Hana's Heart Surgery

Sunday
May 20, 2007

Hana is Home
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Today we brought Um Hana and her little daughter to the airport in Jordan, and said goodbye to them. Hana remains on our heart as we can see her reacting to sounds, voices, touches, and movements. She is pictured here sitting with us around the table in our kitchen. She enjoys massaging of her little feet and is frightened by loud sounds.

Please keep her and her family in your prayers. Um Hana says thank you from all of her heart. Her husband phoned later in the afternoon to say that they had safely arrived home in Iraq. He also says thank you from all of his heart.  

We can bring more children to Israel for heart surgeries by clicking here.


Sabbath Eve
May 18, 2007

Goodbye to Hana
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Again today God proved Himself faithful in going ahead of us to prepare a smooth border crossing as Hana and her mother headed home. It was an emotional goodbye for everyone both in Jerusalem and at the border. Um Hana is a real people- person, and formed special relationships with each of us women who'd come to know each other during Hana's stay here. It seemed that today there was a release of much pent-up emotion as she began her goodbyes.
 
Um Hana was ready with everything packed well before we needed to leave, and was waiting patiently when two new friends arrived who would ride to the border with us today as they travelled to Jordan. They are a Finnish couple who are working with Bible translation here in Israel. This couple was able to fill the little gap that I had wondered about as we planned for Hana's departure -- the short bus ride across the Jordan River when Um Hana would be alone before meeting Dirk at the Jordan terminal. This gave me such peace and joy that God had every moment covered with help - extra hands and feet to help Um Hana take her luggage, food and diaper bag.  
 
The crossing went very smoothly on the Israel side, for which I am so thankful. The passport officials have become acquainted with us as we cross, and make the waiting as comfortable as possible when waiting is necessary. Because of the World Economic Forum meeting at the Dead Sea, Dirk had to change his usual route to the border crossing and was a bit delayed. We used this time to rest inside the Israeli terminal where it was cool, and have a little snack. I had time to instruct our new friends about what to expect at the Jordan terminal and was thanking God again and again for sending someone to be with Hana and her mother.
 
As we finished each portion of the crossing process, Um Hana got more emotional, thinking that would be the final step, and then we'd part company. When the bus arrived to carry them into Jordan, the tears flowed freely as she hugged me for a very long time. I told her of God's love for her and all of her family, and thinking of the verse in Is. 40:11, "He tends his flock like a shepherd: He gathers the lambs in his arms and carries them close to His heart; He gently leads those that have young." I told her I knew He especially looked after mothers who are with young, because He had done so for me. With my part done, I helped them on the bus -- the crowd who were waiting from a tour group allowed us to get on first to make Hana and her mother more comfortable. Then I watched until they left, and it was my turn to cry.
 
Please keep praying for total healing for Hana, believing God heals. Hana has not yet regained strength in her neck, so cannot hold her head upright. She is beginning to be able to chew again, and seems to have an increasing appetite. Pray that as her body strengthens, it will heal more and more fully. Pray that she will begin to sleep and nap on a more normal schedule, so her mother can get some rest too. We also know that sleep is healing time for the body, and Hana's body needs this. There seem to be moments when her eyes are beginning to focus; please pray that just as the scriptures say, the blind will see again because of who God is and all He's done to make healing available. Pray for help for the family which can provide some sort of physical therapy for Hana when she arrives back home. Pray for the family to be surrounded by others who'll give practical help, encouragement and compassion in a culture which is not always accepting of those who are handicapped like Hana. It is my feeling that when Hana is back with her siblings and father, this in itself will be healing to her. I'm thankful for how greatly her family loves her, and all that they've done to show her this. It's my prayer that they will also discover the parallel concerning the love we are given by our Father God, and all He's done to show it.
 
At last report, Dirk had arrived at the border to collect our little group, and was on the way with them to his home. There was not a problem today with the issue of the older Iraqi passport series, praise God! In the next few days there will be a flight to the area where Hana's family lives, and they will return to their waiting family. Will you please pray them home, and then keep praying?
To help with other Iraqi children waiting for surgery, please click here.


Thursday
May 17, 2007

Hana Leaves Israel Tomorrow
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After being away from the Shevet Achim house most of the day, I was glad when a unanimous decision was reached this evening by Raneen, Um Hana, Fred and I to share a pizza for dinner. Hana had already eaten her dinner and some Bamba (that unique Israeli puffed peanut butter-flavored snack)  but she was still hungry, and enjoyed some pizza with us. It was fun to watch her enjoy it until she eventually fell asleep in her mother's arms.
 
In the morning we will leave Jerusalem for Jordan, where Hana and her mother will stay at the home of Dirk and his family until they take a plane back to Iraq. The authorities will allow me to accompany Hana and her mom to the final bus ride across the border, where Dirk will meet them on the Jordan side. This way she will be alone only the short time on the bus, and have assistance with her bags and her baby all the rest of the time. Um Hana is excited about returning, and continues to amaze all of us with her ceaseless loving care for Hana. Even in the midst of Hana's sometimes erratic sleeping schedule and the challenges presented by  her lack of mobility, Um Hana continues to be cheerful and thankfully adoring of her daughter. She is a strong and beautiful woman, and all of us feel privileged to know her and spend time with her.
 
