Under the necessities of the situation, a friendly surgeon of the eminence of Dr. Samuel Cabot was a veritable tower of strength. Well might Dr. Zakrzewska, with gratitude that failed of words to express itself, say year after year in her annual report as attending physician, “To Dr. Samuel Cabot, we are again indebted for advice and instruction in all the important surgical cases which have occurred during the year.” Dr. Anita E. Tyng who had spent her apprenticeship as assistant surgeon to the Hospital, had been obliged to resign her position there, but Dr. Zakrzewska and Dr. Sewall were ably assisted in this branch of practice by Dr. C. Annette Buckel who had been assistant physician for the past three years and who, having particular ability for surgery, desired to specialize in that direction. They were now aided also by Dr. Helen Morton[15] who had returned from Paris and had become connected with the Dispensary. With the arrival of such capable assistants among the younger women who had all been her students, Dr. Zakrzewska felt justified in relinquishing some of her arduous duties. And now her leading assistant, Dr. Lucy E. Sewall, resigned as resident physician (a position which she had held since 1863) and was appointed second attending physician. She thus divided the Hospital service with Dr. Zakrzewska, each being on duty every alternate three months. [Illustration: MARIE E. ZAKRZEWSKA, M.D. (About 1870)] Dr. Zakrzewska continued to serve on the board of directors as she had done since the beginning of the Hospital, but the added freedom gained by being released from work at the Dispensary and in being able to share her Hospital duties, gave her greater opportunity to elaborate and press forward her plans for building a hospital which should be more suitable for its purposes than any altered dwelling houses could possibly be. Writing of the successes achieved by the Hospital and of the satisfactions derived from its possession of the four houses in Warrenton and Pleasant streets, she continues: But after a few years, we found that even these accommodations were becoming too small. Also, the character of the neighborhood was changing from private residences to retail trading stores, and it was easy to foresee that the time was coming when this location would be entirely unsuitable for the sick. As it was neither my intention nor that of the Directors to carry on simply a charity, but rather to make this charity at the same time a school for educating women physicians on the European plan before mentioned and for the training of nurses for the benefit of the community, we felt that confidence in the value and need of our work had now been sufficiently established to warrant our erecting a building which would serve all these purposes and which in its arrangement might become a model hospital among the charitable institutions of the country.