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Alaa's Heart Surgery

Tuesday, May 12, 2009
Alaa Walking Around, No Oxygen
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One of the biggest joys for me during our recent trip to Iraq was the opportunity to see Alaa in her home in Dohuk. I was not able to see her the day she left for home, and I was really looking forward to a reunion with this little sweetheart. When we entered Alaa's home, we were greeted by several other family members including her mother and father, who were beaming with pride at having us there. Alaa was dressed in her "Jilli Kurdi" outfit for us--special and beautiful clothes worn on special occasions. It was a delight to be able to pick her up and give her a big hug with no oxygen lines attached!



She came and cuddled in my lap for a little while which was a precious gift, and then went to sit with her father.



She was not in her wheelchair, nor was she on oxygen, but instead was walking around helping the other women serve us refreshments in their gracious hospitality. (Watch the video clip below.)



After the first serving of soft drinks, Um ("mother of") Alaa prompted her daughter to help with more
refreshments, so she cleared away the glasses and went to help in the kitchen. Dirk and I were thrilled to see her doing so well at home, and she was clearly very contented to be there with her family again.

According to her thankful parents, Alaa is using oxygen only at night at the current time. She is still bluish in color as you can see in the photos, but we're all so thankful that God brought her through the extremely complicated heart surgeries and recoveries to her present state of health.

Let's keep praying for her and her family as we rejoice in all God has done so far.



Saturday, January 17, 2009
Alaa Returns to Iraq
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How would God deal with these four problems?

* Lost airplane ticket
* Empty oxygen bottles
* Problem with the van 
* Lack of time

The last leg of the journey for Alaa, Hemin, Elaf and Wahaj was a real adventure.

Hemin and his mother had been waiting at our house for three days for their return flight and they were a little bored. However, once Wednesday came and they were joined by the other three Iraqi families there was no time for boredom. 

We were all very happy to be able to host Elaf, Wahaj, Alaa and their mothers here again. So, the night was filled with talking, praising God, sorting out things, looking at pictures and a little sleep. All the time Alaa´s oxygen generator was humming in the background.

The return flight was scheduled for 1 PM and we knew we would need the morning hours to get out list of things completed. One of the mothers had lost her return ticket, so we had to rush to Amman to get a new one at the Iraqi airways office. Also, Alaa had used up almost all of her supply of oxygen on the way, so we needed to get a refill for her.  

We tried to start the day early, but our van would not start, despite the fact that we had just received it back from the garage two days before.  It took us awhile to get it started by pushing and rolling it down the hill.  Fortunately, Dirk was still there and could help with this procedure.

While Dirk drove off to Amman with the old van, Manuela tried to get a new supply of oxygen at the Italian hospital in Karak.  We found the man who usually takes care of refilling oxygen tanks for the hospital, but the connectors to these oxygen tanks would not fit the tank that Alaa had brought over from Israel.  This man was able to give Manuela the address and phone number of the company in Amman where we could get the oxygen bottle refilled.  Praise God!

Praise God also for the new Shevet van that we received a day earlier.  This additional van allowed Manuela to take the remaining three patients to the airport. Alaa had just enough oxygen in her bottle to get to the airport.

As Manuela drove the patients to the airport, Dirk’s was in Amman battling time.  It can take hours in the city to get from point A to point B.  Dirk reached the Iraqi airways office an hour later than anticipated.  He managed to secure a new ticket, but still had to find an oxygen refill for Alaa.

Manuela reached the airport in time.  She was able to inform the Iraqi Airway officials about the oxygen generator, and show him Alaa’s medical report, which clears her to fly. 

Once all of these things were completed Alaa’s oxygen bottle was almost empty.  Manulea had already begun searching for a power outlet to connect the oxygen generator to.

Because all of the luggage was in Dirk’s van and he had not yet arrived, we were unable to proceed with the check-in process.  The next two hours were very stressful for Manuela and the three mothers that were waiting with her. 

Dirk was attempting to rush through Amman to try and find the company that provides the oxygen.  Forty-five minutes before the fight was scheduled to leave Dirk picked up the oxygen and began to make his way back to the airport. 

Dirk reached the airport at 1 PM, the scheduled time of departure for this flight.  The Iraqi Airway official understandably became more and more impatient. 

Eventually, he left and two friendly airport assistants waited with the mothers.  We had considered taking all of the patients and mothers back home and have them fly with the next flight three days later, but we prayed against this option.   

The Iraqi mothers and Hemin spent most of the time on the phone with their relatives at home explaining to them the situation.  Consequently, in the midst of the chaos, Dirk was receiving calls from nervous fathers in Iraq asking him to hurry up. 