Keep praying with hope for Hana. I have been impressed to note over the course of this relationship that hope seems to provide a fortress for the soul against fear and doubt. I have seen it lived out by her mother, as she continued to hold onto hope in the midst of so many negative reports about Hana's prognosis. I have thought back about difficult times in my own life and realized that even when it felt nearly invisible, the tiniest thread of hope provided a place of protection which I cherished. And when our hope is in God, we'll never be disappointed. Pray that Um Hana and her husband never lose hope as they care for their precious little girl. It is my hope that God will continue His work and that Hana will indeed be healed and whole. I do not know His plan, but as I sat with Hana this morning while her mother showered, I became so aware of just how quickly God could send the miracle we are praying for, and it could be in Iraq as easily as here. What glory will come to Him in such circumstances!! Thank you for all your prayers; let us keep them in our hearts as they go.

You may join our May 2007 campaign to help more Iraqi children by clicking here.


Wednesday, May 16, 2007
Hope for the Future
Filed by  with video by David Hartman


Click the play arrow to see Hana eating from her mother's hand

As you can see Hana no longer needs oxygen or intravenous feeding.  She and her mom have settled in naturally to the routines around the Shevet office/residence in Jerusalem.  Um Hana has been gracious in cooking for some of the staff who share the kitchen with her.  She seems comfortable here and happy to be on her way home to her family.  Hana is sleeping better and laughing again.
 


I showed Um Hana her page on the website yesterday.  We really enjoyed the pictures and reliving the happy moments together.  She is a precious woman, so loving and caring to her daughter, and a joy to be around.
 
It sounds like we won't get to be with them both much longer since their flight to Iraq may be set for this Saturday.  That means they will travel to Jordan on Friday morning.  We will be sorry to see them go after the bond that we have made, and yet we are so very thankful that they return to their family with more hope for the future than when they left.

We'll update you later this week on their plans; thank you for your love and prayers for Hana. 

You may join our May 2007 campaign to help more Iraqi children by clicking here.


Monday
May 14, 2007

Hana Leaves the Hospital!
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Doctors at the Wolfson  Medical Center decided that Hana was well enough to be released today. She and her mother have been transported to our Shevet Achim facility in Jerusalem, where they will stay for at least several days before returning to Iraq.

Hana continues to show signs of reversal of the paralyzation caused by the stroke she suffered in January. Doctors diagnosed her when she arrived at Wolfson as quadriplegic, severely mentally retarded and blind. Now she can move her limbs and it appears that she is beginning to follow our voices with her eyes, causing us to think perhaps her sight is returning as well.

Please be in prayer for Hana, as she would seem to have a long way to go till she is like a normal child her age.  Please also pray for her parents as they ponder their options and make the decisions as to what is next.  Within 1-2 years Hana will need another surgery to fully-repair her heart defect.

Tonight Hana is sleeping peacefully here in Jerusalem; you may visit her in her room by clicking the play button on the video below:



Rejoice with us in this step of progress today!

You may join our May 2007 campaign to help more Iraqi children by clicking here.


Sunday May 13, 2007
Hana's Mother Radiating Hope
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Hana has been moved from the intermediate ICU to the children's ward.  This is great news since it indicates that she is progressing in her recovery, and Hana's mother can now be with her around the clock. It's also good for her mother since she can now visit with the other women without leaving her littlest girl.  Her room seemed to be the central hangout for multiple Gaza women and our newest guests from Iraq.   

I found Hana's mother chatting and rocking her little one.  Hana was fussy today, often crying.  Her environment in the children's ward is no longer quiet and peaceful.  There are a total of three patients in her shared room along with the three mothers who sleep next to their babies' beds.  Hana has been disturbed by all the noise and is refusing to nap during the day.  She is obviously tired but she won't sleep.  Instead she cries.

Um Hana is amazingly longsuffering, always cheerful these days, and best of all full of hope.  The dark dread of the few weeks before Hana's surgery is now past, since the grim warnings from the doctors about the risks to Hana did not materialize.  Now there is only hope as Um Hana watches her little girl slowly gain movement in her legs and arms.  This hope has made her a beautiful and uplifting presence among all of the patients and mothers watching and waiting for their own loved ones to recover.  Hana is still not able to hold up her own head, nor are we sure that she can see, but let's all keep hoping with Um Hana for a full recovery.


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You may join our May 2007 campaign to help more Iraqi children by clicking here.


Click to send an email to Hana's mother.


Sunday May 13, 2007 12:00 noon
Hana's Out of the ICU
Hana has been released from intermediate ICU and is sleeping comfortably at this hour in the regular children's ward.  Details on her progress will be posted later today.


Thursday
May 10, 2007

Hana's Recovery Continues
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It is with thanksgiving that I tell you Hana continues to recover in the intermediate ICU. While visiting with her today, I noted that she was moving both of her arms. She is continuing to laugh as well, and the sound is as sweet as it was the first time I heard it! Her mother indicated to me several times today that Hana seems to be seeing a little bit. I could not be sure during the times I was with her today, yet there seem to be moments when she notices movement with her eyes. I am continuing to believe that God can completely restore Hana's health in every way.
 
