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)

What Kind of New Year’s Resolutions Are You Making?

January 11, 2012 by matt · Leave a Comment 

It’s that time again.

People everywhere are putting their own will to the test. Will they make resolutions? Will those resolutions make it 12 months?

Last year, TIME Magazine posted their top 10 most commonly broken New Year’s resolutions. The list includes classics like “lose weight,” “stop smoking” and “get out of debt.”

And these are all noble aspirations! But have you ever noticed how the most common resolutions are usually so self-serving? I don’t think I’ve ever heard someone list off resolutions that weren’t almost all about them.

But this year can be different—it will be different.

Because now it just takes $25 a month over 12 months to save a child’s life. That means if you become a monthly sponsor this month you will have kept a child from death by December! Your year of giving would last their lifetime!

So, as you’re sitting down to write out resolutions, would you consider sponsoring a child? See our monthly sponsorship page to learn more, and Happy New Year!

As PLC's Press Secretary, Matt Willingham is bent on leveraging words and media to connect hearts and minds to Iraqi children in need. On the side, he likes reading old books, devouring the great food his wife cooks up and dabbling in DSLR video work. He's also mildly obsessed with Twitter: @mehtin.

ICARE – The Iraqi Children’s Aid And Repair Endeavor

December 2, 2011 by matt · Leave a Comment 

After their help saving two little lives during our last Remedy Mission, I would be remiss if I didn’t introduce you to the excellent people at ICARE.

Hailing from New Zealand, these Kiwi doctors, nurses, students, artists and compassionate volunteers are bent about helping Iraq’s children. Their projects range from dental care to nutrition classes to art auctions, and they’ve been saving lives and blessing Iraqis for years.

So when Assil Russell, their founder, heard about our Remedy Missions, she mobilized her team and raised enough to save the lives of two children!

One of the children they saved is Rukea (pictured). At a year and 8 months, Rukea is one of the cutest kids alive, and–thanks to Assil and everyone at ICARE–Rukea is back home with her family recovering from a previously life-threatening heart defect!

We’re developing a film from Rukea’s time at the hospital for you, so stay tuned. In the meantime, why don’t you go here and “like” ICARE on Facebook?

As PLC's Press Secretary, Matt Willingham is bent on leveraging words and media to connect hearts and minds to Iraqi children in need. On the side, he likes reading old books, devouring the great food his wife cooks up and dabbling in DSLR video work. He's also mildly obsessed with Twitter: @mehtin.

Kill A Few Zombies, Save A Few Lives: How Your Video Gaming Habit Can Actually Benefit Kids In Iraq

July 26, 2011 by matt · 331 Comments 

“You’re turnin’ into a zombie. That game is gonna rot your brain!”
– My grandmother

If you’re like me, you probably grew up with parents or grandparents who were wary of video gaming. Maybe they didn’t use dramatic words like ‘rot’ and ‘zombie’ when referring to you, but you’ve probably heard something similar.

And let’s face it, excessive staring and button-mashing isn’t good for anyone. I’ve had friends who got so hopelessly addicted to video games that they lost touch with reality. They quit bathing and lived off nothing but Taco Bell for weeks on end. It wasn’t pretty.

(Mario) < (moderation)

But despite the potential pitfall (another amazing game) I owe a lot to video games.

Yep, you heard me right.

If it weren’t for them, how else would I have learned random SAT words like “falchion” or “pwn”? Or how would I know that guys can still look manly in a tunic and tights so long as they’re swinging a gigantic sword; or that Italian plumbers are the ultimate solution to any hostage situation?

For everything video games taught me, though, I never really used them to benefit anyone. Sure, I invited people over to play Halo on my birthday, but I mostly did that because I was tired of the single-player campaign.

But this August 5th, Hardmode.org is hosting an online video game party that will actually save lives. And these lives aren’t virtual. There aren’t any ‘extra’ lives for these kids. They get one shot at life, and it’ll take place in Iraq on an operating table.

