1: What are you trying to accomplish?
2: What's your evidence that you can accomplish it?
3: How is it possible that you can provide an open heart surgery in Iraq for less than $1,000? Is that the full cost?
4: So is that the same thing as saying that my donation doesn't really make a difference? That the "up to 85%" funded locally by those inside Iraq is all that is really necessary to make this work?
5: Any other costs?
6: What is the bottleneck to more surgeries: money or skilled labor?
7: I'm skeptical of non-profits and charities because they always seem to be asking for more money. How can I be sure that Preemptive Love Coalition has "room for more funding" and that I'm not paying into a huge savings account, "Rainy Day Fund", or something similar?
8: Do you have enough volunteer surgeons available for unfunded Remedy Missions? (i.e., are there trips that you could fund if you had more money, or is there a labor bottleneck?)
9: Many heart surgeries require follow-up treatment (including additional surgeries). Do you have a way of providing these to patients?
10: How do you assess whether surgeries are completed competently and appropriately?
11: What is the rate of complications during and following surgery?
12: How do you assess whether surgeons are performing additional surgeries that they would have not had the funding or motivation to perform otherwise?
13: How do you assess whether surgeons are charging their patients for the surgeries you fund?
14: Do you follow up with the surgeons you've trained to assess whether they are correctly applying their training?
15: What information is available on the activities - and competence - of the surgeons you've trained?
16: Where do surgeons work after completing training? Do they serve poor patients?
17: How much do you spend each year on "program" expenses and how much on "overhead?"


----------

 Q: What are you trying to accomplish?

A: Train Iraqi heart surgeons and nurses so they can eradicate the backlog of tens of thousands of Iraqi children waiting in line for lifesaving heart surgery. [Back to Top]

 Q: What's your evidence that you can accomplish it?

A: Each year we continue to increase Iraq's total number of pediatric cardiac surgeries with new surgeries in Iraqi centers that would not - indeed could not - have been accomplished otherwise. Ministry of Health (MOH) officials speculate 500 surgeries were accomplished in 2009 (of which we provided 23 - 4.6% - outside the country). The addition of our 82 surgeries in FY 2010 - to the 500 baseline - for a total of 582 approximated surgeries, represents an increase created by PLC of 14% over 2009. In FY 2011 we anticipate increasing Iraq's total number of pediatric cardiac surgeries to at least 719 (or another 19% over FY 2010 directly attributable to our surgeons and our training).

Each year the local teams with which we work will become more proficient, and each year they will independently take on a larger case load than they could have the year before. None of these figures yet account for that additional output.

In March 2010 the Iraqi Ministry of Health asked us to expand our work to three additional sites. In May 2010 we began additional discussions about establishing a fellowship program in which international surgeons and nurses would take up residence in the Iraqi system to train locally for 40 weeks out of the year.

Our model does not rely strictly on volunteers because the level of need in Iraq outstrips what we could reasonably supply through volunteer labor alone. Accordingly, we set our budgets so as to actually contract the international surgical and nursing staff we need to accomplish our mission.

Sure, this increases the cost-per-mission (and thereby, cost-per-child) over early "mission" models in which volunteerism was idealized and training was not necessarily prioritized. But our contract labor + volunteerism model is inarguably the only way to create a nationwide quarterly training program and fellowships inside Iraq with international experts across approximately 6-8 surgical sites. Moreover, our model does not face the same sluggishness of learning that other surgery organizations suffer because we do not have the same rates of turnover; we have incredible consistency across our programs and missions. [Back to Top]

 Q: How is it possible that you can provide an open heart surgery in Iraq for less than $1,000? Is that the full cost?

A: The "less than $1k" numbers we routinely publish represent the amount in "program costs" we spend from our international donor money. The figure does not necessarily account for every single management, overhead, or fundraising expense.

Our total expenditures for FY 2010 were $188,919. We performed 82 surgeries during the same period for a per child total of $2,304 (though this data is a bit moot moving into 2010-11 as we abandon our very expensive "surgery exports" program(s) in Turkey, etc. and focus henceforth on more cost-effective in-country surgeries alone).

