Journal of - International Society for the History of Islamic Medicine

Journal of - International Society for the History of Islamic Medicine Journal of - International Society for the History of Islamic Medicine

15.01.2015 Views

The American Hospital in Gaziantep, The History of the Connected Medical School and Nursing School and Their Effects on Their Environment Gülkızılca YÜRÜR İstanbul University Faculty of Medicine, Department of Deontology and History of Medicine e-mail: kizilca2002@yahoo.com Summary Starting in the mid 1870s until the I World War, the American Protestant Missonary Organisation ABCFM opened a medical school, a hospital and a school for nursing in Antep. In this study, the workings of the ABCFM missionaries in Antep in the field of medicine are presented and their effects on this city are shortly discussed. The ABCFM missionaries active in the field of medicine played a role in the acceptance of the approaches and methods of modern medicine in the region. The hospital triggered the establishment of other institutions of modern medicine in the city. Training professionals of modern medicine, alongside with the Beirut American University, they can be counted among the actors of a cultural transformation in the field of healing, in Southern Anatolia and northern Mesopotamia. Evaluating the personal contributions of the ABCFM’s missionary doctors, together with the structural features of the ABCFM work in Antep, may help to understand the influences which led to the emergence of a need for modern medical services in Anatolia. Key Words: Medical missionaries, medical education, Gaziantep Covering the period between 1793 to 1810, the socalled “Second Great Revival” in the USA describes a significant increase in the membership to religious communities, growing social interest in religious gatherings and a strong enthusiasm about supporting religious institutions (1). The most succesful missionary organisation in the history of the USA, American Board of Commissioners for Foreign Missions (ABCFM), was founded during this period. Founded in 1812 by the graduates of the Congregasionalist Williams College, the ABCFM sent missionaries to the Cherokee Indians in Tennessee, then to India, Sri Lanka, Hawaii Islands, China, Singapur and Thailand. While the missionary field expanded all the way from Africa to the Far East, the Ottoman Empire, China and India stood out as regions with big investments in money and staff (1). Besides religious education, the ABCFM was conscious about the advantages of providing its missionary staff with practical skills and missionary candidates with a training in medicine, agriculture and mechanical engineering were especially preferred. In some cases, even a short medical education was on the training agenda (2). In the early times of missionary activity, the primary duty of medical missionaries was to take care of the health of the missionaries working on the field. However, in time, ABCFM laid greater importance on the role of medical services in building connections with local populations (3). It was among the goals of the protestant missionaries to transform ancient religious structures, power constellations and cultures in India, China and the Ottoman Empire, where well-rooted regimes ruled. The paradigm and practices of modern medicine served well to shatter the “old orders” (4). The American Board missionaries started their activities in the Ottoman Empire in 1820 (5). Concentrating on educational work and on opening up institutions of modern education, the missionaries also sent children of families embracing the Protestant faith to receive education in the USA. Activities in the field of health care started after the efforts in providing modern education. The first medical missionary of the ABCFM in the Ottoman Empire was Dr. Asa Dodge, who started his work in Beirut in 1833. He was followed by a small army of doctors and nurses spreading all over anatolia and the Middle East (6). The ABCFM had three mission districts in the Ottoman lands. Those were the Western Turkey Mission, the Eastern Turkey Mission and the central Turkey Mission. Besides these geographical divisions, missions aiming at certain ethnicities such as the Nasturian Mission or the Bulgarian Mission have been formed and dissolved in time. Within the dis- 136 ISHIM 2011-2012

