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Halo's Heart Surgery

Saturday
September 1, 2007
Saying Goodbye
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Today Halo and his father are on their way to Amman, where early tomorrow morning they will catch their flight for Iraq. After saying goodbye to the Shevet Achim staff in Jerusalem yesterday, we made our way to the border, and said goodbye to Israel. After a good night's rest and plenty of good food mixed with times of laughter and conversation, we agreed to Halo's father's request that they go ahead to Amman on the bus from Dirk's. So just a few hours ago, we said our final goodbyes to Halo and his dad as we drove them to the bus.  
 
Here is how the last day and a half have gone: The border crossing was very smooth for all of us; thank you for praying. We were even blessed to be able to walk straight out of the Israeli terminal and onto the waiting bus which crosses to Jordan rather than having to sit in the very hot bus stop until another bus came. This may sound small, but in the draining heat, (especially for Halo) it was a big blessing for us. After easily being approved at the Jordanian terminal, we did have to wait awhile outside as Dirk made his way to meet us. However when Halo was presented with a gift of some magnets (sent by interested friends in the US to share with the patients), his fun with them made the time pass quickly. On our way to Dirk's home however, we had a bit of trouble with the van as it overheated on our way through the mountains, so we didn't get to Dirk's until last night after a full day of travel. Needless to say we all were anxious for a good night's rest!
 
Today I had opportunity to share with them some cards made for Halo by children in a church in the US. These children have been praying for Halo since he was first listed on the website. The cards came to Jerusalem for Halo before he did, so when I returned from America, and found he had not yet received them, I was happy to be able to give them to him as a farewell gift. He was delighted to see the children who made the cards, and his father was touched as he read the Arabic translations of some prayers which came by email for Halo as well.  
 
Before a big farewell lunch prepared for Halo and his dad, we gathered for a time of singing and prayer for them. We not only thanked God for all He has done so far, we also prayed for a miracle for Halo's heart in the future, and blessings on Halo's father's work, and the family. We are hopeful that Halo's mother will be completely healed of the cancer, and prayed for this as well. We are thankful and joyful in knowing that the answers to all of these prayers are found in Jesus and His loving sacrifice made for every person, including this little boy and his family. Therefore we can send them on with confidence, knowing His word shared with others accomplishes the purposes He sends it for, and He is with them every step of the way. 

Our volunteer LC adds:

Yesterday, Halo and his father made their way home after spending one-and-a-half months in Israel. We set off for the Bet Shean crossing into Jordan as soon as we got Halo’s prescribed medicine from the pharmacy. 

The border crossing went rather smoothly, with the usual security checks. We were early and had to wait for almost an hour on the Jordan side. Unfortunately, the weather was particularly hot and there was hardly any breeze.

Halo kept making tsk-tsk sounds and saying, “Geermah! Geermah!” (Kurdish for “Hot! Hot!”). After a while, Halo's father splashed Halo’s face with their bottle of drinking water to cool him down! Below, he's pictured drying off his ears.

Because of the long distance Dirk had driven all the way to pick us up at Bet Shean, the engine of the van was over-heated. We had to stop a couple of times to cool the vehicle and the air-conditioning was turned off. Halo was given a large bottle of iced-water (which Dirk had brought) to hold up to his face and neck, while Halo's father fanned him vigorously with a book! 

Eventually we got to a gas station to attend to the over-heated engine while Halo took off to the toilet. I joked with Halo that both he and the van needed the “harmum” (toilet/shower) and “ow” (water). Halo squealed with laughter. A while later, Halo whispered in my ear, “No good sierra” (the van is no good) and signaled with his finger to his lips, “woos”… meaning that I should not tell the others what he just said!

When we got to Dirk’s home, the entire Kleinloh troop came to welcome Halo, who by then was pretty tired and seemed listless! 

Both Dirk and Manuela were amazed at how much weight Halo has put on since they last saw him before his operation, and at how much weight Halo's father has lost in the meantime!

This morning we had a short time of singing, and we gave thanks to GOD for Halo’s successful surgery and fine recovery. We also prayed for Halo’s sick mother in Iraq. Halo's father thanked all who have been involved in helping his son and said, “alhumduulilla” (thanks be to GOD).

