In 1886, Keller’s mother, inspired by an account in Charles Dickens’ American Notes of the successful education of another deaf and blind woman, Laura Bridgman, dispatched the young Keller, accompanied by her father, to seek out physician J. Julian Chisolm, an eye, ear, nose, and throat specialist in Baltimore, for advice. Chisholm referred the Kellers to Alexander Graham Bell, who was working with deaf children at the time. Bell advised them to contact the Perkins Institute for the Blind, the school where Bridgman had been educated, which was then located in South Boston. Michael Anagnos, the school’s director, asked a 20-year-old alumnus of the school, Anne Sullivan, herself visually impaired, to become Keller’s instructor. It was the beginning of a nearly 50-year-long relationship during which Sullivan evolved into Keller’s governess and eventually her companion.