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)

Kisses, Crayons, And Bubbles—A Look Back On Our Week In Fallujah

August 21, 2012 by Kendelyn · Leave a Comment 

Uncertainty is a way of life here.

When it comes down to it, the answer to questions is often “I don’t know.” This was the answer I got when I asked whether or not I’d be going to Fallujah for Remedy Mission X last July. The problem wasn’t the lack of communication, the real challenge, for me, was the inability to create expectations (and therefore plans) of any kind. It’s often difficult to gauge what a mission is going to look like, especially when the mission is a first-of-its-kind in a new city. And, since Fallujah was a first-ever, it was guaranteed to have bumps along the way. Embracing this fact, I made sure to walk into the week with an open mind.

I’d heard a lot about Fallujah over the years, but most importantly I knew that the city had experienced a lot of pain and difficulty, and all I wanted to do was make it better—somehow. But how? How could I, a 20 year old from America, be able to make any difference in such a big, broken place so far from home?

The more I pondered this question, the more my response made sense to me: I can make a difference by endeavoring to love everyone I come into contact with. But that begs the question: “how do I show my love for these people when I’ve barely just met them?” I strived to find an answer to this question all week.

And the week was a blur!

Children were in and out of the operating room faster than I thought possible. But with the intention to love in the back of my mind at all times, I moved forward in my interactions with the children and their families filled with as much purpose and love as I could muster. I made sure not to let my fatigue and frustration show, and I made sure to have a smile on my face at all times. I was there to be a friendly face and bearer of joy as I documented the mission with my camera.

Looking back, I can barely recall how exhausted I was that week as the experiences of love and joy stand out far more prominently in my mind. The doctors loved the children, the children loved their parents, and the parents loved the doctors.

As love is put into the world, love circles back around. It begets itself.

In the course of a week I took hundreds of photos. Photos of everything from the children hanging out in pre-op to the doctors working in the cath lab. But out of all the images that I took in the course of the week the ones that stand out the most to me are the ones of kisses, crayons, and bubbles—not because they’re the cutest images of the week, but because they best exemplify the love that filled the hospital. The very same love that I tried to foster all week.

But all of that effort made by our team and the local doctors is just a drop in the bucket. Fallujah is still a broken city in need of attention and love, and the past still matters. But if we can continue to push ourselves toward selflessness over and over and over again, mission after mission, then I believe we’ll be able to create a future filled with love towards one another.

I believe we can reshape old perceptions previously founded on hate.

Our Partners:

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

June 26, 2012 by Tyler · Leave a Comment 

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

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

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

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

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

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

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

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

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

Counting Kids: Researching Heart Defects in Dohuk

June 12, 2012 by Alicia · Leave a Comment 

Right off the bat, I got to be a part of something awesome here in Iraq.

I joined PLC’s groundbreaking research in the city of Dohuk in Iraqi Kurdistan. Many reports in recent years claim that there are more heart defects in Iraq than other countries in the Middle East. In Fallujah, news reports state 10 times more birth defects than the world average. However, these numbers are based on general observations, not a systematic study. Is it possible that doctors who only see sick children would think there are many more birth defects than there really are?

The best way to find out if there are more kids being born with broken hearts is to count all the children who are born, then see how many have heart defects are detected. That way, the number of healthy babies can be compared to the number of babies with defects to get an accurate ratio of sick to healthy babies. This is exactly what we did in the city of Dohuk.

Alongside long-time friend and partner of PLC, Dr. Kirk Milhoan and Dr. Serdar Pedawi, I was a part of a research team working to identify the heart defect “incidence” or number of new cases of babies born with heart defects out of all babies born over a certain time period. We set up camp at Azadi Teaching Hospital in Dohuk, and every child that was born came to us to be screened for heart defects.

This was done using an echocardiogram (ECHO) machine, which is similar to an ultrasound that allows pregnant mothers to see their babies. It provides a way to look at the heart from the outside, quickly and painlessly. All children born in Azadi Hospital during the week of the study had to be screened in order to obtain their birth certificate, so we were able to screen more than 180 kids!

Each individual encounter was very similar. The moms were usually too worn out from childbirth to bring the babies to us (understandably so!). It fell to the grandmothers and aunts to take care of the newborn while mom got some rest. It was beautiful to see how much love and care was shown to each baby we screened. They were all wrapped tightly in brightly colored clothes and tucked into what I can only describe as a fancy baby sleeping bag.