I did not get to spend so much time with Hana today because of Ahmad's dismissal, Jihan's complications, and the three new Iraqi patients' first day at the hospital. But I enjoyed each time the pleasant and thankful attitude of Hana's mother, who is a precious woman with strength beyond her years. Please keep praying for her and for Hana. She needs perseverance and patience to continue caring for her daughter. Hana too needs perseverance as she recovers. The doctors estimate that she might be dismissed in about a week. God is listening to our prayers as we lift their needs before Him.

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You may join our May 2007 campaign to help more Iraqi children by clicking here.


Click to send an email to Hana's mother.



Tuesday 5/8/2007
A Joyful Heart is Good Medicine
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A group of US college students who are volunteering in Israel for a few weeks accompanied us to the hospital today, and were able to meet Hana and Jihan. I told them of each child's situation, and current struggle, and about the recent joyful development of Hana laughing (scroll down to the next entry to see and hear for yourself!). We all hoped they would get to experience this for themselves, and we were not disappointed.
 
Hana was laughing again today in response to her mother's conversation with her, and I am still in awe as I watch and listen to the precious sound of a child's laughter. Again and again the verse comes to me which says "A joyful heart is good medicine." When thinking about how God might heal Hana, things like restoring her eyesight would probably have been my first priority. But how magnificent of the Lord to restore laughter to her like a prescription for the rest of her healing!! I love God's ways of answering prayer. Um Hana ("mother of Hana") told me that Hana also responded when she heard her sister's voice on the phone.
 
The group with me today experienced part of the restoration of Hana's life, and prayed for God to restore all for her. Can you see in the picture that her arms are no longer raised to her shoulders with clenched fists like when she first arrived? They felt the grip in one of her hands, while I, on the other side of the bed, had her pull her hand away when she did not want to hold mine any longer. I am so thankful that we can put our hope in the God who hears on behalf of Hana! Keep praying and asking, believing.

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Please join our May 2007 campaign to help more Iraqi children by clicking here.


Click to send an email to Hana's mother.



Monday 5/7/2007
Hana Laughs!
Filed by ,  with video by David Hartman


Click the play arrow to hear Hana's mother encouraging her to laugh

Today was such a blessing to experience: Hana's mother told me in the hall something I could not quite understand, but when I got to the intermediate ICU, I got to see and hear for myself, as Hana laughed!  It was amazing.  I cried at the reality of seeing her laugh when her mom spoke the names of her siblings or made funny sounds or gave her little tickles.  Even when she would eat a bite of food, she'd laugh!  It was like she was enjoying "coming back to life" so to speak.  She also is moving one side of her body--not quadriplegic anymore.  Praise God!!  Keep praying and believing with us for Hana to experience the reality of the life of God for her future. Thank You Lord for what You are doing!!  

Fred Hambert adds:
Laughter is truly the best medicine.  I got to witness this firsthand today as I visited with Hana and her mother.  Hana's mother would say some silly word and Hana would break out laughing. Then I would start laughing, then her mother and back to Hana.This went on for about 5 minutes, it was great. Hana's definitely on the comeback road.

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Please join our May 2007 campaign to help more Iraqi children by clicking here.

Click to send an email to Hana's mother.



Sunday  5/6/2007
The Look of Life
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What can it be that makes Hana more beautiful each time I see here? Today, as I entered the intermediate ICU where she is currently residing, her eyes caught mine. The doctors say she cannot see, yet her eyes tell of a little girl that sees far more than her physical eyes are revealing. The color of her skin is the best it has been since she arrived in Israel. She has a radiance that can only be described as "The Look of Life."

 

There she and I were today all alone (her mother was napping elsewhere). What an awesome privilege to hold her hand and to speak to her and to pray directly over her.   Her attention was quite exciting to watch. Perhaps it was just the man's voice that she heard and was attracted to, but then it could have been the words of life, that she drew from me to speak over her. May His life be abundantly hers in the upcoming days.

For the last two days, she has been receiving steroids to dissipate the fluids surrounding her heart.  The doctors are hopeful that the excess liquids will be gone in several days and are contemplating what they will do once this happens.  They certainly need our prayers, as do Hana and her mother. Thank you for your faithfulness in doing so.
 

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Friday  5/4/2007
Sleeping Peacefully
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When I went to the ICU today to check on Jihan, I looked toward Hana's bed, and it was gone - that is how I got the good news that Hana had been moved to the intermediate ICU! I found her sleeping peacefully with her mother standing alongside.
 
Um Hana was thrilled over this progress. Hana continues to eat by mouth, and her color was the best I've seen it in the weeks since she arrived from Iraq via Amman. Today her oxygen levels hovered in the mid-80 % range during the time I was there, as she slept.
 
Let us continue to thank God for every part of the progress Hana makes on her road to recovery. Thankfully He knows every step of the way...... 

You may help sponsor your own child's surgery by clicking here.

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Thursday  5/3/2007
Angelic in Pink
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Today Hana's oxygen saturation level hovered in the high-90 % range while I was there; notice the improvement in her color above. And the end of the visit held great news: her mother was able to spoon-feed her again! Um Hana ("mother of Hana") was beaming as she told me about it. It is encouraging to note that this means there was no damage to her ability to swallow after the heart surgery. 
 
