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Hindereen's Heart Surgery

Saturday, August 22, 2009
Hindereen On His Way
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Hindereen and his grandmother flew out of the Amman airport today.  Hindereen has a clean bill of health and we trust his family will rejoice when he is restored to them later tonight.  Thank God for his grace which has touched this household.


Thursday, August 20, 2009
The Doctors give Hindereen the Okay to Go Home!
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Hindereen's Grandmother was all smiles as she carried him into the hospital to see Dr. Tamir for his potentially last echocardiogram. Hindereen remained complacent while waiting for his turn to see the doctor, and his grandmother enjoyed visiting with some of the other mothers. When it was Hindereen's turn to get his echo done, he began to crying and seemed to be afraid that his grandmother would leave him. She tried to sooth him, but she ended up taking him outside before his echo to get a little while later. The results of the echocardiogram came back excellent, and Hindereen will be returning home tomorrow! Please continue to pray for his health and development as well as continued strength for his grandmother.




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Thursday, August 13, 2009
Hindereen's Homegoing Draws Near
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Hindereen went today for what is believed to be his second to last echo before he can return home. While this is great news, his grandmother was hoping that somehow this would be the very last echo in Israel. Hindereen was oblivious to everything except his great fear of anyone who might be a doctor coming near-- he simply cried until the echo was over! And in Hindereen's case, a few extra days may lead to help for a digestive problem he's been struggling with. We're hoping to see improvement over the weekend, but if not, Dr. Alona suggested he may need some tests before going home. Please pray with us for God to heal Hindereen with or without further intervention, as He knows best. Now the countdown begins for their final departure, and we all want to make it count and fill it with good things for them. Please pray with us as we enjoy the coming days together.

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Wednesday, August 12, 2009
Celebrating the Miracles
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This evening our Jerusalem staff and all of our families went to a local park to celebrate with a picnic the miraculous reality that Mohammed, Akram, Hindereen and Sidra are all finished with their surgeries. In each case there have been extreme challenges, and for Akram and Mohammed, apart from the Save A Child's Heart doctors, they would have had no chance at a heart surgery and a full life.

The families are all very grateful to God as well, and to the doctors and nurses at Wolfson, and to all of us who have helped make their surgeries possible. We thank God for all these lives and the investment of His lovingkindness which has been made while they've been with us this far.


Thursday
August 6, 2009

Hindereen Passes His Echo
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Hindereen seems to be healing nicely, but has lost a little bit of weight, we believe due to his teething.  His echo went well today and the nurses gave us good results. 

Please continue to pray for Hindereen and Grandma.  We know that they are eager to return back to Iraq to see his mother and family.


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Monday, August 3, 2009
Hindereen Sleeps His Way to Jerusalem
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Today Hindereen and Mohammed were both able to return to the house in Jerusalem! After being tested for swine flu and monitoring of their fevers, they were both in good enough condition to come home.  They were given preventative antibiotics because of the incidents of swine flu that have occurred in the ward, and they will return for a check up on Thursday. Hindereen was a little fussy in the car, but as you can see above he eventually fell soundly asleep the rest of the way home!

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Sunday
August 2, 2009

Hindereen Back to Hospital with Fever
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We brought both Hindereen and Mohammed and Hindereen to Wolfson Medical Center in Tel Aviv last night after we discovered they both were running a fever. After the urgent problem with Sidra that morning and the hospital informing us that a large number of the children there were also suffering from an unknown fever or virus, we did not want to take any risks. Mohammed's temperature seems to be fluctuating up and down between normal and fever levels while Hindereen's temperature was consistently very high. The entire children's ward is being tested to find out if it is some bug going around the hospital and who has it, and the results are expected to be in tomorrow morning. Thankfully, a complication with their heart surgeries has been ruled out. At the last report Mohammed and Hindereen were both doing better than they were last night, exhibiting no symptoms apart from an elevated temperature, and
pending the results of the testing, could be released as early as tomorrow.

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Thursday
July 30, 2009

Hindereen Home to Jerusalem
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After a few days delay, Hindereen was finally discharged today, with loads of medication we were able to sort out for him tonight.  He seems to be recovering well, and is happy, as always, in his grandmother's arms. She too was beaming with pleasure.

Today was a joyous day and I could feel the relief as I entered the ward filled with the Iraqi kids and parents that would be coming "home" to Jerusalem tonight.  They were all smiles and laughter. 