Manuela cooked a wonderful lunch, with chicken done the German-style. Halo heartily tucked into this last meal we all had together before leaving for Amman where Halo's father wanted to do some last-minute shopping before their flight home to Iraq.



Thursday
August 30, 2007
Halo Is Going Home!
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The long-awaited word of Halo's dismissal was just what his father had hoped to hear today after Dr. Tamir performed the final echo. None of us were very sure that he could be released to travel after the seriousness of the fluid around his heart last week, but the echo showed that there was no fluid today. Praise God! The relief to Halo's father was tangible, and through the rest of the day and this evening his whole disposition is changed. He is so very anxious to get home to his wife who is suffering from cancer.
 
Halo was more concerned about having lunch for the immediate reaction since his appetite has increased following his surgery. As Dr. Tamir noted, he seems to be making up for all the years he didn't feel like eating when he was sick. He will go home on some medications which will continue to thwart any possibility of further problems with fluid build up. The doctors and nurses were very careful to be sure all of us knew how much medication he needed and how to administer it before they leave for home.
 
There were some fond farewells between Halo's father and Maryam's father, who have been a wonderful support for one another throughout this process of waiting, surgery, recuperation and follow up.
 
Tomorrow morning LC, Halo, his father and I will leave from Jerusalem escorted by Simantov, and cross into Jordan where our Jordan coordinator, Dirk, will meet us on the other side and take us to his home for a few days.  Sunday we will accompany Halo and his father to the airport where they will fly home for their wonderful family reunion.
 
Please pray for our border crossing tomorrow, and for a restful stay with Dirk's family as we await the flight on Sunday. Pray fervently for Halo's mother to be healed of the cancer, as we know we have a God who heals. Remember that the current diagnosis for Halo includes another surgery in about one year, so may we also pray in faith for the total healing of Halo's heart.

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Sunday, August 26, 2007
Dismissed to Jerusalem
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After spending four days in the hospital due to increased fluid around his heart, Halo was dismissed back to Jerusalem this afternoon. We found him and his dad happily and anxiously waiting when we arrived, but took time to visit with Maryam before heading back. Halo is finishing some Prednisone which has been treating his fluid build-up, and is due to have his final echo on Thursday. God willing, he will be dismissed to go back to Iraq then.
 
By the time we arrived at the Shevet house, Halo was feeling rather sad, as he misses his mother... and was not readily consoled. However, he was also hungry, and a visit by the Berg children helped settle him while he enjoyed a little dinner.
 
Please pray with us that Halo will be released on Thursday and we can escort him home right afterwards.

His father is determinedly waiting it out, but rather impatient to get back to his wife and children... understandably so.

We know that God has all things related to this family under His care even when His timing is beyond us, and we trust Him as He does His work in their lives.

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Thursday
August 23, 2007
Fever Gone; Good Appetite
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When I met Halo this morning, he was having a hearty breakfast of fried chicken and chips brought by a well-wisher. I had my camera rolling when Halo was ever-ready to show what a good appetite he has! 

 


Halo's fever has gone. The doctor explained that the fever could be due to the inflammation of his heart as a result of the buildup of fluids around it. Yesterday's blood culture came back negative, but nothing can be confirmed as yet, as something may surface from the blood culture after a couple of days. Hopefully the results will remain negative, which would mean that Halo did not get an infection.
 
Halo will have another echocardiogram tomorrow to check on the presence of fluids around his heart. Do pray for the LORD's healing touch upon him, and for Halo's father, who is still believing that Halo should be discharged right after the echo.
 
When Halo woke up from his afternoon nap, he accepted my invitation to visit Maryam and walked with me to her ward with his father's blessings. Halo's dad did not come along as he wanted some time alone. Maryam was delighted to see Halo although she didn't talk much, as she was still feeling pain in her body.
 
We had some fun pointing to the various activities of elephants in the prints on the nurse's uniform. Halo particularly liked the elephant which was showering a bird. He laughed when I said, "F'eel harmam" (ie. elephant bathing).



