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Kale's Heart Surgery

Wednesday, October 29, 2008
The Rainbow: A Sign of God's Mercy and Healing
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After four months in Israel and a successful heart surgery, Kale and her mother are on their way home tonight. The first leg of their journey is the flight from Tel Aviv to Amman, Jordan, and early tomorrow morning they will meet Shanaw and her aunt in the airport to fly back to their families together. They were full of thanks and joy as they left even in the midst of the challenge of clearing customs at the airport.
 
Seeing Kale's grin grow wider through the day as the time approached for them to leave was a real treat. This morning she brought me a bookmark she and her mother had designed and hand-sewn as a farewell gift which I will treasure. A few hours later there was a tearful goodbye to Shanaw and her aunt who were crossing by car into Jordan this afternoon. Even though they will see each other in the morning, Kale's mother and Shanaw's aunt have grown so close that they were sad to miss even a little part of the journey together.
 
Just before we left for the airport a thunderstorm moved into Jerusalem, and just before it arrived at our house, we had the view of a beautiful rainbow arched over the Old City. I was reminded of this being the sign for God's mercy, and thankful for how His mercy was apparent in the healing of Kale's heart.
 
The customs officials allowed me to accompany Kale and her mother until the final departure concourse. They were thorough yet patient as they grasped the reality that this mother and daughter had been here for four months as Kale received the surgery necessary to save her life. All of their questions were answered satisfactorily after they brought an Arabic translator to us. The routine search of the bags was to check on a jar of honey Kale's mother wanted to take to her family, and a pair of shoes for her daughter, and then all was clear to send them on their way. During this process it was precious to hear Kale's mom explain that I will have a place in her heart always, and I assured her that they will also have a special place in mine.
 
As I watched them pass through the final security screening area, they would turn every few minutes and wave and blow kisses to me. What a sweet way to see them leave us ... and what a sweet reunion they will have tomorrow with their family back in Iraq! We thank God for all He has done.
 
Let's keep them in our prayers as they travel home tonight and tomorrow. Many good seeds were sown in their hearts during the time they were with us, and God's word will accomplish the purpose for which He sent it.
 

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Monday, October 27, 2008
A Good Report-- Kale Can Go Home
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Kale's final echo was to be done today. My husband Cherian, and our kids, Joshua and Nikita had the privilege to go along with this beautiful girl and her mother to the hospital.  As we waited, Kale joined Shanaw, Joshua, and Nikita in a soccer game, playing as vigorously as the rest of them. During the hour long drive, Kale and Nikita played Dreamer on the Game Boy (every little girl loves horses!). They giggled and talked as if they had been friends forever. Once at the hospital, they were joined by Shanaw who was also scheduled for an echo. They stenciled, colored and wrote thank you notes to the doctors as they waited.

Kale came out of the echo all smiles. The report on her heart was good. Praise God for the healing of her heart. They can now make final preparations to go home.  But Kale was not done just yet; she went around saying final goodbyes to her friends – Ali's father, Sara and her father. Before heading back to the Shevet house we stopped by McDonalds and Keleigh bought the kids ice cream cones one last time.

Kale will leave in a few days. Kale's mother is grateful and happy.  When I asked about her other children (Kale's sister and brother) back in Iraq, she said sadly, "I miss them." Please pray as they journey back to Iraq to be reunited with their family.


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Wednesday
October 22, 2008

Quick Progress in Recovery
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Kale had another echocardiogram today to determine if the water around her heart was decreasing. We arrived at the hospital around noon only to discover that the doctors were on their way to a meeting and wouldn’t be back for another couple of hours. Usually when we have time to pass at the hospital, we make our way to McDonald's and buy ice cream cones, but today their ice cream machine wasn’t working. We were forced to sit in the eating area with the food we had brought from home and wait. Surprisingly, the time went by pretty fast. Kale and Hevi were entertained by taking photos of themselves. Some of these photos turned out pretty good!

