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Ida Kahn (; December 6, 1873—November 9, 1931), born Kang Cheng (), was a Chinese medical doctor who, along with Mary Stone, operated dispensaries and hospitals in
China China, officially the People's Republic of China (PRC), is a country in East Asia. It is the world's most populous country, with a population exceeding 1.4 billion, slightly ahead of India. China spans the equivalent of five time zones and ...
from the late nineteenth to the early twentieth century. Kahn was most known for expanding the presence of Chinese
women in the workforce Since the industrial revolution, participation of women in the workforce outside the home has increased in industrialized nations, with particularly large growth seen in the 20th century. Largely seen as a boon for industrial society, women in ...
. This work, along with that of her sister Mary Stone established the first corps of Chinese women medical professionals.


Early life

Ida Kahn was born on December 6, 1873, in
Jiujiang Jiujiang (), formerly transliterated Kiukiang or Kew Keang, is a prefecture-level city located on the southern shores of the Yangtze River in northwest Jiangxi Province, People's Republic of China. It is the second-largest prefecture-level city ...
,
Jiangxi Jiangxi (; ; formerly romanized as Kiangsi or Chianghsi) is a landlocked province in the east of the People's Republic of China. Its major cities include Nanchang and Jiujiang. Spanning from the banks of the Yangtze river in the north int ...
,
China China, officially the People's Republic of China (PRC), is a country in East Asia. It is the world's most populous country, with a population exceeding 1.4 billion, slightly ahead of India. China spans the equivalent of five time zones and ...
, the sixth girl in the family. After her parents failed to betroth her, they became convinced by an "unfavorable horoscope" that she was bad luck. Consequently, Kahn's father gave her up for
adoption Adoption is a process whereby a person assumes the parenting of another, usually a child, from that person's biological or legal parent or parents. Legal adoptions permanently transfer all rights and responsibilities, along with filiation, from ...
, and his employer, Gertrude Howe, adopted her and renamed her Ida Kahn. Howe was a member of the Women's Foreign Missionary Society (WFMS), the women's board of the
Methodist Episcopal Church The Methodist Episcopal Church (MEC) was the oldest and largest Methodist denomination in the United States from its founding in 1784 until 1939. It was also the first religious denomination in the US to organize itself on a national basis. In ...
; an organization that Kahn would keep close ties with as she pursued her missionary work. From a young age, Kahn learned English, and worked as a translator for foreign doctors. Due to her adoptive mother's faith, Kahn grew up Christian, an element that became a defining characteristic of her missionary work. Kahn remained active within the WFMS, and drew upon the organization for financial support of her hospital and
dispensaries A dispensary is an office in a school, hospital, industrial plant, or other organization that dispenses medications, medical supplies, and in some cases even medical and dental treatment. In a traditional dispensary set-up, a pharmacist dispense ...
.


Education

At the age of nineteen, Kahn, along with Mary Stone, was brought to the U.S. to obtain a degree in medicine, which was sponsored by the Methodist Episcopal Church. They started at the
University of Michigan , mottoeng = "Arts, Knowledge, Truth" , former_names = Catholepistemiad, or University of Michigania (1817–1821) , budget = $10.3 billion (2021) , endowment = $17 billion (2021)As o ...
, Ann Arbor Medical School in 1892, and graduated with honors four years later. While there, she also did Christian work with her church. Kahn took a short break from her work in
Nanchang Nanchang (, ; ) is the capital of Jiangxi Province, People's Republic of China. Located in the north-central part of the province and in the hinterland of Poyang Lake Plain, it is bounded on the west by the Jiuling Mountains, and on the east ...
, and went back to the United States between 1909 and 1911 to receive a
Bachelor's degree A bachelor's degree (from Middle Latin ''baccalaureus'') or baccalaureate (from Modern Latin ''baccalaureatus'') is an undergraduate academic degree awarded by colleges and universities upon completion of a course of study lasting three to six ...
in
English literature English literature is literature written in the English language from United Kingdom, its crown dependencies, the Republic of Ireland, the United States, and the countries of the former British Empire. ''The Encyclopaedia Britannica'' defines E ...
from
Northwestern University Northwestern University is a private research university in Evanston, Illinois. Founded in 1851, Northwestern is the oldest chartered university in Illinois and is ranked among the most prestigious academic institutions in the world. Charte ...
. She also pursued postgraduate work in
London London is the capital and largest city of England and the United Kingdom, with a population of just under 9 million. It stands on the River Thames in south-east England at the head of a estuary down to the North Sea, and has been a majo ...
.