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Wednesday, August 22, 2007
Feverish Halo Re-Admitted to Hospital
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Shortly after 10.30am this morning, Halo's father told us that Halo was running a fever. Donna took his temperature, and it was 38 degrees Centigrade. Halo was very lethargic, and kept crying "Janagah, janagah!" (pain, pain) and indicated that his arms hurt. Later his father coaxed him to eat, but he threw up the food almost immediately. When I checked his temperature again, it had gone up to 38.6 degrees C.
 
We took Halo to Wolfson, and Dr Tamir was surprised to see him because his "echo" was not until tomorrow. But the symptoms called for an immediate echo and blood test. The echo determined that there has been a build up of more fluid around his heart, and Halo had to be re-admitted.
 
When Dr Tamir explained the situation to Halo's father, the father was extremely discouraged as he was mentally geared towards leaving for Iraq after the 'final' echo originally scheduled for tomorrow. He desperately wants to be home as soon as possible, as his wife is suffering from breast cancer. Please pray fervently for him to be ministered to by the Holy Spirit in supernatural ways so that even through this present crisis, he and his household will come to know the Master Healer who saves precious lives.


On a lighter note: After I took a photo of Halo in his "penguin pose" while he was waiting for his blood test, I got a slight smile from the boy when I showed him his photo. Then I started to video Halo and then panned the camera over to his sullen-looking father, whereupon I heard a chuckle and saw Halo trying to control his laughter! This little fellow does have an interesting sense of humour! Click on the video and you can see Halo chuckling away.



 
Halo started to cry when he was anticipating the pain from the prick of the needle during the blood test. But when he saw his father covering his own nose with lots of paper towels to avoid the smell of blood, he broke out into laughter again.

He laughed even harder when I praised him, because I got my Kurdish words all mixed up! Now who was it who said, "Laughter is the best medicine"?
 
When we left the hospital, Halo was sleeping soundly while Halo's father was still very much distressed and preferred to be left alone. Please join us in prayer for this dear father and son as they walk through this difficult phase.

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Sunday, August 19, 2007
Fluid Around Halo's Heart
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Today Halo returned to Wolfson for his supposedly final echocardiogram. But when the procedure took longer than usual, and with Dr Tam having to get a second opinion from Dr Tamir, we became quite concerned.
 
We were then told that there is fluid around Halo's heart, and Dr Tamir was reluctant to release Halo to return home, much to Halo's father's disappointment. The Wolfson medical staff wants to make doubly sure that Halo's condition does not deteriorate, as a build-up of fluids around his heart can become life-threatening. 
 
Halo is scheduled for another "echo" on Thursday to monitor his condition. Please join us in prayer for the LORD's healing upon Halo, and for Halo's father to keep his spirits up and make the most of this time while they are in Israel.
 
PS: Besides constantly teasing me with his favorite greeting "Seram janagah!" (head-ache!), Halo is also picking up many English words. He gives me the Kurdish words for the fruits and animals I point out to him in English. Indeed, both of us are making the most of his extended stay in Jerusalem! 

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Saturday Night, August 18, 2007
Final(?) Echocardiogram Tomorrow
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Halo and his father have been staying at the Shevet House on Prophets Street in Jerusalem since last Sunday when they came over from Tel Aviv. Halo is due for his echo-cardiogram tomorrow, and this will determine if he's fit to return home.

 
On Thursday, both Halo and his father returned to Wolfson Hospital with the Shevet volunteers to visit Maryam and Hadeel. There he met a couple of patients from Rwanda and played a "Matching-3-cards" game with them. 
 
Thursday evening, after Halo's return from his day trip, I found him voluntarily sweeping in the garden while his father looked on contentedly, delighted that his boy has the stamina to carry out such an activity! 

Earlier in the week, Halo wanted to push the cart when we shopped for groceries at the supermart. Indeed, this boy is growing stronger by the day, thanks be to GOD! 
 
In the meantime, Halo is picking up some English words but his greater amusement comes from teaching me Kurdish, and especially making fun of me by repeatedly greeting me with the first Kurdish word he heard me say:"Seram janagah", which means "headache". I had learnt this very expressive word from Um Zhino when we were coping with challenging situations over in Haifa!

