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)

At Long Last, Haydar is Finally Getting His Surgery!

May 29, 2011 by Alex · 1 Comment 

When I met Haydar he was kicking a soccer ball around the hospital hallway. We played there in the hallway for quite some time, kicking and throwing the ball back and forth between the three of us. I made my arms like a hoop in front of me and Haydar would shoot the ball through them—he’s a pretty good shot for a 6 year old!

Because there are so many children here in need of heart surgery, and because cuteness and playfulness are not criteria we get to use in determining the order for surgeries (unfortunately), Haydar ended up being further down on the surgery list.

But thankfully, after patiently waiting in the hospital and always trying to show us how brave and prepared he was, Haydar is finally getting his surgery! We couldn’t think of a better way to wind down as we near the end of our trip—thank you for helping us bring the Remedy to Haydar!

Our Partners:

Alex Phillips, a two-time PLC summer intern ('10 & '11), has invested his heart into the surgical and medicinal aid available to the children of Iraq, hoping to better understand the complicated ties between poverty and health. On his off days, Alex spends his time reading up on his field, listening to punk rock, riding his bike, and updating his Twitter: @_alexphillips.

Meet Dr. Bob

May 26, 2011 by Alex · Leave a Comment 

He’s a retired pediatric cardiologist who spends some of his free time working with International Children’s Heart Foundation, helping kids in Iraq and training the future of Iraqi medical care—doctors and nurses who are eager to learn. Dr. Bob’s kind demeanor, patience, and medical expertise make him an incredible teacher and the kind of partner we love and need to have in Iraq. These qualities also made the brief conversations we’ve had very enjoyable.

Dr. Bob’s responsibilities here include performing echocardiograms (ultrasounds of the heart), repairing hearts through minimally invasive procedures, and training local staff to do the same. Between saving lives and equipping his Iraqi students with knowledge and skills for the future; Dr. Bob renewed my sense of awe in medical care and motivation for pursuing advances in treatment here in Iraq and beyond.

Want to know more about guys like Dr. Bob? Check out our medical partner, ICHF, on Facebook.

Our Partners:

Alex Phillips, a two-time PLC summer intern ('10 & '11), has invested his heart into the surgical and medicinal aid available to the children of Iraq, hoping to better understand the complicated ties between poverty and health. On his off days, Alex spends his time reading up on his field, listening to punk rock, riding his bike, and updating his Twitter: @_alexphillips.

You’ve Sent Another Round of Remedy To Iraq

May 24, 2011 by Jeremy · Leave a Comment 

One of my favorite things about working for the Preemptive Love Coalition is the chance to stand before you every few weeks and give a transparent account as to how we are putting your hard-earned money to work in Iraq to benefit the thousands of children who are counting on us to help develop cardiac care on their behalf.

Today I’m back in southern Iraq, a few hours outside of Basra, for Remedy Mission V and it is such a joy! (Because we blog and Tweet in real-time we are withholding the name of the city to minimize any risk to our local and volunteer staff). In the last 8 months we have given more than 95 children a shot at lifesaving operations and invested more than 20,000 cumulative hours in both didactic and hands-on training for Iraqi doctors and nurses.

One of the most exciting things about Remedy V is the slower pace of surgeries and training. In a world where bigger and faster is usually better, I am really excited to slow things down this trip for the sake of greater learning and better results.

In past missions we took a faster pace, kicked the wheels of the system a little bit, stretched it to its limits and obtained a very clear sense for what was possible and what was not possible at this developmental juncture. With two full missions at this particular hospital under our belt we have more clarity than ever about how we should be proceeding. So the pace of surgeries on this mission, while slower than previous trips here, seems to be yielding exciting opportunities. Local Iraqis are working hard yet are also less stressed than previous trips because the pace and complexity of surgeries is more in line with their current developmental needs. Our volunteers from America, the United Kingdom and Europe are finding they have more time to teach in the down times between critical care.

And all of this amounts to more lives saved and better education for Iraqi doctors and nurses who are giving so fully of themselves to learn to care for children facing life-threatening heart defects.

Stay tuned this week for amazing stories of your life-changing donations hard at work!

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.

