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)

Photo the Day

July 7, 2010 by Joshua · Leave a Comment 

This is Freedom Park, a place of joy and laughter in a region once dominated by suppression and the crippling fear of Saddam Hussein. With the western clothes of this roller-blading man, the ipod, and the young men and women mingling on the sides – this photo represents the freedom so many have worked hard to achieve.

Joshua Gigliotti is a PLC Summer Intern ('09) turned short-term staff who spends a majority of his time with PLC taking exceptional photos of children in Iraq in an effort to humanize Iraqis and portray them as people full of dreams and hope. When his camera is not in-hand, Josh is often found in local tea houses with friends and also enjoys traversing the great outdoors. Follow Joshua on Twitter: @JoshGigs.

The Sheikh’s Smile

July 6, 2010 by Jeremy · Leave a Comment 

We have a good friend in Iraq who is a sheikh —  a teacher of Islam and official religious cleric from Baghdad. He’s probably not what you think of when you think “Muslim cleric in Baghdad,” and his smile has left an indelible mark on us during our time in Iraq.

We’ve been working with him for years to send children to lifesaving heart surgeries outside Iraq.

If his smile is not the first thing that comes to mind when you think of Iraq, we labor so that one day it will be.

For more information about our pursuit of peace between communities at odds, join us Fall 2010 on our Heartmender Tour. Subscribe to our newsletter below:

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.

Two Weeks Away From Surgery, Leah Continues to Grow and Develop

July 5, 2010 by Esther · Leave a Comment 

from Preemptive Love on Vimeo.

In a week and a half Baby Leah goes to surgery!

Those words bring so much joy to my heart because they signify the new life that successful heart surgery will give Leah.

Since the last time that we visited Leah, she has continued to grow and develop – rolling over with ease, bouncing off her mother’s lap, waving at others and attempting to hold herself up on her hands and knees.

This little girl, whose birth defects have threatened to steal her life away, now has the opportunity to have that life transformed because of the combined efforts of Turkish heart surgeons working to restore peace with their set of surgical tools along with the willingness of donors like you.

Leah is one of 4 Iraqi children that will be traveling to Turkey on July 18 for heart surgery because of your involvement and desire to combat the unnecessary deaths of children born with congenital heart disease.

Click HERE to follow Leah Ibrahim on Twitter as she gets ready for surgery.

Esther Perez, a PLC summer intern ('10), is spending this summer managing the daily blog and telling the stories of Iraqi children affected by congenital heart disease. The die-hard Texan loves spending her time learning local languages, talking about soccer and swimming.

Baroof’s Scar Stands Against Kurdish Terror and Turkish Oppression

July 4, 2010 by Jeremy · 1 Comment 

The photo above tells the story of an extremely different child than the one we met in March right before boarding a plane to Istanbul, Turkey. Three months ago Baroof received a rare and complicated surgery for his age – a surgery that ultimately has spared his life and ushered in a new season of joy and obvious strength.

But basking in this season of salvation isn’t quite as easy as it might be for other children in other places. Baroof’s family lives on the Iraq – Turkey border, where for years Kurdish separatist rebels (members of the Kurdish Worker’s Party or the PKK) have been mounting attacks against the Turkish government in pursuit of an independent Kurdish nation. In response to the PKK’s terrorizing of Turkish civilians and military personnel, the Turkish government often responds with a blunted hammer where a precision tool might have been more effective.

The activities of the PKK claim to be a response to Turkish oppression. And Turkish heavy-handedness claims to be a response to Kurdish terrorism. And thus, the cycle continues.

Because of this cycle, Baroof and his family have grown up with a relatively monochromatic view of Turks and Turkey – such as “Turks are the oppressors who kill our Kurdish cousins in Turkey and cross international borders into Iraq to kill our family here as well” or something similar.

In March, we helped throw a splash of color on that single story. What was once a black and white issue has been somewhat mitigated by the kind actions of Turkish doctors who give generously of themselves and their skills to serve children like Baroof. The kindness was not lost on Baroof or his family. Now back in Iraq after surgery, they express their gratitude to Kurds around them for the Turks who saved their son’s life, thereby pushing back a single story about Turkish oppression and easy justifications of Kurdish rebellion.

Some of Baroof’s tribal members and distant cousins have died at the hands of the Turkish military. Others likely bare the scars of near-misses and raids gone wrong. But Baroof’s scar is a line of love from your heart, through Istanbul, Turkey, all the way to the border of Turkey and Iraq.

Your financial gifts have enabled Turkish surgeons to write new language into the region.

