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Juliana's Heart Surgery

Monday, March 24, 2008 
Juliana Leaves Israel
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Juliana's mother spent her last day in Israel by herself. Mustafa and Sarah and their mothers were settling in at Tel Aviv, and we were awaiting the other three mothers coming down that night to leave in the morning. 
 
As Juliana's mother and I sat talking (we had a nice long afternoon!), some interesting things came up. She talked with me firstly about her excitement to finally leave! Day after day for close to a week, she had been receiving false alarms about leaving the next day, and she joked about packing every night over again. She was relieved to finally be going home; she has a five-month-old son waiting for her when she gets back!

We also had a chance to discuss the heart behind our ministry's work. She really fully understood that the Jewish doctors operating on her daughter was a sign of their desire to help, not destroy. Our conversation took some interesting twists and we found ourselves discussing the impact Islam has had on Arab culture. We talked about how religion doesn't really help mankind; praying five times a day out of religious obligation doesn't transform the heart. We talked about the Pharisees who prayed out loud to be seen, and did everything to be noticed by man--Jesus condemned them. God didn't honor that, but He did honor the heart that sought Him in the secret place. When a heart loves God, then it is also possible to love both one's neighbors and enemies. The stance of the heart is what is truly important in God's kingdom. She really saw all of this, and it was neat to discuss with her. 
 
We hope that the seeds planted during this time will produce a great harvest in the lives of these women.

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Monday, March 10, 2008
Visiting the Old City and the Beach
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Juliana has enjoyed a successful recovery and will very shortly be returning to Iraq! She got over her fever, spent some time at the children's house near the hospital, and is now staying with us here in Jerusalem.
 
Juliana's mother was telling me about how she has been here several months and has seen nothing of Israel but the hospital and guest houses. Since this is probably a once-in-a-lifetime experience, she really wanted to get out a bit more and see some sites before taking off. So on Saturday, the four children staying in Jerusalem (Juliana, Mustafa, Shinyar and Sarah) and their mothers and I all headed down to the Old City. We had a long time to leisurely shop, enjoy each other's company, and experience such a famous place.
 
Yesterday, Juliana had an echocardiogram and then we visited the Mediterranean Sea. We had a great time! Hank took the photos below...





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Thursday, February 28, 2008
Great Heart
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I met up with Juliana and her mother as they were waiting at the echo room for her turn to be evaluated by cardiologist Dr. Alona. The wait was long and uncomfortable for her because she has been battling a fever for several days. The doctor said the echo was good but her heart is great! She informed Juliana's mother that when the fever is gone she will be transferred to the Save a Child's Heart house outside the hospital for the rest of her recovery. It was good news, but the fever has got to go!

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Wednesday
February 27, 2008

Running A Fever
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Juliana has been running a fever for six days, with a temperature of 39.3 degrees Celsius this evening. Her mom is extremely concerned and is asking what is wrong. Blood tests were ordered and as of this evening we are waiting for the results. One very kind nurse placed a call to the lab to try to obtain information to comfort Juliana's mother, but assured her that the fever is unrelated to her recent surgery.

These moments are extremely difficult for both moms and their children, and their fears are heightened when they see their child so fragile. It is our privilege to come along side them and cover them with the prayers of those who believe in the mighty hand of our Great Physician. Please join us in prayer tonight on behalf of this precious family.


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Friday, February 22, 2008
Juliana Flying High Four Days After Surgery
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Right on target, and running her race with zeal, little Juliana has now been promoted from the Intermediate to the Children's Ward next door.  She is roommates with Rebar and their room is 'buzzing' with their high energy.  All her post-op testing is coming back positive, both echo and xray, OK.  Her mom reports that she cannot keep up with her daughter who is eating like the grocery store is going to close.

She is constantly laughing, talking, running & dancing (oops! watch it Mom)....Although a very strong little girl, she was running an intermittent fever last night and taking it a little slower today.  She also had all the remaining tubes removed late this afternoon.  It won't be long before she is out of the hospital.  Wonderful to look forward to.


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Wednesday, February 20, 2008
Juliana Already Out of ICU
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Today we found Juliana already out of the ICU and into intermediate care on just the second day after her surgery, definitely a sign that she is making good progress.



Juliana is a different young lady after her operation.  The blue pallor to her face is gone; and as you can see by clicking on the play arrow below, she looks wary, but no longer afraid, of the camera.

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Monday, February 18, 2008
Juliana Comes Through Lengthy Surgery, in ICU
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Little Juliana and Mom arrived at the hospital last night for a shower, tests, and fasting in preparation for surgery scheduled to begin early this morning.  Juliana's diagnosis of Tetralogy of Fallot is one of the most common heart disease in children. It is a combination of heart defects--narrowing of the vessels and a hole in the interior wall of the heart--which causes the mixing of oxygen-poor blood with the oxygen-rich blood being pumped out of the heart. The repair requires a lengthy surgery of a minimum of seven hours. 
 
