In May 1857 a Commission to study the whole question of the army medical service began to sit. The price was high. Florence Nightingale was doing this grueling work because it was vital, not because she had chosen it. She had changed. Now she was more brilliant in argument than ever, more efficient, more knowledgeable, more persistent and penetrating in her reasoning, scrupulously just, mathematically accurate -- but she was pushing herself to the very limits of her capacity at the expense of all joy.

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