Baroof starts school again in September. Because of you, his desk will not sit empty this year. Because of you, his Kurdish friends – who might otherwise be enticed into the ways of PKK terror – will constantly contend with the scar on his chest and the technicolor story it tells.

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.

Soccer balls and Staircases Reflecting a Renewed Childhood

July 1, 2010 by Alex · Leave a Comment 

When I visted Ahmad earlier this week, I was struck by two objects that embodied the effect PLC has had on the life of a child who has undergone heart surgery.

The first was the metal staircase leading up to their home on the second level of the block. This old staircase was red, rickety, and full of holes — a lot like Ahmad’s heart was a year and a half ago. Ahmad had one of the most complex cases of heart disease PLC has seen. His combination of defects turned his lips, hands and feet blue from lack of oxygen and assured that he would not have a normal or lasting childhood. But thanks to your support, commitment from his family and the skill of medical professionals in Iraq and Turkey, Ahmad could greet us at the top of the stairs with a smile on his face.

Ahmad’s medical story is not finished. He still has some blue to his lips and will need more surgeries down the line; but a second powerful image — that of a tattered and beaten up soccer ball — made me realize how much of an impact his first surgery truly had.

Worn out soccer balls are certainly not uncommon in Iraq, and I probably wouldn’t have given Ahmad’s ball a second thought if his mother had not pointed out that this was the same ball that was given to him by PLC just a year ago. Ahmad, a boy who had not been able to run last year because of fatigue from a lack of oxygen, had beaten his new soccer ball to shreds playing with friends.

This is the impact Ahmad’s surgery has had. He may not have a totally corrected heart yet, but he does have a childhood — full of running, playing, laughing, falling, scraping knees and wearing out soccer balls.

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.

Backed Into a Corner: Doctors Adapting to Hardships in Iraq

June 30, 2010 by Preston · Leave a Comment 

As a doctor, decisions that affect a person’s quality of life come with the job, and this is no different for our local cardiologist, Dr. Aso Faeq. While shadowing Dr. Aso in his office earlier this week, I witnessed how the problems in Iraq make these decisions even more difficult.

As I saw patient after patient visit Dr. Aso’s office last Wednesday, the fact that congenital heart disease is a rampant problem here in northern Iraq became blatantly obvious. Families drove for hours just to see this one cardiologist examine their child, and so many of them were told about the urgency of their child’s heart condition.

Though so many cases are urgent, Dr. Aso is restricted from the limited options he has available to him in Iraq. The lack of training and technology for doctors along with poverty and cultural dilemmas prevent many children from receiving surgery in the country. It’s hardships like these that affect Dr. Aso’s decision making every day.

One of his decisions that resonated with me concerned the fate of a three-month-old boy. His parents brought him to the office knowing he had a heart problem, but they needed Dr. Aso to examine and diagnose him. After a few seconds of doing the echocardiogram (an ultrasound of the heart), Dr. Aso’s whole demeanor changed instantly.

He explained to us that two of the little boy’s heart chambers were malformed and merged into a single chamber causing immense pressure to build in his heart. As the family and Dr. Aso discussed their options, the limitations became obvious. The surgery the child needs could be done in a town six hours away, but the family did not have the money to do this. On top of this, the next group of American non-profit surgeons who will perform local surgeries here does not arrive for another fifty days, which could be too late for the dying boy.

For a solid 10 minutes Dr. Aso did not say a word. He sat there, weighing the child’s options and deciding his fate. Imagine the immensity of this decision. Dr. Aso has basically been backed into a corner and told to make a decision on this child’s life. And so, he did. Waiting is the only option. He spoke to the parents, comforted them, signed the papers, and watched as the next patient walked in.

Dr. Aso often finds himself faced with difficult decisions, but with the options available to him he takes the initiative to make the best call for these children. These families are, in fact, some of the strongest people I have ever witnessed. They face impending tragedy while dealing with poverty and neglect. Sitting in Dr. Aso’s office, however, allowed me to see that real initiative can cause real change in the face of immense hardship.

People like Dr. Aso take this initiative as far as they can, and PLC hopes to offer opportunities for this initiative to be extended across the world. Whether it be through buying Klash from our Buy Shoes. Save Lives. program, supporting local healthcare through Remedy Mission, or creatively partnering with PLC to find new ways of providing these heart surgeries, you can also take the initiative to make a difference in childrens’ lives.

Preston Wright, a PLC summer intern ('10), has dedicated his summer to spending time working with the Iraqi people, specifically, visiting with Kurdish children, Klash makers and doctors. When he is not preoccupied with his intern duties the West Tennesseean enjoys playing soccer and working with children.