We'd had several other visits today too, including sharing lunch in the mall attached to the hospital. Um Hana really enjoyed spending time with Ahmad's mother (also here from Iraq for her child's surgery), and the feeling was mutual for Um Ahmad.

There is a special bond between them which has developed, and I think it's largely because of how encouraging Um Ahmad has been for Um Hana. Today she took Iraqi food to her after staying up late last night to prepare it. They love chatting about their children and husbands at home waiting, as well as what it is like to go through this experience.
 
The doctor's report for Hana is basically unchanged as they watch and care for her. Let us be faithful to watch for her too as we pray. May God stretch out His hand to heal, just as in Acts 4:30 > ''....that signs and wonders may be done through the name of Your holy servant Jesus."

You may help sponsor your own child's surgery by clicking here.

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Wednesday
9:08 pm
5/2/2007

Hana Awakes; Oxygen in Blood Nearly Triples
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When we arrived at the hospital shortly after noon today, Hana's mother found us before we found her. She was smiling, and took my hand as we walked to the ICU. My first glimpse of Hana was of her face, and I saw her eyes open and blinking. Immediately I knew that she had awakened from the sedation following her surgery, and I was so thankful! This was why Um Hana was smiling and wanting us to come quickly.
 
I spoke with Dr. Cohen about Hana's condition, asking specifically about whether they had been able to determine if any further brain damage had occurred from the surgery. He said that it appears there was no further brain damage, but also, there is no improvement.
This is more opportunity to give thanks to God, since the possibilities were so grim.  About her heart he said that the procedure was successful, she is stable, and is progressing normally.  While we were there I saw on the monitor that her blood oxygen saturation while breathing room air was holding at 90% of normal; before surgery, while she was receiving oxygen, the saturation was nearly as low as 30%. What a difference!
 
I ask that you continue to pray fervently for Hana to be totally healed. God is able to do abundantly more than we ask or think or imagine .... as He always has been, so He remains today. Ps. 116:5 > "The Lord is gracious and righteous; our God is full of compassion."

You may help sponsor another child's surgery by clicking here.


Tuesday 9:28 pm
5/1/2007

Hana Has Come Through Surgery Successfully
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Thank God, Hana survived her surgery today. She is now in the ICU where the doctors are watching to see if she will awaken from the anesthesia. We know that the opening of the right ventricle was successful, but so far it is too early to know if there is more brain damage from the surgery. After a long and intense morning, Um Hana ("mother of Hana") is rejoicing that her daughter has been given back to her by God's hand.

Photo by Sheila Shalhevet, SACH

When Um Ahmad and I arrived, Hana's mother was standing opposite the elevators where patients exit after surgery on their way to the ICU, looking forlorn and exhausted. She was thankful to see us, and we walked to a seating area with a view of the hall leading from those elevators. I prayed as we walked, asking God to show Himself mighty on behalf of Hana, and He reminded me of the verses in 2 Chronicles 16:9 > ''For the eyes of the LORD run to and fro throughout the whole earth, to show Himself strong on behalf of those whose heart is loyal to Him.''  At almost the same instant came the reminder that God sees the hearts of all, and looks there and knows whose heart is loyal to Him. I reflected on the beautiful strength I see in this woman as she continues to entrust her baby to God because she believes He is generous and merciful. I believe He is generous and merciful too, and once again thoughts such as these at a time like this focused my vision on the immensity of the loving graciousness of God. He is not a God far off, but near at hand and longing to be known. 

While we sat, we all were praying. Um Ahmad was quietly reading her Quran, and Um Hana was silently speaking her heart to God, as was I. We were joined for a few minutes by one of the Save A Child's Heart volunteers who was able read the Arabic translations of more of your prayer emails to Um Ahmad to translate to Kurdish for Um Hana. Again I was thankful for the reality of your prayers at such an opportune time. When our friend finished reading and left us, Um Hana and Um Ahmad began to talk, then looked at me and Um Ahmad lifted her hands and said "Only God can help us."  I agreed and said I know that He hears our prayers, to which she added that He sees what is happening.  

At about noon we saw a bed being wheeled down the hall from surgery, and I walked ahead to see if it were Hana or not.

It was, and when Um Hana came for a first look her face lit up and she was truly in awe of seeing her daughter again. She cried and laughed and was full of relief that Hana was with us as we walked together down the hall behind the gurney. I captured her spontaneous thankfulness when we arrived at the ICU and I asked her if I could take her picture ... she has preferred that not many be taken in these past few very difficult days.
 

When the ICU team had finished connecting Hana to the appropriate monitors and medications we were allowed to go in to see her. Um Hana was nearly radiant with joy to see her baby again. She gazed at her and stroked her head, and watched the continuing activity of the nurses and doctors around her daughter's bed. At this time, the doctors reported that Hana was stable, and I noted that her oxygen saturation was in the mid-70 % range. (Later in the afternoon when I returned to the ICU, it had risen to around 90%.) 

As I went to stand by the bed, she urged me to change places with her to be nearer Hana's head, and although I didn't want to take her place, she insisted, and to my surprise, asked me if I wanted to pray for Hana. I gladly did so, speaking of the love and hope and future God has in mind for Hana as I prayed for her body to receive total healing and life.  
 
