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?"


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 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)

Featured Partner: Angela Ferrara

August 25, 2012 by matt · Comments Off 

Each month, PLC receives generous donations from a variety of sponsors, and we love to highlight these people because they are an important part of the Coalition. Their donations are used to provide kids with heart surgeries and to launch programs like our upcoming Remedy Fellowship program!

Angela Ferrara is one of these incredible donors, and she was gracious enough to share a little about herself in an interview:

1) Would you tell us a little about yourself. Occupation? Interests? Passions? Aspirations?

I’m an adventurer and a dreamer who loves traveling, living in different cities in the U.S., and experiencing other cultures abroad. I also enjoy music, poetry, nature, contemplation, and a good cup of coffee. I currently live in Seattle where I work as a nanny and volunteer with the refugee community. For almost a decade I’ve had a passion to help those who cannot help themselves, and I’m working toward being able to focus on this goal vocationally.

2) And how did you hear about the Preemptive Love Coalition?

I heard about PLC through an acquaintance, Josh Gigliotti, who I met at Cedarville University. I saw his Facebook posts while he was in Iraq and became extremely interested in the work PLC was doing there.

3) What motivates you toward compassion for Iraqi children?

Learning about what PLC does for children in Iraq has made me realize how vital their work is. It’s heartbreaking thinking about the condition these kids are in, but I am filled with hope when I read PLC’s blog and see the photos of the children post-surgery.

4) Is there anything you would like to tell the rest of the Coalition? Any rally cries, encouragements, or challenges?

PLC’s love and dedication for the children and people of Iraq is such a beautiful and tangible expression of the heart of God, providing hope for the hopeless. Let’s love with them!

###

We’re so thankful to Angela for her commitment to saving the children of Iraq! Stick with us for this next week of blogging goodness; we’ve got our eleventh Remedy Mission and our second mission to the holy city of Najaf coming up—great things are ahead!

Happy (Early) Father’s Day!

June 14, 2012 by Cody · Comments Off 

I remember graduating from high school like it was yesterday.

When I put on that sleek black graduation gown, I felt like I was donning the uniform for an exclusive club. I was no longer a high school student. I was someone different—someone new. (That is, once I turned in my overdue library books a week later in exchange for my actual diploma.)

And then, what seemed like just days after, I remember walking across the platform and being handed the diploma that officially sealed my college career. The thrill of entering the “real world” was electrifying—I might as well have been knighted on that platform!

Then there was the next platform where I made my vows and became a married man. Surely, I was making all of this up. I never believed I would make it this far in life.

And then, just a few days ago I stood alongside my bride in a dingy and poorly-lit doctor’s office, tucked away in an Iraqi market brimming with crowds of people. There was no platform, no diplomas, no stands filled with people. In the corner of the room stood an outdated ultrasound machine showing us the baby who was growing inside my wife. Dr. Parween, our dear Iraqi doctor, finally caught up with our baby in the midst of the baby’s flailing limbs and printed our baby’s first picture to take home on a piece of paper.

It was a little bit bigger than a stamp, and it sank in a little bit more: I’m going to be a father.

That photo has since made it to the desktop of my computer where it’s brought to the front of my screen multiple times during the day, reminding me that I didn’t just make believe Dr. Parween and her dingy office but that I’m really going to be a dad, and that blurry 2D ultra-sound photo is really mine to keep.

Next to that photo is another picture I received a few days before from a friend of a friend. It’s of a baby boy’s room in Syria. It’s not a photo you’ll find on Pinterest—there’s no color sequence bedding, no vintage storybook photos on the wall, or baby names embroidered on pillows. It’s of a boy sprawled out on a ripped piece of foam, separating him from the concrete floor. The only other thing in the photo is a coat rack bolted into the wall. Instead of coats, I counted 14 AK-47’s dangling from the rack.

I lost my faith in guns awhile ago, but I feel like I finally understand, if only a little, why that boy’s father may be fighting. As my wife feels the first kicks of our baby, I feel the beginnings of a love that I’ve never felt before. It’s difficult to think of anything I wouldn’t already do for this child. Probably much like that boy’s father in Syria, I woke up this morning believing that the way things are isn’t the way they have to be.

It’s that shared belief that makes me so incredibly thankful to be a part of this Coalition. A Coalition that believes that things can and should be different and that this change can and should start by loving before anything; loving preemptively.
 May our children not be robbed of the witness they need in order to believe that there can be an alternative to war.

Thanks for not robbing Iraq of that witness. Thank you for all the lives you’ve helped us save and for all the father’s days you’ve made possible.

Let me hear your thoughts on fatherhood this year—write me and tell me what you think. I’d love to hear from you!

