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)

Meet Sozyar (Twitter: @SozyarHamdan)

February 24, 2010 by Jeremy · Leave a Comment 

The team of Turkish doctors personally pre-screened and selected Sozyar for surgery when they were with us in Iraq last week working with us to promote more local (Iraqi) solutions to these local problems.

Sozyar was referred to us by a local organization, saying she was in need of “urgent surgery.” Because of the tremendous cooperation of the Anadolu Medical Center and Prof. Dr. Sertaç Çiçek we are almost always able to fast track children like this and see them served before it’s too late. They visited us and we sent Sozyar to surgery in exactly two weeks. We could not do that without your faithful giving and the highly interested and capable Turkish team.

You can click here to read more on the Fontan procedure that the doctors plan on performing for Sozyar.

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

*In accordance with PLC’s desire to lend a hand-up by avoiding strict hand-outs (when possible), Sozyar’s family contributed $4,000 towards PLC’s highly-discounted surgery prices.

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.

Meet Muhammed (Twitter: @MuhammedAdnan)

February 24, 2010 by Jeremy · Leave a Comment 

Muhammed’s presence in our life is a testament to the way the Preemptive Love Family Services Team has lived out our Core Values – namely, our pursuit of excellence (or constant improvement) and the way we seek to provide whole solutions for whole people. But all that sounds a little vague, so let me break it down…

In February 2009 a Kurdish soldier knocked on the door of our office. Though I hadn’t done anything wrong, I was sure I was about to be hauled in to give an account for something ridiculous. Thankfully, I was wrong. His name was Hywa and his daughter needed a life-saving surgery…. very urgently. We fast-tracked his family to surgery, but unfortunately he had already missed the optimal surgery window for his daughter when he first appealed to us. His little baby died in March 2009.

But Hywa and I formed a friendship that was somehow wrapped up in our mutual efforts to save his child’s life. When we put Honyar on that plane to Istanbul there was an initial feeling that we had both succeeded. And as I stayed back with him in Iraq, we cried together, somehow feeling like we had both failed that day she died. Of course, it was not the same grief for me as it was for him, and I would dishonor him to imply otherwise. But we celebrated, mourned, and grew together.

A few months later Hywa referred his friend Sami to us because Sami’s boy Danar was dying from a similar heart defect. We sent Danar to surgery in January 2010 and Danar can be seen doing really well after his surgery in our video of follow-up echos a few days ago.

After Danar returned from surgery, his father, Sami, referred Adnan to us because Adnan’s son is similarly facing death from extremely high pressure in his lungs as a result of two large holes in his heart.

Call it the “butterfly effect” or “serendipity” or “Providence” or a “job well done.” I’m really proud of our Family Services Team and all the work they’ve done to leave a lasting impact on families like Hywa, Sami, and… hopefully… little Muhammed’s family.

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

*In accordance with PLC’s desire to lend a hand-up by avoiding strict hand-outs (when possible), Muhammed’s family told us they would sell their car to help their son and ultimately gave $6,500 towards PLC’s highly-discounted surgery prices.

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.

Family Followthrough in Iraq: A Day of Post-operative Testing on Former Heart Surgery Recipients

February 22, 2010 by Jeremy · 2 Comments 

Last week we were honored to have some of the excellent medical staff from the Anadolu Medical Center in Istanbul, Turkey make the trip to our office in Iraq to work with us on a few current and future initiatives. Among our agenda for the week:

• * Analyze the current adult cardiac center’s suitability for a pediatric surgical mission in the coming months
• * Enjoy a home-cooked banquet with PLC Alumni Families (former surgery recipients and congenital heart disease over-comers)
• * Speak with local media about the need for cooperation between the Turkish, Kurdish, and Arab communities
• * Test and triage a list of 40-something candidates for 2010 surgery
• * Perform follow-up echo tests on some of our most serious 2009 alumni children

The video above represents one of our agenda items for the week! In coming days we hope to post a photo narrative about the amazing alumni banquet and a story from local media about the Turkish delegation and PLC’s peacemaking agenda with them.

Don’t forget to push PLAY above to watch hope and life in motion!

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.