Personal life

Aside from her and Mary Stone, Gertrude Howe also adopted three boys. Kahn never married, though some of her adoptive family did.


Missionary service


Work in Jiujiang

Kahn returned to China following her graduation from
University of Michigan, Ann Arbor , mottoeng = "Arts, Knowledge, Truth" , former_names = Catholepistemiad, or University of Michigania (1817–1821) , budget = $10.3 billion (2021) , endowment = $17 billion (2021)As o ...
School of Medicine in 1896 and opened a dispensary along with Mary Stone in
Jiujiang Jiujiang (), formerly transliterated Kiukiang or Kew Keang, is a prefecture-level city located on the southern shores of the Yangtze River in northwest Jiangxi Province, People's Republic of China. It is the second-largest prefecture-level city ...
. After curing the wife of a notable Nanchang official, wealthy women—dubbed "
Tai Tai Tai tai (太太) is a Chinese colloquial term for an elected leader-wife; or a wealthy married woman who does not work. It is the same as the Cantonese title for a married woman. It has the same euphemistic value as "lady" in English: sometime ...
"—started traveling from Nanchang to Jiujiang just to receive medical consultation from Kahn. These women were instrumental in increasing the revenue and notoriety of Kahn and Stone in their first few years of medical work, as there was a marked increase over the next few years in the number of patients they received. In 1904, Kahn saw 6,112 patients, and in 1905 she saw 5,907 patients. After about four years of successful work, the
Boxer Rebellion The Boxer Rebellion, also known as the Boxer Uprising, the Boxer Insurrection, or the Yihetuan Movement, was an anti-foreign, anti-colonial, and anti-Christian uprising in China between 1899 and 1901, towards the end of the Qing dynasty, by ...
disrupted Kahn and Stone's work in Jiujiang. The persecution of Chinese Christians made it an unsafe environment for Kahn and Stone to work in. Though Kahn wanted to stay, it eventually became too dangerous; she then went to Japan to seek refuge.


Work in Nanchang

After returning to China, Kahn was called by government officials to open a hospital in Nanchang. The officials gave Kahn the land for the hospital, but would only give her full support for the hospital if she refrained from making it Christian. Kahn refused to bend her faith, and as thus, had to fundraise the funds needed for the hospital on her own. The people of Nanchang, along with the WFMS, eventually contributed to money to get the hospital a rented building. With $10,000 donated by Kahn's American friends and sponsorship by the Methodist Episcopal Church, Kahn was able to build the Nanchang Women and Children's Hospital—later renamed the Ida Kahn Hospital in her honor. As a result of the political instability of China during that time period, it was not always peaceful at the hospital; frequently, military officers ran her hospital, and at times, even occupied her home. By the time she returned to China from Northwestern, the
Revolution of 1911 The 1911 Revolution, also known as the Xinhai Revolution or Hsinhai Revolution, ended China's last imperial dynasty, the Manchu-led Qing dynasty, and led to the establishment of the Republic of China. The revolution was the culmination of a ...
had completely disrupted the existing political order. Kahn sheltered some of the most distinguished political officials of the province, proving her status and influence in China. Among those refugees were "the literacy chancellor, the provincial judge, and the family of the provincial salt commissioners, both the retired and the entering men." From March 1912, when some stability had come to China, to her death in 1931, Kahn worked in the hospital providing care to patients of all socioeconomic backgrounds. Kahn had clientele from among the highest families and government circles within China, and counted among her patients the family of the governor. In fact, she used her connections as a doctor to important political figures to develop popular support for the health of women and children within the province.


Illnesses and conditions treated

Kahn worked mostly with women and children's health, and a lot of the medical work and medical training she did centered around that area. Kahn performed many
Caesarean sections Caesarean section, also known as C-section or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen, often performed because vaginal delivery would put the baby or m ...
on her own and often shared stories of dramatic
childbirth Childbirth, also known as labour and delivery, is the ending of pregnancy where one or more babies exits the internal environment of the mother via vaginal delivery or caesarean section. In 2019, there were about 140.11 million births globall ...
cases, but she also dealt with other illnesses as well, especially a type of infection known as Carbuncles. Carbuncles were common in those with a weakened immune system, especially those who suffered from
malnutrition Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is "a deficiency, excess, or imbalance of energy, protein and other nutrients" which adversely affects the body's tissues a ...
and occurred most with the Nanchang poor.


