CHAPTER XV PIONEER WORK IN AMERICA On September 1st, 1866, S. J.-B. sailed again for America. A warm welcome awaited her, and she speedily fell back into her niche at the Women’s Hospital. Her main interest for the first month or two was the writing of her book on _A Visit to Some American Schools and Colleges_, the manuscript of which was duly despatched to Macmillan in November. Based though it avowedly was on somewhat limited observations, and dealing with a transient stage of a great subject, the book was extraordinarily fair and clear, and was greeted with genuine respect by those who were qualified to form an opinion. What was equally important, it made really excellent reading. At the close of a four column review the _Athenaeum_ said: “An English teacher, whose special avocations enabled her to gain prompt attention from American instructors, and qualified her to detect the true worth and significance of the facts brought under her notice, Miss Jex-Blake has written a sensible and entertaining book upon an important subject; and, while we thank her for some valuable information, we venture to thank her also for the very agreeable manner in which she imparts it.” “Redolent with common sense and practical suggestions,” said _The Stationer_. How sane a view she took of the whole subject may be gathered from the quotations given in the appendix.[42] Footnote 42: Appendix C. Having happily despatched her book, she was free to give her whole mind to the subject of Medicine, and she seems now to have enrolled formally as a medical student. In any case we hear of her dissecting—when material could be got—and finding, in the stimulus this gave to her work, a new interest and fascination. Excellent work was done at that Women’s Hospital in Boston, as a number of our English women doctors have had reason to testify: sickness was relieved, and—what is quite as much to the point—competent and able doctors were turned out year by year. But of course the scholastic side of the work was on a very different level. Even for those days, the practical scientific education, and, above all, the sheer supply of material, were inadequate in the extreme. Then as now, of course, it was true that “la carrière ouverte aux talents,” and when women doctors were so rare there was little doubt that a competent woman would make her way. Certainly it was not the hallmark of a good University degree that helped her, for good Universities existed for the male sex only. Graduation in America to this day may mean a great deal or it may mean just nothing at all. It was not the fault of the woman doctor of that period if her “degree” was one that failed to inspire the enthusiasm of those that understood.