After finishing her residency as Chief Surgical Resident, Karisa had been accepted into a coveted trauma surgery fellowship, but House Sabosen had other plans for her as a Medical Officer in the Chiss Expansionary Defense Fleet. Karisa's first posting was to the Leto, the flagship of Systor Alec'ar'nuruodo, who was the rising star of the Nuruodo family. It was thought that if the doctor was to catch the attention of the commander, then a possible marriage alliance could come of it, but House Nuruodo had other plans for their prized son, and nothing transpired except for a broken heart.