I sat side by side with Sima (Juliana's mother) this morning after Juliana was taken to the operating room, and I encouraged her with the probability that she would only need this one procedure to place Juliana on the road to recovery.  The clock ticked by, hour by hour, as we waited, pacing the floor, calling her husband in Iraq for encouragement, drinking tea, and visiting the other mother's children traversing the hallways between ICU and the children's wards. 

The other moms (Um Rebar, Um Nadia and one other mother from the Save a Child's Heart organization) stayed together, clinging in unity of love and compassion to this young mom who needed the intimacy of committed love, one for another.  It was beautiful to see them supporting each other and waiting as the hours passed.  We played word games, attempting to communicate by listing the English for a word, then Arabic for the same word, and then Kurdish. Laughter, bellowed out the hallways as these moms heard my pathetic attempt to understand their dialects and repeat after them. Twisting my tongue in a contorted effort to accentuate the strategic emphasis and oriental sounds, I think I am a candidate for Berlitz in the near future. The fun of all this today, released us of monumental stress that only distraction, laughter and words of comfort can. Around three pm Juliana returned from surgery, but we were only able to see her after about one hour.

Juliana's mother was not prepared for the shock of seeing her little girl with her eyes taped closed and started once again to cry.  The nurse explained that the reason for the procedure was because Juliana was being administered oxygen post-surgery and it would dry out her eyes, so for a while she would have to have this.  Tears began to flow and flow as Mom struggled with releasing her fears to the trust of the capable hands of the hospital and the dedicated doctors of Wolfson. 

Tonight she called her family to let them know the outcome of Juliana's surgery and just hearing their voices brought a calming effect at a time of great need.  We look forward to tomorrow and the days ahead when little Juliana returns to her world of wonder and curiosity.  In the meantime, we are here at Wolfson, by her side.

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Sunday, February 17, 2008
Juliana to Surgery Monday Morning
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When I visited Juliana last night after the end of the Sabbath, her mother exclaimed that they had been in Israel 50 days (Pentecost?)--when would Juliana have her surgery?  The answer came today; Juliana is finally scheduled for her heart surgery Monday morning.  Please pray with us and watch this page for a report Monday night.

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Sunday, February 10, 2008
New Shoes for Mom
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During the last visit to Azur this past Wednesday, we learned that two of the mothers (Juliana's mother and Mustafa's mother) needed new shoes. One pair had broken; the other was worn out. Stopping at Shuk HaCarmel in Tel Aviv today, we found some leather sandals to bless the moms.

They were delighted and said it was beautiful to have such a special gift.  Usually, there is such a focus on the child that the mother forgets to tend to her own needs sometimes, resulting in being distracted during this time of medical crisis. The moms said they are not used to thinking about themselves or someone asking, "What do you need?"  This small gesture spoke volumes of the compassion and attention of those serving and caring about their needs. 
 
For several months now, women from a local church have volunteered to come along on visits to the families both at Wolfson Hospital and at the house where the families reside while waiting, both before and after surgery. Today was a special day for all. New toys donated to the church from an organization in the United States were taken by taxi to the moms and kids, along with new shoes and lots of hugs.

We are very happy to have taken part in making these Iraqi families' lives a little brighter. You can see the delight in their faces.

We thank everyone who has had their heart touched for this work, and responded by giving freely of their abundance. 


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Wednesday, February 6, 2008
A Determined Little Girl Awaits Her Surgery
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On entering the Save a Child's Heart house this afternoon, it was amazingly quiet. Most of the children were taking their naps or resting in their rooms, but my family found little Juliana awake, sitting and playing with puzzles with her mom and Laura, the SACH house mother.  Laura reports that the puzzles had just been gotten out and for the time being, were keeping Juliana content. 

Laura went on to say that Juliana is a "determined" little girl and would not sleep in the afternoon, most likely due to just waking at 11:00 am.  The night before Juliana didn't fall asleep until almost midnight - a real night owl!
 
Her willingness to play with the puzzles didn't last, as Hank tried to take some pictures of her.  She started crying, making every effort to hide behind her mother and not be seen.  A friendship though, was born when Hank offered Juliana his little stuffed donkey.  This little toy makes an awful racket when squeezed; I think my family was very glad that she liked it and kept it!
 
It seems Juliana is in a holding pattern - the surgeon who is to perform the heart operation on her just left for the US last evening for a week's conference.  So Juliana gets to uphold her image as the "wild child" at least for another week!

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Monday
January 21, 2008

"The Wild Child"
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Juliana is awaiting her surgery back at the Save a Child's Heart children's home near the hospital, and the staff there are calling her "the wild child."  They say she doesn't sleep, and keeps her mother awake until three or four in the morning.  

Indeed, it was a coup today to get the photograph at right, as Juliana turned away or cried each time I came near. Often the younger children who come for heart surgeries fear that any stranger who approaches may be another doctor with more needles to poke them with!
 