Filed under: Ahmad Bakhtiyar, Anadolu Sağlık Merkezi, Danar Sami, Development, Family Participation, Go Blog It!, Heart Surgery, Heran, Lawaran, Mohammed Umed, News, Our Kids, Partnerships, Peacemaking, Ranu Bahadeen, School, Surgery Updates, Volunteers, Zana Tofiq

OUR CORE VALUES: Long Term, Local Solutions

February 15, 2010 by Jeremy · 1 Comment 



Dr. Aso Faek in his small clinic in northern Iraq where he sees hundreds of kids each month suffering from congenital heart disease. Photo: Matt Addington

Dr. Aso Faeq is a visionary and one of my personal heroes. He is certainly one of the foremost long term, local solutions to runaway congenital heart disease as it faces the children and families of Iraq today. A shoemaker named, Aram, is another; as is a radio station director named Rawand; an information technologies guru at the Ministry of Councils who recently moved back from Dubai; a local television host and newspaper editor back from London; and a local women’s basketball coach.

Foreigners like us can be especially susceptible to thinking of ourselves as heroes. We are not heroes. We are part-time servants; we’re itinerate and our expiration date may be fast approaching. We will always be foreigners. Our kids have foreign names, and the pajamas we wear inside our house when no one else is looking bely the fact that – whatever we may look like on the street – we come from outside.

Luckily, the kids of Iraq are not left to outsiders to solve their problems. There are a slew of long term, local solutions to these local problems developing throughout Iraq every day. Many of these solutions are taking place tangential to us and we are riding along in their stream. But we do our best to ensure that all of our programs are geared toward empowerment so that Arab, Kurdish, and other minority Iraqis truly begin to own the vision for a better, more giving, more unified and agile response community.



A Kurdish shoemaker supplies us with a powerful symbol of grassroots action. Photo: Matt Addington

Our flagship program is called Buy Shoes. Save Lives. – based on a commerce model of selling fabulously produced local footwear to foreign markets. Through this program we consistently accomplish a number of things:

• * invest foreign and domestic capital into the local economy and provide jobs
• * use profit to fund heart surgeries for Iraqi kids
• * upgrade local production and management skills through emphasis on quality controls, inventory management, and by reducing supply chain inefficiencies

It sounds a little boring until you start looking at it through the eyes of a guy like Aram Majid, who puts food on his family’s table every night and hopes to one day send his daughters abroad for education because of the shoes he makes and the management skills he’s learning. Or look at it through the eyes of Kadeeja Mahdi, whose family paid for their portion of her surgery because of the shoes they’ve sold locally and through our Buy Shoes. Save Lives. program.



Lawen Azad - a local media maven - moonlights to organize a local-language Public Service Announcement about kids in Iraq suffering from congenital heart disease. Photo: Matt Addington.

Click Here to View the Public Service Announcement



The “long termness” of this solution does not lie primarily in the fact that these shoes have been produced by hand for the last 3,000 years. In fact, that trade is dying off in spades as the country modernizes. The take away from our commercial efforts in Iraq has more to do with shaping a culture of compassion; of teaching the benefit of doing business to do good for others outside of one’s immediate family network, even a stranger. And because we believe that a “compassion” that seeks to keep the peace but fails to work for the good of the other is no compassion at all, those who participate in our program learn the value of strict quality control measures, standardization, waste reduction, and innovation – and those are take-aways that they can readily apply to any industry, family discussion, or government office.

And because we’ve sought to make this shoe the centerpiece for our grassroots action throughout the world, it seems we’ve made it a little bit easier for many to see more clearly the simplicity of a single act to change the neighborhood or world around them. So we increasingly meet Kurds in London running for a child in Iraq; or a radio station putting on a campaign to save a life; or college students deciding that they’ve had enough waiting on the government for more handouts. Grassroots action in on the rise, and that is one of the most long-term, local solutions of all!



Dr. Aso is currently learning intervention - the ability to patch holes and perform other corrective measures without invasive (dangerous) surgery.

But all the money and good intentions in the world will mean nothing for the thousands of children in Iraq waiting in line for life-saving heart surgery without the local skill to cut into a child in hopes of patching a hole, fixing a valve, decreasing dangerous pressure, or “rearranging the pipes.” Thankfully, due to the similar vision of groups in Italy, Jordan, and the Anadolu Medical Center in Istanbul, Turkey, there are men like Dr. Aso Faek who are increasingly ready to intervene on behalf of a child and be the local solution to their problem for years and years to come.

And one of the most exciting things about Dr. Aso is that nearly every time we go into his office he is training someone else, passing on the knowledge, preparing the next generation. When we walk through the halls mothers surround him for a chance to have their baby seen. If Bono himself were to walk the halls beside us he would be invisible. Dr. Aso is the hero here.

