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)

We Can Fix Hama’s Heart

March 13, 2013 by Cody · Leave a Comment 

“We can fix Hama’s Heart.”

That has to be the best thing I’ve heard all mission.
But for Hama’s parents, that’s the best thing they’ve heard in 8 years. That’s how long they’ve been waiting to find someone who could and would fix Hama’s heart defect.

What they’ve heard these past 8 years have been statements like:

“We don’t know how to fix this.”

“The only way you can save Hama is if you leave Iraq.”

“Even if we knew how to save him, there are hundreds waiting in front of him for this same surgery.”

“I’m sorry.”

Being able to watch 8 year-old Hama get carried into the operating room was nothing short of exhilarating for me.

But watching their son being carried into the O.R. isn’t what Hama’s parents have waited 8 years for. No, they’ve waited 8 years for their child to be carried out of the O.R.—without a heart defect.

Hamma’s 8 year wait for a surgery is over. But it’s what comes after the operation that everybody’s on pins and needles for.

Stay tuned, Hama is in surgery now.

Our Partners:

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.

Zombies, Baby Blood, And The Call of Duty To Love Our Neighbor

January 22, 2013 by matt · Leave a Comment 

I fidgeted on my stool, trying to focus in spite of the noise.

Off-duty doctors huddled nearby. They were glued to a Jason Statham movie, awaiting his next kill.

My stomach churned. Between the cigarettes and the high-volumed intensity characteristic of blown out Iraqi speakers, I honestly couldn’t take one more head-shot.

BANG!

The one-liner is delivered and my friends rumble their approval, scooting their chairs closer to the flat-screen. I snapped my computer lid shut and retreated—nauseated—as more thunder echoed be behind me.

Half an hour later, I stood in an O.R. filming doctors as they pulled blood from a beautiful baby boy named Abdul before his heart operation. In a way, Abdul’s blood and shrieking made Statham’s flick seem gore-free, but arriving in the O.R. actually helped settle my stomach.

Somehow this was different, and I began to realize it wasn’t about blood.

It was the violence.

All of this happened on my fourth day in the city of Fallujah—the medical mission progressed, and spirits were high. But I couldn’t stop thinking about my physiological reaction to that movie. It’s hard to pin-point why, exactly, but my body and mind can no longer handle violent media.

Photo Credit: “Six Days In Fallujah“, Atomic Games

In college, violent movies and games like Call of Duty never really affected me—they were just fun past-times. But something about being in Fallujah, with all its bombed-out buildings and birth defects… it got too real, too fast.

During research for a video I was making, I watched a ton of archived footage from the battles that happened in Fallujah. The helmet-mounted cameras made the killings almost indistinguishable from my favorite 1st person shooter games—except these were real.

The snarky comments made by soldiers, the way both sides treated prisoners and dead bodies, and all the blood. So much blood. Nobody was respawning after these fights—no ‘extra lives.’

I want to be clear: this post is not about boycotting anything—I’m not saying we should all go tee up our action movies and XBOX games and golf club them to oblivion.

I’m just asking a simple question: at what point have we lost touch with reality? At what point did I lose touch?

As a person who strives to follow Jesus Christ and his teachings, I look at the “Sermon on the Mount” and wonder how I got where I am. Jesus stood up and taught radical enemy-love, pain-absorption over pain-reciprocation, and the happiness of peacemakers. Am I training myself toward those things?

Am I preparing my heart to love the limbless family members who brought their sick, war-stricken children into the hospital for surgery? What if their child dies in the ICU and they blame or even try to hurt me—how have I prepared myself to respond?

Or what about the suicidal American solders—more of whom have died at home than on the battle field—am I ready to love them, given the chance?

This is what we mean when we say “preemptive love,” and, if it doesn’t cost me anything, I have to wonder whether it’s even real.

During a recent gaming spree, my wife asked me, “Is ‘Nazi Zombie Mode’ just an excuse to kill things without feeling bad?” She was right, I want it both ways.

Writing endless blog posts that call people to love their perceived enemies while using a broken-off bayonet to hack mine to pieces in a video game really doesn’t add up, regardless of whether or not the game is ‘real.’

Photo Credit: Karim Sahib, AFP

When you think of Fallujah, you might remember the murdered mercenaries in 2004. How did you react when you saw the charred bodies?

