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)

HOPE DENIED FOR PARWA

May 17, 2010 by Jessica · Leave a Comment 

This is not a very hopeful blog post, but one that is an everyday reality for many families in Iraq. Today I was sitting with Parwa’s family in their home when we learned she was deemed inoperable last week by an in-country diagnostic procedure. A wonderful team of American doctors came to our city last week and gave free check-ups and catheterizations (a procedure to assess how well the heart is pumping blood) to the children here. That part isn’t the infuriating part. What is infuriating is that this 11-year-old girl missed her chance at surgery; at a “normal” life – and that’s a chance she will never get again.

She should have had surgery 5-6 years ago. Even surgery one year ago may have saved her.

The hole in her heart (VSD) should not have been terminal. VSDs should not be giving death sentences to eleven-year-olds.

From the time I first met Parwa I have loved her. She is an amazing little girl, smiley and full of so much life. Unlike other children with heart problems, she isn’t blue, she goes to school, she plays with her brothers and sisters. If you saw her walking down the street you wouldn’t know that she is dying. And this is part of the problem. No one knew. No one thought to check.

This isn’t a country where most children go to the doctor for wellness checks at 2, 4, 6 months, and every year after that. This isn’t even a country where most children are born in a hospital (and those that are born in hospitals are discharged within hours in many cases without a chance to really assess much more than overt birth defects). Very few provincial doctors know how to check for these problems until it is too late.

In this case, even if they had discovered it at birth, there wouldn’t have been anything the doctors here could have done about it with the medical infrastructure such as it is.

And now it is too late for Parwa. But it is not too late for so many others. Days like today push me forward to walk into more homes and doctors offices and help these little ones who need help now.

Parwa isn’t the only child I saw today. I saw Bawar, a precious two-year-old going to surgery in July, playing outside with his older sister and brother. I also visited Yousif and his ten siblings in their small village house, complete with cows and chickens outside. Bawar and Yousif still have a chance. They are urgent and need surgery quickly. And the best news is that the only thing standing in the way is money. Their parents understand their problems, which led them to appeal to us for help to get to Turkey for their surgeries before it’s too late. Now we are just waiting on the funds.

Can you help?

We plan to send Bawar, Yahya, Leah, Nivar and possibly a few others to surgery on July 18, 2010. All donations will be used to cover their airfare, housing, food, and surgical expenses.

Jessica Courtney lives and loves in Iraq as a co-founder and Family Services Director of the Preemptive Love Coalition. She is also a mother of two children and is married to PLC's Executive Director, Jeremy Courtney. When not absorbed in caring for Iraqi children and sharing life with Iraqi families, she enjoys sewing and scrapbooking.

Baby Leah is Developing Nicely as We Anticipate a July Surgery Outside Iraq

April 30, 2010 by Jessica · Leave a Comment 

Visiting Leah’s house this week was so much fun. She is developing well and her parents continue to work with her everyday to help her struggle through her Down Syndrome. We gave her some stacking rings, which she picked up and chewed and wore as bracelets while playing with her older sister, Dia, who is two years old.

A few weeks ago Leah’s mom watched me with a careful eye taking in everything I was doing with Leah. She then repeated it all after me to get Leah to engage in play rather than just lay still – which is going to be such a critical part of her development. Now, thanks to this simple modeling session and her mother’s diligence to practice and work with her, Leah can now roll over, sit up with little support, grab and hold toys and giggle about it all.

She is gaining weight steadily and should be just the right size for her surgery in July.

Jessica Courtney lives and loves in Iraq as a co-founder and Family Services Director of the Preemptive Love Coalition. She is also a mother of two children and is married to PLC's Executive Director, Jeremy Courtney. When not absorbed in caring for Iraqi children and sharing life with Iraqi families, she enjoys sewing and scrapbooking.

Sara is Doing Great Back in Iraq One Month After Surgery

April 25, 2010 by Jessica · Leave a Comment 

Sara and her father came by our office on their way to a check-up with the local cardiologist, Dr. Aso Faeq.

It was a joy to see her and talk with her. She is doing great and is enjoying a little time off from school. We talked about picnics and the results of recent elections. They told us in detail of their visits to Deelan’s family, who also went to surgery in March. They amazed me with their love for this little boy they didn’t even know until they met at the airport on their way to Istanbul. It is great to see healed hearts, bright futures, and relationships formed (and/or sustained) across some recent – and some more historic – barriers between Turkmen, Kurd and Arab in the city of Kirkuk.

We ended our time with them celebrating with the fresh baklava and chocolates they brought to say “thank you.” Thanks to all of you Woodway college students Sara is alive and thriving with her newly healed heart.

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.

ADOPT A CHILD

Churches, universities, and other organized groups were the backbone of our large fundraising efforts in 2009—and now we’re looking for at least 12 churches, mosques, synagogues, universities, youth groups, etc to adopt an single Iraqi child to raise life-saving awareness and funds on his/her behalf. Group goals usually range between $5,000–10,000—though we’ve seen junior high groups raise over $8k and college students pull together $30k! Email cody@preemptivelove.org or call us at (805) 245-4870 to discuss your group adopting a child for surgery.