Shanghai exploration and death

Kahn had been actively working out of Nanchang, when she finally relented to the missionaries asking her to visit a
sanatorium A sanatorium (from Latin '' sānāre'' 'to heal, make healthy'), also sanitarium or sanitorium, are antiquated names for specialised hospitals, for the treatment of specific diseases, related ailments and convalescence. Sanatoriums are often ...
in
Shanghai Shanghai (; , , Standard Mandarin pronunciation: ) is one of the four direct-administered municipalities of the People's Republic of China (PRC). The city is located on the southern estuary of the Yangtze River, with the Huangpu River flow ...
in late 1931. Kahn, at this point, was battling
stomach cancer Stomach cancer, also known as gastric cancer, is a cancer that develops from the lining of the stomach. Most cases of stomach cancers are gastric carcinomas, which can be divided into a number of subtypes, including gastric adenocarcinomas. Lymph ...
, and died shortly after arriving, on December 9, 1931.


Hospital legacy

After Kahn's death, Huang Yanyu (Alice Huang), a doctor who graduated from the
Woman's Medical College of Pennsylvania The Woman's Medical College of Pennsylvania (WMCP) was founded in 1850, and was the second medical institution in the world established to train women in medicine to earn the M.D. degree. The New England Female Medical College had been established ...
and had previously worked with Kahn, took over the hospital. The hospital remained a hospital for women until the outbreak of the
Second Sino-Japanese War The Second Sino-Japanese War (1937–1945) or War of Resistance (Chinese term) was a military conflict that was primarily waged between the Republic of China and the Empire of Japan. The war made up the Chinese theater of the wider Pacific Th ...
caused both the WFMS and the General Hospital to evacuate to an area in Jiangxi safe from Japanese control, where Huang worked in a refugee camp. Kahn's hospital merged with another hospital named the General Hospital in 1949, when they both relocated to Nanchang. After the
Chinese Communist Revolution The Chinese Communist Revolution, officially known as the Chinese People's War of Liberation in the People's Republic of China (PRC) and also known as the National Protection War against the Communist Rebellion in the Republic of China (ROC ...
, foreign missionaries left China over the next few years. Kang's Hospital ended up becoming a predecessor of the Jiangxi Gynecological Hospital.


Ideological and physical contributions

Prior to Ida Kahn and Mary Stone, Chinese women in the medical field were unheard of, those practicing
Western medicine Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practice ...
in particular. As one of the first in her field, Kahn's vision for the future of Chinese women in medicine in China was especially novel and important. Ida Kahn was a huge proponent of "self-supporting" medical work, where she believed that China could provide for itself. To this end, Kahn, along with her colleague, Mary Stone, trained a "Chinese corps" of nurses, which would help in building a strong "new China." Her ideals reflect a blending of Western and Eastern cultures: she mixed classic Chinese gender roles with separate "healing spheres" with Western
self-reliance "Self-Reliance" is an 1841 essay written by American transcendentalist philosopher Ralph Waldo Emerson. It contains the most thorough statement of one of Emerson's recurrent themes: the need for each individual to avoid conformity and false con ...
to create self-support. Her 1921 report, where she stressed "By Chinese Women for Chinese Women," affirms this ideology. Kahn's goal was for a corps of Chinese women professionals extended beyond its rhetorical value. She fought to keep raising the standards of her nursing school, and graduated about three to four nurses each year, following the guidelines of the Nurses Association of China; in 1930, she graduated a class of ten. Kahn also made sure to give the nurses and the physicians that helped in her hospital and nursing school a chance to study in the United States; she often wrote to her American physician friends to help her secure them postgraduate training opportunities. Kahn's annual reports confronted important social, religious, and political issues. Her writing challenged then common views of Chinese women as victims in need of rescue. She sought for China to be a place where its women could serve the nation in a good way, while simultaneously presenting a view of where they were saviors rather than victims in the eyes of Kahn's American audience. Kahn was known for exemplifying a different path that Chinese women could take. At the time, women didn't have much to do outside of the family, but Kahn showed that missionary work, both religious and medical, was a viable path.


References


Citations


Bibliography

* * * * * * {{DEFAULTSORT:Kahn, Ida 1873 births 1931 deaths People from Jiujiang Chinese women physicians Christian medical missionaries Female Christian missionaries Chinese Protestant missionaries Northwestern University alumni University of Michigan Medical School alumni Protestant missionaries in China Physicians from Jiangxi