After loading everyone into the van, they arrived back in Jerusalem tired but seemingly content.  We plan to have a welcome home party tomorrow night with food, desserts and dancing! God is good!


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Monday, July 27, 2009
Hindereen Eating, Post-Surgical Echo Looks Good
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Hindereen was very calm for his post-surgical echo today, he just wimpered a little at the beginning.  The doctor talked very softly to him when he started wimpering and this is what calmed him down. He was so relaxed that he had his little legs crossed watching the doctor. I tried to get a picture of this, but when I took it he was so little and the only angle I could get the picture made it look like a big pile of pajamas.

Dr. Alona came in and looked at the echo and asked why he had a fever. I could not answer her because I didn't know, but she said his echo was good and that he was eating and drinking very well now. He is also gaining weight. God has answered our prayers, isn't He awesome?

We thought Hindereen would be coming back to the Shevet Achim center in Jerusalem, but because of the fever he had to stay in the hospital.

His grandmother is very encouraged but she is also very tired, so please hold her up in prayer, that she will find rest knowing that it won't be much longer.


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Thursday
July 23, 2009

Praying that Hindereen Will Eat and Drink
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Hindereen is still being fed by a tube to his stomach and a nasal oxygen tube is used for his breathing. We noticed today that his oxygen saturation kept fluctuating up and down. Please continue praying for him and his grandmother, who is being a very patient and attentive caregiver and is showing much love for her grandson. Pray that he'll get hungry and begin to eat and drink water. He has had trouble with his bowels in the past and also dehydration. Pray that God will take care of all these eating and drinking problems and make him a healthy and happy baby. He is a very precious baby and we pray that God will pour His love out on this baby and his grandmother in a special way.  

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Wednesday, July 22, 2009
Hindereen Losing Weight, Grandma Discouraged
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The last couple of days have been fairly eventful for little Hindereen.  Two days ago he seemed to be doing well, but yesterday he was struggling a bit with his breathing and feeling really tired and not able to completely rest.  Hindereen's grandma has been right by his side along with many at Shevet trying to offer prayer and love, and so are the other parents of the children that are currently in the hospital. 

Today the nurses removed the drainage tube from his chest after first clamping it off, checking to see how he will do. This should help make him a bit more able to move on his bed and especially to be tucked in by grandma.  We ask that you would please keep him in your prayers as his struggle is far from over.  He is such a special little guy and his body is just trying to keep up.

Donna adds:
Hindereen has been out of the ICU for a week, and his surgery was two weeks ago, but he's not recovering well. He is still not eating so is on a feeding tube, and still requires a nasal canula for oxygen. He's previously been happy while awake, but in the last few days is sleeping more and losing weight. His grandmother is very discouraged and doesn't want to leave his side. She needs to get out of the room and yet will not even go to the cafeteria, asking others to bring the food to her. A neurologist has checked Hindereen and not found any problems, and a change in medication did not improve his condition. Yesterday I asked Dr. Tamir about what is going on, and he said they don't yet know, or know yet what they'll do next to help him. Will you please cover this situation with your prayers? We need to see a supernatual change in Hindereen's post-surgical recovery, so that he will be able to walk out the life God created him for. Today his grandmother was feeling so discouraged and hopeless she said to me that if he's going to die, she'd rather take him to Iraq than have him die here. Please carry her before God's throne so He will faithfully give His mercy and grace in time of need.

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Thursday
July 16, 2009

Hindereen Leaves
Main ICU

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Hindereen was moved to the intermediate ICU today where he is now recovering. His heart surgery was completely successful but he still has a few hurdles to overcome before he is in the clear. His chest tubes still remain, draining fluid from his chest, and he is still fighting off an infection. As of today the doctors are adjusting his medication to a new combination which should hopefully make short work of these problems and speed his recovery along.

Hindereen seems very content when he can forget about where he is and focus on something else; when his grandmother and I were playing with him at his bedside Hindereen even managed to laugh! Sometime later when I visited him while his grandmother wasn't there he would begin to whimper and reach out to me whenever I would move away from him to leave; I waited with him until his grandmother returned. Hindereen's grandmother has handled the entire situation very well and is always happy and thankful to everyone. Keep Hindereen in your prayers, he is not out of the woods yet.


