Here's a short story:

Elizabeth Blackwell was born on February 3, 1821 in Bristol, England. Her father was a rich sugar businessman at the time. Because her parents thought boys and girls should be equal, Elizabeth received the same education as her brothers. 

In 1832, her father's business was destroyed by fire, so her family moved to New York City. But her father's business there failed. Then in 1837, the family moved to Cincinnati, Ohio. Not long after, her father died. After her father's death, Elizabeth, at the age of 16, had to go to work. 

When she was 24, she visited her dying friend Mary. Her friend said, "You're young and strong, you should become a doctor." That was nearly impossible for a woman in the middle of the nineteenth century. But she knew this was what she was going to do. 

After several rejections from medical schools, she finally was accepted by Geneva Medical College. By studying hard, she graduated successfully in 1849. 

After graduating from medical school, she went to Paris to learn more about medicine. She wanted to be a surgeon, but a serious eye problem forced her to give up the idea. 

When she returned to America in 1851, she found it difficult to start her own practice because she was a woman. In 1857, Elizabeth and her sister, also a doctor, along with another woman doctor, managed to open a new hospital, the first for women and children. Besides, she also set up the first medical school for women in 1868, where she taught the women students about disease prevention. It was the first time that the idea of preventing disease was taught in a medical school. 

Elizabeth Blackwell started the British National Health Society in 1871, which helped people learn how to stay healthy. In 1889, Elizabeth Blackwell became the first woman doctor in the United States. Most importantly, she fought for the admission of women to medical colleges. 

Elizabeth Blackwell died on May 3, 1910, when she was 89.She opened a world of chances for women. She always fought for what was right in all her life. In 1949 the Blackwell medal was established. It's given to women who have excellent achievements in the field of medicine. She'll always be remembered as a great woman. (End of story)

Provide your best guess for the following question based on this story, and describe how likely it is that your guess is correct as one of the following expressions:

Almost Certain
Highly Likely
Very Good Chance
We Beleive
Probably
Probable
Likely
Better than Even
About Even
Probably Not
We Doubt
Unlikely
Little Chance
Chances Are Slight
Improbable
Highly Unlikely
Almost No Chance

Give ONLY the guess and your confidence, no other words or explanation. For example:

Guess: <most likely guess, as short as possible; not a complete sentence, just the guess!>
Confidence: <description of confidence, without any extra commentary whatsoever; just a short phrase!>

Here are a few examples of questions and answers:

Question: how old was elizabeth when she had to go to work?
Guess: 16
Confidence: <appropriate level of confidence in this guess>

Question: what was her father's business destroyed by?
Guess: fire
Confidence: <appropriate level of confidence in this guess>

Question: where did her family move to?
Guess: New York City
Confidence: <appropriate level of confidence in this guess>

Question: when was Elizabeth born?
Guess: February 3, 1821
Confidence: <appropriate level of confidence in this guess>

Question: what was her last name?
Guess: Blackwell
Confidence: <appropriate level of confidence in this guess>

Question: what city was she born in?
Guess: Bristol
Confidence: <appropriate level of confidence in this guess>

Question: was her father a businessman?
Guess: Her father was a rich sugar businessman
Confidence: <appropriate level of confidence in this guess>

Question: was her father successful in new york city?
Guess: No
Confidence: <appropriate level of confidence in this guess>

Question: how old was she when she visited her friend?
Guess: 24
Confidence: <appropriate level of confidence in this guess>

Question: what was her friends name?
Guess: Mary
Confidence: <appropriate level of confidence in this guess>

Question: where did her family move to after NYC?
Guess: Cincinnati
Confidence: <appropriate level of confidence in this guess>

Question: what year was that?
Guess: 1837
Confidence: <appropriate level of confidence in this guess>

Question: what did Elizabeth want to be?
Guess: a doctor
Confidence: <appropriate level of confidence in this guess>

Question: when did she graduate medical school?
Guess: 1849
Confidence: <appropriate level of confidence in this guess>

Question: where did she go next?
Guess: Paris
Confidence: <appropriate level of confidence in this guess>

Question: what medical school did she graduate from?
Guess: Geneva Medical College
Confidence: <appropriate level of confidence in this guess>

Question: what type of doctor did she want to be?
Guess: a surgeon
Confidence: <appropriate level of confidence in this guess>

Question: did she open a hospital in America?
Guess: Yes
Confidence: <appropriate level of confidence in this guess>

Now answer the following question in the same format.

Question: what kept her from being a surgeon?

a serious eye problem