When all of our Remedy Mission partners are taken into consideration - including the Iraqi Government, medical companies that donate medicines and supplies, and local organizations - the real Remedy Mission cost to all donors is in the range of $5,400 - $7,000. Put another way, up to 85% of the total cost of a single surgical/training mission is now subsidized by local, Iraqi constituent institutions. [Back to Top]

 Q: So is that the same thing as saying that my donation doesn't really make a difference? That the "up to 85%" funded locally by those inside Iraq is all that is really necessary to make this work?

A: There is not a single site across Iraq for which our Remedy Missions are fully funded. If we fail to provide our 15-19% of the overall budget, Remedy Missions fail, surgeons and nurses do not get trained regularly, on-site audits from our international team do not happen, up to 20 children are delayed from receiving surgery, and a few may even die or become inoperable. Your role in funding the remaining 15-19% is as critical in the short term as any other entity. A single Remedy Mission is binary - it either happens or it doesn't. Your money makes it happen. But our goal is to continue to graduate all our programs so they are 100% funded locally in the next 5-10 years. [Back to Top]

 Q: Any other costs?

A: Our numbers per Remedy Mission do not account for "indirect costs," such as the cost (or value) of our volunteer medical staff from around the world, costs to local healthcare systems, the cost of a family to travel to the surgery site, the opportunity costs of lost income for families as they wait for surgery, etc. The reason we think it's important to note this here is because lifesaving is actually quite difficult. Building a pediatric cardiac surgery system for the entire country of Iraq is laborious and full of complexities. [Back to Top]

 Q: What is the bottleneck to more surgeries: money or skilled labor?

A: People often assume that the biggest need is more Iraqi heart surgeons. We could use a few more, but the real bottleneck is skilled nurses, technicians, and non-surgical physicians. A surgeon is only as good as his support staff. One of our biggest challenges is training pediatric cardiac intensive care nurses. To date, we haven't found a better model than our Remedy Missions through which we bring quarterly hands-on training to local nurses (and surgeons) in Iraq. Rather than exporting the nurses to Europe or the USA for training (whose medical systems barely resemble the Iraqi system), we train them with what they have on hand in their local environment. [Back to Top]

 Q: I'm skeptical of non-profits and charities because they always seem to be asking for more money. How can I be sure that Preemptive Love Coalition has "room for more funding" and that I'm not paying into a huge savings account, "Rainy Day Fund", or something similar?

A: For the record, we are skeptical of non-profits as well! In 2012 PLC needs $350,000 on hand at any given time to cover our cash flow needs for up to three Remedy Missions per quarter. We are still 30% under-funded against that goal. In addition to cash flow needs, we still require 15-19% funding on most of our missions after local sources contribute their portion; we have un-funded pilot programs in new cities where local doctors have been requesting our help (but where weve yet to woo local philanthropists or health directors); and we have research and social service initiatives through our Followthrough program that require funding at present because we have not yet sought local funding for those initiatives (seeing as how they relate mostly to our Monitoring & Impact Evaluation objectives). Please see our "Funding Gap" page to look deeper into our anticipated program costs, the sources of funding we are counting on, and the funding gap between the two for the next few years. [Back to Top]

 Q: Do you have enough volunteer surgeons available for unfunded Remedy Missions? (i.e., are there trips that you could fund if you had more money, or is there a labor bottleneck?)

A: Great question! We use a hybrid volunteer/staff model. Roughly 25-30% of any one of our Remedy Mission teams is employed by the International Children's Heart Foundation (typically the surgeon, scrub nurse, anesthesiologist, ICU doctor, and often a part-time ICU nurse). The remainder of the team typically comprises volunteer physicians, technicians, and nurses from across the world. Because the hardest-to-come-by positions are contract labor for us and NOT volunteers, we have never failed to run a mission for lack of personnel. We have only cancelled or turned down a request for a future mission due to lack of funding. [Back to Top]

 Q: Many heart surgeries require follow-up treatment (including additional surgeries). Do you have a way of providing these to patients?

A: Yes, we do. Our model dictates quarterly visits to each program site (a hospital inside a regional hub). Our reliance on local cardiologists ensures that the local team prioritizes and almost entirely sets the agenda for patient selection (within a development curricula) - after all, Iraqi doctors are the ones who are most intimately connected to the patients and their daily progress! When a local cardiologist sees a child who has either (1) deteriorated and requires another intervention or (2) advanced as expected to the next step of a complex, staged intervention, the child is prioritized for follow-up treatment. [Back to Top]

 Q: How do you assess whether surgeries are completed competently and appropriately?