17 Heart Felt Thank You’s Coming Your Way From Iraq!

March 20, 2011 by Cody · 1 Comment 

We’re just now wrapping up our fourth Remedy Mission in Iraq and we have 17 heart felt thank you’s to send your way from the families who got the chance to see their children receive the heart surgery they’ve been waiting for!

(Go ahead, you can stand up and celebrate. We did!)

Now what?

Now we do it all over again! All over Iraq. Until every heart is mended!

Why?

So that girls like Ala can receive the surgery that she needs to be a strong and healthy little girl!

Ala was on the schedule for this past Remedy but she had to go home because there wasn’t enough time to save her, like we all had hoped.

Now we’re doing everything we can to turn that hope into a reality.

YOU can help us save Ala by joining us and helping bring Remedy back to her!

It’s easier than you think. Just click 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: @JCourt.

Remember Yahya? His Wait For A New Heart Ends Today!

March 3, 2011 by Cody · 1 Comment 

Remember this boy?

When we first met Yahya he was five years old and we were trying to send him overseas for his lifesaving operation.

The doctors told us that he needed a valved conduit – so we went in search for the piece that could save his life. We found it. The only problem was that the Turkish government was revising their import laws and the local supplier was out of stock.

Because we couldn’t bring Yahya and the device together to Turkey, we were forced to cancel his surgery.

Now Yahya is nearly six years old and he has still been waiting for his heart surgery.

Everything changed when Dr. William Novick told us that he could fix Yahya’s heart without depending on a valved conduit that was half way across the world.

Today he will create the piece that we hope will save Yahya’s life!

The best part (from a macro perspective) is that this is something he’s going to introduce to the local surgeons so that Yahya and all the other children in Iraq waiting in line for $7,000 devices don’t have to go overseas. Furthermore, whereas current devices certainly need replacement, there is a good chance this technique will allow the piece to grow with Yahya’s body. Best case scenario: Yahya may not need a re-operation like he would have from the expensive name brand.

Eventually, they might be able to insert valved conduits by the hands of their local doctors here in Iraq!

We’ve loved our journey with Yahya and today is a milestone for all of us. And all 38 of you who gave to his surgery!

It’s a milestone for Yahya because he’ll be given the surgery his parents have been waiting six years for.

It’s a milestone for the local surgeons because they will begin to learn a groundbreaking, life-changing technique.

It’s a milestone for you because you’re helping us create local long-term solutions to local problems.

Follow Yahya as he get his new heart TODAY!

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.

It’s The Day Before Parzheen’s Surgery And She Can’t Wait To Run!

March 2, 2011 by Cody · 2 Comments 

Meet Parzheen.

She’s four and a half years old and was born with a congenital heart defect that wasn’t discovered until she was three years old.

If you ran into this beautiful girl outside of the hospital, you probably wouldn’t even notice that she had a heart defect.

It wouldn’t be until you saw her run, play, and laugh that you would notice how quickly she became tired. A year and a half from now you would notice it when she wouldn’t be able to walk to school with the rest of the children. When she’s at school, you would notice her not having the strength to stay awake in class.

But tomorrow Parzheen is being given the surgery that’s going to change all of that!

It will let her run to school.

It will let her interact with her classmates at school.

It will give her the chance to try out that jump rope that she’s never had the strength to conquer.

It will save her life.

Parzheen goes into surgery in the next few hours.

Stay with us as we follow her story!
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.

How Remedy Missions Are Inspiring Locals To Bring The Remedy To Others

February 28, 2011 by Cody · 1 Comment 

chain reaction: (n.) a series of events in which each event is the result of the one preceding and the cause of the one following

This is little Yasna.

She was born with a heart defect that keeps her lungs from receiving all the blood and oxygen that she needs to live strong.

At two months old, they had no idea about her heart problem but when she had to go in for an abdominal surgery the doctors noticed something wasn’t right with her heart.

The local doctors told her mother that she would need to save up to take Yasna to India for surgery. Already two months old, the doctors told her that she only had four more months to get her surgery until her condition would worsen and make her inoperable.

6 months passed and she had only a fraction of the amount saved up.

6 more months passed and soon she was 2 years old and the parents had come to live with the fact that their daughter was too old to be saved.

