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)

ADVOCATE OF THE WEEK

March 31, 2010 by Cody · Leave a Comment 

Meet PLC’s latest Advocate of the Week, Dony Costa.

I had the privilege of talking with Dony in the beginning of 2010. As Dony was sharing with me all that he’s doing to advocate on behalf of PLC, I was impressed, but as he started to share with me more of his personal story, I was blown away. Here’s an excerpt from one of our talks, see for yourself why Dony’s our Advocate of the Week:

Alright, Dony – tell us more about yourself. Who is Dony Costa?

Since I could walk I could skate. I was a very active kid, Ice Hockey being my passion ever since my first hospital visit in 1989 when the Los Angeles Kings Hockey team came in to visit kids who were staying at the hospital. I continued to play hockey until the age of 19 when I was diagnosed with Congestive Heart Failure. Within the first year, I was in the hospital receiving blood transfusions as the doctors fought to keep me alive on the surgery table. My heart was not strong enough to come off of bypass so that was when my first internal Pacemaker was implanted. I began to live a normal life, staying in sports, going to school just like the other kids until I had to have my pacemaker changed once every six years.

In October of 2008 I started to have trouble breathing so I went to my doctor to have it checked out. I couldn’t even fall asleep because it was so hard to breathe. It got so bad that I slept in the shower for about a month with hot water running so it would open up my lungs. (My Mom wasn’t too happy about that when she got the water bill!) Then I had my mom drive me to the ER. My heart was enlarged twice its size, almost a full centimeter which I guess is a substantial amount of ones heart to grow in the matter of months. I was rushed to surgery but because of how weak my heart was they couldn’t put me under all the way for fear of not being able to bring me back from the anesthesia. A Dual chamber pacemaker/defibrillator was implanted and yes, I did wake up.

My doctor gave me a year to live on the heart I had until I would need a transplant. My doctor told me I would be out of breathe if  I walked outside to get the mail. My doctor told me my heart was so fragile it could give out if something scared or shocked me. My doctor told me I would have to be put on disability because I could not work or go to school. All my doctors decided to let me go home on Christmas Eve because they TOLD me it would be nice to spend my last Christmas at home.

That year I decided to live.

What made you become an advocate of PLC?

The aspect I love about Preemptive Love is the sincerity of each case and that each one is taken seriously. I love that they not only help pay for the life saving procedure but also for the family to be there with their child. Going through what I did, I know my spirits would have been down to the point of maybe not getting better because my family wasn’t there. I can not stress that fact enough. And I love the follow up that PLC does with each child.

When you come visit us in Iraq, what will you tell these kids with the same heart condition that you have?

If I could sit down with one of these kids I would gladly tell them my story and tell them how important it is to have family around and keep your mind set high. I would tell these kids no matter how bad their condition is, that there is always hope, even for the lost cause cases like me. Finally I would tell them that I am playing Hockey. I am cycling. I am employed. I am getting ready to go back to school. I am doing all this on the same heart GOD gave me.

Never lose hope.

Cody Fisher is the co-founder and Development Director of the Preemptive Love Coalition. He moved to Iraq in 2007 where he met his wife and since then they've been waging peace and mending hearts across Iraq. His passions are photography, peacemaking, and food that doesn't come out of a can. You can follow him on Twitter: @candmfisher.

Deelan, Dua, and Sara Arrive Home After Hassle with Airline

March 14, 2010 by Jeremy · Leave a Comment 

Deelan, Dua, and Sara all went home on March 14 from Turkey with healed hearts, hopeful for the future ahead of them! Unfortunately, a tremendous amount of drama associated with the airline company and their departure wrapped us up for much of the week, unable to find much time to blog with reduced staff.

There has been a lot of finger pointing this week, but the airline did not schedule our kids home on the flight like they told us they had by email three days before the flight. This resulted in three kids, three moms, and one of our staff arriving at 9 p.m. at the airport only to hear that there was (1) no room left on the flight and (2) we didn’t have tickets for our kids in any case.

Somehow seats opened up and we were able to pay to “close” our tickets at the counter. But it left our kids in a terrible situation and the airline’s lack of cooperation was a huge trust-breaker. We’ll be considering other options for all future surgical and personal trips in/out of Iraq.

But at the end of the day, the children are all home safe, celebrating Newroz today – the “Kurdish” New Year!

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

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

Follow Sara on Twitter: @SaraMuaeed. Subscribe to Sara’s updates via RSS HERE. Follow Sara’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: @Jeremy_Courtney.

Deelan Calls Daddy in Iraq: “I’m Coming Home!”

