The first woman.

The first Native graduate.

The first doctor.

The first hospital.

These labels are useful because they communicate achievement quickly.

They can also shrink a life.

If Susan La Flesche Picotte is remembered only as the first Native American woman to receive a medical degree, the most important part of her career disappears after graduation day.

The diploma was a beginning.

Her deeper significance lies in what she did with it.

She returned to a reservation where healthcare was inadequate.