She eventually established a practice in Walthill, Nebraska, a growing town on the Omaha Reservation.

The change gave her more independence.

It also placed her directly inside another problem.

She could treat sickness.

But too many patients needed a place where treatment could happen efficiently.

A doctor in a buggy could only reach so many people in a day.

Susan needed a building.

Marriage Did Not End Her Medical Career

In 1894, Susan married Henry Picotte.

For many professional women of the Victorian era, marriage could end a career.