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Ali's Heart Surgery

Monday, January 5, 2009
A Great Reunion
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When I arrived at the hospital on Sunday, I met up with Ali and his father as Ali was being transferred to the intermediate ICU.  The nurse assured me that it wasn't because of any change in his condition, but simply because there wasn't space for him before.

His bed was placed next to the window, but one of
the nurses moved him so he wouldn't be next to a critical patient.  Once Ali's father walked in and saw that Ali had been moved away from the window, he insisted that Ali be moved back.  I agreed.  As we stood discussing the matter with the nurse rays of sunshine were streaming in the window along with a warm breeze.  Both were things Ali needed after three months in the ICU.

Our reunion was great.  It seems to be difficult for Ali to show any type of emotion; however, as he sat on my lap I could see a half smile.

Because I have been gone for the last month it is easy to see the improvements in his condition.  Ali isn't talking in full sentences, but he is quick to use one or two words to indicate what he wants.  Before I left he would only point to what he wanted or push things away that he didn't want.  He seems to be much more alert.  He also seems to be stronger all around.  I brought him back a pair of shoes (that actually fit him despite what they look like in the picture), which his dad put on his feet and helped him take a few steps around the room.

Today when I visited he was even stronger than yesterday.  He enjoyed listening to some music while playing on the keyboard and devoured the chocolate marshmallow snack his dad brought for him.



His oxygen level continues to fluctuate, but it doesn't seem to go down to a critical level.

Ali is still in need of at least one more surgery to close a hole in his heart.  Wednesday he will undergo a catheterization in order for the doctors to gain a better understanding of his condition.  Following his second surgery the doctors said that there was a possibility that the remaining hole(s) could be corrected by a cath.  Please pray that this might be the case.  As Hank and I drove home from the hospital yesterday, we discussed Ali's condition.  We both agreed that Ali's morale couldn't handle another surgery any time in the near future.  His one year anniversary in Israel is quickly approaching.  Pray that an end to his long and difficult journey might be in sight.


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Friday, January 2, 2009
Triumphant Ali Leaves the ICU
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We arrived at Wolfson hospital today just in time to see Ali's Dad moving Ali on his bed into the children's ward into the same room as Wahaj and Havan. He was surrounded by balloons and toys and had a big grin on his face. It was a look of triumph.

It was so good to see this little boy take this step and it is in answer to the prayers of so many. He still has  an oxygen canula but his colour has improved. Please continue to ask the Lord for this little boy that he will be fully restored and enjoy the life of a healthy little boy.

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Tuesday, December 30, 2008
Ali Goes For a Ride
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Ali was all dressed up in a winter jacket and cap today and being wheeled around in a stroller by his dad.  Abu Ali said that his son was having one of his better days, and the ICU staff said that they could take him out of the ward for a bit of sunshine. 
 
Even though he was feeling better, he still had the same emotionless expression on his tiny face. The only time he seemed to pay attention to anything was when his father offered him ice cream on a spoon. At the sight of it, he sat straight up and opened his mouth for a big bite.
 
Ali is still a very sick little boy and has a long road to recovery ahead. Pray for the Lord to give him length of days on this earth so that he may proclaim the goodness and faithfulness of Father to future generations of Iraqis.


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Sunday, December 28, 2008
Too Sick to Open Gifts
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Today was my first visit to ICU to meet Ali and give him a few belated Christmas gifts.  When I entered the ICU, I found his father at his bedside putting an oxygen mask on his face. Ali was sitting upright in the bed, his big, beautiful brown eyes fixed on something across the room.  I greeted him with a big smile and showed the brightly wrapped gifts we had brought. His face was expressionless, only his eyes moved slightly. His father tried to coax him into looking at the toys but there was no response; he just sat and stared straight ahead. 
 
Abu Ali told me that Ali's oxygen levels had been spiking and falling for several days and the doctors still could not find the reason. He also told me that Ali kept asking for Keleigh, a Shevet volunteer who is currently in the States on holiday. "He loves Keleigh," said Abu Ali," and always asks when she will come to see him; he loves her like a mother."
 
Ali has not seen his mother since arriving in Israel over 10 months ago at the age of two years. Join us in praying for a miracle of healing in this little one's life and for a joy-filled reunion with his mother in the near future.

