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)

New Beginnings For Fallujah!

May 16, 2013 by matt · Leave a Comment 

We’re pleased to announce that our most recent Remedy Mission in Fallujah went extremely well!

This was our third mission to Fallujah, and spirits are still high. Doctors and nurses are learning, children are being treated, and there’s a lot of optimism among our partners about this program.

But most importantly: we’ve seen calculable growth.

On our first mission to the city, the team worked with Dr. Firas and his staff to perform 12 procedures in 4 days. On the second mission, they did 16 procedures in 5 days. And now 16 kids in just 3 days!

That means our children-to-day ration climbed from 3 kids per day to 3.2 kids per day to now 5.3 kids per day, and that kind of progress means everything to those who have been waiting years for their chance at a lifesaving operation.

Thank you for making this kind of progress possible—maybe next mission will see 6 children saved per day!

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.

Tikrit Wrap-Up—Watch To See How Many Heart Operations You Made Possible!

April 26, 2013 by matt · Leave a Comment 

Reporting from our first-time mission in Tikrit is at an end, and the children are doing really well. The lead local cardiologist was giddy when he heard we are planning to come back.

Push play to see his reaction and the results of this historic mission!

And there wouldn’t be any celebration without The Haddock Family Foundation. As a family, they chose to underwrite the entire mission!

Haddocks, on behalf of the families, doctors, and nurses: thank you!

Help us keep up this momentum by making a donation!

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.

Overcoming Tragedy—How Do You Do It?

April 25, 2013 by Jeremy · Leave a Comment 

Some weeks, it feels like the whole world is on fire.

Earthquakes, coups, murder trials… I couldn’t believe the updates moving across my screen as friends at the Boston Marathon updated in realtime.

We just finished Remedy Missions in two of the most bad-mouthed cities in the country: Tikrit and Fallujah. The headlines from the last decade might lead you to believe these places are full of sad faces, in a perpetual state of despondency.

But the Iraqi and American responses to tragedy aren’t that different: in the midst of fire, they are banding together, pressing on, and overcoming.

At every juncture, we encountered positive people who had weathered storms. Troops at checkpoints greeted us warmly, families moved in and out of hospital rooms to distribute medicine and pray for each other, and, of course, doctors and hospital staff provided life-changing operations for sixteen children!

You can get caught up on stories from our last two missions in Tikrit and Fallujah here.

But I would love for you to share your own story with me. How are you seeing beyond ‘the fire’ and staying positive when faced with bombings in Boston and explosions in West, TX?

Email me at your convenience. I would love to hear back from you.

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.

Saving Lives, Sans Surgery—Why Diagnostics Are So Important

April 24, 2013 by matt · Leave a Comment 

The girl in this picture was misdiagnosed as a baby.

Her family thought she needed surgery. They waited and worked, wondering if their daughter’s heart would give out.

As she gazed at the image of her heart beating, her father shared how hopeful they were that their daughter would get well.

Minutes later, he got his wish. After years of carrying around the wrong diagnosis, his little girl had a healthy, defect-free heart all along.

We’ve introduced you to a lot of sick, blue children over the past 5 years, but we haven’t always shared stories of already-healthy children. Thanks to highly trained cardiologists like Dr. Kirk, Iraqi children are receiving top-notch diagnostics testing in the form of preliminary echos, TEEs, and diagnostic catheterizations.

“We don’t do as many diagnostic caths in the US as we used to because we catch most heart disease early, before we have concerns about operability. Internationally, the situation is much different,” Dr. Kirk explained.

Over a span of # years, Dr. Kirk has screened hundreds of children across Iraq, and they’re often well beyond the ideal age for diagnosing a heart problem.

“Many of the children we see are being diagnosed or considered for surgery at a time which is much later than what we see in the west. The diagnostic cath tells us if a child is appropriate for a surgery or if a child would probably live longer if we didn’t do anything. There are many children who we think are inoperable because of their age, but we take them to cath and find they are indeed a good candidate for surgical repair. In this case we’ve probably added years to their lives by getting them repaired.”

In short, good diagnostics inform decisions, illuminate the situation for doctors and in-the-dark family members, and they save lives.

“The diagnostic cath isn’t as exciting as an interventional procedure to most, because, even if the news is favorable for surgery, another procedure is still needed.

If we can get away from focusing on what’s done today and look at what was learned today and what is best for the child, we realize we positively change the lives of children with a diagnostic cath.“

“Diagnostic caths either allow children to be repaired safely, or they prevent them from being harmed by surgery.”

Diagnostics take dollars—help us make it happen by donating below!

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.

Save The Children, Lose My Soul?—How I’ve Failed The Children I’m Working To Serve

April 18, 2013 by matt · 4 Comments 

Today I met a little girl named Israa.

That’s her up there with that soul-perceiving, Mona Lisa-gaze. You might be surprised to hear I wasn’t initially affected by her cute intensity (cutensity?). In retrospect, this was not the first time I’d simply snapped a photo of a child and moved on, emotion-free. Children that would have previously melted me on the inside had become… dare I say it—objects of charity.

