Just thinking about how you could be thrown into an asylum for reading too much and wanting to be a doctor is horrifying! That completely describes me and nowadays in Holland we have more women training to be doctors than we do men.
Anyway, I really liked the way the author described the asylum and how wrong things can go. I also liked how you didn't find out the depth of the betrayal until the end.
Louisa is an interesting character and I really liked Eliza as well.