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Monday, December 22, 2008
Back in the ICU; the Battle Continues
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My visit to the Wolfson intensive care left me sad as I saw how very ill Ali is today. I asked the doctor and he told me they were not sure why he was so distressed but they were watching his progress very carefully. Please uphold this little boy in prayer, that the Father who knows best will touch him and restore Ali to full health and true miracle be seen by all. Ali's father is very tired and needs our prayers as he daily sees his son struggle to breathe even with oxygen supply, and his heart too is sad.
 
Ali smiled a wan smile and asked for a drink while I was there. He is a very brave little fellow. Following yesterday's report, the present setback is unexplained and is fuel for intensive believing prayer.

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Sunday, December 21, 2008
Out of the ICU for First Night of Hanukkah
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As the medical team evaluated Ali today, Dr. Houry said that they should get Ali out of the ICU and into the sun since he has no more fever. As they discussed his progress further Dr. Houry asked the team this question: "So why is he still in the ICU?  Let's move him out into the ward."

This is great news after three months in the ICU, and Ali got to celebrate with a traditional Hanukkah donut (sufganiyah) from one of the doctors. The look on his face was priceless as he started to lick the donut.



The doctor told me we would have to raise more funds because Ali is making up for lost time when it comes to eating. They said his appetite has been insatiable to say the least. They are also going to start weighing him to monitor his weight gain. We want to thank you all for your many prayers on Ali's behalf.

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Sunday, December 14, 2008
Ali's Miracle Still in Progress
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I often see Ali's father while I'm in the hospital at Wolfson, and always ask him how Ali is doing. He is usually quick with a direct answer informing us of any changes and the current situation for Ali. Today was no different, as before I had a chance to go to the ICU, Abu Ali came to see how Elaf was doing early this morning. I was sitting with Elaf and her mom as we waited for Dr. Tamir to make the final decision about her surgery today. Abu Ali said that Ali was good, but his blood pressure was going up and down. He visited with Elaf, then left the room until Wahaj came for admission a little later. He enjoyed visiting with both these babies and their mothers, and the babies both wanted to be held by Abu Ali - he is so good with all the children.

I was finally able to get to the ICU to see Ali this afternoon, and he was very sound asleep at the time. His oxygen was hovering around 80%, and he was taking a breathing treatment while I was there. Even when the oxygen mask slipped down and I moved it back up on his face a couple of times Ali didn't awaken at all. I stood with him for a little while and prayed for him, and then went to speak to Dr. Houri, the director of the ICU. He reported that they had removed the central line they'd put in recently, which we'd already been informed about, and said it is good that Ali has no infection now. Otherwise, there is nothing new. He said that we might want to ask Dr. Tamir about when it is the time to do another catheterization on Ali's heart so they will know how to go forward.
 
Please continue your prayers for Ali's healing ... he has come such a long way! As I consider the possibility of what the doctors might find during another catheterization, I cannot help but hope they find more evidence of the miracle in progress which has marked Ali's situation so far. Remember to pray for his gentle father as he lovingly cares for his son day in and day out. He is a special example to all the parents as they go through difficulties with their own children's recovery.

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Sunday
November 30, 2008
Successful Surgery - Gaining Strength
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I was able to visit Ali on Friday and immediately saw that he was doing much better.  He seemed stronger and was even eating quite a bit.  We threw a small ball back and forth a few times.  He seemed to enjoy this, however he gets tired quickly.  It is easy to rejoice in Ali's miraculous recovery and forget that he still has two holes in his heart, which remains evident by his very blue face, lips, and fingers.  
 
I was sitting close to his bed and he kept grabbing my shirt.  Eventually I asked the nurse if I could hold him in my lap.  She walked over and helped me arrange the various wires attached to Ali as I lifted him.  He put his head against my arm as he watched the nurses walk around the ICU.  One of the assistants walked over and handed Ali her phone that was playing music.  He held it in one hand while he tapped the other to the beat of the music.  Although his smile hasn't returned, he is emerging from the shell that has held him captive for the last few months.
 
At one point in the day I jokingly mentioned to his father that he needed to give him a haircut.  I came back the next day to find Ali almost bald!
 
On Saturday I tried to come up with something new for him to do so I offered him a pen.  He quickly reached up and took the cap off.  I found some paper and he started to scribble.  In between each piece of "artwork" he would take the cap off the pen and then put it back on again.  I was impressed that he had the strength and coordination to do this.
 
Early this afternoon, as Ali's father and I waited for him to come out of surgery he asked to see the pictures of Ali that were on the internet.  We sat outside of the ICU and scrolled through all of the pictures of Ali dating back to last February.  The further I scrolled down the more the tears filled his eyes.  As we finished looking at the pictures Ali came out of surgery.  Ali's father watched him pass by on his way back to the ICU and then he surprisingly disappeared for a few hours. 
 