People like us just serve in the shadows.

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.




Filed under: Anadolu Sağlık Merkezi, Development, Family Participation, Internship, News, Our Kids, Partnerships, Peacemaking, School, Store, Volunteers

ONE DAY SALE: Valentine’s Day Saves Lives

February 14, 2010 by Jeremy · 1 Comment 



44% Off Tees for a Life-Saving Valentine’s Day! One Day Only!

Valentine’s Day is a day of love and romance. And we think you should buy some chocolates or roses for your best friend, spouse, parents, kids, or even for a stranger. Those things are not trivial or just commercial fluff! Who’s to say that people who feel loved and appreciated don’t live longer, healthier lives than those who feel alone and forgotten? I’d go so far as to say that Valentine’s Day (and every other day lived like it) saves lives!

But just to make sure, we’re giving you a special $11 OFF V-Day discount on our new Peacemaker and Heartmender tees – one day only. This way you can ensure that you show some love and save a live today.

So act now, put a shirt on your loved one and save a child’s life in Iraq. All profit from the sale of these shirts go to fund life-saving heart surgeries and our post-operative Followthrough Program in Iraq.

VALENTINE’S DAY SALE: Peacemaker Tee Every time we give a heart surgery to an Iraqi child we broker reconciliation between clashing communities. Imagine yourself in this shirt waging peace on Iraq! All proceeds fund our Family Services Followthrough program. Price: $14.00 Size: Small Medium Large X Large

VALENTINE’S DAY SALE: Heartmender Tee These dear Iraqi kids are often born with holes in their hearts that need patching and valves that need replacing. And it’s outrageously expensive! Buy this tee and stand in the hole between what could be and what should be. Price: $14.00 Size: Small Medium Large X Large

Already have these shirts? You can save a life by making a donation as well.
	GENERAL DONATION Donate the amount of your choice to our February surgery group by entering it in the field below. Donation:

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.




Filed under: Go Blog It!, News, Our Kids, Peacemaking, Store

Super Bowl Winner Malcolm Jenkins Speaks Up (A Few Months Ago!) For Iraqi Kids

February 10, 2010 by Jeremy · Leave a Comment 

Our congratulations to the New Orleans Saints and the Indianapolis Colts for a great game and a hard season. Special congratulations, however, go to cornerback Malcolm Jenkins for using his platform as an athlete to speak up on behalf of those whose voice is scarcely heard or heeded. Malcolm – along with many others who never won the Super Bowl – is like a megaphone for the kids of Iraq…

What about you? What are you up to for the kids of Iraq? If you’re a college student or post-college student, might we suggest our Summer Internship? There are still a few weeks left to apply!

Let us hear from you!

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.




Filed under: Coverage, News, Our Kids, Partnerships, Peacemaking, Volunteers

Preemptive Love on Rojêkî Nêw Television Talk Show (Live)

February 9, 2010 by Jeremy · Leave a Comment 

Our Regional Development Office for northern Iraq – Awara Hassan Mama – speaks to Rojêkî Nêw about our work on behalf of Kurdish and Arab children in Iraq in need of life-saving heart surgery outside the country.

(Audio is in Soranî Kurdish)

Courtesy KurdSat

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.




Filed under: Anadolu Sağlık Merkezi, Coverage, Development, Heart Surgery, News, Our Kids, Partnerships, Peacemaking, School, Surgery Updates, Volunteers

OUR CORE VALUES: Multi-Dimensional Reconciliation

February 8, 2010 by Jeremy · Leave a Comment 



Photo: Matt Addington


Call it settling accounts, setting to rights, or the restoration of friendly relations – reconciliation is why we do what we do.

There are thousands of children in Iraq who are born with hearts “at odds” with the good intentions of GOD when He created the world. We want to set that physical situation to rights; to reconcile what is with what should be.

But a healed heart is an occasion for only a tempered celebration if your family is living in the middle of civil conflict between ethnic neighbors or regional superpowers. Sure, much of this strife comes from global issues that are beyond our direct reach. But a few days on the ground in Arab Iraq, Kurdish Iraq, Turkey, etc makes it clear that these “global issues” are exacerbated by our closely held opinions about “the other.”



Photo: Matt Addington


So we work to unravel the effects of evil that were wrought by Saddam Hussein’s genocidal campaigns, by years of sectarian conflict between Sunni and Shi’i Muslims, and by ethnic struggles.