In the end, the flight left an hour late because they waited for our group of mothers.  Thank you Lord and thank you Iraqi Airways for this grace!

Quickly, the empty oxygen bottle was replaced with the full one.  Without time to say goodbye, the mothers were escorted away with the airport assistants.

We would like to ask God’s blessing on them.  God is waiting for them in the same way the plane waited for them.  Even though their departure was delayed, they did arrive home safely and in good health!


Wednesday, January 14, 2009
Traveling Day At Last
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At 12 noon today Alaa and her mother said goodbye at last to the staff of Tel HaShomer hospital. Tucked into her ambulance bed she settled down for the long ride to Beit Shean border crossing to Jordan. Equipped with oxygen cyclinders, a new red wheelchair just her size and an ultra large grin, she and her mother made the crossing to be met by Dirk along with Elaf and Wahaj's mums. All went smoothly. She takes with her an oxygen compressor machine which will enable her to breathe easily at home, and hundreds of hugs and kisses from her many friends in Israel and abroad.



How we praise God that this little girl has been able to come to this day. She was so excited and looking forward to seeing her family again. Please continue to surround her with loving prayer as she makes the long journey to Kurdistan. May the Father's love continue to enfold her and her family.


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Friday, December 26, 2008
Standing On Her Own Two Feet
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What a transformation for little Alaa when we visited her today to give gifts from various friends. She was happy and looking forward to going home to Iraq soon, her mother said.

She has been getting excellent physiotherapy which seems to be giving her legs more strength. Although she is still attached to a continuous low dose of oxygen, Alaa's concentration is stabilising even with exercise, and the amount needed is becoming less.

Please continue to pray for her as she makes these final steps to enable her to return to Iraq.





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Monday, December 22, 2008
Your Prayers and Letters Making a Difference
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Alaa was sitting up drawing pictures,with a sweet smile on her face, looking very bright this afternoon. The nursing staff told me she was making good progress. It was a joy to give her the many letters that she had received via Shevet from her supporters and I translated them to her. She clutched them to her chest and was very aware that they were from friends abroad. Her mother was so thankful. We prayed with her and I sensed the Lord with us as she just radiated a lovely smile when I told her how much she was loved by Yeshua and by her friends worldwide.

Please continue with believing prayer so that Alaa's mother's dream of returning to Iraq with her little girl will soon be realised.

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Wednesday
December 10, 2008

Making Wonderful Progress, May Need Wheelchair And Oxygen Long-Term
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Both yesterday and today I had an opportunity to visit Alaa at Tel HaShomer Hospital. I was excited to see her again since I had not yet been able to visit after her move to the physical therapy ward. Our brief visit yesterday happened as she entered the waiting area where Rasan was going for his checkup. Alaa was having pain in her right ankle and was coming to have it examined. Before knowing the outcome of that appointment it was necessary for us to return to Jerusalem with Rasan.
 
This morning when I encountered Alaa, she and her mother were in the small dining room of the physical therapy ward. She was doing a good job feeding herself, and seemed to have eaten enough to please her mother's watchful eye. Even though she did not clear her plate, she was enjoying tearing off bites of bread and dipping them in her soup, and had eaten a fair portion of it. I am noting these details because not too very long ago this little girl was being fed nasally, refusing to eat anything solid, and without the strength to do so even if she'd been so inclined. Praise God for such wonderful progress!



Her mother explained that Alaa had an x-ray this morning to check on her ankle. The pain and swelling were both better today, but they needed to know what was causing the problem. When Alaa finished eating she pushed her wheelchair back and invited me to her room. With her mother's encouragement she began wheeling herself down the hallway wearing a very big smile. When she saw herself on the video I took of her she giggled and wanted to see it again several times.
 
Once in Alaa's room her mom brought out a cake and juice for us to share. While we were enjoying the visit, Hank and Justina joined us after meeting with one of the physical therapy doctors. He had explained that the tentative timing of Alaa's return home will be between the middle and end of January. She will undergo physical therapy until that time and is expected to need both oxygen and a wheelchair when she returns. It may be that Alaa needs oxygen for the rest of her life, but the doctors expect she will need it for at least a few years. Before we left Alaa, I inquired of the nurse about her x-ray this morning, but was told that the results were not back yet.
 