With that in mind, don’t you find it disturbing how excited my Muslim friends in Fallujah were by the heart-numbing gore on the screen in front of them?

Don’t you find it disturbing how many Christians in America enjoy the same kinds of entertainment?

What can we do to prepare ourselves to love when it’s difficult? I would encourage you to start by considering the paraphrased teaching from Jesus below—how far should we take these words? Then email me your thoughts, or connect with me via PLC’s Twitter and Facebook accounts. If you disagree, please share why—I promise not to attack you with a broken-off bayonet.

###

“You’re familiar with the old written law, ‘Love your friend,’ and its unwritten companion, ‘Hate your enemy.’ I’m challenging that. I’m telling you to love your enemies. Let them bring out the best in you, not the worst. When someone gives you a hard time, respond with the energies of prayer, for then you are working out of your true selves, your God-created selves.”

As Communication Director, Matt Willingham spends most of his time trying to get the word out on PLC's work in Iraq. On the side, he likes reading stories, devouring the great food his wife cooks up, and DSLR camera work. He's also mildly obsessed with Twitter: @mehtin.

A Quick Shot of Hassin’s Operation

November 20, 2012 by matt · Leave a Comment 

Doctors are literally putting their heads together to save Hassin‘s life. Dr. William Novick of the International Children’s Heart Foundation (on the left in red) is teaching the local Iraqi doctors how to correct Hassin’s heart defect.

Please pray for this boy’s recovery. More to come…

Our Partners:

As Communication Director, Matt Willingham spends most of his time trying to get the word out on PLC's work in Iraq. On the side, he likes reading stories, devouring the great food his wife cooks up, and DSLR camera work. He's also mildly obsessed with Twitter: @mehtin.

Hassin Is Headed To Surgery!

November 20, 2012 by matt · Leave a Comment 

Have I mentioned how much I love this little boy?

It saddens me to see children carried into the O.R. screaming their lungs out—especially considering how hard it must be for their families to watch. If it were me, I’d probably second guess everything when they carried my wailing child through those double doors.

“Is this worth the risk?”

“Will my child think I betrayed them?”

“What if they don’t survive?”

But Hassin simply waved goodbye to his family and walked away all by himself. He didn’t even need to be carried. His parents just forced a smile and grandma cupped a hand over her mouth after waving goodbye.

It was, well, kind of awesome. Hassin’s a cool customer. So cool, though, that I couldn’t get him to smile even once—not even with my ridiculous glasses! Between his poorly oxygenated blood and too much TV, Hassin was not very active or smiley.

But once the doctors patch that hole and get his heart fixed up, that’s about to be Remedied. Hassin is about to feel better and more energized than ever before. Who knows, maybe we’ll even get a real smile?

Come back tomorrow for an update on Hassin’s surgery. In the meantime, please pray for him and for the rest of these children.

More to come…

Our Partners:

As Communication Director, Matt Willingham spends most of his time trying to get the word out on PLC's work in Iraq. On the side, he likes reading stories, devouring the great food his wife cooks up, and DSLR camera work. He's also mildly obsessed with Twitter: @mehtin.

How The Hole In Your Heart Healed, How Zahraa’s Didn’t

November 9, 2012 by matt · Leave a Comment 

Did you know that you once had a hole in your heart?

It’s true. You had the same hole that Zahraa has, actually. You were both born with something called a ductus arteriosus, which is basically an opening between the pulmonary artery and the descending aorta.

But your hole closed, and hers didn’t.

At birth, you took that first gasp of air and—at that instant—this hole in your heart began closing. It wasn’t long before your hole was gone, and your blood flow was perfectly normal. You were fed, you kept your parents up for crazy amounts of time, and you did what babies do—your parents probably didn’t even know the hole was there.

Zahraa’s parents knew early on that something wasn’t right; they learned early on that their child’s hole hadn’t closed and that she would need surgery.

It’s difficult to know why your hole closed and Zahraa’s didn’t. Some research suggests that it’s a hormonal issue, but it’s hard to tell (and honestly way over my head).

Regardless, Zahraa is about to join you and the rest of us by having her PDA closed, and you made that possible! They’re putting her under and operating on her right now, so come back in a few hours for an update.

