When Clara was eleven, her brother David became her first patient after he fell from a rafter in their unfinished barn. Clara stayed at his side for three years and learned to administer all his medicines, including the "great, loathsome crawling leeches".
s she continued to develop an interest in nursing, Clara may have drawn inspiration from stories of her great-aunt, Martha Ballard, who served the town of Hallowell (later Augusta), Maine, as a midwife for over three decades. Ballard helped deliver nearly one thousand infants between 1777 and 1812, and in many cases administered medical care in much the same way as a formally trained doctor of her era
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