Once Kale was called in for her echo, it was determined that the water around her heart had decreased although some water remains. She has progressed so quickly in her recovery that the doctors said next Monday may be her final echo.

Even though we as a staff have become attached to both Kale and her mother, we are excited to see Kale return to Iraq with a healed heart.  Please continue to pray that this day will come soon.




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Sunday, October 19, 2008
Unscheduled Echo Reveals Water Around Heart
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Keleigh and I went to Wolfson Hospital today, with Kale, her mother, Shanaw, and her aunt.  Both girls were scheduled to have echocardiograms. 

When we arrived to the hospital we found out that Kale wasn’t scheduled for an echocardiogram today.  The doctors decided to do an echo anyway and it was a good thing they did.  They discovered that Kale has a bit of fluid around her heart, which wasn’t there a few days ago when she had her last echo.  Apparently this water, if left untreated, can build up and put pressure on the heart.  This sort of thing is not uncommon after surgery and is easily treatable.  She is due to go back for another echo next Wednesday.

Following both Kale and Shanaw’s echos we walked down to the children’s department to visit Sara who, we discovered had recently been transferred out of the ICU and into the ward.  We also were able to spend some time with Shada, the child from Gaza that arrived today and awaits surgery. 

Back at the Shevet house Kale’s cough is continuing to improve while she keeps us on our toes.  Kale, Shanaw and Hevi have been continual entertainment.  Not only have they had fun learning some English songs and games (Head, Shoulders, Knees and Toes is their favorite so far), but they also have a very good doctor routine going.  They use the plastic medical play-kit to perform ‘surgeries’ on the other children.  It has been a hit with the kids (and us)!

Thank you for supporting Kale and her mother while they awaited Kale’s surgery and also as Kale recovers.  They are very excited about their return home.  Your support has been appreciated, especially by Kale’s family. 

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Thursday, October 16, 2008
Admitted for Observation
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Nancy, Hank and I went to Wolfson Hospital today, partly to visit children who are currently recovering from surgery, but also taking along Kale and her mother. Kale needed to be checked out, as her cough has not gone away, and lately has seemed to get worse.
 
She doesn't particularly like needles, and we knew she'd likely find any repeat blood tests hard – but she did well when the bloods were taken.  It probably helped a lot that Hank kept distracting her by taking photos – she's very good at smiling for the camera!



Her breathing was checked, and according to the doctor her lungs were clear. She also had to go and get an x-ray, and echo (ECG) done.  Her echo test came back with a good result, which is fantastic. We don't know the results of the x-ray.



The doctors d
ecided to admit Kale for observation, waiting for results of the blood tests, as her cough is not improving.  Kale really only got upset when she realized she wasn't coming home to the Shevet house with us.  We left Kale and her mother to have lunch, and came back an hour or so later, to find Kale smiling again, and seeming happier.
 
Please pray that the doctors will figure out what is causing Kale's cough, and the best way to help her recover – also for Kale's mother, who was at times distressed at seeing her daughter having to go through the blood tests.   Thank you for your prayers and support!

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Sunday
October 12, 2008

Discharged After Just Six Days
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A spunky Kale greeted me today when I went to her room for her dismissal back to Jerusalem. Her mother and Kale were so excited that she was already able to leave the hospital only six days after her surgery. Indeed, she has her beautiful smile and charming personality as always, but is moving a little slower than before the surgery. We expect that to change quickly in the coming days!
 
Shanaw was called in for an echocardiogram this morning, so these two special friends were able to spend time together during our visit with other patients. When they became impatient to leave, Kale, with her creative imagination, decided to become the ''mom" and escort Shanaw on their way to Jerusalem.

Back at the house, all the families joined again for a happy welcome to Kale and her joyful mother. Kale is scheduled to return to Wolfson in one week for her first follow up echocardiogram. We pray she will continue to have God's touch as she is healing, and her body strengthening once more.