After Ali had been back in the ICU for a while, one of 
the nurses asked where his father was.  I told her that I thought he was a little emotional following Ali's surgery today.  The nurse said that he had cried this morning as the nurses wheeled Ali back down to the operating room. 
 
A few hours went by and eventually Ali's father returned.  He seemed relieved to see that Ali was successfully extubated, strong and appeared to be in the same condition as prior to the operation. 

Please continue to pray!


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Wednesday
November 26, 2008
Extubated and Doing Better
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Three months ago Ali enjoyed doing things that most little boys like to do.  He enjoyed splashing water, kicking balls, smudging windows and letting toy trucks fly down a ramp.  



Today, after nearly three months in the Wolfson ICU he is limited to holding a little blue teddy bear and motioning with his finger that he wants water.
  
 
Although he has been extubated once again and Dr. Houry says that he is doing well, I can see in his eyes and his body the stress and strain of his last operation.
 
As I sat there this afternoon, I looked up from his bedside trying to imagine what runs through his mind.  What does he see and what does he feel?  Does he remember the days gone by and wonder, "why am I here?"
 
Keleigh adds:
 
Today I was able to sit with Ali for over an hour.  It was the first time since he has been awake that I could tell that he knew who I was. 

Like Hank, I can't help but wonder, "what is he thinking?"  Ali was once a happy, curious, and energetic little boy.  Now he sits with a blank look on his face.  I have wondered if he thinks that his suffering is some type of punishment for something he did. 

As you continue to pray for Ali's recovery, pray that his smile, curiosity and joy will return as well as his health.  


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Sunday
November 23, 2008
Re-intubated, Weaker than Before
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When I first saw Ali today in the ICU he was asleep, but totally uncovered revealing a rash on most of his fragile little body.

His father came in shortly thereafter and the tending nurse asked him to rub an ointment on his tender skin to relieve the itch. When Ali’s father started to rub the ointment, Ali awoke and started to motion for water.

The director of the ICU wasn’t around so I wasn’t able to find out why and when, but unfortunately, Ali was re-intubated and he seams to be weaker compared to the last time that I saw him.  Because Ali in intubated, drinking from a syringe was the only way his father could handle his request.

The doctor told me that he is doing a little bit better and they would try again to extubate him in the next few days.

Ali’s father is one of the most caring, loving fathers I have ever seen.  He is right there for any and every request from his sick little boy.

Jesus is the only answer for this suffering little child.  We need your prayers that as the doctors continue to treat him, Jesus would heal him.

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Monday, November 17, 2008
After Two Months Indoors, Ali Sees The Sun
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Equipped with an oxygen tank and two IV medications, accompanied by the head of the ICU, an ICU nurse, and a medical student, Ali made his way outside this afternoon for the first time in over two months!

It was around lunch time when Dr. Houri, the head of the ICU, suggested that it was time for Ali to venture outside.  He said, "I just wanted him to see the sun."  Ali's father loved the idea.  It took about 30 minutes to disconnect Ali from all of the wires and reattach him to portable devices.  With Ali's oxygen mask on tight, Ali's father carefully placed him in a stroller and they walked outside.  They passed some rose bushes just outside of the entrance and Ali's father quickly picked one for Ali and handed it to him.  A few minutes later he tried to take it out of Ali's hand as Ali pulled away and let out a soft "na" (no) in Kurdish.

We sat outside for about 10 minutes before we were told to bring him back in.  It was a great day for everyone.  Ali's father couldn't stop smiling and even put up a brief protest when it was time to go back in.  Dr. Houri was so excited, he made sure that I took pictures of this historic event in Ali's recovery.

As they placed Ali back in his bed, he continued to hold on to the rose.  He asked for water, but he no longer seems to be in such great desperation.  It was obvious that this short adventure wore him out.  After finishing his water, he put his head down and closed his eyes.  A few minutes later he opened them and softly said, "botani" (blanket).
His father quickly covered him up.


In such a short time Ali had managed to say three words (no, water, and blanket).  The doctors were very pleased by this because it serves as some indication of the neurological damage that he may or may not have suffered due to the length of his medically induced coma.

Please continue to pray!


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Sunday
November 16, 2008
Slowly Getting Stronger
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Today I spent an hour in the ICU with Ali and his father.  Ali's father was full of joy as his sons health continues to improve.  Ali's oxygen level fluctuates between 80 and 89%.  