March 11, 2010 by Jeremy · 1 Comment 

Press the “forward” button above to view and read the captioned slideshow about Deelan’s journey through surgery and the phone call to his daddy in Iraq that brought tears to our eyes!

COPY AND PASTE THE CODE BELOW TO EMBED THIS SLIDESHOW IN YOUR OWN WEBSITE

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Are you looking for a way to get involved? Let us suggest the following three actions: - Sign up for our newsletter to stay apprized of news and deals on stuff you can buy to save lives in Iraq. Name: Email: - Send out a “tweet” or a message about us on Facebook, suggesting your friends check out these dear Iraqi kids. - Donate your time or money. Both save lives! For volunteering, send an email to cody@preemptivelove.org. For donating money, please use the fast and simple form below.

Follow Deelan on Twitter: @DeelanKameran. Subscribe to Deelan’s updates via RSS HERE. Follow Deelan’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: @Jeremy_Courtney.

Three Kids Headed Home with Happy, Healthy Hearts

March 10, 2010 by Jeremy · Leave a Comment 

This doesn’t look like the happiest group of people, but trust us, they are! It was 6 a.m. at an airport! Few are happy in that context!

It’s been a great journey for Muhammed, Baroof, and Sozyar. Both Muhammed and Sozyar were “urgent.” It was unclear whether Muhammed or Baroof would even be operable. And look at them today!

In our talks today with Dr. Resmiye at the Anadolu Medical Center she used words like “miracle” and “unbelievable” and “they won their lives back” to describe these kids.

Usually we try to keep a healthy balance of the “miraculous” and that which can be reasonable calculated according to the medical numbers. It’s hard to build a budget around miracles! But we are thrilled to celebrate GOD’s kindness in the lives of these children alongside the Turkish doctors who, themselves, have said that it is GOD’s doing and not just their own.

By the time this posts, Muhammed, Baroof, and Sozyar will be resting at home – in the city or the village – with their daddies and extended families who have been missing them so much.

As much as the surgery at this point, the fact that you’ve paid for round trip airfare through our partnership with Atlasjet Airlines for these kids is a great source of comfort, because healing means precious little when it separates you from the ones you love the most!

These children are now enrolled in the Preemptive Love Followthrough program. We’ll track their progress as Baroof goes back to school and Muhammed and Sozyar learn how to walk, and we’ll offer a number of services to them for the next six months (and often, much longer).

Followthrough Program With our Followthrough program we monitor a child’s healing and re-entry into their home culture, teach the importance of activity and a balanced diet, and address issues like racism and other radical ideologies. This amount represents the costs of medications, special needs, teaching materials, etc. Donation:

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.

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

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.

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: @Jeremy_Courtney.

Sozyar’s Smiles (VIDEO)

March 10, 2010 by Jeremy · Leave a Comment 

When Sozyar came to our office a few weeks ago she was urgent enough for the referring organization to ask that we do everything we could to move her to the front of the line.

Within two weeks she was in surgery with Dr. Sertac Cicek in Istanbul, Turkey – that may be a record turnaround for any organization working on congenital heart disease issues in Iraq today.

After a few days recovering in ICU, she was discharged to her private room where she has been the last few days.

And look at her today!

Gone is the blue skin from lack of oxygen; gone is the threat to her life; and here to stay – for some time it seems – are smiles and joy and kisses and waves and “that winky thing” she does.

Hers is a story of cooperation. It’s a story of your kindness. It’s a story of compassion.

Thanks for all you’ve given for Sozyar to live.

With thanks and joy!

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.

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: @Jeremy_Courtney.

Deelan Discharged from ICU after Surgery & Nitric Oxide Save His Life

March 10, 2010 by Jeremy · Leave a Comment 

Deelan is almost like a different baby than the one we’ve been working with the last few months – and certainly different than the crying, uncomfortable, scared baby we brought over last Tuesday night.

Deelan’s surgery and his post-operative treatment with nitric oxide gas has transformed this once-uncomfortable, scared child into a happy, comfortable, impacted-for-life story of your compassion and kindness!

Molecule of the Year (1992), Nitric Oxide

To save lives through the very specific provision of nitric oxide, please contribute your desired amount below. One container of nitric oxide costs us approximately $2,000.

Follow Deelan on Twitter: @DeelanKameran. Subscribe to Deelan’s updates via RSS HERE. Follow Deelan’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: @Jeremy_Courtney.

Photo of the Day: Baroof is All Smiles After Surgery

March 9, 2010 by Jeremy · Leave a Comment 

It’s possible that you had to know Baroof before his life-saving heart surgery for his rare heart condition to appreciate the joy in his step these last few days. When we met him, he was scared and downcast – being old enough to understand what was at stake if he didn’t get the heart surgery he needed.

