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This is an adequate mystery with stock characters and no sense of place. Aside from some street names and a couple of inaccurate landmark references, this story might have been set in any 19th Century American city with a Chinese population. There is barely a hint of San Francisco in this novel which is disappointing since it's billed as a story of old San Francisco.
This sounded like a story I'd enjoy, old San Francisco, medicine and nursing with a mystery driving the plot. It had the ingredients but failed miserably in narration and story. I couldn't finish! And I am practiced in sticking with a story until it grabs my attention. I can set something aside and return later when my mood is right to try it again. I wanted this to work, always looking for new series to get into. So I am sorry I didn't find it here.