A: Because we are a broker and play a combination administrative and financier role in the coalition of partners working in Iraq to develop pediatric cardiac care, we are able to stand in-between the local surgical team and the international surgical team (whom we contract as a third-party to train and perform surgeries in Iraq). If the local team or health directorate suspects a lack of competence in the international team, a cavalier attitude, or a single poor judgement call, our role is to be the go-between - to be the advocate for the local healthcare providers vis-a-vis the international surgical team.

Similarly, if the international surgical team feels pushed by the local surgical team to perform procedures with which they are uncomfortable or for which they think the local system is ill-prepared, they are able to refuse children for surgery and/or use us (PLC) as a go-between.

The checks-and-balance between the two teams helps us ensure surgeries are performed in a competent, appropriate manner. [Back to Top]

 Q: What is the rate of complications during and following surgery?

A: We report our in-hospital and 60-day mortality after each Remedy Mission. You can finds those numbers here. We also produce reports after each Remedy Mission detailing the trip, including data on intraoperative complications, post-operative complications, and mortality. You can find those reports here. We are also deliberately raising the funds necessary to help us bring our various heart hospitals into compliance with the International Quality Improvement Collaborative for Congenital Heart Surgery in Developing Countries. If this kind of quality improvement and reporting initiative interests you, we are currently looking for financial partners for our Followthrough program. [Back to Top]

 Q: How do you assess whether surgeons are performing additional surgeries that they would have not had the funding or motivation to perform otherwise?

A: Pediatric heart surgery in Iraq is almost nonexistent without our work. There are two active programs for relatively simple surgeries (one in Erbil and one in Baghdad). Local surgeons claim that combined they perform no more than a few hundred pediatric surgeries a year. In every location where we work, pediatric heart surgery is effectively nonexistent. Therefore, every surgery performed at our program sites (both when we are present and when we are not) are "additional surgeries" that they would not have had the SKILL to perform without the FUNDING we employed to train them in their local environment. [Back to Top]

 Q: How do you assess whether surgeons are charging their patients for the surgeries you fund?

A: Because we work in public (government) hospitals - and because healthcare in Iraq is provided almost entirely free of charge - it is widely known that any cardiologist, surgeon, or administrator seeking compensation for services is acting outside of Iraqi law. [Back to Top]

 Q: Do you follow up with the surgeons you've trained to assess whether they are correctly applying their training?

A: We see them quarterly in their local environment and perform real-time audits of their skills, recollection of past training, application of new techniques, etc. Additionally, our international surgeon remains on call at any time via phone, Skype, or email for consultation. [Back to Top]

 Q: What information is available on the activities - and competence - of the surgeons you've trained?

A: Because our Remedy Mission training program only began in late 2010 - and pediatric heart surgery at our sites across Iraq is the same age - there is still relatively little independent practice to report, and therefore little data on the activities and competence of our surgeons and their teams. But as they begin performing more surgeries independently, we are trying to align each site/surgical team with the International Quality Improvement Collaborative for Congenital Heart Surgery in Developing Countries (a data collection and tracking initiative of Children's Hospital Boston and Harvard University). [Back to Top]

 Q: Where do surgeons work after completing training? Do they serve poor patients?

A: As of Q2 2011 there was only one private hospital in Iraq (to our knowledge) providing pediatric heart surgery (and those surgeries were on the lower end of the complexity scale). Our work does not necessarily mean to exclude private hospitals as they continue to come online and become viable options, but at present the government system has a better equipped foundation for training local surgical teams. As we look to fully graduate our local surgical teams in the next 5-10 years, we imagine that most of them will stay in the public sector for all of the stability, pensions, and benefits of loyalty provided to those who stick with it. But, undoubtedly, some will seek positions at private hospitals (assuming private hospitals are willing to invest in the requisite capital purchases necessary to establish a credible program). In the public sector, rich and poor are served alike. In the private sector, poorer patients would be at an obvious disadvantage. [Back to Top]

 Q: How much do you spend each year on "program" expenses and how much on "overhead?"