But now – thanks to you! – Baroof is joyful, full of hope, and full of hugs and kisses to boot!

Follow Baroof on Twitter: @BaroofAbdul. Subscribe to Baroof’s updates via RSS HERE. Follow Baroof’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: @Jeremy_Courtney.

Sara Enjoys a Visit from U.S. Supporters Who Funded Her Surgery

March 9, 2010 by Jeremy · Leave a Comment 

For more photos of the girls time in Istanbul, Turkey, please visit our Flickr site.

As cute as the babies are, we do enjoy interacting with these older kids. Watching them work through their fear, and seeing them come into their own in a foreign culture, is a real joy. Plus, it seems like the “mark” we’re leaving for life will be more profound for these adolescents.

If you’ll remember, Sara’s family comes from Kirkuk, Iraq. One of her cousins left Iraq over ten years ago and currently lives in Istanbul. So we’ll be discharging Sara into the care of her cousin this week so he can show her the sites and so they can reconnect a bit as a family.

But before she leaves, we were honored to host one of our biggest advocates and long-term supporters, Chelsea Pershall (center), and two friends (Erin [left] and Ashley [right]) for Spring Break in Istanbul. They came specifically to meet Sara, whose surgery they funded through a widespread grassroots effort on the Baylor University campus via FWCM.org.

Sara’s family was so grateful to meet these three girls and beyond the life-saving money they represent, found a lot of comfort from hours of broken English conversations and card games.

Do you know someone who might be interested in joining us for a summer of this kind of work in Turkish hospitals and Iraqi homes? Click here to consider our Summer Internship.

Follow Sara on Twitter: @SaraMuaeed. Subscribe to Sara’s updates via RSS HERE. Follow Sara’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: @Jeremy_Courtney.

Baroof Works His Lungs After Discharge from ICU

March 8, 2010 by Jeremy · Leave a Comment 

At first Baroof was a little ambivalent toward the exercises designed to improve his lung capacity and rehabilitate him after his heart surgery. As much as he wants to get back outside and play football (soccer), he has a hard time connecting these “meaningless” exercises with his real end game!

But when Jessica – our Family Services Director – pulled out the camera and made it a game, Baroof was plenty excited to show off.

Baroof is looking really great and his mood is as happy as we’ve ever seen it. His fear of the Turks attending to his needs (“Turks” about whom he has no doubt heard plenty of disparagement in his border town) has turned into affinity; and his uncertainty about these weird Americans always trying to speak his language and take his pictures has turned into was just might be abiding friendship.

Comprehensive, human-scale peacemaking efforts and long-term, whole person family services – two of our core values at the Preemptive Love Coalition in action here in Istanbul, Turkey and in Iraq this week.

We are on the brink of sending six kids back to Iraq with healthy, happy hearts this week. And it’s all because of you. Still, we know you do not only want us to mark surgeries like notches on a belt. We’ve heard your desire that we invest ourselves – and your money – in long-term followthrough. To keep us engaged in long-term followthrough for these kids and others once they arrive back in Iraq, all you have to do is: - Enter a dollar amount of your choice below - Press “Donate the Amount of Your Choice” - Spend 2 minutes entering your credit card information Alternatively, you can make a check payable to “Preemptive Love Coalition” and send to: Preemptive Love Coalition 373 Freear Dr. Buellton, CA 93427 You can also speak with a real person and make a gift over the phone by calling 805-245-4666 during normal business hours. We’ll get the next child on their way in a few weeks!

With thanks and joy!

Follow Baroof on Twitter: @BaroofAbdul. Subscribe to Baroof’s updates via RSS HERE. Follow Baroof’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: @Jeremy_Courtney.

Deelan Responded Well to the Nitric Oxide Treatment in ICU; Pressures Decreased

March 8, 2010 by Jeremy · Leave a Comment 

It’s amazing what a few days of nitric oxide – named the Molecule of the Year in 1992 – can do to change the life of a child. Truly GOD has an amazing world! For just $2,000 this gas treatment has taken the rising pulmonary (lung) pressure in Deelan’s body and, by expanding the blood vessels inside, has brought it down drastically, saving his life and allow his repaired heart to actually make a difference in his long-term well-being.

Little Deelan’s time in ICU is almost over. We hope to discharge him to his private room here at Anadolu Medical Center later today… and possibly send him home to Iraq later this week.

Molecule of the Year (1992), Nitric Oxide

To save lives through the very specific provision of nitric oxide, please contribute your desired amount below. One container of nitric oxide costs us approximately $2,000.

Follow Deelan on Twitter: @DeelanKameran. Subscribe to Deelan’s updates via RSS HERE. Follow Deelan’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: @Jeremy_Courtney.

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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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