Madelyn did not feel threatened by James.
She would have killed him the moment she arrived in Cansington if not for the Candens' declaration that they were protecting James and would make enemies of anyone who harmed him.
In order to deal with James and ensure that their plans were executed smoothly, she sought the help of a disciple from the Medical Valley.
In terms of medical skills, the Medical Valley was second to none.
However, they had always operated in secrecy and not many outsiders