So check out the poster below to see how your thumbs can be used to heal hearts!

As PLC's Press Secretary, Matt Willingham is bent on leveraging words and media to connect hearts and minds to Iraqi children in need. On the side, he likes reading old books, devouring the great food his wife cooks up and dabbling in DSLR video work. He's also mildly obsessed with Twitter: @mehtin.

We were featured in the new book, “Act Here. Love Now.”

May 13, 2011 by Cody · Leave a Comment 

PLC is honored to be featured in the new book Act Here. Love Now.

We love that we get to share pages with eleven of the most passionate and talented photographers we’ve come across!

Read their story and see just how contagious their passion is:

Act Here. Love Now. is a book that follows the journey of 11 student photographers who had a vision to change the world. They traveled through 36 countries documenting the lives of those they met. As they took photos and heard stories, they were overwhelmed with the needs that confronted them along the way. But as the days wore on, the girls realized they could make a difference, every day, with simple acts of genuine love. This book is a culmination of their stories, photos, and practical ways to impact your own community, city, and world.

We believe that whether we are in our hometowns or across the continents, if we impact our neighborhoods, we will transform our cities. And if we transform our cities, we will change the world.

Let’s go.

Through their photography and gripping stories, they’re accomplishing everything they set out to do.

We can’t wait until we get some of their books out in Iraq!

Get yours by clicking HERE!

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.

Featured Partner: Behar Godani

May 9, 2011 by matt · 1 Comment 

Behar Godani is the kind of person non-profits dream of having in their corner. In fact, if you search “ultimate supporter” in Wikipedia… well, you mostly get a bunch of gibberish, but you should see her photo.

She started spearheading support for PLC way back in the day; fund-raisers, spreadin’ the word, Facebook “likes”, bake sales—she’s done it all! And that’s great for an overseas staff like ours because we don’t spend much time Stateside. She’s a lifeline across the Atlantic, and today (which also happens to be her birthday!) she agreed to an interview:

PLC: Let’s start by hearing a little about you. Tell us about yourself.
Behar: My name is Behar, and I’m now a 25 year-old student program analyst for the US Department of State. I recently graduated with my MA in Political Science and my Graduate Certificate in Bio-defense for Critical Analysis and Strategic Responses to Terrorism. I’m interested in anything and everything relating to politics in the Middle East, although, being Kurdish, I’ve always had a bias for the politics surrounding Iraqi Kurdistan.

Over the past year I’ve been a co-partner in two projects that resulted in the production of a documentary and short film on the Kurdish Diaspora in the US, and I did some work with the US Institute of Peace where I was featured in a documentary about issues in diaspora communities.

Non profit work through various organizations has also always been a profound interest of mine. The use of media to promote issues within my own diaspora community and my Kurdish community back home has been a way for me to feel like I’m contributing in some positive way—however small—to a homeland that I’ve always felt connected to but have never quite had complete access to.

My ultimate aspiration, on a more general level, would be to finally see peace in Iraq as a whole, but, more specifically, I yearn for the day when my particular country—Kurdistan—is finally independent and when its children have the educational and healthcare initiatives in place that ensures a long term, brighter future for generations to come.

PLC: So how did you hear about the Preemptive Love Coalition?
Behar: Maureen Mcluckie from “Kurdistan: Save the Children” first referred me to Jeremy and Cody via email after I expressed my desire to become directly involved with an NPO helping Kurds and Arabs in Iraq from the states.

When I first saw the initial BuyShoesSaveLives website, I remember getting goosebumps as I couldn’t believe the amount of dedication and love PLC put into helping Iraqi children and how easy it was for anyone to simply donate. They even had ideas about how we as students could get involved at our universities, and that’s when I think I knew I’d found the right organization.

Seeing teenagers wear klash with jeans was perhaps another indicator. Who knew Kurdish shoes could look so cool with jeans?!

