the value of medical knowledge, and the third on the practical aspect of the work as established in America and its adaptability to England. Whilst engaged in the preparation of the lectures I entered into relations with the large-hearted Countess de Noailles, whose devotion to sanitary reform and generous support of benevolent enterprises were equally remarkable. This lady was very desirous that a country sanatorium for women should be established in England or France, being firmly convinced that hygienic conditions in their fullest application were the chief necessity in the successful treatment of special diseases. This lady wrote to an old friend in Paris: 'I wish to direct all my efforts to this object. Let me know as soon as possible what it would cost to establish a small hospital for women and children either in France or England, under Miss Blackwell's direction.' She also requested one of her noble French relatives to make my acquaintance. The interview is thus described in a letter to Dr. Emily in New York.
Paris: 1858.
Yesterday I saw Madame by appointment at her own house. A. says she is a daughter of the Prince de P.; to me she seemed a stout, black-eyed Frenchwoman of forty-five, cordial in manner, speaking English well, and knowing as much of England and Anglo-Saxon nature as a Frenchwoman ever can know. We conversed energetically for two hours. She is seriously interested in the entrance of women into the medical profession, a wish founded in her case on the moral degradation which she has observed amongst her own acquaintance from the
