sentences:  He then worked as an assistant for his cousin, Alexander Pagenstecher (1828–1879), at the latter's ophthalmology clinic in Wiesbaden.In 1863 he settled as general practitioner in Wiesbaden, specializing in otological medicine.In 1876 he became a "Sanitätsrat" (medical officer), followed by an appointment as "Geheimen Sanitätsrat" (privy medical counselor) in 1896.