In 1998, she changed careers from administrative management in financial services to naturopathic medicine. This decision involved attending another six years of college/medical school and a significant shift in lifestyle. While continuing her formal education, Karen was a Hospice and medical free clinic volunteer. She continues to be a student of Native American culture and the ways in which Native Americans connect with the natural environment. In particular, Karen has a fascination with the Anasazi culture in the Southwest, and has participated in several Sierra Club service and private trips to Bandelier, Mesa Verde, Canyon de Chelly, and Chaco Canyon. Karen is currently the Middle Snake Group Outings Chair and is a facilitator for the OLT workshop and the Outings Chair Training.