Jessica Courtney lives and loves in Iraq as a co-founder and Family Services Director of the Preemptive Love Coalition. She is also a mother of two children and is married to PLC's Executive Director, Jeremy Courtney. When not absorbed in caring for Iraqi children and sharing life with Iraqi families, she enjoys sewing and scrapbooking.

Consult with Samaritan’s Purse Doctor; Suggests Children for Surgery in Istanbul

December 21, 2009 by Jessica · 1 Comment 

Baby Mohammed was diagnosed with Transposition of the Great Arteries (or TGA) moments after being born and was sent to have his aorta pierced by catheterization so that his blood would mix enough to keep him alive long enough to grow a little before a very difficult surgery of switching these arteries to their proper place on his heart. Now, six months later we will be taking him to the Anadolu Medical Center in Istanbul, Turkey to get the surgery that will save his life.

Above you see him with cardiologist Dr. Kirk Milhoan of Samaritan’s Purse on a recent trip to northern Iraq to pre-screen children for surgery as a part of Samaritan’s Purse’s Children’s Heart Project.

Mohammed was very sick a few weeks ago and his oxygen saturation dropped below 65%. When he had the chance to be seen by Dr. Kirk his saturations were over 86%. Dr. Kirk confirmed the diagnosis and recommended him for surgery in January.

Thanks to the amazing year we’ve had and the generosity with which you’ve given, we’ll be able to send Mohammed to Surgery.

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.

	Mohammed is slated for surgery in January 2010. We will be collecting money for his life-saving surgery throughout the Thanksgiving and Christmas season. What a chance to make a profound difference in the life of a child and his family!
	GENERAL DONATION Donate the amount of your choice to fund Mohammed and our January group by entering it in the field below. All donations made before January 2010 will go to help the Preemptive Love Coalition send Mohammed (and any others in his group) to life-saving heart surgery. Donation:

Jessica Courtney lives and loves in Iraq as a co-founder and Family Services Director of the Preemptive Love Coalition. She is also a mother of two children and is married to PLC's Executive Director, Jeremy Courtney. When not absorbed in caring for Iraqi children and sharing life with Iraqi families, she enjoys sewing and scrapbooking.

Shwana Gains Weight; Prepares for School Midterms 7 Months Post-Op

December 20, 2009 by Jessica · 431 Comments 

We visited Shwana in his village today, arriving only two hours before his mid-term test. He sat politely with us talking about football and playstation then excused himself to go study for his test. Sitting under the kitchen window for light (because his house doesn’t have electricity during the day) he and his brother studied together.

We sat in the other room talking over their chants of memorization in the background. His mother proudly explained how he has now outgrown all of his clothes that were falling off his body before his surgery just 7 months ago. Weight gain can be a great sign of health in a post-op child!

His father arrived from his job as a teacher just before lunch in time to quiz Shwana a little before he needed to leave. The entire family exuded happiness and pride in him as we ate a delicious Kurdish meal. After a very quick lunch, Shwana left and hurried to school so he wouldn’t be late for his test.

It was a great day with his family and we are excited with him that what you made happen with a single surgery in Istanbul, Turkey has led to a completely normal life for Shwana back in Iraq.

 

Jessica Courtney lives and loves in Iraq as a co-founder and Family Services Director of the Preemptive Love Coalition. She is also a mother of two children and is married to PLC's Executive Director, Jeremy Courtney. When not absorbed in caring for Iraqi children and sharing life with Iraqi families, she enjoys sewing and scrapbooking.

Honya is Doing Great Back at Home in Her Village in Iraq

December 3, 2009 by Jessica · 1 Comment 

We visited Honya and her family this morning and she looks great. The incision from her amazing heart surgery is almost completely healed and she finally has enough energy to learn to sit up on her own and to crawl around for the first time. Only 20 days after surgery she is acting like a normal 9 month old and her fingers and cheeks have a wonderful pink hue. We watched family videos from the last 4 days of the holiday here in Iraq.

Follow 9-month-old Honya on Twitter: @honyamahdi. Subscribe to Honya’s updates via RSS HERE. Follow Honya’s thread of longer stories (with pictures & video) on the PLC blog HERE.

Jessica Courtney lives and loves in Iraq as a co-founder and Family Services Director of the Preemptive Love Coalition. She is also a mother of two children and is married to PLC's Executive Director, Jeremy Courtney. When not absorbed in caring for Iraqi children and sharing life with Iraqi families, she enjoys sewing and scrapbooking.

3 Year Old Mazyar Shows More Energy Than Anyone After His Life-Saving Heart Surgery!

September 16, 2009 by Jessica · 479 Comments 

Today we visited Mazyar and his family in their home here in Iraq. It was so much fun seeing this spunky little boy run, chase, and throw balls all around his house with his older sister and I. I remembered playing ball with him in the hospital, tossing a soccer ball back and forth very gently so he wouldn’t get too tired.

