The Blue Castle by Lucy Maud Montgomery Chapter 1 Page 22

And — she almost thought she would go and see Dr. Trent about that queer pain around the heart. It had come rather often lately, and the palpitations were becoming annoying, not to speak of an occassional dizzy moment and a queer shortness of breath. But could she go to him without telling any one? It was a most daring thought. None of the Stirlings ever consulted a doctor without holding a family council and getting Uncle James’ approval. Then, they went to Dr. Ambrose Marsh of Port Lawrence, who had married Second Cousin Adelaide Stirling.

But Valancy disliked Dr. Ambrose Marsh. And, besides, she could not get to Port Lawrence, fifteen miles away, without being taken there. She did not want any one to know about her heart. There would be such a fuss made and every member of the family would come down and talk