ill due to a measles outbreak. It could be a serious disease for both adults and children. During the rest of her schooling, she would write letters back home giving medical advice. She was valedictorian and graduated at the top of her class on March 14, 1889, after a rigorous three-year course of study. In June 1889, La Flesche applied for the position of government physician at the Omaha Agency Indian School; she was offered the position less than two months later. After her graduation, she went on a speaking tour at the request of the Connecticut Indian Association, assuring white audiences that Indians could benefit from white civilization. She maintained her ties with the Association after medical school. They appointed her as a medical missionary to the Omaha after graduation, and the Association funded purchase of medical instruments and books for her during her early years of practicing medicine in Nebraska. Medical practice La Flesche returned to the Omaha reservation in 1889 to take up her position as the physician at the government boarding school on the reservation, run by the Office of Indian Affairs. There she was responsible for teaching the students about hygiene and keeping them healthy. Though she was not obligated to care for the broader community, the school was closer to many people than the official reservation agency, and La Flesche found herself caring for many members of the community as well as for the children of the school. La Flesche often had 20-hour workdays and was responsible for over 1,200 people. From her office in a corner of the schoolyard, with the supplies provided by the Connecticut Indian Association, she helped people with their health but also with more mundane tasks, such as writing letters and translating official documents. She was widely trusted in the community, making house calls and caring for patients sick with tuberculosis, influenza, cholera, dysentery, and trachoma. Her first office, which was a mere 12 by 16 feet, doubled as a community meeting place. For several years, she traveled the reservation caring for patients, on a government salary of $500.00 per year, in addition to the $250 from the Women's National Indian Association for her work as a medical missionary. In December 1892, she became very sick, and was bedridden for several weeks. She was forced to take time off in 1893 to care for her ailing mother and also