A Bride-To-Be’s Handmade Shoes Knitting Together Two Communities

June 28, 2010 by Esther · Leave a Comment 

“I saw the shoes, and I fell in love with them instantly.”

Sounds like a typical statement that you would hear a bride bragging about the shoes she plans to wear on her wedding day, doesn’t it?

But for Debe Paul, her perfect shoes have an added meaning.

After the Ohio native saw photos of our new Ballet Klash on Facebook, she made a decision to wear them in her wedding this August. This new feminine shoe is the first we’ve made specifically for women with a slip-on design that is comfortable and cute but has an even greater significance.

“They’re absolutely adorable, but I love what it stands for,” Debe said.

On one of the most important days in her life Debe is devoted to “restoring relationships and communications with the Iraqi community,” as she put it.

It’s great to see our Buy Shoes. Save Lives. program successfully funding heart surgeries and introducing communities like Debe’s to real people in Iraq that would not otherwise know each other. Our lifesaving shoes are not only an important part of Debe’s wedding, they are a local source of revenue to fund heart surgeries for children in Iraq.

You, like Debe, can join us by purchasing a pair of shoes that will fund heart surgeries by clicking here.

Esther Perez, a PLC summer intern ('10), is spending this summer managing the daily blog and telling the stories of Iraqi children affected by congenital heart disease. The die-hard Texan loves spending her time learning local languages, talking about soccer and swimming.

Revisiting Nivar Helped PLC Family Advocate Refocus on PLC Goals

June 27, 2010 by Sophia · Leave a Comment 

It is often difficult to measure the level of success of our work here in Iraq. Working with kids and families, donors and budgets is all sometimes daunting.

On a recent visit to see 9 year-old Nivar, I was reminded of how precious life of an Iraqi child with a heart disease is. With little energy to play outside and unable to run around with her younger brothers, Nivar spends her days watching TV and lying down in her family’s home. Her condition is significant and according to her father, she often feels tired and bored now that school is out for the summer.

Nivar is one of the sweetest girls I have had the privilege of meeting here in Iraq. Big green eyes and a smile that captures your heart, she is the epitome of why we here at PLC work to send children to surgery.

We work to see kids outside playing once again. We work to stop sick days and sad childhoods. We work to see smiles and healthy pink cheeks instead of blue ones that show a lack of oxygen.

We work because we love, and we hope that love can be shared with everyone who donates to a child.

I can’t help but think that if we can help save at least one little girl like Nivar, our job will be a success.

Sophia Pappas, a PLC summer intern ('10), is passionate about living, loving and saving lives. While in Iraq, Sophie enjoys wandering the bazaar, trying local foods and playing with the kids.

She’s Always Smiling

June 25, 2010 by Lydia · Leave a Comment 

“She’s Always Smiling” The Story of Honya Mahdi from Preemptive Love on Vimeo.

Honya Mahdi first came to the Preemptive Love Coalition 7 months ago. Today she is alive, happy and healthy, thanks to your support!

www.preemptivelove.org

Lydia Bullock wrote and photographed for us during the 2010 summer internship and then again for 7 months in 2011. She documented surgical missions in northern and southern Iraq. See more of her excellent work on our Flickr stream, or follow her on Twitter: @lydiabullock.

Mohammad Star’s Follow-Up

June 21, 2010 by Lauren · Leave a Comment 

A few weeks ago I met Mohammad Star, a ten-year-old boy who had heart surgery last November.

To get to Mohammad’s house, we drove through the mountains. For someone who has lived her whole life in the flattest part of America (Northwestern Indiana), seeing mountains on all sides of me and driving up the winding road to get to a village seemed unreal and euphoric. It felt like I was watching a movie – like I was not really there.

Mohammad’s house, like the ones surrounding it in the tiny mountain village, is made of dirt the same color as the ground. We climbed up narrow stairs into their sitting room, which also served as a kitchen; and Mohammad’s mom serves us food. She set out platters of wild cucumbers, watermelon, fruit juice and pastries. As we ate, Mohammad sat close next to his younger siblings, looking up at us timidly.Our Iraqi coworker Awara somehow got Mohammad to talk and show his toy car.

Awara asked about the chickens running around outside their home. Mohammad raised 14 chickens from a hen and a rooster – all on his own – which he proudly showed me and the other interns. He and his younger siblings pose for pictures with the village and national flag waving in the background.

To see how life-saving surgeries gave Mohammad Star the opportunity to live out his life was something that I will never forget.

Lauren Sawyer, a PLC summer intern ('10), is telling Preemptive Love’s story by managing its year-end review. Along with storytelling, Lauren loves reading 20th Century literature, listening to (good) music and chatting over a cup of coffee.

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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.
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	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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