Of course, I still want them to get well—I work for it every day—but the thrust of my compassion has taken a serious hit.

Attending six Remedy Missions, seeing waves of sick children held by desperate parents, and a dispiriting amount of post-operative death has taken a toll on my soul.

Our teams are now helping save more children then ever. But with every death, my emotional kevlar got a little thicker, and even the cutest kids like Israa couldn’t pierce it.

Is that really what we are aiming for? Hundreds of children whose lives are being saved by people who are barely affected as they serve? And, on a practical level, how can I do my job and connect you with these children if I’m not even connecting with them?

This is not the preemptive love we talk about, and, thankfully—while we do struggle at times—it isn’t a typical characteristic of our team.

But that’s just it—it’s a struggle. It has to be. Preemptive love takes risks for the sake of another. It stays vulnerable in the face of inevitable pain; it keeps compassion personal. And this applies to a lot more than just Iraqi children. Whether it’s your marriage, a friend struggling with addiction, or a tribe in the African bush, keeping compassion vulnerable takes work.

So back to my question: how do you continue to be vulnerable, emotionally present, and affected by those you’re seeking to love?

For my part, I’m committing to a few things: spending more time at the bedside of kids (without my camera), learning more kid-friendly Arabic phrases, and stuffing my bag with more play-things, like bubbles, Angry Birds and coloring books—and I want you to hold me to it!

And you? How do you keep from going numb, activating the defense mechanisms, or just giving up? What measures do you take?

Either comment below or email me—I’d love to hear from you!

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.

“He may only have days to live, but I think we can save him”— A Life Saved At The Last Minute

April 16, 2013 by matt · Leave a Comment 

One of my favorite things about Dr. Kirk and his team is how big-hearted they are. Local families can sense the sincerity of their compassion, and it makes a big difference in the ‘feel’ of the mission.

It’s that same compassion, though, that had us crammed into an echo lab/storage closet at midnight last night, looking at children’s hearts, and it’s that compassion that kept admitting one more family for screening.

“Please, just help one more.” is a hard request to ignore when it’s shouted from a waiting room packed and pleading. In this case, the request came for a little boy named Abraham.

Scratching his chin, Abe’s uncle tried to remember when it started: “For about two months we were basically living in the hospital.”

The entire family rallied around this little boy as he spent nearly two months in the hospital, struggling to breathe. The doctor in Abe’s hometown told the family he had a lung problem, and that Abe might need ‘new lungs’—something the family didn’t really understand and something they certainly couldn’t afford.

When a friend told them about our Remedy Mission in Tikrit, Abe’s family decided to get a second opinion. Unfortunately, Abe missed the cut and was scheduled for a check-up on the next mission. It was nearly 1am last night when both the list and the doctors were exhausted, and they decided to pack up for the night.

But the local doctors pleaded, “There’s just one more little boy. Will you please see him?” Dr. Kirk relented.

Abe’s family carried him in, and Dr. Kirk was shocked by what he found.

Abe had huge amounts of fluid in his chest that was pressing on his lungs and making his heart work too hard.

Dr. Mary, the interventional cardiologist on the team, worked with local doctors to successfully drain the fluid around Abe’s heart. “I don’t think he had more than 2-3 days to live—I think he’s the reason God has us here this week.” she said after.

On behalf of Abe and his elated parents: thank you. You’re saving lives.

Give now to bring hope to more children like Abe!

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.

Pioneering Tikrit’s First Medical Training Mission Since Saddam’s Fall

April 14, 2013 by matt · Leave a Comment 

Ten years ago Saddam fell, and everything changed in Iraq.

Not overnight in every place, of course. But it was obvious that former favorites were out of luck. Tikrit, Saddam’s hometown, was one of these favored cities that benefited under the former regime, but people here are now experiencing something like reverse discrimination as other cities to the south and north receive more patronage.

But you’re helping us change that this week. Omar, a seven year old boy, just became the first child to have his heart fixed locally, barely having to leave home.

While Omar rests, we’re sitting down with his father to hear a little more of their story. A lot of parents dream of their children becoming exceptional, but Omar’s dad is just grateful that his son will now be ‘normal.’ He can finally do things kids are supposed to do, without the risk.

Keep reading, we’ll have more updates for you from Tikrit coming soon.

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.

No Holding Back—Dr. Mohammed Finally Gets His Chance!

April 12, 2013 by matt · Leave a Comment 

Dr. Mohammed, the cardiologist-in-training here in Tikrit, just assisted in the region’s first-ever pediatric catheterization.

He was shaking with excitement after finishing!

The lead interventionalist, Dr. Mary, handled the lion’s share of the teaching, and she can now add “Tikrit” to her list of groundbreaking procedures. She has performed similar ‘first-evers’ in Fallujah, Mongolia, and Kosovo, in addition to the work she does in the United States.

We talk a lot about children who don’t have options for surgery, but the same is true of many Iraqi doctors. Dr. Mohammed shared told us, “There is no way for me to do this without teams coming to Tikrit. I am very happy to have the team here.”