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Friday
October 10, 2008

Already On Her Feet
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Kale was in the same room with Shanaw when we visited today, sitting in her bed eating a snack. She looked so good. She didn't have the oxygen mask on any more and she was chattering away. She wanted me to come and sit with her and after I sat with her a short time I felt I needed to get her something to do since Shanaw was leaving. I quickly found an erasable writing board for her in the mall and when I got back she was up walking with no trouble at all. She is doing so well.

When we got ready to leave they all walked out to the mall with us (including Kale!) as far as they could go. It was hard for me to believe that this little girl could walk that far after just having heart surgery five days ago. God has done a miraculous healing in her life and her mother does give God the praise for this. All I can say is we have an awesome God who heals in many different ways. He has given these doctors the wisdom and knowledge they need to be a part of His marvelous love and we thank Him for them and pray that He'll bless them for what they are doing. It takes each one of us, the doctors, the nurses and all the workers, and the prayers and support, all these put together, working in unity. Thank you again and may God Bless you.   

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Tuesday
October 7, 2008

Hint of a Smile
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As I walked into the ICU, I was able to catch Kale's eye and the hint of a smile under her oxygen mask. The doctors continue to say that she is doing really well.  She shed a few tears as a tube from her neck was removed, and she seemed to be extremely thirsty, but otherwise in good spirits and on her way to a quick recovery.  Kale's mother is faithfully sitting by her side with occasional tears in her eyes as she praises God for Kale's healing.  Hopefully tomorrow she will be moved to the intermediate ICU.

Mary Dailey adds:

I saw Kale for the first time today since she's had her surgery. When we walked into the ICU she looked so little in that big hospital bed with the oxygen mask on her face. Fatima (a volunteer for "Save A Child's Heart") was beside her bed and I heard her tell Kile's mother that she was a happy child.

When we got to her bedside she was chattering away, even with her oxygen mask on. She told her mother to call her father that she wanted to talk to him. The nurse told them it was o.k. The only problem I could see was she was coughing a good bit but other then that she really looked good. She had that glowing complexion and what really blessed me was when I told her I loved her she answered back "I love you too," and you could really tell she meant it. Thank you everyone for praying for her and supporting her. This will be a big change in her life for the better. She'll be able to do all the wonderful things that children like to do without any worries about her life. The doctor said that this was a successful surgery and we know that this is another miracle of God because He loves and cares for His children. Thank you all so much because without you prayers and support this could not have been done.

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Monday
October 6, 2008

"A Perfect Surgery"
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This morning Kale went off down the hall toward the operating room, but there she had to have an unexpected last-minute check-up from Dr. Alona because of a persistent cough. After the examination, Dr. Alona said to Kale's mother, "Don't worry! Everything is fine, it's ok. The surgery will be perfect!" 
 
The whole situation was rather dramatic, as the combination of nerves, not being able to eat before surgery, and coughing made Kale sick to her stomach as we waited in the pre-op room. The nurse who'd come to take her right at that moment told us that because Kale was sick, she could not go to surgery. She called for the doctor to come and verify the situation as Kale's mother's countenance fell and Kale became more distressed. Several of the OR nurses came into the room to examine Kale and ask questions of her mother until Dr. Alona arrived. Thankfully and happily, Dr. Alona's report gave the green light for Kale's surgery to proceed and Mom made her last goodbye.
 
Shanaw's aunt joined us, and later both Abu Ali and Abu Sara were with us as we waited together through the morning and early afternoon. Kale's mother prayed continuously and read the Koran. Shanaw's aunt Sara joined her in prayer support - these two beautiful friends have been such encouragers of one another. Dr. Alona came to give us two reports through the wait, both with good news on the progress. Then we had the great moment of relief for Kale's mother when she saw her daughter being wheeled down the hall toward the ICU.

Dr. Alona was the first one with the report that as promised "the surgery was perfect!" Kale's mother was full of thanks to the doctor, and we both thanked God together as we walked down the hall to await Kale coming up to the ICU.