In the News: “Rebuilt Iraq Hospital Plans Surgery On Infants”

July 29, 2011 by matt · 1 Comment 

Yahoo! News recently released an article about the rebuilding of Iraq’s largest heart hospital. After being burned and looted during the invasion of Baghdad in 2003, the hospital was deemed “beyond repair.”

But they underestimated the doctor’s commitment to their patients and to their hospital.

Click here to read the entire article. This article is just one example of how Iraqi cardiac hospitals aren’t just burnt-out and “beyond repair,” they’re proof that you and I can improve Iraq’s medical infrastructure.

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

March 6, 2011 by Cody · 2 Comments 

We exist to be an alliance for good.

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

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

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

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

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

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

Hope. Love. Mend.

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

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

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

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



With help from our friends:

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:

Featured Partners: Ricky & Julie Kim

January 24, 2011 by matt · Comments Off 

Take a minute to meet Ricky and Julie Kim. Ricky works as a software engineer out of Dallas, Texas and is a regular supporter of sick kids in Iraq.

Originally from South Korea, Ricky moved to the United States 5 years ago after accepting a great job offer. But things weren’t always so nice for Ricky. Growing up in the wake of the Korean War, he saw the challenges his country faced and was inspired by the foreign aide his family received, so now he wants to extend that same kindness to others:

“Just as our country could overcome their desparate situation with help from others, I would like to help the people of Iraq have hope for their future.”

Ricky knows the difficulties of growing up in a post-war environment first-hand, and it’s that understanding that compels him toward compassion.

So on behalf of countless Iraqi children: thanks, Ricky, and thanks to all the rest of you who are working toward this same “hopeful future” for Iraq that Ricky is.

There is no Coalition without you.

The Day Shams Received A Remedy and The Day She Died

December 19, 2010 by Cody · Comments Off 

This week, little five year old Shams Hadi died during her 12 hour operation. Shams was born with a combination of three congenital heart defects. By themselves, those three defects aren’t unusual among children here but none of the doctors or cardiologists had ever seen the combination of all three in one child.

In a developed country, Shams should have received surgery at three months. Her five year wait had simply done too much damage to her heart and lungs and by the time she saw the doctors that could cure her, it was too late.

The doctors were astonished she had lived this long.

But this week there was one last chance to fight for her life.

Before Remedy began, I thought about what I would write in this post. I came into these two weeks knowing that lives would be saved but also facing the sober reality that it might already be too late for some of the children we’ve met.

Even though these surgeries are just in time for some and too late for others, every one of these children is having their story rewritten.

Their stories all began with them being born in a country that didn’t have the doctors or hospitals that could save them from their disease. While there were remedies, they are all overseas and out of reach for all of them. Before now, these stories were ending with them still dying without any options.

Now, stories are being rewritten so that children in the north and in the south are beginning to see the remedy for the first time.

For many, it came just in time. For a few, their story ends with them not alone but instead surrounded by an entire team of doctors and nurses who gave it everything they had to save their life.

Shams’ story ended that way. It ended with her family being surrounded by a community who had grown to love them deeply.

Bringing remedy to Iraq doesn’t mean we make heart disease a thing of the past. It means that every child born with heart disease has access to the care that they need to fight it.

And that’s why, during days like today, we don’t lose hope. That’s why we honor Shams and her family by not giving up the hope that soon no Iraqi children will have to wait as long as she did to be treated.

Thanks for standing alongside us, in the joy and in the pain.

Thank you for continuing to rewrite the stories of children and families all across Iraq.

Our Partners:

Hope for Baby Bakir and His Ruined Hometown

November 15, 2010 by matt · 1 Comment 

Meet Baby Bakir (pronounced bah-ker). Thanks to the combined efforts of Nahoko Takato, the talented doctors and nurses at Anadolu Medical Center, and the Preemptive Love Coalition, this beautiful little boy is now recovering after receiving a lifesaving heart surgery in Istanbul, Turkey.

This is actually an exciting week for Bakir’s hometown of Fallujah as it’s the first annual Remember Fallujah Week. US veteran Ross Caputi launched the Justice for Fallujah Project to decry the atrocities committed against the citizens of Fallujah during the Iraq War.

US officials report that more than half of the city’s 39,000 homes were either damaged or destroyed in Operation Phantom Fury in 2004, and, like Bakir, many of the city’s children have continued to experience the lingering effects of chemical weapons in the form deadly heart defects.

Yet in the midst of so much destruction, we’re eager to offer you stories like Bakir’s. In a city of rubble, his is a bright story of hope and future.

The Good & The Bad: A Report On One of Our Remedy Kids Who Did Not Make It Through

September 7, 2010 by Jeremy · Comments Off 

Video by Jon Vidar

We strive for transparency here; not marketing or public relations fluff. At the beginning of our Remedy Mission we chose a few children to feature on the website. At that time, we did not know which ones would survive and which ones would die; who would have an easy course and who would have a most difficult course. We chose them for reasons of timing, dramatic tension, and relational connectivity.

