 Upon her return to England in 1878 she called on Dr. (Mrs.) Elizabeth Garrett Anderson, the only qualified medical woman until 1877, who had recently started the London School of Medicine for Women.Here she met with small encouragement, her prolonged stay in India and her naturally frail physique producing an unfavourable impression of her ability to follow such a strenuous profession.She was, however, accepted, and in 1879, in company with three other candidates for the first medical examination; she passed.