As I spent time talking with Ali's father, Ali awoke and asked for some water and something to eat.  To my amazement, Ali's father was able to give him a drink and some small pieces of a tangerine.  Ali continued to ask for more and dad helped him little by little.  He seemed to struggle with every bite, but was determined to eat and drink.


Dr. Houry, the head of the ICU, said that Ali is a strong little boy and continues to fight to get well. The doctor's concern seemed to be focused on a very expensive drug that is being used. He said that this drug alone costs about $266 a day. Please keep praying  for Ali's continued recovery and for those who are helping to make him well.  Pray that they will not give up on this precious little child.


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Wednesday
November 12, 2008

Extubated Again; Stronger This Time
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As I walked into the ICU I was able to get a glimpse of Ali's stats.  His oxygen was in the upper 80's so I assumed he had not yet been extubated. When I approached his bed, I saw that I was wrong. They extubated him this afternoon and it appears that he is much stronger than the last time.  
 
Ali seems to be very uncomfortable and he is still begging for water. (In the picture you can see him lift his arm and point to the sink at the side of his bed.) Yesterday, after he begged me for several minutes for water, I finally got the nurse's approval, filled a sponge with water, and put it in his mouth.  A few minutes later he vomited the water along with the formula he receives via a feeding tube.

The doctors are very optimistic, always confirming that he is doing well.  Please continue to pray!


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Monday, November 10, 2008
Very Thirsty, Very Weak
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According to the doctors, Ali is continuing to improve and is doing really well.  They are going to try to wean him very slowly from the ventilator this time, in hopes that he will gain strength to breathe on his own.

While I was with him yesterday, I thought we were having some fun playing with a ball.  I would put the ball in Ali's hand and he would throw it towards the end of the bed.  After doing this a few times I saw that he had a very angry, almost tearful look on his face.  I realized that he wasn't playing, but was throwing the ball because he didn't want it.  Instead he wanted water.  It is so difficult to watch a child beg for water and not be able to give it to him.  More than any toy we put in front of his face, he wants water.  His father is able to fill a cloth with water and put it to his lips, but that is it.

I can't imagine how traumatic this must be for a three-year-old.  Ali's hands are tied down in order to prevent him from pulling out the various tubes attached to his body. He is fully conscious with two tubes running down his throat, and he is so weak that he can't sit up on his own.  Please continue to pray!


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Thursday, November 6, 2008
Ventilator Temporarily Re-Inserted
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I got to the hospital this evening to find Ali's father eating dinner by himself just outside the ICU.  With a sad look on his face, he told me that they had reinserted the ventilator this afternoon.

As I sat next to Ali in the ICU, he seemed to be sleeping pretty soundly. After about 15 minutes, his eyes suddenly shot open. He looked over at me and reached for me as if he wanted me to pick him up.  It was a sad sight to see.  He then just reached to the air continuously. He was asking for water.

The doctors said that the breathing tube will hopefully only be in for a few days.  His body was tired of having to breathe on its own and just needs to gain a little more strength before they remove the breathing tube permanently.  I did notice that, now that they have reinserted the breathing tube, his oxygen is higher than ever--around 85.

As I left, his father seemed in good spirits in spite of this.  He seems to understand that Ali is still doing really well, but the recovery process is slow. I thank God that Ali has such a patient father. There are few parents who could go through this and remain strong.  Please continue to pray for him.


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Tuesday, November 4, 2008
Thirsty, Uncomfortable When Awake
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Ali was sleeping today as I approached his bed. A few minutes after I arrived, the nurses came over and wanted to give him a bath, which quickly woke him up.  Afterwards, we sat him up and gave him water.  Even though Ali is properly hydrated, he drinks water as if he has just finished a long trek through the desert without any.  After he finishes a cup and his oxygen mask is on, he will reach for the cup, hold it in his hands and tilt the cup up on his mask trying to get another drop into his mouth.  The doctors will only allow him to have small amounts at a time, so after his first cup, we spend the next 15 minutes calming him as he begs for more.

Much to my surprise, he doesn't have the same reaction to food.  Yesterday, his father started feeding him yogurt.  He took only a couple bites before he turned his head away at the sight of the spoon.  Today, the nurses brought him 'soup'.  It looked more like a pumpkin colored paste.  Ali's father gave Ali one bite, which he swallowed with great difficulty.  Ali opened his mouth for a second bite, but this time he just couldn't swallow it.  Suddenly there was this pumpkin colored paste throughout his oxygen mask.  We cleaned it up and tried again.  Immediately Ali spit it out.  I leaned down and smelled it and his father did the same.  He then asked with a very curious and disgusted look on his face, "What is this?"  He put the lid on and turned around and threw it in the trash.  We laughed knowing that if someone tried to feed us this pumpkin colored paste, we would have the same reaction as Ali.  I told the nurses that we needed something different and they laughed too as if they never expected a child to really eat it.