PLC: You’ve obviously got a big heart for your homeland and these children. Where does your motivation for them come from?
Behar: I think my greatest motivation has been a sincere desire to move beyond the politics and crippling bureaucracy that’s done such a huge disservice to all Iraqis and to simply start at the grassroots level by helping people.

As a child of two Kurdish parents who first came to the US as refugees about thirty years ago, I’ve seen the power of grassroots movements first hand in terms of keeping culture and language alive, but also by bringing people together in the name of a greater cause that we can all believe in.

Helping sick children, many of whom continue to suffer from the diseases contracted by their parents after exposure to Saddam Hussein’s chemical agents, is a cause that is—or at least should be—an easy way to unite people of all backgrounds, be they Kurdish, Iraqi, Turcomen, Assyrian, or your average American with an incredibly big heart. It’s something we can all agree on as human beings, and I couldn’t find an organization that communicated that better than PLC.

PLC: Thanks! Is there anything you’d like to tell the rest of the Coalition? Any rally cries, encouragements, or challenges?
Behar: I’d like to encourage continued commitment despite all the opposition, obstacles and incredibly vocal naysayers that you may encounter along your way. Where there are pure hearts, strong wills, a love of God and a refusal to accept ‘no’ for an answer, there will always be a way, God-willing.

—

Our thanks to Behar and the entire Kurdish Student Organization at George Mason University for being such awesome partners for kids in Iraq! We’re wishing you a happy birthday today from Iraqi Kurdistan!

As PLC's Press Secretary, Matt Willingham is bent on leveraging words and media to connect hearts and minds to Iraqi children in need. On the side, he likes reading old books, devouring the great food his wife cooks up and dabbling in DSLR video work. He's also mildly obsessed with Twitter: @mehtin.

Cedarville’s At It Again!

April 12, 2011 by Cody · 2 Comments 

Cedarville University is starting off the month of April by hosting their sixth annual Baseball Classic in Ohio where they hope to fund four heart surgeries by the ninth inning!

Cedarville continues to be one of our most loyal partners in doing good in Iraq. In 2008 their student body raised $30,000, making this a total of nine Iraqi children they’ve helped save!

This Friday, April 15th, at 7 PM, the Cedarville Yellow Jackets are taking on Urbana Blue Nights at Fifth Third Field in Dayton, Ohio.

If you’re in the area, tickets are only $5 and you’ll get the chance to see some great baseball and help save the lives of four children in Iraq!

Get more information by clicking HERE!

GO YELLOW JACKETS!

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.

Parzheen Receives Total Correction; For Discharge from ICU Tomorrow

March 7, 2011 by Jeremy · Leave a Comment 

Parzheen went in yesterday for a total correction of four different heart problems and came through with spectacular results! She had her breathing tube removed within a few hours and her chest tube removed just shortly after that. She will likely be sent out of the critical care unit tomorrow where we will have a few more days in the ward to enjoy her amazing smile thanks to you!

Parzheen’s lifesaving surgery was made possible because of so many of you who have partnered with us through our Monthly Lifesaver program. We love our campaigns and fundraising pushes, but we benefit tremendously from those of you who quietly and faithfully invest every month into children like Parzheen.

We cannot always pre-select children in time to run massive fundraising campaigns in their names. We do not always have the capacity to create videos in advance of surgery. And not every child is your typical “poster child” mold.

Our community of Monthly Lifesavers gives us a steady budget each month that we can rely on to plan for future training and surgery Iraq.

Will you join our community of Monthly Lifesavers? Every bit helps. It’s the faithfulness of your monthly gift that makes this such a high-impact act of love for the children of Iraq.
↓

MONTHLY SPONSORSHIP Choose this option to give life to children every month for the amount of your choice (entered below). Your credit card will be billed each month without any additional work on your part.

If you’re on Twitter this week be sure to use the #RemedyMission hashtag to describe all the good news coming out of Iraq this week via @preemptivelove.



With help from our friends:

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.

This Morning, Our First Two Children Checked Out Of The Hospital With Healthy Hearts Thanks To Mending Kids International!

