropriateness of therapy and so, you do… you’re there as a way to not only recommend and provide guidance there but also, yeah, to your point, be there as a way to reduce errors and I think that’s a really big value that pharmacist’s bring to health care in general of understanding how we can minimize medication related errors and that happens very often in the hospital setting or in the health care system in general and so, yeah, there is that pressure of like really making sure when you’re verifying medication that it’s appropriate and there’s not issues that are going to cause it but I think you get used to that as you work. So, it’s a fear that lessens as you become more and more confident in your skill.

Priscilla Esquivel-Weninger: Makes sense. Yeah. Okay, so obviously you’re no longer a pharmacist that’s practicing, right? How did you get to the point where you started to even think about leaving this career behind?

Manasa Murthy: Yeah, So, I’m still… I mean, I still have my licenses, so I still have my pharmacy license in both California and Texas. You don’t practice clinically but mean like I said, I never really envision going outside of the profession but like I said, I graduated pretty early and I worked at various health systems. So, the most kind of recent hospital system that I worked at before transitioning was Ascension health in Austin and the health system there is called Seton and I had a pretty interesting role, in the sense that, I had my own ICU of 24 beds but I also had more of a leadership role. So, it’s this dual thing where, in addition to taking care of patients, I was in charge of clinical guidelines and network for the entire network of hospitals in Austin. So, there’s 12 of them and with a lot of these health systems, the focus is really on improving efficiencies and outcomes but also, minimizing costs and just in health care, there’s such strong, there’s a lot of waste that happens and there’s a big effort to reduce the waste and improve outcomes for patients but what I was finding when I was working is a lot of my time was focused on how do we cut costs, how do we cut costs?

And a lot of that’s great but sometimes, it’s not necessarily best for patient outcomes and when you work in hospital settings, what you quickly realize is that people oftentimes making the decisions are not clinicians themselves, they’re people in leadership and the people in leadership are generally MBAs or MHAs but a lot of them have never really taken care of a patient and so, although I love working in patient care and had really strong relationships with all the physicians and nurses that I work with, I started to get really annoyed by just how a lot of these decisions were being made and a lot of it came down to dollars and cents and not necessarily outcomes and then a second piece of the decision, I guess, to transition to a different role was, I felt like being in the ICU, I saw the sickest patients.

So, we would always take care of them, we’d fix them essentially, or make them better and then they’d be discharged only to find that, a week or two later they’d be readmitted and the point of that is that we weren’t really solving an underlying issue, it was just, okay, they came in for heart failure, we’ll treat them by getting rid of fluid but then the problem is not that they had the flu in the first place, the problem is that they’re noncompliant with their medication, they’re noncompliant with their diet or a lot of these underlying things and nobody’s really doing that well. So, those two things combined made me complain a lot essentially and my husband’s like, “Stop complaining about it, do something” and so I decided I probably should get these skill sets to have more of a leadership role beyond pharmacy but more on the hospital or health care lens and that’s when I realized I really didn’t have the background to understand the financials of health care and some of these other things that impact it. So, I decided to go and apply for business school.

Priscilla Esquivel-Weninger: And you talked about coming from a family of a lot of doctors and this was just maybe it was expected for you to go this path and stay in this path. Was it a scary kind of decision to make or to let them know about this change or was it pretty natural?

Manasa Murthy: Yeah, it actually was because I had worked pretty hard to get to the role that I was and I was fortunate in the sense that, when I moved to Texas, the role that I got would have been a role that would have taken me probably 20 years if I had stayed where I did my residency because there’s so many trained clinical pharmacists and so it was a pretty nice job in the sense that working in the ICU is I didn’t have to work weekends or nights which doesn’t really happen, especially in critical care. So… and then in Austin specifically, like there’s not as many jobs for highly trained pharmacists or residency trained pharmacists and I was at the place where they employed those people. So, I was essentially giving up my job to do that and so it was a very… it was scary at the time because I’m like I had this nice job, there wasn’t really anything wrong with it but I just felt like I wasn’t completely happy and I knew I wanted to do more.

Priscilla Esquivel-Weninger: Okay, so now talk to us about the MBA like experience for you. How do you think it helped to equip you for what was next?

Manasa Murthy: I think the MBA, like for me, again, my background was completely science based, right? So, I had never even taken any business classes, like I didn’t even know what accounting was or what do you learn in finance besides how much money you have and very basic understanding of these things and so, for me, I think a lot of it was extremely valuable as, especially now as we think about how health care is changing, to understand how you can make impact like you really do have to understand dollars and cents and what’s happening from a macroeconomic perspective and I think business school is really helpful to get this broader context outside of just taking care of patients and how hospitals work for me to understand, like where can you actually move the needle?

Priscilla Esquivel-Weninger: And so when you are thinking about like your summer internship and what kind of roles you would have after the MBA, how did that evolve for you over time?