After some tears of joy Kale's mother called her husband to let him know Kale was out of surgery. After about half an hour's wait, Kale's mother was allowed into the ICU. She observed her daughter for a few minutes, and then we requested permission from the head of the ICU to bring in her video camera so she would have a record for her family at home of how Kale progressed in her recuperation.
 
Please join us in thanking God for this good report of Kale's perfect surgery! Pray that her recuperation will also be perfect with God as the receiver of all the glory for her healing. Pray for her mother to have the stamina needed as she begins the supervision of Kale's recuperation day by day.

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Sunday, October 5, 2008
Excited and Anxious on Surgery Eve
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At last Kale's turn has come to go for her heart surgery, and today she was admitted for tomorrow morning's surgery. Although they are thankful and excited for this long-awaited moment, it was clear that their anxiety level was considerably higher today as our departure time approached. We gathered around Kale and her mother to pray and headed down from Jerusalem to the hospital near Tel Aviv just after lunch.
 
Kale did not even try to hide her fear and dislike of the blood work and IV catheter process - I think everyone in the ward could probably hear her cries! After this was over Kale was gradually more comfortable, and when she heard that Shanaw was in the intermediate ICU walked down to see if these two friends might be able to get a glimpse of each other. And later, as they waited to sign the papers oking the surgery, Kale found her way into the playroom. I left her quite contented there this evening.
 
Please pray for Kale to overcome her fear in the morning as she goes for her surgery. Pray for peace for her dear mother as she says goodbye and spends the day waiting for the results. She said to me several times this afternoon "Tomorrow at this time Kale's surgery will be over," and her face and voice were full of hope for the outcome. I too am full of hope for Kale, as I know God has a hope and a future for her.  

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Thursday, September 18, 2008
Kale Makes Jewelry
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On Monday evening we had a "birthday party" for the fun of it, for all the girls here at the house. A special friend made a cake for them, and they were very excited and looking forward to sharing it with everyone who could gather to enjoy it. After the evening iftar meal to break the Ramadan fast, the celebration began. It was a lot of fun for four little girls waiting to have their turn for heart surgeries, and all of us who were celebrating with them.

 

Some visitors from the US who came on Tuesday to learn more about Shevet Achim also brought several suitcases filled with supplies for the families. Among them were personal items for everyone, and toys, games and crafts for the children. This afternoon I looked through the collection and found what seemed the perfect way for getting the creative juices of these little ladies flowing.



What I didn't expect was the enthusiasm of the parents to get in on the opportunity by helping with the project.



There were many lovely pieces of jewelry created today here in the Shevet 
courtyard. Everyone loved this craft activity, and says "THANK YOU!"



We thank God for the generosity of friends who've shared gifts like these with us from time to time,  and the joy these gifts bring to our guests while they're here with us. Enjoy the "Shevet collection"! :-)

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Wednesday, September 10, 2008
Kale Having Fun in Jerusalem

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A month ago we were informed that the surgeon was going on a two week vacation causing all surgeries to be postponed.  We were told that all of the children staying at the Shevet house would be on the surgery schedule for the first two weeks of September.  The first week of September has come and gone without any surgeries taking place.  It was especially difficult for these families to see Shana and Mawa come to Israel a few weeks after them and then leave yesterday healthy.  It has been nearly two months since the children made their journey to Israel.  The hospital has completed all the necessary tests that are required before surgery.  Now they must wait. 

 

In the meantime the children have found many activities to pass the time.  The Shevet office is decorated with their artwork, they had a water fight on the roof, and most recently we took a trip to the zoo. 

I think this group of kids enjoyed the zoo more than any other group.  For most of them it was their first time seeing anything like this.  As soon as we saw the first exhibit, the penguins, a few of the parents were on their phones calling their family in Iraq telling them where they were at and then passing the phone on to the children so that they could relay their excitement.  We had a great time. 

 

Most of the children dread the actual operation, but they have waited so long that even they are getting restless.  They miss their families back home so much that they want to get it over with.  Please pray that the doctors will be able to fit them into their schedule and pray for patience as they continue to wait.