Today there was no caution! It was every man (or woman) for themselves as he sent ball after ball flying in our direction.  Mazyar was very creative, too, throwing, rolling, and kicking the ball to us keeping us guessing how and where the next one would land.  After about 45 minutes of playing ball he brought out some toy cars for a less intense way to enjoy our time together.

It is unbelievable to see this child only 6 weeks out of surgery acting as  ”normal” as any 4 year old. He has finished all medications and it looks like he’s set to go on to living a near fearless life with his mom, dad and older sister!

Thanks for all you’ve done to save Mazyar’s life. Your impact on him and his family in deep and undeniable!

Follow 3-year-old Mazyar on Twitter: @mazyartahir. Subscribe to Mazyar’s updates via RSS here. Follow Mazyar’s thread of longer stories (with pictures) on the PLC blog here.

Jessica Courtney lives and loves in Iraq as a co-founder and Family Services Director of the Preemptive Love Coalition. She is also a mother of two children and is married to PLC's Executive Director, Jeremy Courtney. When not absorbed in caring for Iraqi children and sharing life with Iraqi families, she enjoys sewing and scrapbooking.

Walk On: Mazyar Traverses the Hospital Campus, Plays Ball Just Days Post-Surgery

July 28, 2009 by Jessica · 56 Comments 

Walking and coughing – two of the most important things a child can do after receiving a very invasive heart surgery. And Mazyar is doing both stellarly!

When we went for a walk with Mazyar in the park today outside the hospital in Istanbul, Turkey, the coastal air was refreshing and it was perfect weather for Mazyar to strut his stuff – just four days after going in to repair a large whole between the two ventricles of his heart.

Follow 3-year-old Mazyar on Twitter: @mazyartahir. Subscribe to Mazyar’s updates via RSS here. Follow Mazyar’s thread of longer stories (with pictures) on the PLC blog here.

Jessica Courtney lives and loves in Iraq as a co-founder and Family Services Director of the Preemptive Love Coalition. She is also a mother of two children and is married to PLC's Executive Director, Jeremy Courtney. When not absorbed in caring for Iraqi children and sharing life with Iraqi families, she enjoys sewing and scrapbooking.

Meet Mazyar

July 20, 2009 by Jessica · 252 Comments 

Mazyar is a cute little three year old boy from the city in Iraq where PLC has our office. Like many of the children we know about, Mazyar’s condition is very complicated. He received an operation last year in Tehran, but it was only stage one of a full-correction. PLC is coming alongside his family in this second surgery in as many years to help Mazyar receive the full correction – and hopefully the full life – that every parent wants for their child.

Mazyar also has a cleft lip. We have made inquiries into charitable surgical options for him while in Turkey, but as yet we have not made any definitive plans for a cleft correction.

Follow 3-year-old Mazyar on Twitter: @mazyartahir. Subscribe to Mazyar’s updates via RSS here. Follow Mazyar’s thread of longer stories (with pictures) on the PLC blog here.

NOTE: In accordance with PLC’s desire to lend a hand-up by avoiding strict hand-outs (when possible), Mazyar’s family has funded approximately $2,500 of PLC’s highly-discounted surgery price themselves.

Jessica Courtney lives and loves in Iraq as a co-founder and Family Services Director of the Preemptive Love Coalition. She is also a mother of two children and is married to PLC's Executive Director, Jeremy Courtney. When not absorbed in caring for Iraqi children and sharing life with Iraqi families, she enjoys sewing and scrapbooking.

Meet Mohammed

July 20, 2009 by Jessica · 57 Comments 

Mohammed is eleven years old with a fourfold combination of heart problems called Tetralogy of Fallot. The doctors expect that his quality of life will be significantly improved by a relatively routine (still plenty difficult) heart surgery in Istanbul this week.

Mohammed and his family hail from one of the more “hot bed” regions of Iraq along the fault line of semi-autonomous Kurdish and Arab areas.

We always enjoy taking older kids to surgery because, though there is a considerable risk for older children, it’s always a joy to experience the journey with them and to hear them express in their own words the impact that a surgery makes on their well-being. Look for more of Mohammed’s own words and gratitude on the blog as the week goes on.

Follow 11-year-old Mohammed on Twitter: @mohammedgaelan. Subscribe to Mohammed’s updates via RSS here. Follow Mohammed’s thread of longer stories (with pictures) on the PLC blog here.

NOTE: In accordance with PLC’s desire to lend a hand-up by avoiding strict hand-outs (when possible), Mohammed’s family has funded approximately $5,000 of PLC’s highly-discounted surgery price themselves.

Jessica Courtney lives and loves in Iraq as a co-founder and Family Services Director of the Preemptive Love Coalition. She is also a mother of two children and is married to PLC's Executive Director, Jeremy Courtney. When not absorbed in caring for Iraqi children and sharing life with Iraqi families, she enjoys sewing and scrapbooking.

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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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