The children truly lived up to the phrase of “bundles of joy.” The pride and joy of family members was evident, but with it came the anxious fear that their baby could have something wrong with their heart. Immediately at the time of the screening we could tell the family the result of the ECHO.

Thankfully, the vast majority of children had completely normal hearts and their family was always relieved and ecstatic to hear the good news. But there were some babies who did indeed have heart defects. Some had leaky heart valves and others had holes in their heart. Assurance was given to the families that these were not immediately life-threatening emergencies, but that their baby needed to be checked again in a few weeks to see what kind of treatment would be needed to live a normal healthy life.

Dr. Serdar works full time as a Pediatric Cardiologist in Dohuk, and thus will take care of these babies directly. Research can sometimes be all about collecting numbers, but this research heavily emphasized providing practical medical care for those who were found to have heart defects.

It was an absolutely incredible experience to interact with the Kurdish and Arab families in Dohuk as well as to be a part of a first-ever scientific study. It was very fulfilling to contribute to the gathering of facts, which is a large part of why I’m pursuing a Master’s in Public Health. Having solid facts puts Preemptive Love Coalition that much closer to eradicating the backlog by treating kids who need lifesaving heart surgeries.

This research is the first step in providing information for the Kurdish Regional and Iraqi Central Government and any other organization that wants an answer to the question: how many Iraqi children are being born with heart defects?

Reflections On Remedy Mission VIII And The Vision You’re Living Out

January 22, 2012 by Cody · Comments Off 

As I write this, I’m driving away from Remedy Mission VIII. Just hours ago, we were in the hospital waiting for our 16th child to come out of the operating room.

This mission’s last child was a little baby boy named Younis.

Younis came 400 miles to get to Remedy, but the drive took it’s toll and Younis—just 2 months old—came down with a fever. Every day we put him on the schedule for surgery, but every day we had to cancel because his fever wouldn’t break. Some days it would break in the middle of the night, but by the time we could rush to the hospital to operate the fever had returned. This continued until the very last day of the mission. This time his fever broke for good, giving us just enough time to give Younis the lifesaving surgery for which he had traveled so far.

These are the stories of Remedy.

I also had the privilege of telling Ali’s story this mission, but it wasn’t just Ali who you helped us save this mission. You saved Amjed, Zainab, Alawi, Zain, and so many more.

###

This past week I’ve been reflecting more on the lives of these children and the life and vision of Martin Luther King Jr. In between surgical days I re-listened to some of his sermons, trying to once again stir my heart for the things that stirred his.

I was humbled by the devotion and the vision that he carried throughout his life, right up until his assassination. He maintained an astounding vision of God and his fellow man, one that led to his unparalleled passion for justice and peace.

King reminded me once again that there comes a point when silence is betrayal.

And so he shouted out for justice, equality and love. He spoke up for the broken, the poor, the ones affected by unjust war and the ones who had no voice of their own.

And people listened. We’re still listening.

This week I’m profoundly grateful for the life of Martin Luther King Jr. And I’m also profoundly grateful for you.

You see, these Remedy Missions can’t happen without you. In our writings we use the word “I” and “we” a lot but truth-be-told, I can’t think of one thing “I’ or “we” have done apart from you.

Because of that, together we’re breaking the silence. You’re bringing Remedy Missions to cities all over Iraq and because of that you’re saying to the people of Iraq “You are not alone. We are in this together.”

And they’re listening.

Thank you for not reducing the vision and legacy of Martin Luther King Jr. to a yearly quote, but for committing to live it out by saving the lives of children like Ali and Younis. Thank you for Remedy Mission VIII!

We’re just two weeks away from our next Remedy Mission….stick with us!

Our Partners:

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:

Alawi Receives His Much Needed Heart Surgery!

February 21, 2011 by Cody · Comments Off 

This morning Alawi got the heart surgery we’ve all been waiting for!

Local doctors and nurses – alongside the ICHF team – took a minimalistic approach to his repair, seeking to do as little “trauma” to his heart as possible. Unfortunately, after surgery, it seemed the minimalist approach wasn’t holding as well as they hoped. They decided to perform an even more robust correction that would make Alawi even stronger than he already was.