A: As a rule, we do not adhere to the model that claims that "overhead" is somehow bad and "program" is somehow good. There are very bad program expenses. There are overhead expenses that are excellent investments. We agree with Paul Brest, President of the Hewlett Foundation, when he said, "Achieving a low overhead ratio drives many charities to behaviors that make them less effective and means more, not less, wasted dollars." Therefore, we spend as much on overhead as we need to accomplish our mission. The mission itself is our North Star - not arbitrary (even harmful) standards about overhead-vs-program expenditures. For the record, however, you can find a current pie chart of our expenditures here (and if you're into that sort of thing, you'll probably be impressed!). [Back to Top]

Jeremy Courtney Founder, Executive Director Twitter: @Jeremy_Courtney

“I'd love to hear any critique or questions you might have!”

DROP A NOTE OR DONATION BY MAIL: Preemptive Love Coalition 1300 Darbyton Dr. Hewitt, TX 76643 GIVE BY PHONE: To make a gift over the phone, using your credit card (Visa, MasterCard, American Express, or Discover), please call +1 (806) 853-9131 during normal business hours. IRAQ OFFICE: +964 770-355-6298 (local)

Danar is Fit to Fly Home on Tuesday; Takes with Him a Message of Peace

January 11, 2010 by Jeremy · Leave a Comment 

All of Danar’s follow-up echos and tests show that he is doing extremely well! He has been deemed “fit to fly” home to Iraq on Tuesday. And when he and his mom do make it home, they will take with them – forever take with them – a different-than-usual story about the Turks to the north of them and the Americans who came from the West to their country.

Life-saving heart surgery; life-changing experiences of “the other”; of the person different from me; of that kind of person. What difference a week can make!

Isn’t it amazing to watch life-saving in progress? We are able to do this because thousands of people like you have given $10, $25, and $50 – or whatever they could – to impact the future of kids in Iraq. Have you helped out yet? Would you give what you can today below?

Follow 3-year-old Danar on Twitter: @danarsami. Subscribe to Danar’s updates via RSS HERE. Follow Danar’s thread of longer stories (with pictures & video) on the PLC blog HERE.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Hamma Discharged to His Private Room; Parents Finally Can Believe That Others Actually Love Them

January 9, 2010 by Jeremy · 20 Comments 

I mentioned a few days ago that Hamma’s family had been swindled out of a 5 digit sum of money last year in their quest to serve their son with life-saving heart surgery when a group from a neighboring country posed as a charity took their cash and fled the country, leaving Hamma to die and the family to suffer in financial ruin. Understandably, this made Hamma’s family considerably gun shy when we started talking to them about our family participation requirement and our desire to create local solutions to local problems.

Will they take our money, too? Can they be trusted? What’s to become of us if we risk it again and this time lose our son?

Thankfully, they took the risk… and today they are reaping the joy! Hamma is out of ICU and back in his room. And – of equal importance – Hamma’s family has come to understand that we love them, as they are, for who they are; that we are not out to get them but be friends with them.

Isn’t it amazing to watch life-saving in progress? We are able to do this because thousands of people like you have given $10, $25, and $50 – or whatever they could – to impact the future of kids in Iraq. Have you helped out yet? Would you give what you can today below?

Follow Hamma on Twitter: @HammaDana. Subscribe to Hamma’s updates via RSS HERE. Follow Hamma’s thread of longer stories (with pictures & video) on the PLC blog HERE.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Soma’s Surgery a Success, Lung Problems Keep Her on Machine in ICU, Chest Still Opened

January 9, 2010 by Jeremy · 21 Comments 

We do not want to be unnecessarily graphic; but do want to convey the gravity of Soma’s situation right now.

Her valve was almost completely “gone” once doctors got to it on Friday, having already cooled her body temperature to 20 degree C. The valve repair went well and we met with Dr. Sertaç Çiçek in the 6th hour of the surgery as his team began warming her body back up to 36 degrees C.

One and a half hours later they came back out and told us that her lungs had some problems after taking her off the heart-and-lung machine and they decided to put her on “extracorporeal membrane oxygenation” (ECMO) - a machine that effectively assists or replaces the lungs. So her heart is pumping, but ECMO is oxygenating her blood right now.

In the consult he estimated that she had a 65-75% of surviving ICU, saying Soma is in “satisfactory, but critical condition.”

