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At any rate she gained entrance into the Women's Medical College of Pennsylvania where she apparently made lasting friends even though se was the only Afrikan in a class of 25 women. Her application for admission to examinations and subsequent admission sheet (daterd[[dated]] April, 1897) listed the following subjects as her areas of concentration: Surgery, Obstetrics, Gynecology, Paediatrics, and Hygiene. She graduated in 1897 and had to decide whether to follow her dream of going to the Motherland or do something else. Fortunately (for South Carolina), she decided to return to her home state where she became the first native South Carolina Afrikan female to be licensed in the state.

She moved to Columbia where she opened a practice from her home that same year and did so well that her practice soon outgrew the facilities. Her charges were very modest by today's standards and ranged from $.50 to $1.50 for and office visit. Like most Afrikan physicians then and many now, she frequently and willingly practiced charity and served the needs of her patients whether they could pay her or not. When she made house calls (as all physicians of that era did), she traveled by bicycle, horseback, horse and wagon, and horse and buggy. She bought her first car, a white Buick around 1912.

Some sources state that she then opened (also in 1897) the first hospital for Afrikans in South Carolina at 1019 Lady Street in Columbia. At any rate, in 1901, she established the Taylor Lane Hospital and Training School for Nurses which was located at what was then the intersection of Taylor and Heidt Streets (near what is now Church's Chicken). 

The Taylor Lane Hospital and Training School for Nurses was nurtured by her to the extent that she gave up her private practice in order to assume the duties of Superintendent. All available documents that discuss this topic state that she had the support of "all" the white physicians in Columbia. In fact, many of them admitted their Afrikan patients to this hospital since the Columbia Hospital refused admission to Afrikan patients (and refused admitting/practicing priveleges to Afrikan physicians). The 

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