And here's a picture of Halo waving on his way home from the shuk (open-air market) yesterday.


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Sunday, August 12, 2007
Halo Discharged from Hospital
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Today, when I visited the Iraqi children at Wolfson in Tel Aviv (it's been over three weeks since I last met them, as I'm based in Haifa), Halo met me with a firm and strong Hi-5 'whack'. This little boy is getting stronger by the day since his successful surgery just two weeks ago. And his father says Halo has been eating very well too. Praise the LORD for Halo's speedy recovery and healthy growth!

 
Halo played a little paper-ball game with Maryam before leaving Wolfson Hospital and he was intent on getting his hands into a surgical glove when I asked him to pose for a photo with his playmate.
 
Here's a video of Halo and Maryam playing ball. Just click the arrow:



Halo and his father are now at the Shevet house in Jerusalem, and will return to Wolfson in a week's time for a final echocardiogram to determine his fitness to return to Iraq.

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Sunday, August 5, 2007
Halo's Highway to Healing
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Halo continues to make a miraculously speedy recovery!
Still grinning with the trademark Halo smile, he is in the children's ward and well clear of the ICU. Even the nurses are amazed at his recovery. Amidst the birthday celebrations today, I found Halo jealously hoarding a rather large piece of cake on his bed. We sat together happily, him chewing mouthfuls of cake and I regarding his pink lips and peachy skin which just days before had been a worrying shade of blue. Halo however was more interested in trying to take pictures of me than in letting me take a photo of him. Halo's father's mood is a complete reflection of his child's progress--as Halo recovers from his heart surgery, so the joy in Halo's father's heart is returning and bringing healing.

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Tuesday, July 31, 2007
Smiling and Extubated
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What a joy to see Halo smiling and already
extubated within 24 hours of surgery! Tuesday brought great reports from the ICU all around. Halo's was no exception. Already drinking water from a cup, Halo is making wonderful progress. Maryam and her dad traveled from Jerusalem to Tel Aviv with me today, to celebrate his successful surgery. Upon arriving at the hospital, Maryam picked out a larger-than-life Bugs Bunny helium balloon, convinced that it would be the best one for cheering up Halo. Unfortunately, she and her father were stopped short of Halo's bedside in the ICU, since they aren't family members. That was a disappointment, but perhaps a blessing in disguise: Since Maryam hasn't had her operation yet, the tubes, blood, iodine, etc., could have alarmed her.

As we were arriving, Abu Halo was heading off to grab lunch at the cafeteria and gave us meal passes to join him. We sat down with a couple of parents from Gaza whose children are both in the ICU as well. The continued "thanks to God" were rolling off their lips as three of their children have made it through surgery in the past three days. Their camaraderie is fun to see!

Dr. Eli said he was pleased with Halo's recovery up to this point and didn't allude to having to deal with the bleeding in his left ventricle anymore. Halo's lips truly are a beautiful, healthy shade of red. His fingers and toes are slowly returning to a normal pigment as well. His father proudly shows off his extremities as if they were his trophies. Take note below that his father even has a little grin on his face. I think I caught him off guard because as you can tell from previous pictures, he is not a fan of smiling for cameras.
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Monday, July 30, 2007
Recovering in ICU After 4-Hour Surgery
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Today I walked into the Wolfson Medical Center and encountered the unshaven, tired-eyed father of Halo. Halo’s father has been waiting several months for this monumental day. 

We dispensed with the pleasantries quickly so we could find out how is son was doing.   With his hand over his heart and a furrowed brow he said, "All is well.” 

After a four-hour, somewhat simple surgery, Halo emerged with pinker lips and fingers, compared to the ominous blue extremities he has had most of his life.  In questioning a doctor I found out that there was some concern that he was bleeding from his left ventricle. While in the ICU I watched them change the tube draining the blood and insert a new one.  There was discussion about whether or not a procedure was needed to curve the bleeding.  For now they have decided against it.

Please remember that the surgery is sometimes the easy part.  Now begins the long process of healing.  We will know more as the days progess.  Please keep praying.