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Tuesday
July 14, 2009

Hindereen Wants to be Held
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We visited Hindereen today in the ICU at Wolfson Medical Center near Tel Aviv. Hindereen still has a few hurdles before he can be released from the ICU. In addition to the chest tube draining fluid from his lungs, an infection was also recently discovered in his blood. The doctors told us that even so he is doing slightly better than yesterday. When I went in to visit him, he was wide awake and moving his arms freely. When he saw that I was there he looked straight at me and reached out his arms to me. Because of his condition it was forbidden to touch him, which was very difficult for both of us. Overall Hindereen seemed pretty complacent all things considered, though he doesn't seem to like all the tubes taped to him, which he was pulling at. When I sat with Hindereen's grandmother for lunch, she was in good spirits, with the support of some other Palestinian patients.

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Sunday
July 12, 2009

Hindereen Not Yet Eating
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Over the weekend I had a chance to speak with Hindereen's grandmother by phone, and learned with the help of the other mothers that he was having problems with his bowels. I spoke with the ICU doctors,  and they told me he had not yet begun eating, and they were not able to transfer him from the ICU till he was eating. When several of us went in today we were hoping he had been able to start eating over the Sabbath, but we found him in the same corner of the ICU. The doctors were concerned enough to ask me some questions about his abilities before his surgery as he's having such a slow recovery.
 
When I went to see Hindereen today he was going in for an echocardiogram.

After a brief checkup by echo, the doctors said he would need a drainage tube inserted in his chest today as he had fluid around his heart.  During this 20-minute procedure I found his grandmother in the ward, and we had a nice visit. We took her some Kurdish food prepared by the other mothers here, and sat together with some of the Palestinian mothers and children in the ward. After this pleasant visit we returned to check on Hindereen, and the doctors were finished with his procedure. His grandmother is satisfied that he is doing well, and knows the doctors are attending to him with good care. She was very peaceful and thankful during our visit.
 
Please pray for Hindereen to respond well to the drainage of fluids, and begin to eat so his strength will return. The doctors say he's doing ok, but he's weak. Pray for his sweet grandmother to remain strengthened too as she perseveres in caring for her precious grandson.

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Wednesday
July 8, 2009

Hindereen Comes Through to Tears of Joy
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Today Hindereen underwent a critical heart surgery. I had the privilege of being with his grandmother before the surgery and to go into the operating room with Hindereen. His grandmother was very strong but she was clearly carrying a heavy burden of worry for this precious child. As we wheeled Hindereen into the room she tenderly kissed him on the head. Hindereen whimpered quietly as if he knew the big procedure that he was about to undergo.

The surgery had a few initial complications during the preparation process and was a very long and intricate procedure. Throughout the surgery, I was impressed by the skill and dedication of the medical team and the obvious care they showed towards Hindereen as an individual. The surgery was successful and when it was finished we proudly wheeled Hindereen back to ICU where we met his grandmother who was anxiously waiting for his return.

The relief on his grandmother’s face as she looked at him brought tears to my eyes as I realized the impact this operation has had on his family. Please continue to pray for him as he recovers from his surgery in the ICU.

Also pray for his grandmother that she would continue to know God’s peace and that she would be refreshed after such a tense day.

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Tuesday
July 7, 2009

Hindereen to Surgery in the Morning
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Hindereen has been crying a lot and turning very blue whilst with us in Jerusalem. When we told this to his cardiologist this morning, Hindereeen was immediately invited to the Wolfson Medical Center and is scheduled to have open-heart surgery tomorrow.

He was very tough through all the needle pricks in preparation for surgery, and enjoyed playing kicking games whilst lying on the hospital bed. As can be seen by the chocolate on his face, Hindereen felt at home and was enjoying this new hospital experience.

Both Hindereen and Sidra are sharing the same hospital room. This is nice for Hindereen’s grandmother and Sidra’s mother to be together because they  have gotten to know each other whilst staying in the Shevet house in Jerusalem.

Please pray for Hindereen tomorrow during this life changing surgery and for his grandmother that she might know God’s peace during this critical time.


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Thursday, June 18, 2009
A Few Tears Were Shed Today
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Hindereen cleared another hurdle today en route to his heart surgery, as he successfully navigated the PPD test for tuberculosis. It cost a few tears, as the Iraqi children are seasoned enough to know that a needle prick may be coming when someone in white grabs their arm.  But our hope is that these children, like all of us, will look back one day and see that all the suffering was worthwhile.