The American Hospital in Gaziantep, The History of the Connected Medical School and Nursing School and Their Effects on Their Enviroment Gülkızılca YÜRÜR trict categories, there were mission stations such as the ones in Trabzon, Bursa, Antep, Harput or Marash. The Antep station was connected to the Central Turkey Mission. Besides work in the field of health care and education, the ABCFM opened up orphanages in Antep, Maraş, Bursa and Harput and run printing houses in Malta, İzmir, İstanbul, Beirut and Antep. The missionary printing house in Antep was the only one in the city since 1915 and even non-missionary material, all kinds of magazines, journals and books were also published here (6). The Central Turkey mission was the fastest growing one in the Ottoman Empire. The stations in Antakya, Tarsus, Adana, Antep, Maraş, Urfa and Halep were connected to it. Antep had the biggest Protestant community in the entire Empire. It housed the Central Turkey College, which had a medical department (1878-1888) and is still housing the American Hospital (7). One of the 2 remaining medical institutions founded by the ABCFM missionaries is in Istanbul, and the other one is in Antep. Furthermore, while the American Hospital in Istanbul is overtaken by a profit-oriented, private company, the one in Antep, founded in 1880, is still run by a philanthropic foundation. It is possible to say that the only enduring medical institution founded by the ABCFM missionaries is the American hospital in Antep. The Protestant missionaries could establish a big and strong community in Antep and contributed greatly to the adjustment of city life to the needs of the industrial age, playing a part in integrating the commercial life there to the global market. Their services in the field of health care and education were the main means to this end. The geographical and historical position of the city within the webs of transportation and production, its demographical constitution and personal traits, individual accomplishments of the missionaries working in Antep were decisive in the enduring character of change they contributed to. In this article, the medical department of the Central Turkey College, the Antep American Hospital and the later established school of nursing are being presented, in order to take a closer look at the medical missionary work in Antep. The outstanding characters running those institutions and their work in the field of healthcare will be discussed, with an eye on their interaction with the city. The Missionary Doctors in Antep Faruk Taşkın states that, following Istanbul, Antep was the second city where the ABCFM missionaries organized insititutionalized work (8), already in 1848 (9). Rahmi Doğanay narrates that in 1844, the Nasturian mission was dissolved, from where the missionaries were commissioned to other stations. During this relocation, Thomas Laurie and Dr. Azariah Smith were sent to Antep, and together with a few number of local, already converted Armenians, they started the core of their community (9). Dr. Bülent Çukurova notes that the first ABCFM missionary to come to Antep was Dr. Thomas P. Johnson. Due to a strong negative reaction from the local Gregorian Armenian community, Dr. Johnson had to leave the city after a very short visit. He was followed by Dr. Azariah Smith, and between 1852-53, Dr.Henry Lobdell, between 1853-1857, Dr. Andrew Pratt and Dr. Henry Lee Norris, who came in 1874 and left in 1879. Those doctors were not only providing health care services, but also, spreading the protestant word around and preaching the Gospel (10). In 1880, the medical department of the Central Turkey College in Antep was established and started education. In the same year, Dr. Cyrus Stevens arrived in Antep and served as the missionary doctor, and as teaching professor of surgery and obstetrics (11). Dr. Myron Davis, who was sent from Kayseri to support him, turned out to be a morphine addict and was called back from duty in 1881(12). Dr. Sewny, an Armenian from Sivas who was by then still studying at the American Medical School in Beirut, served for a short while in Antep, but resigned in 1880 (12). Roughly said, during the second half of the 19th century, the ABCFM founded institutions of modern medicine in Antep, but judging from the speedy exchange of staff, this first period of seeding seems to have come with difficulties. Dr. Cyrus Stevens, who came to Antep in 1882 and who served at the hospital and at the medical department together with Dr. Fred Douglas Shepard, quit the work of a missionary doctor in 1884 and returned to the USA, to work at the New York Medical School and at the school’s hospital (13). Dr. Robert Neal, who was married to Dr. Shepard’s wife’s sister kızkardeşi Florence, came to Antep in 1884 with his wife, but died in the same year of diphteria (12). After also the Schottish nurse, Stewart Walker-Arnott, died of diphteria in 1884, the staff of both the medical department and the hospital weakened strongly. Dr. Fred Douglas Shepard and Dr. Fanny Shepard arrived in Antep in October, 1882. The couple played a decisive role in the acceptance of the hospital in the city and the short-lived, but well-maintained history of the medical department. While Dr. Shepard was famous for reaching far-out villages on horse back and investing what he earned from wealthy patients in Halep in the needs of the medical department, Fanny Shepard visited women patients in their ISHIM 2011-2012 137