Thank you for joining in prayer today for Hana and her mother and family, for the doctors and nurses, and for those of us here with them to support them. I'm very thankful to God for all He has done this day, and look forward to what is next.

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Monday 10:00 pm
4/30/2007

Hana to Surgery in the Morning

We've just had final confirmation that--after two weeks of hesitation caused by Hana's poor condition following a stroke--this little Iraqi girl will go to heart surgery Tuesday morning in Israel.  The doctors are going forward at the family's request and despite their own grave concerns, as the following entries make clear.  Our position, and that of Hana's parents, is to do all we can and trust God with the outcome.  

Please call upon your friends and fellowships to intercede for Hana on Tuesday and the days following.  We will update this page as soon as more information becomes available.

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Monday
4/30/2007

Hana's Mother on the Eve of Surgery

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As my co-worker Stephan and I entered the ICU this evening, we found Um Hana sitting by her daughter's bed as Hana rested. Her beautiful smile registered the recognition of our presence, and we visited with her until she received a call from Iraq. After she left the room I stood by Hana's tiny body and prayed for a few minutes, thinking of all the people involved in the situation surrounding Hana's surgery tomorrow. Dr. Yaron was on duty in the ICU, and I spoke with him about the length of time we might expect for the surgery. He said she'd likely be in the OR at least 3 hours, and that most of those hours are the preparaton and closure of the body, while the actual placing of a shunt does not take long. There is also of course the time in the recovery room before she is brought to the ICU. But until the surgeon actually begins, he cannot say how long the surgery might be. As I looked at the oxygen saturation levels go from the 30-some % to the mid-50-some %, I was thankful for the chance this surgery will provide her heart to function more normally.
 
When I left the ICU to speak with the nurses about Ahmad's medications (this Iraqi boy was discharged to Jerusalem today following his heart surgery!), I found Um Hana visiting with some local Iraqi Jews who'd come to visit. As these guests spoke with Stephan, I took the opportunity to present Um Hana with some of the prayer letters sent to her by email and translated to Arabic. Um Ahmad translated the Arabic into Kurdish for Um Hana, and she listended intently, as did Ahmad. She is thankful for all the prayer going up for her and her daughter. I was thankful to have more letters to take to her at this crucial time, showing that many people care and are praying for her precious child.
 
Um Hana was sad that on the eve of her daughter's surgery her friend Um Ahmad is leaving. We have made plans for Um Ahmad to come to the hospital tomorrow so that they can be together during the surgery time. Alex will stay in Jerusalem with Ahmad for some guy time as he supervises him and keeps him on his medication schedule.
 
While the others loaded the van with Ahmad and his mother's bags, I sat with Um Hana. I asked our Father to let her know that He would be with her tonight and tomorrow just as surely as I was sitting there with her. Please continue to pray fervently for a miracle for Hana's life. Lift up the doctors as they perform this surgery. Remember Hana's father in Iraq with his other four children. And please pray for me as I spend the day with Um Hana tomorrow, along with her Kurdish friends. My hope is that she will know the depths of God's compassion and concern during this critical time; that He is good and His love endures forever.

Click to send a message of encouragement to Hana's mother.



Sunday 11:50 pm
4/29/2007

Holding On to Hope

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Hope is an amazing source of strength, and I've been watching as it seems to be what sustains Um Hana ("mother of Hana," pictured at right with Um Ahmad) in these last two weeks. I was with her last Thursday before and after she met with the team of neurologists and cardiologists, and a translator who spoke fluent Kurdish and Hebrew, hearing a basically hopeless medical report on her daughter. Although her heart was, if possible, more broken than before, her resolve never changed. She spoke with her husband after many tears, and they agreed that they are willing to take this chance at life even if the outlook seems hopeless, because they want their daughter to have every chance to live. They recognize that ultimately they are putting her in the hands of God, not doctors, and that He will be the determinant of Hana's future. This is not an assumption I'm making and telling you, this is what they are telling me is the basis of their decision. Even though the doctors gave Hana's parents until today to be sure of their decision, their decision never changed: they wanted Hana to have the heart surgery she was originally invited for.

These doctors had also spoken to me the times I was at the hospital when they came to examine Hana, explaining in detail the current state of brain damage and possible outcomes of the heart surgery she needs. It was a barrage of reports filled with hopelessness. Yet I remembered the voice of God whispering to me the morning we first drove Hana and her mother to the hospital almost two weeks ago, as He said, "Hope for Hana." Somehow with this He put a resolve in me to believe for the miracle needed for Hana's life, and I know that nothing short of a miracle will bring forth the life she needs. So as I've been here in a very small way to try to give comfort to Hana, and especially her mother, I've anchored myself to the hope which comes from who God is in His lovingkindness.

Today was the day the doctors wanted to hear the report of the family, and when they were told that the parents wanted to go ahead with the surgery, their response was "Then this is what we will do."  So again today we talked, this time, four women who sat together on a bench under the trees outside in the hospital courtyard, clarifying everything through the help of translation from English to Arabic to Kurdish. We talked and cried, and before we finished, I prayed for Um Hana as she perseveres and carries this burden. Currently the surgery is set for Tuesday morning. Please be in prayer for every aspect of this situation ... it is difficult for me to put into words all the needs, but I am confident God will help you know how to pray. 

