By 1817, Sarah's father was seriously ill, and the doctors of Charleston recommended he travel to Philadelphia to consult Philip Syng Physick. Despite her vehement objections, her father insisted that Sarah, then 26 years old, accompany him as his nursemaid. Sarah relented, and they left Charleston for the north in May, 1819. When Physick found he could not help, he suggested that they take in the sea air of the fishing village of Long Branch, New Jersey. The pair settled into a boardinghouse, where, after just a few weeks, John Faucheraud Grimké died.