 She once again returned to Belgium, however, to be able to have her medical qualifications recognized, she was forced to complete additional courses at the Free University of Brussels, open to women since 1880.It then took a Royal Decree in 1884, in order to be allowed to open her own medical practice in Brussels.Many of her patients came from the upper classes of Brussels society, but she also treated pensioners at a nursing home for elderly prostitutes and fought for better treatment for prostitutes.