More to come…

Our Partners:

As Communication Director, Matt Willingham spends most of his time trying to get the word out on PLC's work in Iraq. On the side, he likes reading stories, devouring the great food his wife cooks up, and DSLR camera work. He's also mildly obsessed with Twitter: @mehtin.

“Thanks For Saving My Son”—An Interview With An Iraqi Father

November 6, 2012 by matt · Leave a Comment 

Take 2 minutes to watch this interview with Noman, a university professor whose only son, Salam, was born with a life-threatening heart defect.

This is just one example of the difference you can make in the lives of Iraqi families! Please consider helping us save more like Salam by donating at the link below.

Help us save more children like Salam!

Our Partners:

As Communication Director, Matt Willingham spends most of his time trying to get the word out on PLC's work in Iraq. On the side, he likes reading stories, devouring the great food his wife cooks up, and DSLR camera work. He's also mildly obsessed with Twitter: @mehtin.

VIDEO: Our Third Update From The Operating Room In Najaf

September 16, 2012 by matt · Leave a Comment 

We’re back in Najaf for Remedy Mission XI, and the surgeries are well underway! Push play to hear our surgery count so far and how the local doctors are reacting to these fantastic training opportunities.

Keep watching to see updates of Hussain—we hear he’s in the hospital! This is the third of several operating room updates that we’ll be sending you, so keep watching and visit our Facebook page to see more photos from the hospital.

Our Partners:

As Communication Director, Matt Willingham spends most of his time trying to get the word out on PLC's work in Iraq. On the side, he likes reading stories, devouring the great food his wife cooks up, and DSLR camera work. He's also mildly obsessed with Twitter: @mehtin.

Yousef Is About To Get His Operation!

July 18, 2012 by Jeremy · Leave a Comment 

Remember the cutest cheeks—I mean boy—ever?

Yousef is headed to the cath lab, waiting for the doctors to look at his heart for possible defects. I fell in love with this little boy when I first met him, and we’re eager to find out the results of his test.

The most incredible thing about Yousef’s situation—and the situation of many children in Fallujah—is that this is just a diagnostic cath. In other words, this won’t fix Yousef’s heart problem, it’s just a common procedure for discovering what is wrong with him.

Without your giving and the skill of our team, Yousef wouldn’t even have the ability to find out what is wrong with him—much less get it fixed! Our dream of establishing a fully functional lifesaving heart center in Fallujah is in its infancy stages, but it all starts with teaching basic things like diagnostic caths. Thank you for going down this road with us and with the people of Fallujah!

We’ll be back with more about adorable Yousef tomorrow, so stay tuned…

Our 85 suture kits are FULLY funded — Thank you for helping fund $765 worth of medical supplies!

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: @JCourt.

“Here, Insert This Wire Into My Heart!”—A Brief Look at Cardiac Development in Fallujah And Around the World

July 14, 2012 by Jeremy · Leave a Comment 

Unlike our previous nine Remedy Missions in the last two years, this Fallujah mission is the first time we’ve ever launched a heart center from scratch.

This center has just come into existence and is still years away from doing surgeries on its own. Instead, to ease their way in, they will begin with “cardiac catheterizations”—a method of treatment and diagnosis that requires a catheter sheath to be inserted into the heart through a small incision. Catheterizations were the first heart operations, first performed in 1929 by Werner Forssman (Forßmann), a guy who thought it would be a good idea to insert a wire into his arm and weave it through his circulatory system until he could feel the wire poking around inside his heart (he also had X-ray to help out). From there, the innovations have become even more amazing!

As diagnostics came to reveal more and more about the heart and children born with heart defects, catheterizations gave way to heart surgery and, eventually, “open heart surgery,” which requires that the heart and lungs be bypassed so that they can be “shut down” and operated on more safely. Of course, this was deemed blasphemous when it was first suggested and attempted: “Who do you think you are, God? Only God can stop the heart and bring it back to life!”

Open heart surgery has developed in its relatively young life to heal millions upon millions of broken hearts, but cardiac cath teams continue to demand attention, believing that many hearts can be mended without the risk and pain of open heart surgery.

Today, cardiologists work in tandem with surgeons to diagnose various problems through the same basic catheterizations that launched this field of medicine (only today they do it with incredibly sophisticated precision and science behind them). And cardiologists also heal many heart lesions in their own right through the insertion of devices that serve to “patch” holes or “balloon” passageways that are too narrow.