Manasa Murthy: Yeah and so, again, like going into business school, I was like, well, I know I want to do something in health care. I want to do something where I can have an impact and I want to do something where I can both use my clinical experience as well as whatever I’ll in business school. I didn’t really know what that looked like and so all throughout business school, I was just trying to put my hand in anything that was health care related and understand like is this meaningful to me? Is this something that’s actually going to drive impact and something that’s going to make me happier than what was doing before? And so, I tried different things but for my internship I was at… I tried pharma essentially because I felt like there was a lot of opportunities in the pharmaceutical space and it seemed like there… I’d had never really given that a shot even in pharmacy school. So, I was like, why not?

So, for my internship, I was at J&J and I did a marketing strategy role within Janssen which is a pharmaceutical arm of J&J and I focused on one space which is immunology which is one of their highest growing areas within the company and it was just really interesting to see how marketing works, especially from the lens of a pharmaceutical company, how they leverage their physicians and pharmacists and marketers and data to do different things. So, it was really interesting on this other side because another thing that you do as a clinical pharmacist is you do a lot of cost containment. So, you’re trying to think through like how do we make sure we’re not spending a lot of money on these expensive drugs that don’t really move the needle on outcomes? And so, a lot of what I did was police that to some extent because I was really well versed in the evidence behind it. Now, here in J&J, my role was being on the opposite side to be like, how can you get this past these hospital formularies want to pay for these?

Priscilla Esquivel-Weninger: Mm.

Manasa Murthy: So, it’s really  interesting to understand the other side of it.

Priscilla Esquivel-Weninger: Okay and so I know that now you’re the Director of Health and Wellness at H-E-B which is so cool. Lots of Texans just like love H-E-B. What does that role look like and how did you land this role?

Manasa Murthy: Yeah, so it’s an interesting story as well. So, like I said, I really didn’t know what I wanted to do post B school and I was just applying for a lot of different things that had some kind of health care flavor or opportunity within them. So, looking at consulting or pharma or even more on the startup or VC side I was hoping a lot of things and trying to recruit as well which is really hard and also was trying to stay within Austin or Texas in general and so that kind of narrowed a lot of my opportunities and the H-E-B option came up really out of luck I would say because I was pretty involved with a lot of the health care stuff at McCombs and one day the CEO of H-E-B, Martin Otto, he routinely comes to McCombs to speak. He’s really into teaching and education and so he was at the Marketing Fellows talk and he’s really just passionate about health care. So, I think he was talking about H-E-B and what they’re doing for the community but I think he also went off on this discussion around health care and how there’s a lot of waste and there’s a real opportunity to provide more efficient offering of health care and ultimately, move the needle for outcomes and so one of my friends, Mario, was there and I think he was also really interested in pursuing H-E-B as an option post business school.

So, I was walking outside of McCombs and he’s like “Hey Manasa, would you ever be interested in looking at H-E-B?” And to me, at the time, I was like, well, I know they have pharmacies and they’re probably doing something in the space but I wasn’t really sure what they were doing. So, I was like, “Of course, why not?” So, he’s like “Send me your resume.” And so, he sent it to Lamar, who’s a professor at Marketing Fellows and he’s like, this looks good and he’s friends with Martin and just sent it off to Martin and Martin sent it to their recruiter, who basically sent me a bunch of interviews for a job that I didn’t know I was interviewing for. So, that’s how that happened.

Priscilla Esquivel-Weninger: So, cool. Definitely like a preparation meets luck type thing., right?

Manasa Murthy: Yeah, I would say that for sure.

Priscilla Esquivel-Weninger: Okay and so, when they finally told you about this role, how did they sell it to you and what made you say yes? Yeah. I mean, so I had these ideas of what it would be and again, like, I didn’t even know what they were thinking of, what this role would be and they offered me two different roles and this one was more of a customer facing role, ultimately, like how does H-E-B play in the health and wellness space from a customer lens. The other role is more kind of clinical operations. We have clinics that we’re hoping to scale as well and so for me, I felt like I had done more of the health care stuff, even working in the hospitals and this seemed more of a challenge. I was really excited about this role and so where we see this, I guess this role of where we’re playing, our ultimate goal is to really be a destination for customers in our communities in Texas. We serve such a broad population in Texas itself and have a pretty big footprint here and we think we can really leverage a lot of our businesses and offerings to ultimately move the needle on health for our communities through with a primary focus on food first but also providing solutions through clinics, pharmacies or dieticians, as well as just how well integrated we are with community and so my role is really in charge of the strategy behind all of that and how does it all ultimately come together. Everything from building that journey and what that looks like to our end user customer across these businesses but also how digital and data and marketing and all of those kind of supportive businesses help support that come to fruition.

Priscilla Esquivel-Weninger: And so this probably felt like such a different kind of role that you had ever had, right? What has the adjustment period looked like for you? I know you’ve been there now for a year, right?