Last August, Yasna’s mother’s cell phone ran and she heard about a team of doctors coming in to bring a remedy for children exactly like hers - children others thought were inoperable.

She brought Yasna in for surgery but because of the amount of “inoperable” children waiting in line for their operations, the doctors ran out of time and Yasna had to go home without a surgery.

Because of YOU, that was only the first Remedy Mission of many and last week they were called to the hospital again…this time they were second in line for surgery!

I asked Yasna’s mother what it was like to finally hand her daughter over to surgeons that knew how to fix her heart. She said, “So beautiful.”

She continued, “One day, God-willing, not only will our doctors know how to take care of all the children here but our country will be the country who sends doctors and nurses to other countries to help their children.”

And so the chain reaction continues!

You’re bringing remedy which is stirring up hearts in Iraq to turn around and bring the remedy to others.

How will you keep the momentum going as Yasna goes into surgery today?

Join us on Facebook and follow her story!

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.

We’re About To Launch Our Fourth Remedy Mission In Iraq!

February 27, 2011 by Cody · 2 Comments 

The ICHF medical team and children who are hoping to receive life-saving heart surgeries over the next two weeks are all making their way to the local hospital to launch our FOURTH Remedy Mission in Iraq!

While Iraq is all over the headlines today for protests and rage directed towards the lack of jobs, utilities, and corruption – there are thousands of families in northern Iraq who are still fighting for their children’s lives and for better healthcare for those who were born with congenital heart disease.

Instead of taking to the streets these next two weeks, our “protest” will take place in the quiet operating room where hearts will be mended and doctors and nurses will be receiving training and education.

Instead of fiery speeches on bullhorns, nurses in the ICU will receive careful instructions on how to properly take care of children after open heart surgery.

Instead of holding signs we will be holding the hands of children in the hospital ward as they patiently wait for surgery.

Instead of only hoping for change, we will see children’s hearts changed overnight!

Remedy Missions continue to gain momentum throughout Iraq, thanks to YOU!

Stay tuned! Another one starts NOW!

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.

Practicing The Art (and Reviewing the Basics) Of Taking Care Of Sick Children

February 25, 2011 by Cody · 1 Comment 

“Heart surgery is an art.” Dr. William Novick, ICHF Heart Surgeon

If heart surgery is an art, then a Remedy Mission would be the art studio. It’s the place where teaching happens and inspiration is born. It’s a place where masterpieces are created alongside artists.

But it’s an art that everybody in the heart center gets to play a role in. Whereas an artist can create a beautiful piece on his own, a heart surgeon can’t perform a flawless surgery without a team around him. When they work together and finish their part, the piece is carefully passed along where it’s taken over by the nurses in the intensive care unit.

Without a strong nursing staff, the masterpiece would never be completed.

Teaching all of this is an art as well.

In the same day a local surgeon is having his skills refined as he patches a hole in a heart and the nurses in the ICU are being taught the foundations of nursing.

In the West, we have benefited from governments who have been able to spend BILLIONS on health care, education, and creating awareness about best practices, and things like hygiene from the time we were in elementary school.

At Iraq’s lowest point under Saddam, the Ba’ath regime spent less than one dollar per person on health care each year. While other parts of the world were thriving, Iraq’s health care system – along with their doctors and nurses – weren’t given what they needed to keep up.

Our Remedy Mission comes at a pivotal time in Iraq. A time where they now have the opportunity to be invest like never before.

It was sobering when we heard that little Alawi is trying to fight off a bacterial infection in his chest, something that is easily caused in an ICU which doesn’t even have a sink or soap with which to wash your hands. Don’t worry, we’re trying to work with local officials to get that retrofitted!

Through our Remedy Missions we’re helping raise up local health care systems that excel in the complex but also in the fundamentals of taking care of children.

All of it goes into creating a masterpiece.

We couldn’t do this without a coalition that cared as much about this as you do!

You’re a part of the masterpiece.

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.

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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.

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	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 kids in pursuit of peace between communities at odds. We offer the 30,000 Iraqi children suffering from life-threatening heart defects a chance at the surgery they need to save their lives. With our world-class international surgical partners we create long-term solutions by training local Iraqi doctors and nurses so they can sustainably save lives without our help.

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