Please keep praying for Alaa, who I still consider a miracle in progress. It was sweet to hear her laugh as she saw herself on video, and later as we played a bit when she snuggled down to rest with her stuffed dog. Every medical staff member I've spoken to about Alaa always comments about how much they all love her and what a special child she is, and it is so true of all who meet her. Today as I fought back tears of joy over her recovery to date, I was thinking how much God loves her and her mother, and has shown His care for them throughout this long process. Alaa's mother reflects this in her attitude as she patiently attends Alaa, and it is beautiful to witness. Let's keep believing for the completion of everything God wants to do in their lives.

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Friday, December 4, 2008
Out Of ICU, Pushing Herself In Wheelchair
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I was quite surprised when I went to see Alaa today. Donna told me that she wasn't sure if Alaa would be out of ICU yet and for me to go there first. So I went to ICU and they told me that she was now in the children's physical therapy ward, on the next floor. I found her and her mother there, out in the hallway. Alaa was in her wheelchair looking at a magazine and eating snacks. Her wheelchair has a place for a small oxygen tank.

Alaa started pushing the wheels of her chair and was going down the hallway. She was really doing a good job of backing it up and keeping it from running into anything. At one time I heard her let out an excited squeal. She even started going faster. I called Donna to tell her what Alaa was doing. Because I had forgotten my camera, Donna suggested that I get a disposable camera, so I went to the hospital mall and got one. The quality of the photo above is not the best, but I was excited to give you a glimpse of how well Alaa is doing in her wheelchair.

When I got back, I caught up with Alaa and her mom in another room eating lunch. After lunch Alaa pushed herself most of the way back to her room. Then she was ready to go back to bed. She brushed her teeth and got set up with the oxygen. Her mother sat on the side of the bed rubbing her legs and singing to her and she went to sleep.

Please pray for her mother, who is getting tired. I could tell she needs some rest. I also know that God gives a mother strength to take care of her children when they need it. There's nothing like a mother's love. I believe it comes straight from His throne room.

God is doing such an awesome miracle in this precious little girl. He must have a special plan for her life. Thank you so much for your prayers and support.


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Thursday
November 27, 2008

Doing So Much Better
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Today I was able at last to have a nice long visit with Alaa and her mother. I was overjoyed to see her in the intermediate ICU sitting up in bed when I arrived, and see her smile of recognition as I approached. Praise God for the drastic change since I saw her a few weeks ago! I looked through some donated toys and had specially picked a notebook and colored pencils for Alaa because I knew she likes to color, and was delighted to see her response. Her mother was nearby but not right beside the bed, so she called out to her. This was not a very loud voice, but it was her voice and not a whisper so that she could get her mother's attention and show her the gift.

She asked for a coloring book she's been working in, and showed me all the pictures she's already colored, and then began coloring one. I joined her and we worked on that page until her fingers became tired. She stayed in the lines perfectly even after being so weak for so long.
 
Next she wanted me to see her nail polish ... she has a collection of 8 colors! But her happiest moment during today's visit was when I turned my camera over to Alaa and asked her to take a picture of her mother and me together. Her several attempts produced one somewhat blurry picture:

But look at the smile of satisfaction which was the result of this activity!
 
When she finished coloring she wanted to eat something. Her mom gave her some chocolate cookies and began to tell me that Alaa is not eating well. All she wants is cookies and chips, etc - in other words - junk food! I asked the nurse what Alaa's favorite food was, thinking I might try to get her some of that, but she said she was not sure how to tell me her exact diet. Alaa cannot have high-fat foods because she has a problem with high cholestorol, and also must watch her triglycerides. Later when I visited Rasan and his mother she shared with me that Alaa was being very manipulative with her mother with this situation. Now that she is allowed to go for walks in the wheelchair, she declares that she will not take her medicine unless she gets candy or other food she likes, or tells her mother that if she doesn't give her what she wants she is not a good mother. Hard to believe that this little sweetie could be that way, but it is true. Her mother said to her several times that she should eat good things so she can get bigger and stronger and go to Iraq. But when she offered Alaa healthier snacks, Alaa refused. We can pray that Alaa will begin to eat as she should.
 
I asked her attending nurse about her overall status, and he said that today she was having a good day. Her oxygen levels fluctuate, and sometimes she has to be on oxygen, while other times she is ok. Today she was on the nasal canula, and her oxygen saturation was in the low 70% range during my visit. The nurse went on to say that Alaa's heart is still in bad condition although the hospital has done all they could for her. This was repeated to me later as I prepared to leave. One of the resident doctors said that all the staff are happy that Alaa is able to make this kind of recovery, to be able to eat and drink and talk, and regain her strength - she is learning to walk again too. But she followed those words with these: "All of this is just temporary. Her heart condition is very bad. We hope she will do ok, but we've all done all we can. We love her very much; she is a very special girl. And her mother too, always taking such good care of her, being patient with her. But it is not a good situation."
 
