At the school, she met Li Khai Fai and the two worked side-by-side helping the physicians deal with the 1893 outbreak of plague which struck Canton and Hong Kong.

Damon arranged an audience with President Sanford B. Dole, who after hearing Kong's plea, agreed to allow the couple to meet with the Board of Medical Examiners with the assistance of an interpreter.

After a comprehensive oral examination, each was issued a medical license,[6] making Kong the first Chinese woman to practice western medicine in Hawaii.

newspaper column, "Believe It or Not," claimed that Kong had delivered over 6,000 babies and gave her the record of the highest number of deliveries for a private practitioner.

Prior to that, in 1919, she and her husband had provided medical services for the church supported Wai Wah Yee Yin Hospital, which is now known as the Palolo Chinese Home.

She was on the Board of the First Chinese Church's Yau Mun School and at one time served as a delegate for Hawaii to the Pan-Pacific Women’s Conference.

[1] After her death, one of the Li's daughters, Ling-Ai, a playwright and producer of the Oscar-winning documentary Kukan, wrote her parents story in the book, Life Is for a Long Time: A Chinese-Hawaiian Memoir.