There are still a lot of blanks in Dr. Tilghman A. Howard Lowe’s life story. Part of his life story centered around his desire to become a physician. I have not found any notations that explain  why he decided to become a physician.
Did he want to be of service to the world or his little part of it? Did he want to make a lot of money like a large percentage of today's medical school graduates? Maybe he just met someone and saw an opportunity that might give him an inside track  to acquire a profession.

The medical school he attended required a proctor. Some one to vouch for ones character. A person to oversee the progress and provide a little encouragement to each student. Dr. Lowe’s proctor was George Washington Hull.  Hull was probably born in Ohio  in 1820 and graduated from the Cincinnati Eclectic Medical College in 1861. He practiced medicine in Renick’s Mill up river from Lexington Missouri. He was evidently run out of Renick’s Mill, because he was a Union sympathizer. A lot of the state of Missouri was inhabited by slavers and confederate sympathizers. After a period of time in Indiana, G. W. Hull shows up in Labette County, Kansas, which is where Dr. Tilghman A. Howard Lowe’s parents lived. So probably Tilghman met Hull and found a way to get a little help getting into The Eclectic Medical College of Cincinnati, Ohio,

The Eclectic Medical College is where Tilghman's story gets real interesting. I’ll write about that a little later when I get it all straight.

Dr. Tilghman A. Howard Lowe graduates in 1883 and returns to Kansas, McPherson Kansas to be exact. The Eclectic College lists him as practicing in two locations, McPherson and Sherman City,  Kansas. It would have been a long drive between patients, particularly by horse and buggy.

The question about whether he was service minded or after the money may be answered in part by the fact that he charged his mother, his brother, and brother-in-law for medical treatments while living in McPherson Kansas.