Hebrews 6: 17-20 > ''Because God wanted to make the unchanging nature of his purpose very clear to the heirs of what was promised, he confirmed it with an oath. God did this so that, by two unchangeable things in which it is impossible for God to lie, we who have fled to take hold of the hope offered to us may be greatly encouraged. We have this hope as an anchor for the soul, firm and secure. It enters the inner sanctuary behind the curtain, where Jesus, who went before us, has entered on our behalf.''

Romans 8: 26-27 > ''In the same way, the Spirit helps us in our weakness. We do not know what we ought to pray for, but the Spirit himself intercedes for us with groans that words cannot express. And he who searches our hearts knows the mind of the Spirit, because the Spirit intercedes for the saints in accordance with God's will.''

Our Arab-Israeli staff member Raneen adds:

Donna and I first entered the ICU to see Hana and Jihan (another Iraqi child recovering from her heart surgery). Um Hana was holding Hana while Hana was having food by the feeding-tube. I said hi to Um Hana - she rememberd me from the time where we met in Jordan in the screening test. I could see that Um Hana wasn't happy but there is a ray of hope in her eyes; she told me  "Allah kareem,"  which means ''God is generous.'' What Um Hana is going through is very hard - no one can describe it by words. The child is very precious for her parents; the parents are ready to do anything to make their child be happy.


Sunday
4/29/2007

A Visit With Hana's Mother
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Hana's mother, Bethany, Ahmad's mother, and Raneen

Because there is nothing to say that can make it all better, I thought that ice cream and chocolate might be appropriate.  When I met Um Hana today it was about 11:30 and she had already been by her daughter's bedside since 8 am.  I decided that she needed to get out and feel the sunshine, see the roses blooming around the children's ward, smile at the world for a few moments.  We wandered off arm and arm to the small shopping mall/food court that is attached to the Wolfson Hospital.  We can't say much to each other because of the language barrier but we can walk together like sisters, roll our eyes at the young Israeli girl without enough clothes on, and enjoy chocolate ice cream together in the sunshine.
 
At the mall we looked through the only "woman's" clothing store there, which seemed to be geared towards attracting the eye of the 16-21 year old crowd.  We examined the nightgowns and than the lacy tops meant for outdoor use but looking a lot like the nightgowns.  When I pulled out a pair of jean shorts cut very high, Um Hana said "also for sleeping" and laughed out loud.  It was only a moment, but it held in it a small bit of respite from the tears.  I can only stand amazed of this beautiful young woman, with 5 children, being asked to make a difficult decision.  She and her husband must decide, after hearing the advice of all the medical staff, whether or not to risk heart surgery which has a risk of further damaging Hana's condition.  I do not have the wisdom to know how to advise her, but I can sit with her, eat ice cream, and pray.



Thursday
4/26/2007

"It's Up to Hana's Parents"

Hana's mom met with the heart team at Wolfson today.  They again explained the situation to her saying that the child may die during surgery or could be placed permanently on a ventilator after surgery and that either way the surgery would not help her [neurological] situation.  Doctors are also concerned that the child's state post-surgery could cause her to remain in Israel indefinitely.   Hana has been put on a feeding tube right now.  The doctors say the decision is left to the parents at this point.  Please pray.


Wednesday
4/25/2007

Praying for Hana
Hana's surgeon and cardiologist were unable to meet today to decide her future course of treatment due to the extended surgery of Jihan. spent time at the hospital with Hana and her mother, and shares his thoughts:

The appearance of Hana, during my visit to Wolfson Medical Center today, made me cry. They were not tears of pity, nor of sorrow, nor because of the condition she is in. It was because of the extreme beauty she possesses despite her condition.  There she is blind and quadriplegic after having a stroke. Now she is on oxygen and heavily sedated due to the swollenness of her skull and the condition of her heart, among other things. Here lies a girl soon to be 2 years old, that has faced more in her short life than thousands of others. However, when I looked at her, none of that seemed to effect in any way the beauty that radiated from her small frame lying there on the bed in the Intensive Care Unit.
 
Call me an eternal optimist, call me irrational, maybe even in denial, but there was a sense that indeed this little princess may, against all the doctors are saying, rise up from her bed in fullness of health.  Why should that happen? How should that happen? Only God knows, but I do know that His desire is that we would all live in good health and that we would prosper. Little Hana is no exception.
 
There was not a thing that I saw today that would even hint that what I stated
above would ever take place.  However, I will not be surprised if it does. 
 
Which reminds me of the prayer that came from my lips as I placed my hand upon her enlarged head and felt her subtle response. These words came unprovoked and unmeditated, "Hana, You are So Beautiful!   May God make your every dream come true!"

 
Hana's mother, as she stood there beside me, seemed to find strength in the prayer of words in a language she could not understand.   Later, tears came to her eyes as Donna presented her with cards from the US, and pictures of the children who sent them.
 
What do the days ahead hold? Hopefully, our prayers......and the will of God. Thank you to those that stand (or kneel) with us in prayer for Hana, her parents and the doctors, during this really tough time.


