This Mrs. Underwood is most likely Ethel van Wagoner Underwood, wife of Horace Horton Underwood, American educator in Korea (president of Chosun Christian College — predecessor of today's Yonsei University) and documenter of Japanese atrocities there, and not Mrs. Joan Vida Underwood, her daughter in law. Ethel Underwood had a correspondence with thousands of people around the world. Arnold was in touch with her about his desire to become a Presbyterian medical missionary.
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