Nevertheless, I shrink extremely from the idea of giving up the attempt in America and going to France, although the suggestion is often urged on me.

The fear of successful rivalry which at that time often existed in the medical mind was expressed by the dean of one of the smaller schools, who frankly replied to the application, ‘You cannot expect us to furnish you with a stick to break our heads with;’ so revolutionary seemed the attempt of a woman to leave a subordinate position and seek to obtain a complete medical education. A similarly mistaken notion of the rapid practical success which would attend a lady doctor was shown later by one of the professors of my medical college, who was desirous of entering into partnership with me on condition of sharing profits over 5,000 dollars on my first year’s practice.

During these fruitless efforts my kindly Quaker adviser, whose private lectures I attended, said to me: ‘Elizabeth, it is of no use trying. Thee cannot gain admission to these schools. Thee must go to Paris and don masculine attire to gain the necessary knowledge.’ Curiously enough, this suggestion of disguise made by good Dr. Warrington was also given me by Doctor Pankhurst, the Professor of Surgery in the largest college in Philadelphia. He thoroughly approved of a woman’s gaining complete medical knowledge; told me that although my public entrance into the classes was out of the question, yet if I would assume masculine attire and enter the college he could entirely rely on two or three of his students to whom he should communicate my disguise, who would watch the class and give me timely notice to withdraw should my disguise be suspected.

But neither the advice to go to Paris nor the suggestion of disguise tempted me for a moment. It was to my mind a moral crusade on which I had entered, a course of justice and common sense, and it must be pursued in the light of day, and with public sanction, in order to accomplish its end.

The following letter to Mrs. Willard of Troy, the well-known educationalist, describes the difficulties through which the young student had to walk warily:—

Philadelphia: May 24.

I cannot refrain from expressing my obligations to you for directing me to the excellent Dr. Warrington. He has allowed me to visit his patients, attend his lectures, and make use of his library, and has spoken to more than one medical friend concerning my wishes; but with deep regret I am obliged to say that all the information hitherto obtained serves to show me the impossibility of accomplishing my purpose in America. I find myself rigidly excluded from the regular college routine, and there is no thorough course of lectures that can supply its place. The general sentiment of the physicians is strongly opposed to a woman’s intruding herself into the profession; consequently it would be perhaps impossible to obtain private instruction, but if that were possible, the enormous expense would render it impracticable, and where the feelings of the profession are strongly enlisted against such a scheme, the museums, libraries, hospitals, and all similar aids would be closed against me. In view of these and numerous other difficulties Dr. Warrington is discouraged, and joins with his medical brethren in advising me to give up the scheme. But a strong idea, long cherished till it has taken deep root in the soul and become an all-absorbing duty, cannot thus be laid aside. I must accomplish my end. I consider it the noblest and most useful path that I can tread, and if one country rejects me I will go to another.

Through Dr. Warrington and other sources I am informed that my plan can be carried out in Paris, though the free Government lectures, delivered by the faculty, are confined to men, and a diploma is strictly denied to a woman, even when (as in one instance, as it is said) she has gone through the course in male attire; yet every year thorough courses of lectures are delivered by able physicians on every branch of medical knowledge, to which I should be admitted without hesitation and treated with becoming respect. The true place for study, then, seems open to me; but here, again, some friendly physicians raise stronger objections than ever. ‘You, a young unmarried lady,’ they say, ‘go to Paris, that city of fearful immorality, where every feeling will be outraged and insult attend you at every step; where vice is the natural atmosphere, and no young man can breathe it without being contaminated! Impossible, you are lost if you go!’

Now, dear madam, I appeal to you, who have had the opportunity of studying the French in their native land, is not this a false view, a greatly exaggerated fear? Is it not perfectly true everywhere that a woman who respects herself will be respected by others; that where the life is directed by a strong, pure motive to a noble object, in a quiet, dignified, but determined manner, the better feelings of mankind are enlisted, and the woman excites esteem and respectful sympathy? To my mind this is perfectly clear, and I trust that your more experienced judgment will confirm my opinion. Probably, then, if all the information which I am still collecting agree with what I have already received, I may sail for France in the course of the summer, that I may familiarise myself with a rapid French delivery before the commencement of the winter lectures.

I have tried to look every difficulty steadily in the face. I find none which seem to me unconquerable, and with the blessing of Providence I trust to accomplish my design.