The American Hospital in Gaziantep, The <strong>History</strong> <strong>of</strong> <strong>the</strong> Connected Medical<br />

School and Nursing School and Their Effects on Their Enviroment<br />

Gülkızılca YÜRÜR<br />

trict categories, <strong>the</strong>re were mission stations such as <strong>the</strong> ones<br />

in Trabzon, Bursa, Antep, Harput or Marash. The Antep station<br />

was connected to <strong>the</strong> Central Turkey Mission.<br />

Besides work in <strong>the</strong> field <strong>of</strong> health care and education,<br />

<strong>the</strong> ABCFM opened up orphanages in Antep, Maraş,<br />

Bursa and Harput and run printing houses in Malta, İzmir,<br />

İstanbul, Beirut and Antep. The missionary printing house<br />

in Antep was <strong>the</strong> only one in <strong>the</strong> city since 1915 and even<br />

non-missionary material, all kinds <strong>of</strong> magazines, journals<br />

and books were also published here (6). The Central Turkey<br />

mission was <strong>the</strong> fastest growing one in <strong>the</strong> Ottoman Empire.<br />

The stations in Antakya, Tarsus, Adana, Antep, Maraş,<br />

Urfa and Halep were connected to it.<br />

Antep had <strong>the</strong> biggest Protestant community in <strong>the</strong> entire<br />

Empire. It housed <strong>the</strong> Central Turkey College, which<br />

had a medical department (1878-1888) and is still housing<br />

<strong>the</strong> American Hospital (7). One <strong>of</strong> <strong>the</strong> 2 remaining medical<br />

institutions founded by <strong>the</strong> ABCFM missionaries is in Istanbul,<br />

and <strong>the</strong> o<strong>the</strong>r one is in Antep. Fur<strong>the</strong>rmore, while <strong>the</strong><br />

American Hospital in Istanbul is overtaken by a pr<strong>of</strong>it-oriented,<br />

private company, <strong>the</strong> one in Antep, founded in 1880,<br />

is still run by a philanthropic foundation. It is possible to say<br />

that <strong>the</strong> only enduring medical institution founded by <strong>the</strong><br />

ABCFM missionaries is <strong>the</strong> American hospital in Antep.<br />

The Protestant missionaries could establish a big and<br />

strong community in Antep and contributed greatly to <strong>the</strong><br />

adjustment <strong>of</strong> city life to <strong>the</strong> needs <strong>of</strong> <strong>the</strong> industrial age,<br />

playing a part in integrating <strong>the</strong> commercial life <strong>the</strong>re to<br />

<strong>the</strong> global market. Their services in <strong>the</strong> field <strong>of</strong> health care<br />

and education were <strong>the</strong> main means to this end. The geographical<br />

and historical position <strong>of</strong> <strong>the</strong> city within <strong>the</strong> webs<br />

<strong>of</strong> transportation and production, its demographical constitution<br />

and personal traits, individual accomplishments<br />

<strong>of</strong> <strong>the</strong> missionaries working in Antep were decisive in <strong>the</strong><br />

enduring character <strong>of</strong> change <strong>the</strong>y contributed to. In this<br />

article, <strong>the</strong> medical department <strong>of</strong> <strong>the</strong> Central Turkey College,<br />

<strong>the</strong> Antep American Hospital and <strong>the</strong> later established<br />

school <strong>of</strong> nursing are being presented, in order to take a<br />

closer look at <strong>the</strong> medical missionary work in Antep. The<br />

outstanding characters running those institutions and <strong>the</strong>ir<br />

work in <strong>the</strong> field <strong>of</strong> healthcare will be discussed, with an eye<br />

on <strong>the</strong>ir interaction with <strong>the</strong> city.<br />

The Missionary Doctors in Antep<br />

Faruk Taşkın states that, following Istanbul, Antep was<br />

<strong>the</strong> second city where <strong>the</strong> ABCFM missionaries organized<br />