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Monday, June 15, 2009
Placid During Battery Of Tests
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We have spent the last two days taking Hindereen and the three other Iraqis who crossed with him through a battery of tests and examinations at Wolfson Medical Center near Tel Aviv. Physical exams, X-rays, blood work, EKG, and echocardiograms are some of the tests that they have undergone in order to receive this life saving treatment. What are normally simple exams have taken exponentially longer than usual, due to the severity and complicated nature of these children's problems. An echocardiogram which normally takes 15 minutes has taken an hour, and the simple procedure of drawing blood has taken numerous pokes with the needle in order to find the atrophied, hair-thin veins.



The mothers and children, though visibly tired, have proven very resilient in the stress of these last few grueling days. They are so eager and desperate to help their children that they are willing to go through a great deal.

Hindereen has been the most placid of the bunch. His veins were the hardest to find during the blood work so he was poked several times, but he seemed to recover very quickly and hasn't made much fuss.

After reviewing the blood work, the doctor determined Hindereen was very dehydrated and would need to be admitted to receive glucose IVs overnight. In the morning, Hindereen will undergo more testing and should be back with us once again in Jerusalem tomorrow. There is no word yet about his exact surgery date.


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Friday, June 12, 2009
Hindereen Arrives In Jerusalem
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We brought Hindereen (pictured at right in foreground) to Jerusalem today, after a long journey from Jordan. At the border there is an automatic door which divides the security portion of the border from the waiting area which prevents one side seeing to the other. But when the automatic door opened for a crossing tour group, I was able to catch a glimpse of the Iraqi families having their passports checked. I know how stressful crossing the border can be, so I smiled and waved to them to let them know I was there, and to reassure them that everything would be okay. They saw me just as the automatic door was closing again and, recognizing me from the Jordan s
creening, smiled and waved back.

About 20 minutes later they emerged from the security terminal, excited to make it through, but understandably very tired. I greeted them and offered them some snacks since they had certainly been in the border well before lunch time. Minutes later, I secured everyone and everything in our van and, after a few pictures, a few crying babies, some seat shuffling, and some seat belt mishaps, we were on our way to Jerusalem.

We arrived about two hours later and the new families were greeted by all the volunteers and other Iraqi patients who prepared a special Kurdish meal for them. When we entered the house Hindereen (seated at center on grandma's lap) seemed very impressed with all the commotion around him and took in the surroundings.


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Tuesday, June 9, 2009
Hindereen Waiting For Surgery
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Hindereen, from Iraq, will turn two years old next week. He suffers from a heart defect called DORV, which stands for double outlet right ventricle. The aorta rises from the right ventricle (the chamber of the heart that pumps blood to the lungs), instead of from the left ventricle (the normal pumping chamber to the body). Both the pulmonary artery (which carries oxygen-poor blood to the lungs) and the aorta (which carries oxygen-rich blood from the heart to the body) come from the same pumping chamber. No arteries arise from the left ventricle, which is the chamber that normally pumps blood to the body. This is a problem because the right ventricle carries oxygen-poor blood, which the aorta then carries throughout Hindereen's body.

Hindereen and his grandmother came to our cardiac screening last week in Jordan. After examining him, Dr. Tamir invited him for surgery in Israel. Until Hindereen's turn comes to travel, he's staying at Dirk and Manuela's home in Jordan, along with four other children and their mothers.

Dirk writes:

Today is the third day back home after the screening which we remember as a joyful and at the same time exhausting experience. Five Iraqi families came to our home in Jordan with us to await their visas to Israel, and like the rest of us passed almost the entire first day at the guest flat sleeping. Of course everything is so new to them, and they were very quiet and did not want to  disturb us or use our kitchen although we offered it to them many times. They prepared their own food downstairs, and only when they ran out of water or other necessities did they leave their quarters. 

Communication with the families here was quite difficult at first, since they hardly speak any Arabic (let alone English), with the exception Hindereen's grandmother. This older lady, who herself has raised 11 children, is active and has helped us with translation a lot. A Kurdish translator, Komar, arrived here on Friday and it really helps a lot to have him build a bridge to their culture (even though two of the families speak a different dialect than Komar and the other three families).


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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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