Today the ICU nurses attending to Soma said she had a great night in ICU and was “doing a little better than before.” She will almost certainly be on ECMO with few changes for the next few days. In the meantime, please pray for her lungs to heal, her heart to strengthen, and her mother to remain at peace.

Isn’t it amazing to watch life-saving in progress? We are able to do this because thousands of people like you have given $10, $25, and $50 – or whatever they could – to impact the future of kids in Iraq. Have you helped out yet? Would you give what you can today below?

Follow baby Soma on Twitter: @SomaSalah. Subscribe to Soma’s updates via RSS HERE. Follow Soma’s thread of longer stories (with pictures & video) on the PLC blog HERE.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Danar Discharged to His Private Room; Mom Laughs for Joy At His New Life Ahead

January 9, 2010 by Jeremy · 1 Comment 

We’ve been on this journey with Danar and his family for a few months now. In fact, we know Danar because of a child named Honya we helped back in February 2009. But in all our history with this family, we’ve not seen smiles and happiness; openness, hope, and joy for the future like we saw today.

It’s hard to put this in to words. We trust that the smiles above convey the deep impact you’ve made on the future of Danar, his mom, his dad, their extended family, and the previously destroyed village in Iraq in which they live.

These smiles – and the depth of hope they convey – are one of the primary things we aim for in our work.

Isn’t it amazing to watch life-saving in progress? We are able to do this because thousands of people like you have given $10, $25, and $50 – or whatever they could – to impact the future of kids in Iraq. Have you helped out yet? Would you give what you can today below?

Follow 3-year-old Danar on Twitter: @danarsami. Subscribe to Danar’s updates via RSS HERE. Follow Danar’s thread of longer stories (with pictures & video) on the PLC blog HERE.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Hamma is Extubated in ICU, Doing Extremely Well

January 9, 2010 by Jeremy · 1 Comment 

When we walked into the Cardiovascular Intensive Care unit one-year-old Hamma was crying – if you could call it crying – with little whimpers; the biggest sounds he could muster up now that the tubes have been taken out of his lungs. The stress placed on the lungs during an open heart surgery is extreme. So the hours and days after surgery are usually filled with a lot of coughing and it usually takes a while for one’s voice – or cry – to come back to full strength.

Still, after a full bottle, Hamma was so satisfied – even smiling involuntarily, like his stomach didn’t care what the rest of his body was going through!

Part of how we are able to do this is owing to those who have committed to $25, $50, or $150 monthly sponsorships to impact the future of kids in Iraq. Could you reorganize any current spending to see more kids on here? How about becoming a monthly sponsor today?

Follow Hamma on Twitter: @HammaDana. Subscribe to Hamma’s updates via RSS HERE. Follow Hamma’s thread of longer stories (with pictures & video) on the PLC blog HERE.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Danar Doing Well, Off Life Support in ICU

January 8, 2010 by Jeremy · 1 Comment 

Danar has been doing great and his mother is extremely relieved to see him without all the tubes and machines attached. This is one of the most critical steps for any child. This is the official move away from “critical condition.” So things are looking positive for Danar!

Part of how we are able to do this is owing to those who have committed to $25, $50, or $150 monthly sponsorships to impact the future of kids in Iraq. Could you reorganize any current spending to see more kids on here? How about becoming a monthly sponsor today?

Follow 3-year-old Danar on Twitter: @danarsami. Subscribe to Danar’s updates via RSS HERE. Follow Danar’s thread of longer stories (with pictures & video) on the PLC blog HERE.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Hamma Intubated in ICU But Proceeding According to Plan

January 8, 2010 by Jeremy · 2 Comments 

Hamma is resting in ICU and is expected to be extubated within a few hours. Everything is going well but his mother is understandably disturbed by the machines and tubes protruding from her little boy. These are still critical hours…

Part of how we are able to do this is owing to those who have committed to $25, $50, or $150 monthly sponsorships to impact the future of kids in Iraq. Could you reorganize any current spending to see more kids on here? How about becoming a monthly sponsor today?