So thank you for sending tremendous teachers like Dr. Mary to train Dr. Mohammed—they’re making history!

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.

Like Freshly-Fallen Snow—Why I Love First-Time Remedy Missions In A New City

April 12, 2013 by Jeremy · Leave a Comment 

I’m in Tikrit, Iraq—the small, “home base” city for strongman/dictator Saddam Hussein—for Preemptive Love Coalition’s 18th Remedy Mission.

As we pulled into the city last night, we were stopped at the main checkpoint gate to the city by a few friendly, welcoming Iraqi national police. They apologized for the inconvenience and the necessary delay, but they had to be sure to fully document our arrival into the city and ensure that we had the proper permissions and escorts to enter in. 

As we sat between the massive concrete and sandbag barriers, I got out of the taxi to talk to the police, government officials, and local doctors who had arrived from the nearby hospital to welcome our team. Standing there at sunset, laughing with new friends on the eve of a history-making healing mission, I couldn’t help but be overwhelmed with this simple thought: 

“I love new beginnings!”

I got back in the taxi and said something to that effect to the rest of my team. “I love first Remedy Missions—program launches in new cities where we’ve never worked before.” 

One of the visiting nurses asked what I liked so much about them. With Tikrit being the sixth city in which we’ve worked to launch long-term surgical development programs, I rattled off this list: 

—newness
—naivety 
—the belief that this time will be better than everything we’ve done in every other city to date
—the smiles and hospitality
—the sense among so many that these healing missions stand for so much more than heart surgery
—the hope
—the hustle and bustle of trying to make things that are broken work again (or for the first time)
—the possibility

Preemptive love is a critique of the status quo. Preemptive love says “This is not good enough.” Preemptive love says, “With God’s grace, we can be changed. And if we can be changed, then we can change our city, our country, and our world.”

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.

Chatting With A Local Hero—An Interview With Dr. Firas (Part II)

January 15, 2013 by matt · Leave a Comment 

Cardiac training programs live or die by the initiative of the local doctors.

Ultimately, this is their program—an investment in them. As soon as they lose their passion to learn, coordinate, and hack through the red tape, the program is in trouble.

Perhaps that is why our time in Fallujah has been so encouraging. Dr. Firas (pronounced fee-rahs) is the only pediatric cardiologist in the Anbar region—Iraq’s largest geographic region and home to a growing number of children with heart problems.

So, given his kindness and compassion for these children, we asked him if he would share a little about his life, his concerns, and his hopes for the future of Fallujah.

(Read part one of this interview here.)

PLC: If you don’t mind, would you share about your life and work during the war?

Dr. Firas: Yes, I was in Baghdad working as a general pediatrician—I have two PhDs that allow me to work in these fields, one in general pediatrics and one in pediatric cardiology. But my family was here in Fallujah at first. So I moved them to Syria and I lived here in Iraq alone to complete my studies and care for children.

PLC: Some might assume you wouldn’t want to work with Americans after the things you experienced—has that been difficult?

Dr. Firas: I believe there are political issues, and there are the American people. I know many of the Americans don’t support what happened here in Fallujah. I know politicians aren’t the same as all the people—there is a difference. Of course, I am not happy about everything that happened during the war. But I’ve seen your team twice now in Fallujah, and you are trying to help our people.

You all give a different view of Americans. Of course, many people have anger in their hearts, but I know that these great amounts of congenital defects are because of the war and the chemical weapons [sic]. About 50% of the congenital heart defects [in Iraq] are in Anbar, our region, and most of those are in Fallujah. It is widely thought by our people that these are because of the war.

PLC: That “different view of Americans” is something we care deeply about. It’s great that you see these missions as opportunities for peacemaking as well. Today was the final case of the mission. Would you tell us a little about that? I know you were excited.

Dr. Firas: Today, we helped a small child by closing a hole in her heart. It took us nearly an hour just to get inside—it was so difficult. But it was amazing how immediately her system pressures rose and everything improved. It was a very satisfying operation because the child was close to death and our fix helped her immediately.

PLC: Do you feel like you could do corrections like this by yourself yet?

Dr. Firas: For now, no. I don’t have surgical back-up to assist me if something goes wrong. But… I must do something. So I choose the most simple cases and prepare them for our surgical missions. Then we can do them during the missions.

As I said, I also don’t have any help—I’m alone—and I must have other doctors to help guide me as I make the correction. I am hoping to recruit more Iraqis to come train with me. In all of Iraq, though, we only have thirteen child heart doctors. They are very rare here. This year, we had 12 new people applied for adult cardiology, but only two applied for pediatric. Working with children is much more difficult and stressful.

PLC: God-willing, more doctors will come alongside you, and the backlog of children who need surgery will be a distant memory. Thank you for sharing with us.

Dr. Firas: Insha’allah, I really hope so. Thank you.

###

Dr. Firas’ dream of establishing a heart center in Fallujah is possible, and we intend to do whatever we can to help him fulfill it! If you would like to contribute to the training and life-saving that is happening here, please donate below:

$5 or $50—Give what you can to help Dr. Firas save lives!

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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.

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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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