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Thursday
July 26, 2007
Surgery Slated for Monday
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His contagious smile and easy giggle continue to
win the hearts of the staff and patients over in the children's ward of Wolfson Medical Center."Hello Halo, hello Halo," chimes his five-year-old Ethiopian roommate, amused at the catchiness of the phrase.

Halo spent Thursday afternoon coloring and attaching stickers to his sticker book in the children's ward at Wolfson Medical Center. Abu Halo is in good company with Abu Hossein from Gaza, who shares the same room with him. Both of their sons are due for surgery next week! Halo is tentatively scheduled for Monday morning. You could tell that getting a date from the doctors made Abu Halo's day on Thursday.

Halo laughed as I began to help him color a picture of a bulldozer. I couldn't figure out why he thought it was amusing. Perhaps he thought it was strange that I wasn't deviating from the lines. Then it dawned on me that he was copying the corresponding sticker as he colored each picture, meticulous to follow the exact color scheme. I wish I could tell what exactly was going through this little guy's mind. But amazingly enough, I felt that we communicated a lot today through simply coloring. When trying to break the language barrier by asking what 'bulldozer' was in Kurdish, I discovered it was the same word. Phew, one word I don't have to think of a pnemonic device for. Too bad it wasn't a word that I would actually use again though!

Endurance. This will be much needed for Abu Halo throughout the weekend and into the next week, when the procedure is underway. We praise God that things are starting to roll forward for this little boy who is in need of heart repair.

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Tuesday
July 24, 2007
Back to Hospital After Fainting
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After a fun-filled day in Tel Aviv, Halo came
back to Jerusalem and wasn't feeling so great Monday night. His lips were bluer than usual and Abu Halo said he fainted as well. Between this current concern and running out of his blood pressure medication, a visit to the doctors at Wolfson became a high priority for Tuesday.

The doctors checked in Halo for the night on Tuesday, so they can keep him under good observation. When I left him in the hospital this evening he was eating a sandwich and relaxing on his bed. Still smiling, this little guy has such perseverance! He gets tired so easily, but hopefully that will change soon as he may receive surgery as early as next week!


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Monday, July 23, 2007
First Time at the Beach
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We escorted Halo and Maryam and their fathers to the tuberculosis clinic in Tel Aviv. The fathers needed X-rays to clarify whether or not they had TB. Praise the Lord that we found both fathers to be clear of TB. To celebrate we took them to see the Mediterranean.

I turned around and asked the children if they had ever seen the sea. They responded, "No." As our van began to turn onto the road that ran parallel to the sea, I witnessed them craning their heads, straining to see this creation that to them was only a word. When the expanse of blue came into their full vision they sat in awed silence for two seconds and then squealed simultaneously, "The sea!"

Click the arrow below to play a video of Halo getting his sandals wet for the first time:



And later, wading into the water:



Throughout the day Halo moved in the sea and on the beach at his meticulous pace. Every movement for him is a strain since he has less oxygen in his blood than the normal child. Please pray that as Halo and his father witness the Lord's beauty in Israel, they will have the faith to witness the Lord's healing.

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Sunday, July 22, 2007
Exposed to Tuberculosis
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Halo has really warmed up to the Shevet staff in Jerusalem as he continues to wait for heart surgery. To pass time, he and Maryam like to play with balls in the courtyard, watch soccer on TV and do anything with the Berg kids.

Last week we found out that Halo had a positive PPD test, which screens for tuberculosis (TB). We don't believe he has the active form of TB, but the doctors gave him a prescription for an anti-TB drug as a preventative measure.  Because Abu Halo and Abu Maryam also had positive tests, tomorrow they will get chest x-rays to confirm that they don't have TB as well. Most likely they were exposed to it back in Iraq, which is enough to indicate a positive PPD. Please pray that none of them have TB!

Halo is such a sweet little guy. He has an easy laugh that can be triggered by just about anything. He is very observant, and often will stay in the background and watch others. I wonder if after his surgery he will feel more freedom to freely engage and play.

Halo should be admitted later this week to Wolfson Medical Center. The first step at the hospital toward his heart surgery is a cardiac catheterization. The kids have to fast starting the night before, which is never fun.