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Thursday, August 14, 2008
Kale Has Her First Echo
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Kale went to the hospital on Sunday for blood work and her first echocardiogram.  She cried at the sight of the needle as her mother tried to calm her.  One of the interns performed the echocardiogram on Kale, which took over an hour.  The intern wanted the resident doctor to see Kale’s condition so she was brought back in for a second look.  Kale’s mother, being a Kurdish speaker didn’t understand what was going on.  About fifteen minutes into the second echocardiogram I looked over to find her mom sobbing.  She thought that Kale’s condition was worse than her previous diagnosis because they brought her back in for a second echo.  The doctors were able to reassure her that Kale was operable and that they hadn’t found an additional problem.  Her echocardiogram revealed that Kale has two holes in her heart.  The doctors explained to her mother that Kale’s surgery will be only moderately difficult and that the prognosis is good.

The head surgeon will be out for the next two weeks so all of the patients in Jerusalem are scheduled for surgery in September.  In the meantime Kale, Shanaw and Hevi have taken it upon themselves to decorate the Shevet building with their artwork.  In the evening the mothers have seen mice, which they are deathly afraid of.  Kale and Shanaw decided to draw pretend mice to use to scare the others.  Nearly every day they spend coloring pictures of themselves, coloring pictures of Iraq, or making Kurdish name tags for our desks.  It has been great watching them have so much fun as they wait for their surgeries.

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Wednesday, August 6, 2008
Kale's Groundbreaking Arrival
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Today Kale and her mother made border-crossing history by landing at the Tel Aviv Ben Gurion airport at 4:30 p.m. Israel time.  Traditionally Dirk, Shevet’s Jordan Coordinator, is able to secure a visa for Iraqis to fly to Amman and then make the trip over land into Israel.  For unknown reasons, Jordan rejected Kale’s mother’s request for a Jordanian visa so that Kale and her mother could make their way to Israel for life saving surgery.  Today, Shevet Achim tried something new: we flew them all the way to Tel Aviv.

Copious phone calls were made and paperwork was double checked in order to make the arrival as smooth as possible.  When Keleigh and I arrived at the airport at 5:00 p.m. we began to carefully scan the arrivals so we would not miss Kale and her mother who were surely frightened. 

After a good deal of waiting, my phone rang.   Someone from our partner organization, Save a Child’s Heart, called to inform me that Kale and her mother were already in Israel and they were on their way to the hospital in a taxi (this turned out to be incorrect - the mother only knew one work of Arabic, "hospital" and had accidentally misled us).  In reality they had remarkably managed to clear security and customs in under 45 minutes and had slipped out past us!

Kale and her mother had made their way to the taxi station.  A taxi driver, sensing their confusion, used his phone to call the Save a Child’s Heart phone number on Kale’s medical form.  The head of the taxi station felt something was amiss so he stopped them from getting into the taxi and was able to extract my mobile number from the contact information they carried. 
Within minutes I found them waiting just inside the terminal with the chief of the taxi service protecting them from onlookers.  I shook hands gratefully with the Jewish angel in disguise and he released them to me with a warm grin.

After a round of grateful smiles and sighs of relief we made our way to my car.  Once in the vehicle I handed over some “pop rocks” (click the play arrow below to have a look).  

The ice was broken as we all put a handful of the crystals in our mouths and tasted the sweet popping candy.  Kale gave her first smile. 

Kale and her mother spent the rest of the trip mesmerized by the shifting landscape on our uneventful ride up to Jerusalem. They are now quietly unpacking and getting adjusted to the cooler Jerusalem climate.  

Kale goes for her first blood work tomorrow.  Though her airport adventure is over the long road to healing has just begun.  Please be in prayer with us as her miracle of healing and grace unfolds.






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Our name Shevet Achim is taken from the Hebrew of Psalm 133:  How good and how pleasant for
brothers to dwell together in unity... for there the LORD commanded the blessing--life forevermore.
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