I'd like to think Helen very much understood what it was to be disadvantaged in the medical field. And that that was something that she never let dictate her choices.
The fact that he didn't get credit for a while is more the story of social injustice. But his own spirit wasn't driven by that, and wasn't dependent upon that. He just wished he had the cash to go to medical school.
Just the actual physical ability to hold four instruments simultaneously and do some of the things that Vivien was able to do is mind blowing to any surgeon. He never went to medical school and he became one of the great teachers of medicine himself, people are just amazed.