March 6, 2011 by Cody · 2 Comments 

We exist to be an alliance for good.

Every heart surgery, every relationship, and every step we take towards developing the health care of Iraq is only made possible because of those standing alongside us.

One of those organizations that we LOVE being able to work with is Mending Kids International.

Mending Kids International provides life-changing surgical care to children worldwide. In the past five years, they have helped provide over 500 life-saving surgeries for children in 39 different countries!

To see the beautiful story of one of those children, Berhanu from Ethiopia, click HERE.

This week we are proud to have Mending Kids International stand alongside us as they made it possible for us to save the lives of Jafar, Mohammed, and Yasna.

This morning we got to see two of those children, Jafar and Mohammed, check out of the hospital with healthy hearts!

Hope. Love. Mend.

That’s what Mending Kids International continues to do and we’re incredibly grateful for the hope, love, and mended hearts that were given to Jafar, Mohammed, and Yasna’s families and communities this week!

We love that they’re a part of the Coalition!

You can join Jafar, Mohammed, and Yasna by thanking Mending Kids International on Facebook by clicking HERE!

If you’re on Twitter this week be sure to use the #RemedyMission hashtag to describe all the good news coming out of Iraq this week via @preemptivelove.



With help from our friends:

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.

Death Will Never Conquer

March 4, 2011 by Jeremy · 5 Comments 

Yahya passed away early this morning after an all-night surgery. It was a surprise to everyone. When he was admitted to the ICU there seemed to be plenty of confidence that he would be just fine. But within just 30 minutes of admission his heart gave out and all efforts to revive him failed.

I still remember the first time I was introduced to Yahya. It was over a year ago. His uncle called my cell phone and said, “I’m at your office, I need to talk to you about a sick kid.”

It was after hours and I was already at home. But I could hear the urgency in his voice so I invited him to my home for tea. He arrived and made an impassioned plea for Yahya – his brother’s son. I was leery of helping Yahya after reading his reports – we had seen some children with complex heart defects like him die abroad and I couldn’t stand to put a family through that drama again. I did my best to avoid commitment and send Yahya’s uncle into the night without any solid hope for his nephew.

The following weeks were filled with phone calls and followup from the family, “Please help our boy!”

Finally, I met Yahya’s mom and dad and the little cutie himself. As they sat in my office they pled with humble urgency. They weren’t forceful. They weren’t rude. But they applied enough pressure on me that I couldn’t say “no” any longer. They made it abundantly clear that they understood the risk of his surgery and that they wanted it badly enough to endure whatever might come.

One of our core values as an organization is that we give “hope to the hopeless.” What that means is that we try to balance our impulse to be “last chance” people with our instinct to be “long-term” people. We held back on Yahya, wondering if it would give him long-term viability. But we ultimately dove in with Yahya’s family because we were their last chance. No one else would take on the risk.

We solidified this core value in November 2009 when we asked you what to do about a little boy named Ramyar. We asked you if you wanted us to apply your money in a high risk surgery or save it for a “sure thing.” You overwhelming said, “We want this Coalition to be about hope for the hopeless.”

We haven’t looked back since. We are the Last Chancers.

Still, committing to Yahya was full of complications. His surgery in Turkey was canceled due to an unavailability of an expensive assistant device. In fact, there was even discussion as to whether or not he should be included in our current Remedy Mission. Ultimately, we let the family themselves decide.

Our local cardiologist, along with our American surgeon, explained the risks of surgery, the option of waiting, etc. etc. Yahya’s dad was given a 50/50 chance of survival for little Yahya. Understandably, they wanted to give it a try. They couldn’t stand the risk of feeling like they had an opportunity to try and let it slip through their hands.

What would you have done? I have two kids – 5 and 3 years old. I have no idea what I would have done.

