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Wahaj's Heart Surgery

Saturday, January 17, 2009
Wahaj Returns to Iraq
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How would God deal with these four problems?

* Lost airplane ticket
* Empty oxygen bottles
* Problem with the van 
* Lack of time

The last leg of the journey for Alaa, Hemin, Elaf and Wahaj was a real adventure.

Hemin and his mother had been waiting at our house for three days for their return flight and they were a little bored. However, once Wednesday came and they were joined by the other three Iraqi families there was no time for boredom. 

We were all very happy to be able to host Elaf, Wahaj, Alaa and their mothers here again. So, the night was filled with talking, praising God, sorting out things, looking at pictures and a little sleep. All the time Alaa´s oxygen generator was humming in the background.

The return flight was scheduled for 1 PM and we knew we would need the morning hours to get out list of things completed. One of the mothers had lost her return ticket, so we had to rush to Amman to get a new one at the Iraqi airways office. Also, Alaa had used up almost all of her supply of oxygen on the way, so we needed to get a refill for her.  

We tried to start the day early, but our van would not start, despite the fact that we had just received it back from the garage two days before.  It took us awhile to get it started by pushing and rolling it down the hill.  Fortunately, Dirk was still there and could help with this procedure.

While Dirk drove off to Amman with the old van, Manuela tried to get a new supply of oxygen at the Italian hospital in Karak.  We found the man who usually takes care of refilling oxygen tanks for the hospital, but the connectors to these oxygen tanks would not fit the tank that Alaa had brought over from Israel.  This man was able to give Manuela the address and phone number of the company in Amman where we could get the oxygen bottle refilled.  Praise God!

Praise God also for the new Shevet van that we received a day earlier.  This additional van allowed Manuela to take the remaining three patients to the airport. Alaa had just enough oxygen in her bottle to get to the airport.

As Manuela drove the patients to the airport, Dirk’s was in Amman battling time.  It can take hours in the city to get from point A to point B.  Dirk reached the Iraqi airways office an hour later than anticipated.  He managed to secure a new ticket, but still had to find an oxygen refill for Alaa.

Manuela reached the airport in time.  She was able to inform the Iraqi Airway officials about the oxygen generator, and show him Alaa’s medical report, which clears her to fly. 

Once all of these things were completed Alaa’s oxygen bottle was almost empty.  Manulea had already begun searching for a power outlet to connect the oxygen generator to.

Because all of the luggage was in Dirk’s van and he had not yet arrived, we were unable to proceed with the check-in process.  The next two hours were very stressful for Manuela and the three mothers that were waiting with her. 

Dirk was attempting to rush through Amman to try and find the company that provides the oxygen.  Forty-five minutes before the fight was scheduled to leave Dirk picked up the oxygen and began to make his way back to the airport. 

Dirk reached the airport at 1 PM, the scheduled time of departure for this flight.  The Iraqi Airway official understandably became more and more impatient. 

Eventually, he left and two friendly airport assistants waited with the mothers.  We had considered taking all of the patients and mothers back home and have them fly with the next flight three days later, but we prayed against this option.   

The Iraqi mothers and Hemin spent most of the time on the phone with their relatives at home explaining to them the situation.  Consequently, in the midst of the chaos, Dirk was receiving calls from nervous fathers in Iraq asking him to hurry up. 

In the end, the flight left an hour late because they waited for our group of mothers.  Thank you Lord and thank you Iraqi Airways for this grace!

Quickly, the empty oxygen bottle was replaced with the full one.  Without time to say goodbye, the mothers were escorted away with the airport assistants.

We would like to ask God’s blessing on them.  God is waiting for them in the same way the plane waited for them.  Even though their departure was delayed, they did arrive home safely and in good health!


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Wednesday, January 14, 2009
On His Way Home
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Today Wahaj made the big crossing back into Jordan on the first stage of his journey back home. His Mum asked me to pray for them as they went forward. There were tears in her eyes as she said how much she had been blessed in Israel. Let us follow them with our prayers that they will know the love of the Lord in a personal way and share it with others.

We thank you so much for supporting this delightful little boy. He arrived in Israel with dark blue, cyanosed fingers and lips and laboured breathing. He left today pink, chubby and relaxed, just as he looked when he received his heart-shaped pillow last night at his farewell party at Shevet.  God is so good.

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Monday, January 12, 2009
A Visit To The Sea
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Sunday morning we took Wahaj in for an echocardiogram but found out once we arrived at the hospital that his echo was actually scheduled for Monday.

Rather than drive the hour back to Jerusalem we thought it would be a great opportunity to take him to the sea.

As soon as we arrived, he pointed eagerly toward the water. Wahaj had a great time sitting grabbing handfuls of sand and reaching down to touch the water from his mother's arms.

Today Wahaj made it to the hospital for his scheduled echocardiogram.  Despite his strong dislike of echo probes and doctors in white, Wahaj managed to stay still long enough for them to report a success story with his heart repair. Due to the nature of his heart defects he will need to return to Wolfson in a year's time, but that didn't wipe the grin off his face.

We pray for Wahaj and his Mum as they prepare to return home in the next few days.


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Thursday, January 8, 2009
Wahaj's Chest Is Clear
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It was all good news for Wahaj and his Mum when they saw Dr. Tamir. Wahaj's chest is clear, his prednisone tablets are stopped, and on Monday if his echo is good he can consider returning to Iraq. This is good news.

Praise the Lord for his goodness to this little boy, pictured above with his friend Azhin. Continue to follow him with your prayers.