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Thursday, January 10, 2008
Full of Life Again
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Juliana is full of life again today with seemingly no after-effects of yesterday's catheterization. When I saw her in the ward, she was playing near her room with another child her age, both in their hospital pajamas, toddling around. Her mom was glad to see me, and especially to know they could leave the hospital. They are now here again with us in Jerusalem, much to the relief of Arya's mother, who felt lonely without any of the other moms and children around.
 
The main question on Juliana's mom's mind was wondering when Juliana's surgery would be. I asked Dr. Tamir this question, and he said that it would not happen as quickly as Baveel's. There are a number of other surgeries already scheduled and an emergency which will have to take a slot as well. But on Sunday it is expected that both Juliana and Arya and their mothers will go to the Save A Child's Heart house to wait there for their turns for surgery.
 
Please keep praying for Juliana, her mother, and their family at home. Sometimes the waiting seems the hardest part because of missing the rest of the family.

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Wednesday, January 9, 2008
Cried Herself To Sleep After Cath
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When I arrived at Wolfson today, I saw a bed being pushed along the corridor near the children's ward. I thought I recognised Juliana's mother, so ran to catch up. Juliana had just been catheterised and was returning from theatre. Quite a lot of screaming was coming from the bed, which upset her mum. By the time the bed was in the ward, Juliana was trying to kick out the catheter and wriggle out of the monitors. Eventually she settled down and went to sleep, exhausted from crying. Her mother is coping very well, but of course it is always distressing the first time you see your child with wires coming out of her arms and legs.

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Tuesday, January 8, 2008
Catheterization Tomorrow
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When the Wolfson Medical Centre called this morning, it was good news for Juliana and Baveel. It was now their turn to go for their catheterizations in the morning. Suddenly the mothers were in a frenzy of packing and cooking, as they wanted to take food for the other mothers at the hospital.

On arrival, the children's ward was a flurry of activity as two children, Aras and Dilshad were being discharged to the Save a Child's Heart house, and the new children were arriving, and other Iraqi mothers joined in for news of each other's children.

Juliana had her allocated whilst she was undergoing the first few medical proceedures which involved sticky cream on the hands. She was not very impressed by this, and was quite vocal in her protests.

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Tuesday, January 1, 2008
Juliana's First Echo
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We set out this morning for the hospital for initial tests for each of our new patients. The results of these tests are used to determine if any of the patients need immediate hospitalization, and / or other treatment before surgery. Even though we were at the hospital for around eight hours, all the tests were still not completed for three of the patients, so we will return tomorrow.
 
Juliana was the most urgent of the cases which have just arriived, and Dr. Tamir wanted her to have an echocardiogram today. However, she was also the most fearful of the children, as most two-year-olds would be faced with all of the travel, the new faces, and the prodding, poking, machinery, and cameras in her face. She cried at almost any activity concerning her, which made for a very challenging day for her sweet mother. The nurses were very patient and gentle and encouraging, but Juliana was not comforted by anything except the freedom from medical attention! After a little while, it was decided to give her some drops which would help her sleep so she could have her echo done, and do the other tests afterwards. Even this took quite some time to help her, but once she was settled, Dr. Tamir began his work.
 
The results of her echo showed that she needs a catheterization in order to best determine her course of treatment. However, because there are changes being made to the "cath lab" equipment, there will be no catheterizations for at least one week. We're hopeful the work will be done so that her catheterization can be scheduled for next week. As she and her mother wait, please pray for them. She tearfully told me as we waited for Juliana's x-ray that she also has a four-month old son, Danny, who she misses very much. 
 
The highlights of the day for Juliana were when she was able to play outside the echo room as she waited for the medicine to help her relax, and then this eveni
ng when we got the mobile phone equipped to call her father in Iraq. She is a happy little girl once she becomes comfortable around new friends, and of course, when she is talking to her Baba. 
 
Thank you for remembering Juliana in prayer. The doctors will need wisdom to know which of her heart problems to treat first. Her mother will need patience for waiting through the process. And pray for her husband and baby boy back home as they too persevere through the time Juliana and her mother are here for this opportunity to receive the help they need.

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Monday, December 31, 2007 
Juliana and Friends Reach Israel as 2008 Dawns
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After a very long day of riding and waiting, these dear children and their mothers arrived in Israel at about 8:30 this evening. I was able to meet them in the Jordan terminal and ride back into Israel with them to ease the crossing process. When we entered the Israeli terminal, a long passport control session was necessary for all 9 of us, and we happily exited into the main terminal about an hour later. We posed for a group picture before climbing into our waiting "chariot" to go to Jerusalem; you can see between Alex and I, from L to R, Hardi, Arya, Baveel, and Juliana, and their moms. Please pray for all of them to get a good night's rest. We will leave early in the morning for their first visit to the hospital for initial check-ups. Pray as well for each family as they enter this season of intensity in their lives while they have their hopes realized, even while their fears peak, when their respective children undergo surgery. We will entrust each one to God for His care to be evident throughout the process.  

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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.
© 2007 Shevet Achim