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Sunday 10:11 p.m.
4/22/2007

More Uncertainty About Hana's Treatment

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We found out before leaving Jerusalem this morning that Hana had been admitted to the hospital because her condition had worsened, and that the doctors were leaning towards performing her heart surgery soon. Upon arrival, we found an extremely sick Hana, held by her exhausted mother who was discussing the situation with an Arabic-speaking member of a team of neurologists who'd examined Hana on Thursday. It was not a day for pictures ...
 
It was a very difficult day as Um Hana was told by the neurologists the results of their findings and their subsequent recommendations. One of the neurologists also spoke by phone to Hana's father in Iraq. The doctor's report states that Hana is irreversibly blind, a quadraplegic, and severely mentally retarded from the stroke she suffered about six weeks ago. They are not sure her body can withstand surgery, and given the current symptoms, they do not recommend heart surgery.
 
Without the surgery, Hana is not expected to live. Today she had several frightening cyanotic episodes as we sat with her and her mother. This caused the pediatric cardiology team to move Hana to the ICU to observe her for a few days as they consider the difficult decision before them. Hana's mother and father have talked, and are both aware of the extremely precarious state of their daughter's life.
 
Before we left the hospital late this afternoon, I told Um Hana that I would be praying and that many people are praying for Hana and for her. Please pray that they will know the presence of the God of all comfort at this time -- I am thankful that in the midst of medical conditions and opinions, He changes not. Please remember the doctors and nurses who are caring for Hana, that they are filled with wisdom and compassion as they care for Hana and consider her case - it is difficult for them as well. Please pray for us to function in grace and love towards all parties involved in this intense situation.
 
As we went through this day with Hana and her mother, several verses of scripture came to me which I will share trusting that God will guide you in how to pray for this baby girl and her family.
 
~ Luke 5:17 One day as he [Jesus] was teaching, Pharisees and teachers of the law, who had come from every village of Galilee and from Judea and Jerusalem, were sitting there. And the power of the Lord was present for him to heal the sick.
 
~ Acts 4:29 -30 Now, Lord, consider their threats and enable your servants to speak your word with great boldness. Stretch out your hand to heal and perform miraculous signs and wonders through the name of your holy servant Jesus.
 
~ Matt. 14:14 And when Jesus went out He saw a great multitude; and He was moved with compassion for them, and healed their sick. 

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Lord's Day
4/22/2007

Stunning Reversal: 
Hana to Surgery

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Alex (director of our Jerusalem office) just got a call from Dr. Tamir saying that Hana is ''bluer'' than before, and they WILL do the surgery. They fear she will die if they do not do it. And they were telling us they fear she will not be able to handle the surgery, so it is definitely a time to PRAY. Hana was admitted over the weekend. Currently, Dr. Tamir does not think that the surgery will be today. Will update when know more.

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Shabbat Evening
4/21/2007

Update: Wolfson Will Not Operate on Hana

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Dr. Tamir, the chief pediatric cardiologist at the Wolfson Medical Center, called just before the start of the Shabbat; the doctors have met and believe that the surgery is too dangerous given Hana's condition (i.e., she may die) so they will not do it.  Dr. Tamir's thought is that they'll be sending Hana and her mother home on Sunday.  

We will consider taking Hana to another center in Israel for a second opinion.

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Thursday 
4/19/2007

Hana Cannot See, Specialist Fears Brain Damage

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Psalm 139:12 “Even the darkness will not be dark to you: the night will shine like the day, for darkness is as light to you.”

Today the neurologist got to see Hana. She looked at the CT scans and other reports that were made in Jordan and also examined her carefully. The results were not encouraging.
 
From the scans the neurologist could see that the main brain vessel still seems to be clogged, and probably large areas of her brain have not been properly supplied with blood and oxygen for more than a month. From the doctor's point of view this has caused irreversible brain damage by now.
 
Hana now seems to be blind; she is not reacting to light and dark or any movement in front of her eyes, and her eyes are always slightly turned to the right. She looks alert, but according to the doctor she isn’t.

Her hands are clasped into fists, and they have been since the stroke which occurred on March 5, almost one and a half months back. Um Hana described the stroke: Hana’s outward appearance had been totally normal; suddenly she coughed very hard and then went into shock for about half an hour; her whole body became tense, her eyes rolled back, and only the whites could be seen. They rushed her to the hospital there in Iraq and for about a month stayed beside her bed where she was lying unconscious. When she finally opened her eyes the parents immediately prepared for traveling to Jordan with her. The shunt that was placed in Jordan last week has helped to drain the fluid from her head.  
 
Hana does seem to respond to sounds and movement. For example, she calms down when her mom speaks or rocks her gently or when traveling in the car. She also sleeps at night. Um Hana feeds her formula and water with a spoon.
 
The doctors want to discuss her case next week, after she has been seen by an eye specialist. Please join us in prayer for this precious little life. We have often seen that when we have nowhere else to turn, that is when the LORD starts to work. Let us direct our eyes to him and call out to him in prayer. 

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Wednesday
10:45 pm
4/18/2007

Doctors to Decide on Surgery Plan

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I've just gotten off the phone with Dr. Tamir, the chief pediatric cardiologist at the Wolfson Medical Center. Although Hana has not yet been seen by a neurologist, based on Dr. Tamir's physical examination he believes she has suffered significant long-term brain damage.  He reiterated surprise and disappointment that we brought a child in this condition.  (The doctors feel the burden of long lists of otherwise-healthy children who are waiting for heart surgeries).