Much like the history of cardiology and cardiac surgery itself, the Fallujah program will go through a similar trajectory: cardiac caths will heal some of the “easier” children, eventually giving way to “closed heart”&mdashand then simpler “open heart”—surgery. Eventually, increasingly risky and innovative local surgery will come to rely more and more heavily on cardiac diagnostics.

A few of the Fallujah milestones since the day we arrived:

- Our team of 9 Americans is told we are the first unarmed Americans to visit Fallujah

- Fallujans fire up the cath lab for the very first time with two adult patients

- The first child (Beqas, pictured above) in the history of Anbar receives a diagnostic cath to determine her operability

- The first child (Sara) in the history of the Anbar province receives a cath operation that heals her heart

- Joint interviews with the press reveal underlying tensions about Americans but a solid commitment among our Fallujan partners to treat our team with great hospitality and welcome.

Come back tomorrow to hear more first-hand stories of your impact in Fallujah, and, if you haven’t already, please consider giving toward a pack of sutures. At $9 a pack, we just need 45 more packs before we’re fully equipped to mend little Iraqi hearts! Donate below.

Our 85 suture kits are FULLY funded — Thank you for helping fund $765 worth of medical supplies!

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: @JCourt.

From My Heart to Yours—An Intern’s Personal Encounter With Congenital Heart Defects

June 26, 2012 by Tyler · Leave a Comment 

Hey guys! I want to tell you a story…
My cousin’s daughter, Madi, was born with a congenital heart defect (CHD). Seeing my cousin suffer wasn’t the only reason I chose to work with PLC this summer, but it was a major one.

Madi’s fight for her life began the day she was born, and it serves as a constant reminder of how important my work is here in Iraq.

Madi (short for ‘Madison’) spent the past 9 months in the world-renowned Texas Children’s Hospital receiving constant care and, for the past 4 months, she has been kept alive by a “Berlin heart,” an artificial device that pumps blood for her heart until she can get a transplant, technology that does not even exist in Iraq. Since Madi began treatment with the Berlin Heart, her name has been at the top of the heart transplant list in Houston. Through all that has happened, I have seen the complexity of CHD and the importance of having a well-trained medical staff.

I’m happy to report that, on May 29^th, Madi received a NEW HEART! And this past week, after over 220 days in the hospital, Madi is now at home and ready to start the life she is supposed to live.

Our family spent months in prayer for Madi, and now we’re rejoicing, grieving, and praying through all that has happened. Although God has brought Madi and her family far, their journey is by no means over.

I hope you can join me in the celebration of a saved life, realizing that this is how families all across Iraq are affected when their child is saved. To date, PLC has saved hundreds of lives and will continue to save more. But each child has their own story and their own friends and family who are deeply involved in their battle with CHD.

So, wherever you are, try to enter into their story; see, feel, and think as they do, and then thank God if you have healthy children and great healthcare! You can also join us in our battle to fund surgeries, build infrastructure, and raise awareness for Iraqi families who aren’t as fortunate as my own by giving toward our brand new Remedy Fellowship campaign—help us save 300 little lives!

Want to hear more of Madi’s story? Check out stories by ABC or Fox News to learn more about this amazing little girl.

“No longer will she have to struggle to catch her breath every hour of the day or feel like she can’t stand and play with her toys because she’s too tired. Our baby girl will get to experience what life is meant to be, not what it has had to be for the past 22 months.”
—Tabitha Fleak, Madi’s mom

Before he even arrived in Iraq, Tyler had successfully submitted stories about PLC to several newspapers, been on a top-tier radio show, and had leveraged his local network to raise enough money to save 3 Iraqi children. So it only seemed logical to make Tyler this summer's press intern; in charge of getting the word out. So, if you're a journalist, watch out. The beard is coming for you.

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OUR BLOGGERS

	Matt Willingham is the PLC press secretary and writes primarily on politics, history, general updates and visual peacemaking through photography and film.
	Cody Fisher is a PLC cofounder and writes primarily on program development and peacemaking by giving us a lens into the lives of the real people we love.
	Jeremy Courtney is a PLC cofounder and writes primarily to emphasize our vision and values, including organizational and financial transparency.

Preemptive Love Coalition provides lifesaving heart surgeries for Iraqi children in pursuit of peace between communities at odds. We offer the untold thousands of Iraqi kids 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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