One of the families that was NOT chosen for feature, was actually concurrently featured by a photographer friend that we hired for some of the other work on Remedy Day #1. Jon Vidar had been out to meet Samal and her family weeks before Remedy Mission formally began. Jon was eager to see Samal get the surgery she needed. When he began her story for his personal project, we all had assumed and hoped that she would be one of the ones who benefited greatly from the surgery.

Unfortunately, it didn’t work out that way. Push play above to watch Jon’s excellent piece above to learn more about the situation in Iraq, our Remedy Mission solution, and Samal’s story in particular.

The one thing the ending slide does not capture with enough nuance is the bitter fact that Samal’s brain probably died before a knife was ever laid to her chest after her oxygen levels crashed to 10% for approximately 12 minutes. In that 12 minutes the O.R. team prepared her for surgery, opened her chest, and put her heart on the bypass machine, but she was without oxygen for far too long before they could intervene; they feared she was brain dead. They proceeded with the surgical correction for her heart and took precautionary measures after surgery to give her the greatest chance at recovery, but Samal never pulled through; she was probably too far gone before the surgery technically began.

There are no words or stories, prayers or personal presence that makes a loss like this more palatable. It’s dark and horrifying for the family; and, to a lesser degree, for those of us who invested a tiny bit of ourselves in Samal and her well-being.

There are no good words to wrap up a post like this… but there are more stories of hope to come.

With you,

Remedy Missions are international pediatric heart surgery teams that we bring to Iraq to to perform lifesaving heart surgeries and develop the infrastructure for the future. If you’re on Twitter this week be sure to use the #Remedy or #RemedyMission hashtag to describe all the good news coming out of Iraq this week via @preemptivelove and @babyheart_org. If you’re on Facebook, “Share” this story with the button below.

Our Partners:

Abdulkareem Gets His Surgery After Months of Appeals from His Loving Father

August 26, 2010 by Jeremy · Comments Off 

Photos by Heber Vega; Lydia Bullock

It was around lunch time in the heat of June in Iraq when Abdulkareem’s father came into my office. He told me that his son was very sick, that he was very poor, and that he needed our help and was willing to do whatever he could to make it happen. We were preparing our July group for surgery in Turkey and one of the children had just withdrawn from the group. It looked like we might be able to squeeze Abdulkareem in at the last minute if all the right pieces fell into place quickly.

Abdulkareem’s father worked especially hard for his little boy. He traveled from his home in Diyala to Baghdad to get passports for the family. He came to the office and called regularly to see what our status was with regards to funding for his son’s place on the Turkey surgery list.

There are two days in the duration of my journey with this family that I am unlikely to forget. The first was the day that Abdulkareem’s father – Hafez Bey – looked into my eyes and, with all the passion of a protective but powerless father, said, “Just help my little boy; just do something to save my little boy.“

Unfortunately, it did not work out to take Abdulkareem to Turkey with us for various reasons and we began the race against the clock to provide Abdulkareem surgery before his condition deteriorated any further. Our as-of-yet untested next option was our first Remedy Mission in August 2010. We gave Abdulkareem a priority spot on the Remedy Mission list.

The day our surgical team arrived Hafez Bey must have seen us on the news because he called me 10 times: “Is my boy going to surgery? Mr Jeremy, just do something to help my little boy!”

Photo by Heber Vega

There is one other day in the life of this family that I won’t forget – the day Abdulkareem had surgery earlier this week. I remember it so distinctly because after the surgery Hafez Bey grabbed me and kissed me and gave me an emotional “thank you” for making good on our commitment to his family.

One of the things we always try to explain to families is the presence of hundreds of people in the States and Europe – people like you – who work together to make every surgery possible. Of course, parents appreciate the ability to personalize their gratitude, but we talk about you frequently because we could not have saved Abdulkareem’s life without your many gifts to our Remedy Mission.

If you like what you’ve been able to be a part of this week with us (and there seem to be hundreds of you viewing the website and videos each day), please take two minutes to give toward the next Remedy Mission, the next Abdulkareem, and to the next father who is eagerly waiting for someone to help his little child. Please donate any amount of your choice below.

WIth You,

Remedy Missions are international pediatric heart surgery teams that we bring to Iraq to to perform lifesaving heart surgeries and develop the infrastructure for the future. If you’re on Twitter this week be sure to use the #Remedy or #RemedyMission hashtag to describe all the good news coming out of Iraq this week via @preemptivelove and @babyheart_org. If you’re on Facebook, “Share” this story with the button below.

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