During Yahya’s surgery our Family Services Director, Jessica, sat down in the ward with all the parents whose kids were either in surgery or in critical condition in the ICU – those families whose kids were not “out of the woods” yet. As they asked questions about our organization and how long we’ve been working here, she recounted for them our past of taking children outside the country to significantly nicer hospitals than this Iraqi version in which we currently work. She told them about excellent American-trained Turkish doctors and fancy, pristine protocols abroad. Without fail, every family was so grateful for the chance to receive surgery at home. Let the Turks have their pristine hospital. “What if our child were to die abroad?” That would be a burden far too great to bear.

You gave Yahya’s family a chance that no one else would have. He had been rejected by every other opportunity out there. They are grateful to you. They will rest knowing they gave it their all for their only child.

And this is what we find almost universally – parents who just want a chance. And that’s what Remedy Missions are all about. We could continue to export kids to world class facilities, but who would invest in the future? We could continue to select the easiest children that almost never die, but does that make us any less culpable for the kids we pretend aren’t knocking on our door?

Was this a wasted opportunity? Did we waste the $670 that it cost us to provide Yahya surgery?

I used to feel that way when a child died in Turkey or Jordan or Jordan. I don’t feel that way anymore. Yahya’s death – though a terrible loss – was still an opportunity for local doctors to learn an innovative technique that they will be able to apply in future situations. His death was almost certainly unrelated to the particular tactic used in attempting to heal his heart. Educational gains always have significant costs. Before we only had the “we gave this child a chance” platitude. It’s not untrue. But local learning is an equally deep reason why your gift for Yahya made a difference.

Thank you for your willingness to stick with us through life and death. The gains that are needed here will not be made without significant risk and vision. We deeply appreciate your demand that we be the people of the last chance. I think it’s easier to sleep knowing we tried, than knowing we played it safe just so we could publish numbers and blog posts that seem more palatable.

With you,

Jeremy Courtney

Executive Director

email: http://scr.im/jcourt

+1 (806) 853-9131

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.

See One. Do One. Teach One. Remedy Mission Trains Iraqi Heart Doctors and Nurses for the Future of the Children and their Country

February 23, 2011 by Jeremy · Leave a Comment 

Push play above for a peek into what it means for our volunteers to be here training local Iraqi heart doctors and nurses. After you’ve viewed it, please “SHARE” below with Facebook, Twitter, StumbleUpon, Digg, etc.

If you’re on Twitter this week be sure to use the #RemedyMission hashtag to describe all the good news coming out of Iraq this week via @preemptivelove.

Our Partners

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.

Next Page »

DON'T MISS FREE STUFF WITH OUR NEWSLETTER






Get our good news stories straight into your reader or inbox for free!




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.

• Popular Tags

  Amman Arab Aras Baghdad BSSL Buy Shoes. Save Lives. buyshoessavelives CHD children Congenital Heart Disease Development echocardiogram God heart heart disease heart surgeries Heart Surgery hope hospital Hussein ICHF ICU Internship Iraq Iraqi children Istanbul Jeremy Courtney Jordan Klash Kurd Kurdish Kurdistan nasiriyah peace Peacemaking PLC remedy Remedy Mission Rezhin Southern Iraq sulaymaniyah Surgery Tarza Turkey Wordless Wednesday

• Archives

  • 2012
  • 2011
  • 2010
  • 2009
  • 2008
  • 2007

• Contributors

  • Adam Brandt (4)
  • Alex Phillips (10)
  • Anton Warkenton (1)
  • Awara Hassan (6)
  • Benjamin Chasnov (1)
  • Cayla Willingham (3)
  • Claire Baker (1)
  • Cody Fisher (99)
  • Esther Perez (6)
  • Jeremy Courtney (83)
  • Jessica Courtney (20)
  • Joshua Gigliotti (23)
  • Lauren Sawyer (2)
  • Liz Jones (1)
  • Lydia Bullock (52)
  • Matt Willingham (51)
  • Preston Wright (4)
  • Ruth Simpson (16)
  • Ryan Rosenberry (2)
  • Sophia Pappas (6)
  • Ted Harrison (3)
  • Tim Mason (1)