So Alawi went yet again into the operating room just as bravely as he went into his first operation.

Alawi’s a reminder of what we’re committed to – we will do whatever it takes to make each child and each Iraqi doctor and nurse into the healthiest child and most-skilled doctor or nurse they can be.

Hoping for the best still never makes it easy to watch a child go in for surgery.

We could not do this without you! You are our heroes and you inspire us to keep going so much! Stay tuned to get the latest update on Alawi from the ICU via our Facebook Page!

Our Partners

Meet Ali. He Finally Got His Lifesaving Surgery on Our Second Trip to Southern Iraq

February 17, 2011 by Jeremy · Comments Off 

Ali gets his surgery from Dr. Novick and the ICHF during our February 2011 Remedy Mission to southern Iraq.

An interview with Cody Fisher about his first encounter with Ali and the journey to where he is today.

Push play above to meet little Ali….

With you,

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.

Our Partners

Overwhelmed by 350 kids on Local Waiting List as Remedy Rolls into Southern Iraq to Train Locals

February 16, 2011 by Jeremy · Comments Off 

It’s been a long journey from our home in northern to southern Iraq but we just can’t stay away – the doctors, nurses, and people here want their own fully functioning heart surgery center so badly!

Today marks the end of Remedy Mission Day #1 with the International Children’s Heart Foundation and Living Light International.

Push play above for a quick overview of day one and a setup of what’s to come this week from southern Iraq….

With you,

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.

Our Partners

Anwar & Fatima Continue To Get Stronger!

December 21, 2010 by Cody · Comments Off 

It’s incredible to watch the journeys of these children and their families.

Most of the families come in individually carrying their children. The children usually stay in their beds with their mothers until they go in for their surgery.

Then the mother’s begin to grow closer as they wait for their children to come through the surgery and out of the ICU. When each child comes out, they celebrate and soon they’ll start walking their children or each other’s children down the hallway tightly gripping their hands.

Then one by one, each child gets stronger and soon the mothers stay in the room chatting while their children are running around on their own!

It’s a beautiful thing to be writing this post and be interrupted by the children we’ve grown to love so much.

Anwar and Fatima seem to grow stronger each day here in the hospital.

Today, Anwar and I colored. He drew pictures of palm trees and birds. I think we’re all counting down the days until we can leave the hospital!

Our Partners:

One Family’s Longing For Remedy – Hassan’s Shot at Surgery

December 11, 2010 by Cody · Comments Off 

Meet Hassan.

Each time I sit down with the families, I share with them why we’re doing what we’re doing and why their stories matter. I tell them that the more people who hear their stories, the more who will begin to care, and the more who begin to care, the more who will begin to act. And GOD-willing, soon every child in Iraq will have access to the healthcare they justly deserve.

Hassan’s story matters to us.

Hassan is just 7 months old. When he was just 13 days old he came down with a high fever which led him to the doctor who diagnosed his heart defect. He has an enlarged heart among other defects. They traveled five hours to Baghdad to have another doctor look at him but the doctor could only recommend him to doctors in other countries. The doctor told them, “Not even in the tribes, do they have this extreme of a heart defect.”

They knew they couldn’t afford to go to another country so they never gave up visiting doctors inside Iraq, certain that there must be one who could save their son.

At last, an Iraqi doctor told them he knew how to fix Hassan. That week they traveled back to Baghdad to have the doctor operate on him but the doctor turned them away, telling them to come back the following week. They returned but were turned away again.

This happened nine straight weeks in a row.

Finally the doctor left the country, dashing all hopes they had for Hassan.

Hassan’s mother never gave up waiting for his return.

 She continued to look after Hassan full time, quitting her job as a teacher. Hassan’s father served in the Iraqi military under Saddam Hussein but when he refused to take a man’s life, he was forced to find a way out. When the opportunity presented itself, he fled.

Soon after, he was caught and thrown in prison.

He was released after a year, only after being tortured until the point where he became mentally disabled.

His wife told us that he can’t even play with his children anymore.

This doesn’t take away the love his children have for him and Hassan can’t wait to be back home with his Dad.

Until then, Hassan knows there’s something in his heart that needs to be fixed and that day’s only hours away.

Stay tuned…

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