Follow Hamma on Twitter: @HammaDana. Subscribe to Hamma’s updates via RSS HERE. Follow Hamma’s thread of longer stories (with pictures & video) on the PLC blog HERE.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

“Take My Eyes Just Save My Child” Cries Soma’s Mom On the Way to Surgery

January 8, 2010 by Jeremy · 6 Comments 

The extended deliberation and explanation about the risks of Soma’s particular surgery was not easy on Soma’s mom – or her dad by telephone back in Iraq. So when it came time to wheel her down to the operating room, emotions were running pretty high and fears were even more piqued than some of the other mothers.

Soma is in surgery right now. More to come in a few hours…

We can do surgeries like this because hundreds of people every year give generously to cover the material costs of surgery to impact the future of kids in Iraq. Surgeons in Turkey are playing their part. Would you give what you can today to make a difference for tomorrow?

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Soma Selected for Surgery After Days of Considering Surgery’s Potential Impact

January 8, 2010 by Jeremy · 1 Comment 

Soma is a 7 month old little girl from a small village in Iraq.

Preemptive Love Coalition’s Jeremy Courtney plays with Soma as mom awaits surgery decision.

Soma’s dad was tortured by Saddam Hussein a few years before 2003. It’s an honor to care for his child in Istanbul, Turkey while he remains with his other children in Iraq.

Difficult discussion about the post-operative course for Soma after announcing her selection for surgery.

The Preemptive Love Coalition is not a heart surgery organization. Heart surgeries come and go. You can even get a heart surgery and die because of it. Heart surgeries are not the point.

The Preemptive Love Coalition is a children’s organization. The point is impacting children’s lives. We make hard decisions every day about how we can most impact children. Sometimes that means we end up passing on children whose likelihood to benefit from surgery is actually quite small. For days now, we’ve been wondering if Soma might end up being one of those children.

But the Preemptive Love Coalition is also a hope bank – a place where Iraqi families come for a chance at a better life for their kids; a place they come for a hope transfusion. And being a people of hope has compelled us to accept Soma to surgery.

Soma will be dead in two years without surgery. If there is any error to be made with her, we want to err on the side of giving hope and a future. And this isn’t just a field decision – time and time again we’ve heard from you that this is the organization you want us to be and that this is, overwhelmingly, how you want your money spent.

Soma goes to surgery today. Stay tuned…

The most critical factor in our decision to help Soma was our own personal presence in Iraq and our team’s commitment to ongoing followthrough with Soma’s family in their village three hours away. If you love what we do, please consider contributing to our travel and Followthrough fees to see Soma in her village.

Follow baby Soma on Twitter: @SomaSalah. Subscribe to Soma’s updates via RSS HERE. Follow Soma’s thread of longer stories (with pictures & video) on the PLC blog HERE.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Mohammed’s Mom Waits Anxiously for Fever to Subside; Surgery Delayed until Monday

January 7, 2010 by Jeremy · 1 Comment 

A fever presented itself today in Mohammed Umed. As a precautionary measure doctors have delayed his surgery to observe and investigate what may be causing the fever. In the interim period, his mother is understandably anxious as she has now sat by while two other kids have had their chance before hers. Of course, they are all in this together, but it’s easy enough to relate to her desire to be “first” and not “last” in a critical scenario like this.

So this Kurdish mother from Iraq waits in Turkey while her husband serves as a soldier in Baghdad and the rest of her family is at home. Together we are all hoping the fever will not prove to be the result of anything serious; hoping that Mohammed’s chance at surgery is not delayed any further.

Imagine you’re in a foreign land without the language to acquire safe shelter, privacy, and quality food. You can donate below today toward the cost of one day’s room & board so future kids receive excellent hospitality even through medical delays.

Follow Mohammed on Twitter: @MohammedUmed. Subscribe to Mohammed’s updates via RSS HERE. Follow Mohammed’s thread of longer stories (with pictures & video) on the PLC blog HERE.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

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	Matt Willingham is the PLC press secretary and writes primarily on politics, history, general updates and visual peacemaking through photography and film.
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	Jeremy Courtney is a PLC cofounder and writes primarily to emphasize our vision and values, including organizational and financial transparency.

Preemptive Love Coalition provides lifesaving heart surgeries for Iraqi kids in pursuit of peace between communities at odds. We offer the 30,000 Iraqi children suffering from life-threatening heart defects a chance at the surgery they need to save their lives. With our world-class international surgical partners we create long-term solutions by training local Iraqi doctors and nurses so they can sustainably save lives without our help.

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