As I returned to Jerusalem I pondered Alaa's condition and how to pray for her. Even though the words from the doctors declare their inability to do more for Alaa with their medical skills, let us declare that God can do what is impossible for man. Already Alaa is making miraculous strides, so let us believe for no limits to this reality. It is God who gives life, so let's keep praying LIFE for Alaa. Pray for her mother to continue to have the stamina and strength it takes to care for Alaa. She shared with me that now Alaa wants her there all the time, so she is sleeping in the chair beside her. Um Alaa's disposition is very good, but she told me she is tired. Pray too for us to see God provide the funds needed for Alaa's physical therapy to continue as scheduled. The hospital feels it has already done so much for her with cardiac care during her five-month stay that they're asking us to cover the cost of several months of physical therapy. There is no shortage of ways to pray for this precious girl and her needs. Thank you for joining us in prayer.

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Thursday
November 20, 2008

Doctor Has Never Seen A Recovery Like Hers
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When I went to see Alaa, she was not in ICU. They said her mom had taken her in a wheelchair for a walk. So I went to the hospital mall, thinking that they might have gone there, but I didn't see them. So I bought some lunch and looked for something to take to Alaa. I saw this doll with pony tails like Alaa has, and thought that if she didn't already have it, I'd get it for her. When I went back to ICU Alaa was sitting up in her bed eating snacks and drinking juice. This alone was a miracle.

Everyone really loves her there. The nurses are so sweet. One nurse brought her two bracelets she had made, and another nurse was attending to her very tenderly.



A doctor brought two people in, telling them about Alaa and explained to them about her hands trembling. When they left, one of them forgot his keys on the bed. Alaa quickly noticed this and let us know so we could take them to him. She was very alert.

Dr. Katz came in and was telling me that Alaa had been outside and that she was doing extremely well. He said that he was amazed and had never seen anyone recover like this before. She was not hooked up to anything. She only had the oxygen mask on for a short time when I first got there, and she was awake and sitting up all but for a short time the whole while I was there. She did lay back and rest for a short time, but she stayed alert and awake. Her oxygen was between 70 and 75 with no mask, and hardly any wheezing.

I took a short break and went and got her the doll. It kept coming to me that every little girl needs a doll. Donna had sent a pink stuffed rabbit from Shevet and she loved them both, along with a big stuffed dog someone had gotten her.

I have never seen anyone so close to death's door. I believe that through your prayers, God has breathed life into this precious little girl. Thank you so much for your prayers and generosity.

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Wednesday
November 19, 2008

Physical Therapist Proud of Alaa's Accomplishments
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The past two weeks I have been unable to go to the hospital to see Alaa because of our cardiac screening in Amman, Jordan for more Iraqi children.

Although I miss seeing Alaa and her mother very much, I am extremely thankful that other volunteers can visit with and love on them. One of these special volunteers is Gigi. This morning she gave me an update full of good news from yesterday's visit to the hospital. I can't wait for you to read all that God is doing in this little girl's life.
 
When Gigi arrived at the hospital yesterday, the physical therapist was in the ICU with her. He first asked Alaa to speak to him, to repeat to him "shalom," which she was able to do in a whisper. He tried to have her speak more loudly, but so far Alaa's voice is not strong enough after the removal of the stoma from her tracheotomy. Yet the
therapist was very encouraged at Alaa's ability to understand and communicate with him. Next he asked her to lift up her arms and put them down, which she was able to do. Then he asked her to hold them up in the air, and this too she was able to do. At each level of accomplishment the therapist was very proud and lauded her for her progress.
 
Next the therapist asked Alaa to sit on the side of the bed and raise and lower her legs, and again she was able to follow his commands.

But when he told her to try to stand up, she said no, because she was afraid. Even with encouragement she was too afraid, until a suggestion was made that she try to stand on the bed rather than on the floor. She was willing to try this, and with great effort on her part, and lots of help from the therapist, she stood for only a second and then fell on t
he bed. But the therapist was very glad that she tried, and Gigi said Alaa was extremely happy about all she was able to do.
 
Besides this good news, Alaa is able to go out of the  ICU in a wheelchair into the mall attached to the hospital. She loves to get out like this, and the only problem with it is that she is begging for all the toys she sees in the shops they pass! Gigi says she is seeing Alaa smiling a lot, and that Alaa is more like 'herself' from this visit yesterday. Gigi shares that it is a beautiful healing process to see!
 
Brothers and sisters, keep praying. God is answering as we seek His loving intervention in this precious life.

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