Susan La Flesche Picotte (1865-1915) was the first American Indian woman to become a physician. She was also an active social reformer who worked to discourage drinking on the reservation where she worked as doctor. She was daughter of the chief of her Omaha tribe (both of her parents were of mixed race and wanted her children to live in both the white and Native American worlds. . When she was a child, she experience the poor living conditions and watched a Native American woman die because a white doctor refused to give her care. Susan did move between both worlds, and after her education in Philadelphia, she returned to work at a government boarding school, caring for both white and Native American patients. She strove to change health care for all patients, advocating for better hygiene to fight tuberculosis, a huge contagion at the time.