“No, I refuse to teach women for a simple reason: I do not waste my time nor energy on dilletantes. There is no place in our world for a woman to practice medicine, Miss Sinnett, sad as that might make you. Another consequence of growing up without the glow of privilege is that one becomes quick to dispel illusion and fantasy. No hospital will hire a female surgeon, nor any university. Even less willing, I imagine, would be a patient to suffer beneath the knife of a woman.