November 27.

I cannot but feel glad that you rejected the urgent persuasions to go to the Crimea. I cannot say what going to Russia might have done for you in English reputation, but for America it would have been sheer waste of time. I am constantly surprised to see what an entire non-conductor of enthusiasm the ocean is, and reputation in England, except in very rare cases, is utterly unavailing here. The radical differences in national character, and the eager, youthful nature of this people, quite prevent full sympathetic transmission of feeling and recognition of older experience. I am vexed to think how completely unavailing your Scotch studies will be in the puffing line, but make yourself really strong, and we will turn them to the best account in another and a better way. Don’t forget to bring a full earnest testimonial from Simpson and from others as you progress.

I’m delighted you are going to Malvern. Oh, those breezy uplands of our native isle! is anything in Nature so delicious as their air and freedom? My ride with K. over the Welsh hills stands alone in my memory, and my slide with Howy down Malvern makes my mouth water.

January 23, 1855.

Your letter came yesterday, giving me an account of M.’s relapse and the many anxieties you have suffered lately. I confess to feeling an intense anxiety about her notwithstanding the hope conveyed in your letter, and I shall look to the coming of the postman with dread for the next three weeks lest he should bring me evil news. You have been pursuing your studies in a way we did not anticipate the last eight weeks, but very surely it is not lost time; the responsibilities of such a case will strengthen you for every future case, and as an illustration of or commentary on Dr. S.’s practice, I don’t think it will be lost to you. The whole case from beginning to end strikes me as a horrid barbarism, but at the same time I fully allow that it is the way to make a reputation. M.’s death would be little to him, the responsibility would be staved off in a dozen different ways, and if she succeeded in her object, no end to the trumpeting of his praise! I see every day that it is the ‘heroic,’ self-reliant, and actively self-imposing practitioner that excites a sensation and reputation; the rational and conscientious physician is not the famous one.

I have just heard one piece of news which decidedly indicates progress and which is peculiarly cheering to me, because I am persuaded that I have been chiefly instrumental in it. The New York Hospital has opened its doors to women this winter; there is now a class of eight women, all pupils from Dr. Trall’s hydropathic institute, who attend regularly the clinical visits and lectures in the amphitheatre with all the other students. The matter was discussed in full board, Trimble and Collins both advocating, and it was resolved to make the experiment, Drs. Smith, Buck, and Watson, the then attending physicians, being present and consenting, quite concurring in the principle, and only pleading the embarrassment they should themselves occasionally feel. Mr. Trimble assured them they would soon conquer their bashfulness! Thus far, it seems, there has been no difficulty. I consider the matter so important that I intend at once to take the hospital ticket and watch the experiment in person as closely as I can. I only wish the girls came from other than quack auspices.

Do the ‘knockings’ prevail at all in England? it is astonishing how they increase here. Judge Edmunds has published two large volumes, which are astonishing, I think, as a record of self-deception or credulity. The promoters hold public discussions in the tabernacle, publish endless literature, and have hired a large house in Broadway at 2,200 dollars, and Katy Fox at a salary of 1,200 dollars per annum to give free demonstrations to whoever wishes to investigate the truth of ‘this wonderful new revelation.’ I attended one of these free sittings lately at Mrs. B.’s invitation. It was a curious physical phenomenon to my mind of the animal magnetism order. My few questions were all answered wrong; but Mrs. B. and many others asked similar questions, the answers of which she knew, and they were answered promptly and correctly. Everyone who queried with eager temperament got prompt and correct replies, independent of Katy Fox’s volition. It was odd, but quite disgusting in the view taken of it, as an ultra-mundane exhibition.

Establishment of a hospital.—In 1856 my working powers were more than doubled by the arrival of my sister, Dr. Emily Blackwell, who became henceforth my partner and able co-worker. Dr. Maria E. Zackrzewska also joined us as soon as she had graduated at Cleveland, and became for some years before her removal to Boston our active and valued assistant in the New York work.

The refreshing Sunday walks taken with this warm-hearted doctor when, crossing the bay by an early ferry-boat, we walked for hours in the beautiful environs of Hoboken or Staten Island, will always remain as a pleasant background to the affectionate friendship which still continues.

Thus reinforced, an advanced step was made in 1857 by the renting of a house, No. 64 Bleecker Street, which we fitted up for a hospital where both patients and young assistant physicians could be received. This institution, under the name of ‘The New York Infirmary for Women and Children,’ was formally opened in the May of this year by a public meeting, in which the Rev. Henry Ward Beecher, Dr. Elder of Philadelphia, and the Rev. Dr. Tyng, jun., warmly supported the movement. In this institution Dr. Zackrzewska accepted the post of resident physician, Dr. Emily becoming chiefly responsible for the surgical practice.