Manasa Murthy: So, I actually started during business school, so my second semester I started. It was an internship but mainly I was like, I don’t know anything about groceries, let me just try to learn about it and I ultimately just ended up doing my full-time job then and it was nice to really learn and meet people early. So, yeah. So, I started in business school, I guess, almost two years now. A year and a half, I guess you could say.

Priscilla Esquivel-Weninger: What has been like the biggest learning curves for you.

Manasa Murthy: I mean, I think it’s different working in a business setting obviously than straight health care. Here, it’s a matter of working with different business stakeholders to make sure we’re aligned with goals and communication, again, is key. So, that I think that’s a similarity but a difference is even if you have an idea, you really have to make sure that idea has legs or backing it up with financials, data and having a real strategic point of view is really important. So, I think that was what I anticipated but that, I would say, is different from working in the health care setting where you’re just going patient to patient or working on projects but here, it’s like working across a lot of different stakeholders and I think, especially working at a big company like this, realizing how many people work on so many little details that I never realized until I worked in retail itself. So…

Priscilla Esquivel-Weninger: What excites you the most about what you’re doing now?

Manasa Murthy: I think I’m most excited about just the opportunity to actually create impact. Like I said, I think the biggest… for us, our biggest piece is like, how do we really play starting with food? Because I think food plays such a role in chronic diseases, both from how we prevent them but also how we treat them and if you think about the populations in Texas, we have a huge population of diabetics, overweight populations and we’re primary grocery store in those towns and nobody’s really doing anything to address those things and I think if we can start to get enabling people in communities to understand how you can eat healthier and live better without the guilt and judgment that people traditionally feel around food, that really can help support that and move the needle for our customers around health and then that combined with these services, so, specifically, pharmacists who are providing more clinical services outside dispensing roles or dietitians who have more expertise in more detailed or specific dietary lifestyles, as well as just our clinics which are much more focused on holistic care than kind of this fee for service model. I think all of those things combined can really move the needle. So, I’m excited about how this can actually come to life.

Priscilla Esquivel-Weninger: That is really cool and I wonder if H-E-B is one of the few grocery retailers that are really thinking about this. Have you seen this across the country? Have you seen other models that are doing this?

Manasa Murthy: Yeah, I think a lot of… it’s interesting. I think a lot of different retailers are starting to see this and it’s not just grocery retailers. It’s even non-traditional retailers like companies like Best Buy that are trying to get into health care and then your other companies like tech which just see a huge margin in waste and an area to disrupt. Like I said earlier, I think people are starting to see the value of localized care and that’s where a lot of grocers are starting to understand, like, is there an opportunity here, especially because a lot of them already offer pharmacies. I think where we can probably win is just the heart that we have for a lot of what we do which shows in a lot of our products and the experience at H-E-B in general and sometimes, when you go to other retailers, especially because they have a national footprint, sometimes that personalized feel doesn’t come across and I think that’s what you really need also in health to make people feel seen and make them want to change their behavior so that they’re ultimately healthier.

Priscilla Esquivel-Weninger: I love that. Okay, so my last question for you. What advice would you give to someone who might have been… might be in your shoes that you were in when you were considering going this different path? Like what kind of tips or advice or things would you have them think about?

Manasa Murthy: Yeah, I mean, for me, like, again, so one thing that I really valued about being in the ICU is this idea of like just perception and how you… your view of life. I would oftentimes see someone almost die every single day. So, really realizing that life is short and you really want to make sure what you’re doing with your life is something that makes you happy and provides meaning and so similarly, I think when you’re evaluating different paths, everything is not going to always be greener but just really making sure that you’re doing something for the right reasons and that you feel good about it and ultimately, you don’t want to have any regrets. So, using that framework to decide what you think because at the end of the day, like even when I went to business school and embarked on this path, I was like, okay, well, suppose I just like suck at business school and I fail and all of this? Worst case scenario is I could still try to find a job as a pharmacist somewhere. It might not have been the ideal pharmacy job that I had pre business school but at least I tried and so really trying to frame that perspective I think would be really helpful so it doesn’t seem as daunting of a jump because I think you, essentially can do anything you put your mind to and even for me, going to business school is scary. I didn’t know anything and then I was in this room full of people who are accountants or came from banking or marketing, all these really core business skills that I just didn’t even know what these people did and so I think, if you put your mind to it, you really could do anything but just really having that perspective at the end of the day, you should be happy with your decision.

Priscilla Esquivel-Weninger: This was such a delightful conversation. Thank you so much for joining us today.

Manasa Murthy: Yeah, no problem. Thanks, Priscilla.

Priscilla Esquivel-Weninger: Thanks for tuning into the Early Career Moves podcast. Be sure to visit ECMpodcast.com to join the conversation, access the show notes and become a part of our newsletter community and if you love this episode, head over to iTunes to subscribe, rate and leave a review. Talk to you next week.