Though he still must consult with the surgeon and the head of the ICU, Dr. Tamir believes he will recommend going forward with a palliative surgery (placing of a shunt) which will relieve Hana's immediate cardiovascular distress.  It leaves open the possibility of a full repair of her heart at a later date.  Dr. Tamir believes that the shock of a full repair, which involves going on heart-lung bypass for an extended period, might at present be too much for Hana's weakened condition.

Please continue in prayer alongside Hana and the doctors who are trying to help her.
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Photo by Sheila Shalhevet, Save a Child's Heart

Tuesday 11:45 pm
4/17/2007

Concern About Hana's Readiness for Surgery

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After a more restful night than I expected, we left Jerusalem this morning for Wolfson hospital for Hana's echocardiogram. We did not know what the doctors would find, or how her current condition would impact their decisions about the treatment needed for her heart.
 
While medication given Hana to help her sleep during the echo was taking effect, I contacted the parents of Lizan to come to the echo clinic to meet Hana and her mother. Not long afterward, Jihan and her father came to the clinic and were introduced as well. I thank God for his provision of Kurdish speakers to help Hana's mother through this challenging and emotional time. One of them was able to assist with translation between Um Hana ("mother of Hana") and the Arabic speaking doctor doing the echo, Dr. Rula from Bethlehem.

Dr. Rula worked for a long time asking questions about Hana's current condition, as well as examining Hana's heart with the echocardiogram machine. Afterward Dr. Tamir came in and did more echo screening. The decision was then made to admit Hana Wednesday morning for further tests to determine her operability. After gathering the info they need, and deciding on the type of surgery, the date will be set. Currently the doctors don't seem optimistic about Hana's ability to endure the type of surgery needed to fully repair her heart defect (tetralogy of Fallot) due to her brain damage from the recent stroke.  They are considering instead placing a shunt which will improve her blood flow in the short term.
 
It was noticably difficult for the doctors to see Hana in such a poor condition that the full surgery needed might not be able to be performed. As I perceived this, I began praying for a miracle, and I am asking you to join me in this prayer.  Hana's mother is giving unceasing care to her baby daughter, although she must be utterly exhausted. Our God is never exhausted in His loving care for us, but unceasingly able to pour out grace and supply for our needs as we ask Him. Let us ask Him believing that He hears and answers.... already He has done marvelous things for the other children who have come to Israel this year to receive heart surgeries. Let us put our expectation in God alone, and keep our focus on the power of His love. The prayer needs for Hana are urgent.
 
After receiving the echo report, we headed over to the Save a Child's Heart house. The other Iraqi families helped explained the policies of the house to Um Hana, and shared with her from the food they'd prepared. All day I had been trying to encourage Hana's mother to eat, but she'd hardly had a nibble or sip of anything. However when she saw Iraqi food she did finally begin to eat. I thank God for how He has placed these families at this time so that they can help each other.
 
As I rode home today thinking about the intense needs Hana has and knowing God can intervene in her otherwise bleak outlook, I thought of the 1st verse of Hebrews 11, which the New Living Testament words this way: ''What is faith? It is the confident assurance that what we hope for is going to happen. It is the evidence of things we cannot yet see.''  Let's join our prayers together in such confident assurance, and see what our God will do.  In discussion about Hana's condition, a member of the Israeli medical staff, Um Hana and the other Iraqis, and a few of our Shevet Achim team who were there, all agreed on a comment the medical person made: There is no one to turn to in a case like this except the one and only God, who alone can help us.

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Tuesday 12:57 am
4/17/2007

Hana Safely in Jerusalem

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 After a whirlwind of activity, Hana has arrived in Jerusalem and is safely tucked in for the night!
So much has happened to this little girl since our screening in Amman, Jordan last December.

Last Wednesday, she and her parents arrived in Amman, Jordan. On Thursday, security checks were initiated at the Israeli embassy due to Hana’s emergency condition. On Friday, Hana was admitted to a Jordanian hospital. They did CT scans and other tests and advised the parents of the need to place a tube (shunt) so that the fluid can drain from her head, because the fluid was increasing.  There she stayed until Sunday. Hourly both Sunday and Monday, we were waiting for approval of Hana’s visa allowing her to enter Israel.
 
Finally, at 2 PM on Monday, the approval came and the transportation sequence began to transport her and her mother to Israel as soon as possible. In doing so, our Jordanian directors, Dirk & Manuela, arrived at the Jordan/Israel border moments before closing time Monday evening. With extreme favor they were allowed to complete the crossing so drastically needed so that Hana could be at Wolfson Medical Center in Tel Aviv on Tuesday morning. There she will be examined by doctors and surgeons to determine exactly how her condition is now, and whether they can go forward with the heart surgery which she needs.
 
The restfulness of having these events behind them was evident as they slept much of the journey by van from the Jordan River border crossing to Jerusalem where they are staying for the night at the Shevet Achim center. 

We will update this page after tomorrow's meeting with the doctors; please pray for their insight and compassion to know how Hana can best be helped.

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Sunday 
4/15/2007

Shunt Placed in Amman; Ready to Travel

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