Please lift
up Halo this week as the Lord prompts you.

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Monday
July 16, 2007
CT Scan Tomorrow
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Although I met Halo only once in Amman, Jordan, about a week ago, he recognised me almost at once when I visited him at Wolfson Hospital today. He grinned broadly each time I called his name, and he was thrilled when his dad allowed him to take a photo of us with his mobile phone.

 
Halo simply enjoys watching the videos I take of him, and he seems to be making the most of this opportunity to say "Hi!" to all of you reading his blog. (Click on the arrow below to play a video.)



Halo will have a CT scan early tomorrow (Tuesday) morning at 7.30. This was conveyed to Abu Halo by Um Hussein acting as the translator. Um Hussein will be greatly missed by the Iraqi parents when she and Hussein leave for Jerusalem today en route home to Iraq.
 
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Thursday, July 12, 2007 
Halo Admitted to Hospital
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Halo was a brave boy today, as he went through a series of tests and procedures upon arrival at Wolfson Medical Center. His oxygen saturation was as low at 64%, but with the help of a temporary mask he was breathing at 85% quite quickly. Halo's unusually clubbed fingernails were spotted by the staff, and they grabbed other nurses and doctors to see it as well. Evidently, the extremity of his case is not seen everyday here at Wolfson!

After an in-depth echo the doctor decided to admit Halo into the hospital for monitoring. This was decided while discussing his health history, when Abu Halo shared that Halo has fainting spells once or twice a week, due to his bad circulation.

There was a lot of waiting in between chest x-rays and lab tests and everything else, so Maryam and Halo spent some time hanging out in the fish room. They were intrigued by the aquarium, especially this black fish that appeared to be the bully of the crew, chasing the rest around as if it thought it were a shark! They also retrieved a number of stray balloons from the ceiling and had fun playing with those.

Abu Halo will stay at the hospital this evening as well. During the next week, Halo will probably have a series of additional tests, such as an MRI or CT scan, as his cased is considered rather complicated by the doctors. If you're interested in knowing more about the overall condition of Halo's heart, here's a link to learn more about what he has. It's called Tetralogy of Fallot:
http://www.americanheart.org/presenter.jhtml?identifier=11071
 
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Wednesday, July 11, 2007 
First Face-to-face With Israelis
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Crossing the border with record speed, Alex and I welcomed six-year-old Halo (pictured above at far right), Maryam (age 11) and their fathers from Iraq to Israel early this evening. We arrived at the Shevet house in Jerusalem around 7 pm, and stayed only long enough to put their luggage in their rooms. The fathers seemed eager to explore the city and to take care of some business, so we headed out into the city. Abu Halo and Abu Maryam needed SIM cards for their cell phones to call home, as well as some groceries. The open-air market (called 'bazaar' in Kurdish) was our first stop. Here you can get some great deals, like hot-out-of-the-oven pita, 10 for $1. The scents of exotic spices, fish, pastries, and shwarma meat permeate the air and combine for a unique aroma. 

When the fathers stopped for a shwarma sandwich on Ben Yehuda Street (pictured above), we once again witnessed the joyful miracle of two "enemy" cultures coming face-to-face as they tried to communicate their order to the Israeli workers. The language barrier with Abu Halo is rather difficult at times, as he only speaks Kurdish. Thankfully Abu Maryam is an Arabic speaker, which also helps the Shevet staff communicate with the dads. At times like this we are particularly thankful for Raneen and Stephan, two Arabic-speaking staff members who also live at the house. As I write this, Stephan is out with the four Iraqis on a night tour of Jerusalem.

Halo will travel to Tel Aviv on Thursday morning for his first appointment with cardiologist Dr. Akiva Tamir at the Wolfson Medical Center. Currently, Halo's lips are blue, his fingers and toes are extremely clubbed (a hallmark sign for heart problems) and his stamina is weak. However, it was a joy to hear him laughing in the back seat of the van as we drove through the Jordan Valley on our way to Jerusalem. He's obviously got something to be happy about, and hopefully the next time he travels through the Jordan Valley, on the way back home, he'll have even more to smile about!

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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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