Ali is continuing to improve off of the ventilator.  With an oxygen mask on, his saturation level is in the lower eighties, but he is miserable.  He sleeps most of the day, but the few hours that he is awake, he is very uncomfortable.  He can't even sit up without his father's help.  The doctors are very anxious for him to speak.  So far we have only heard soft cries.  If Ali begins to speak it will serve as another indicator regarding the neurological damage that Ali may have suffered because he was under anesthetic for such a long period of time.

It has been very difficult over the past month and a half to watch Ali lie  unconscious and fight for his life, but it is even more difficult to watch him now that he is aware of his suffering.  Please continue to pray!


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Sunday, November 2, 2008
Ali Successfully Extubated Today
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As I opened the door to the ICU this evening, the doctor on duty immediately stopped me and gave me a brief warning.  He said that they had extubated Ali today and because of this he is very sensitive.  He asked me to not to touch him or try and wake him.  However, as soon as I approached his bed, his father whispered in his ear that I was there and his eyes began to flutter open. 
 
He remains in a critical state.  He has a mask strapped to his face that helps with his oxygen level, but if he doesn't remain stable there is fear that they may have to reinsert the oxygen tube. 
 
Once I heard that he was extubated, I was hoping to find Ali in a more conscious state, but he still seems to be heavily sedated and has a hard time following any movement.  I have also noticed that he has lost a lot of weight.  I can wrap my thumb and index finger around his thigh.  Most of the muscle in his legs have deteriorated over the last month and a half.  When Ali does seem to wake up he immediately begins to pull at all of the numerous tubes attached to him. 
 
The long road to recovery has only just begun for Ali.  Please continue to pray.

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Sunday, October 26, 2008
Ali's Eyes Open and Following Movement
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When we got to the hospital we went to the ICU and Ali wasn't there.  We found him in the intermediate ICU.  They were adding a sprinkler system to the ICU, so all patients had been temporarily moved.

Alex was able to speak with the doctors and they reported that Ali is slowly getting better.  They thought that Ali may be blind or deaf because he was sedated for so long, but they found out that both his eyes and ears are fine.  The doctors are still unsure whether or not he has neurological damage.

Ali was previously on 10 medications and they have been reduced to four.  Last night his oxygen level went down, but has since come back up and remains in the mid-seventies. 

 

He is now moving his eyes and following movement, instead of staring straight ahead, and he seems to be very alert.  His dad was holding a blue bear and Ali reached up and grabbed it and shook it around.  Overall he looks so much better.  He looks like Ali before his surgery.

We want to thank everyone for all of their prayers, because God hears them and has answered.  This has been very encouraging for his father.  Ali is a miracle in progress.  Pray that he continues to get better.


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Wednesday, October 22, 2008
Looking Like Himself Again
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When I walked into the ICU today Ali was laying on his side snoring. I tried to talk to him a little, but he seemed to be pretty sound asleep. About 20 minutes later the medical staff gathered around him to discuss his case. With the sound of so many people around him, Ali’s eyes quickly popped open and stayed open until the doctors left. The overall report was that he is still improving and that the doctors are happy with his progress so far.

Today for the first time since his surgery Ali seemed to me to look like himself.  Most of his swelling has gone down with the exception for his abdomen. Ali was more alert today than before. He was even able to follow some of my movements.  This is a positive improvement.

However, as they reduce his medications, Ali becomes more aware of what is going on.  When he is awake he tries to gag every few minutes because of the breathing tube that runs down his throat.  His father said this morning he woke up and one of his hands was free and he managed to disconnect one of the tubes connected to his stomach.


After I left Ali, I joined his father, Sara’s father and Sara in the ward.  When I walked into the room Ali’s father was trying to convince Sara to eat something.  Erica was with me and we both looked at him with concern. Erica then told him that he needs to take his own advice. Ali’s father wasn’t a large man to begin with, but he has begun to look too skinny. He told us that his heart is heavy so he can’t eat a lot. He said that once Ali is out of the ICU he will eat a big meal.

Ali’s father has regained hope.  Please pray that God will be glorified in the life of Ali.

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