For example, Kurds, Arabs, and Turkmen are in a political (and possibly cultural) struggle over the historic city of Kirkuk – each laying some sort of ancient claim to the city; each group (generally) vilifying the other. On his Restorative Justice blog, Dr. Howard Zehr talks about our “temptation to emphasize ‘otherness’,” whether it be through photography, storytelling, or our administration of justice. At the Preemptive Love Coalition, we do not deny “otherness” when working between ethnic and tribal prejudices or religious worldview differences. But we try not to make “otherness” our starting point.

Communication guru Joseph Grenny talks about the important role that “storytelling” plays in our emotions and actions. According to Grenny, (1) we make an observation (e.g., Saddam Hussein was an Arab with largely Arab soldiers that attacked our city) and (2) immediately start telling ourselves a story (e.g., therefore all Arabs in Iraq want “our” land and are evil and would kill us if they had the chance) which (3) leads to strong emotions (like fear and hate), thereby (4) triggering fight/flight instincts inside us such as protectionist policies or aggressive police (or vigilante) action. The fork in the road is that first story we tell ourselves when faced with an observable fact.



Photo: Ben Hodson
Torture used by Saddam’s Baath Party in the “Red Security” building leaves an easy “observable fact” as the basis of an errant Kurdish story against all Arabs.




You can see how this plays out closer to home, as well. Observable fact: Men who wrapped themselves in Islam attacked America on September 11, 2001. But the stories that have flowed from that fact have been varied. And the emotions that arise from those stories have been serious and sincere. And over the past decade the actions that have come out of those various emotions have changed the course of world politics, international relations, and daily life for millions.

So when you donate, host an event, or buy a tshirt or pair of shoes, you are engaged in something bigger than the shuffling of money from one place to another to save a child’s life. We give people over “here” a tangible opportunity to save a life over “there” and to see “those” people as exactly that: people. Humans. Sons and daughters. We are all more than the images we receive from the professional media. It’s not “us” helping “them” get over “their” problems. It’s “us” becoming reconciled with “us”.

And in case you are wondering… Yes, we are just naive enough to believe that when we start seeing each less as other and more as brother these “global issues” might start to change too. And if they don’t… well, we are still committed to making change in the neighborhoods where we live and work; to be people of peace – whether anyone joins us on the journey or not.

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.




Filed under: A Thin Place, Anadolu Sağlık Merkezi, Art, AtlasJet, Family Participation, Heart Surgery, International Guild of Visual Peacemakers, Internship, News, Our Kids, Partnerships, Peacemaking, School, Store, Surgery Updates, Volunteers

Heran Has Infection Around Her Heart 9 Months After Surgery

February 5, 2010 by Ruth · 1 Comment 







Heran had surgery in May 2009 – the first of two surgeries she’ll need to be considered completely healed. Heran is currently sick with an infection in her heart and Dr. Aso, our local pediatric cardiologist in Iraq, has recommended that she stay in hospital for the course of her antibiotic treatment so that she can be closely monitored.

She was disappointed that she doesn’t have a nice hospital room with her own personal TV like she had during her at Anadolu Medical in Turkey. There aren’t any TV’s at all available for her to watch here so we were pleased that we were able to lend her a mini portable DVD player for her stay as it will be 6-7 weeks which is a long time for anyone and a lifetime for a 7-year-old girl. She was very excited about it!

She’s been very brave so far with so many blood tests and having her cannula site changed every few days. I’ve been visiting her every couple of days for countless games of ‘Uno’! She loves that game!

Heran has been sick a lot these past few months, so we’re hoping that after this infection clears up she will be able to be back at school and that her immune system will become stronger. Visiting is limited to just 2 days a week here so both her and her mother are missing the rest of the family plus she’s missing school a lot too.

We’re thankful for special permission to visit her anytime. So we’ll do our best to keep you posted on her progress.

Ruth Simpson was a Family Advocate for the Preemptive Love Coalition in Iraq (2008-2010) and a certified physio-therapist. Ruth hails from Ireland, though she's slowly losing her amazing accent amongst all the Americans. When not sharing her life with PLC's kids in Iraq, she served other constituent groups with her rehabilitative skills and compassion.




Filed under: Anadolu Sağlık Merkezi, Endocarditis, Heran, Our Kids, Partnerships, Sad, School, Surgery Updates

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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.
	Cody Fisher is a PLC cofounder and writes primarily on program development and peacemaking by giving us a lens into the lives of the real people we love.
	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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