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My first academic position was as a Career Research Scientist at the VA Medical Center in Syracuse. I started my own lab while also serving as the physiologist guiding thalamic recordings during stereotaxic surgeries for Parkinson’s disease, severe tremor, and refractory pain. My primary academic appointment was in Neurosurgery at the SUNY Upstate Medical Center. This meant that, from the start, I was learning how to function within both the federal and state systems—an early education in navigating two very different bureaucracies while trying to accomplish some science.