It was determined, therefore, in August 1858 that I should again revisit my native land and urge the importance of this medical work. Soon after my arrival in Europe I took the occasion of a visit made to a sister in Paris to prepare carefully a series of three addresses to be delivered in England, showing what was being done in medicine by women in the United States, and the reasons for that work. The first of these addresses was on the value of physiological knowledge to women, the second on 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.