The Builders by Ellen Glasgow

When the last guest had gone, Caroline went upstairs to her room, and sitting down before the little ivory and gold desk, began a letter to her mother. For years, ever since her first night in the hospital, she had poured out her heart after the day's work and the day's self-control and restraint were over. It was a relief to be free sometimes, to break through the discipline of her profession, to live and love for oneself, not for others.

The house was very still -- only from the darkness outside, where the wind had risen, a few yellow leaves fluttered in through the window.