insititutionalized work (8), already in 1848 (9). Rahmi<br />

Doğanay narrates that in 1844, <strong>the</strong> Nasturian mission was<br />

dissolved, from where <strong>the</strong> missionaries were commissioned<br />

to o<strong>the</strong>r stations. During this relocation, Thomas Laurie<br />

and Dr. Azariah Smith were sent to Antep, and toge<strong>the</strong>r<br />

with a few number <strong>of</strong> local, already converted Armenians,<br />

<strong>the</strong>y started <strong>the</strong> core <strong>of</strong> <strong>the</strong>ir community (9). Dr. Bülent Çukurova<br />

notes that <strong>the</strong> first ABCFM missionary to come to<br />

Antep was Dr. Thomas P. Johnson. Due to a strong negative<br />

reaction from <strong>the</strong> local Gregorian Armenian community,<br />

Dr. Johnson had to leave <strong>the</strong> city after a very short visit. He<br />

was followed by Dr. Azariah Smith, and between 1852-53,<br />

Dr.Henry Lobdell, between 1853-1857, Dr. Andrew Pratt<br />

and Dr. Henry Lee Norris, who came in 1874 and left in<br />

1879. Those doctors were not only providing health care<br />

services, but also, spreading <strong>the</strong> protestant word around<br />

and preaching <strong>the</strong> Gospel (10).<br />

In 1880, <strong>the</strong> medical department <strong>of</strong> <strong>the</strong> Central Turkey<br />

College in Antep was established and started education.<br />

In <strong>the</strong> same year, Dr. Cyrus Stevens arrived in Antep<br />

and served as <strong>the</strong> missionary doctor, and as teaching<br />

pr<strong>of</strong>essor <strong>of</strong> surgery and obstetrics (11). Dr. Myron Davis,<br />

who was sent from Kayseri to support him, turned out to<br />

be a morphine addict and was called back from duty in<br />

1881(12). Dr. Sewny, an Armenian from Sivas who was<br />

by <strong>the</strong>n still studying at <strong>the</strong> American Medical School in<br />

Beirut, served <strong>for</strong> a short while in Antep, but resigned<br />

in 1880 (12). Roughly said, during <strong>the</strong> second half <strong>of</strong> <strong>the</strong><br />

19th century, <strong>the</strong> ABCFM founded institutions <strong>of</strong> modern<br />

medicine in Antep, but judging from <strong>the</strong> speedy exchange<br />

<strong>of</strong> staff, this first period <strong>of</strong> seeding seems to have come<br />

with difficulties.<br />

Dr. Cyrus Stevens, who came to Antep in 1882 and<br />

who served at <strong>the</strong> hospital and at <strong>the</strong> medical department<br />

toge<strong>the</strong>r with Dr. Fred Douglas Shepard, quit <strong>the</strong> work <strong>of</strong><br />

a missionary doctor in 1884 and returned to <strong>the</strong> USA, to<br />

work at <strong>the</strong> New York Medical School and at <strong>the</strong> school’s<br />

hospital (13). Dr. Robert Neal, who was married to Dr.<br />

Shepard’s wife’s sister kızkardeşi Florence, came to Antep<br />

in 1884 with his wife, but died in <strong>the</strong> same year <strong>of</strong> diphteria<br />

(12). After also <strong>the</strong> Schottish nurse, Stewart Walker-Arnott,<br />

died <strong>of</strong> diphteria in 1884, <strong>the</strong> staff <strong>of</strong> both <strong>the</strong> medical department<br />

and <strong>the</strong> hospital weakened strongly.<br />

Dr. Fred Douglas Shepard and Dr. Fanny Shepard arrived<br />

in Antep in October, 1882. The couple played a decisive<br />

role in <strong>the</strong> acceptance <strong>of</strong> <strong>the</strong> hospital in <strong>the</strong> city and<br />

<strong>the</strong> short-lived, but well-maintained history <strong>of</strong> <strong>the</strong> medical<br />

department. While Dr. Shepard was famous <strong>for</strong> reaching<br />

far-out villages on horse back and investing what he earned<br />

from wealthy patients in Halep in <strong>the</strong> needs <strong>of</strong> <strong>the</strong> medical<br />

department, Fanny Shepard visited women patients in <strong>the</strong>ir<br />

ISHIM 2011-2012<br />

137

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