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Monday, January 5, 2009
Doctors Reduce Wahaj's Medication
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This morning Wahaj came for his second to last echo assessment and the doctors were pleased and reduced his medication as a result. On Thursday he will have his last echo. If that is stable, he can come to Jerusalem and then back to Iraq.
Wahaj has had a more challenging recovery and needs to take care for some time when he goes home. Please pray for complete healing and that he will come to know the love of the Lord.


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Sunday, January 4, 2009
Only His Smile is Infectious
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Wahaj greeted us with his infectious smile this morning at Wolfson. His mother had received the good news that they were able to come back to Jerusalem, and Wahaj was having fun playing with fellow heart patient Azhin.

However due to his fragile respiratory system we felt it best for him to accompany Havan to the Save A Child's Heart house near the hospital for the next four days. Dr. Tamir, Wahaj's cardiologist, has instructed that he have another echo on Thursday, and if stable Wahaj can return to Iraq. We will see him again in about a year for stage two of his surgery.

Pray for these two mothers who will share a room and that their children will remain free of any colds during these days of changeable weather.

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Friday, January 2, 2009
Back to the Hospital
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After a very restless night in Jerusalem with coughing and crying, Wahaj became the reason for us to return this morning to Wolfson hospital. Greeted with blood tests and that annoying doctor listening to his chest again, Wahaj was not very impressed. Thankfully Dr. Tamir decided to admit him again since he still has fluid around his heart and a very congested cough. Please pray for complete healing for this little man who has the cheekiest grin when he feels well. May our heavenly Father surround him and his Mum as they sleep tonight in the hospital.

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Tuesday, December 30, 2008
A Little Miracle for a Little Boy
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I meet Wahaj and his mother in the parking lot outside of the hospital this morning; he was carrying the little toboggan he received for Christmas and proudly showed it to me.  He was very happy today and showed no anxiety over having to come to the hospital. Wahaj was scheduled for his second post-surgical echocardiogram today. He has had some fluid built-up around his heart and the doctors wanted to make sure that his medication was helping to reduce the swelling.  The echo showed that the amount of water had not increased and so they were able to reduce the amount of medication he is taking. 
 
We mentioned in an earlier post that Wahaj's mother was upset because the doctors told her that his clubbed fingers and toes would not get any better, even after surgery.  As I was watching him play, I noticed a significant reduction in the size of his fingertips! I pointed this out to his mom and she grinned from ear to ear and she had noticed it and was amazed and thankful. Thanks to each one of you who were praying and asking Father for this 'little' miracle to happen!

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Monday, December 29, 2008
Career Plans
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Wahaj presented himself to his first post-surgical echocardiogram with gusto. He is planning a career as a doctor, it seems, as he tried out my stethoscope. He is a little puffy around the eyes today and the doctors were a little concerned and gave him extra medications. He is to return for an assessment tomorrow.

Wahaj will go back to Iraq and be called for part two of his surgery in about eight months. Pray for complete healing to take place in this bright little boy who is so full of life. May he grow up to testify to the goodness of God in his life.


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Wednesday, December 24, 2008
Pink and Relaxed as Final Discharge Approaches
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Wahaj's mother was packed and ready for us as we came to bring her and Wahaj to the Save a Child's Heart house near Tel Aviv, just shortly after lunch today.
Wahaj is a serious little boy who now looks pink and relaxed after part one of a two part surgery. The second half will be some months away.
 
Wahaj was excited to see Elaf (pictured above left) and her mother too at the SACH house where both will be until Monday next when they have their follow-up echo assessments and hopefully final discharge.
 
Wahaj has had some fluid round his heart and is on medication but doing very well and he is full of life and fun. Please trust with us that he will soon be restored to health and able to return to his family in Iraq.


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Thursday, December 18, 2008
Comfort For Wahaj's Mother
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Wahaj is recovering well but was in quite a bit of pain today which caused his mom to break down in tears a few times. Late in the afternoon the nurses removed his chest drainage tube, assuring his mother this would alleviate much of his discomfort. 

 

Due to long-term lack of oxygen, Wahaj's fingers and toes were not only blue but had become “clubbed”. His mother assumed that after his heart was repaired that the clubbing would reverse. She was very distressed when the doctors told her this was not the case, that his digits would always look this way. They assured her that it wouldn't prevent him from living a normal life--an assurance that didn’t seem to bring her much comfort.

 

Pray for this mom's heart to be comforted and to trust in the unfailing love of her son's Creator.

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Wednesday
December 17, 2008

Already Out Of ICU
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The first place I went after Elaf was taken to surgery was to see Wahaj in the ICU. He was beginning to awaken and stir restlessly in the bed as his mother and I approached, and it was a good thing that his arms were tied down for now so he couldn't pull on any of the tubes from the surgery. He was still intubated, but the nurse said they'd try to extubate him this morning. He was telling his mother that he wanted water, but he was not allowed to have any while intubated. After sitting with Elaf's mom for awhile, I went back to ICU to find Wahaj extubated and using only an oxygen mask, which meant he could have water on a tiny sponge. He asked over and over for "ow", the Kurdish word for water.
 
I left to be with Havan's mother as she waited to go with Havan for his heart catheterization. As we sat together she told me that Wahaj might be moved out of the ICU, which was surprising to me since it was so soon after surgery. But when we returned from the catheterization, there was Wahaj in the children's ward! He was using only a nasal canula for oxygen, and was sleeping soundly. Praise God! His mother was thankful and delighted, and kept a vigil by Wahaj's bed so she could attend him when he woke up.
 


Let's keep praying for Wahaj's recovery even as we thank God for all He's already done in the lives of this family.


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Tuesday, December 16, 2008
Pink Lips for the First Time
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Praise to God, Wahaj had successful heart surgery today! Although I left Jerusalem very early this morning, I did not make it to Wolfson by 7 am when Wahaj was taken downstairs to the operating room, so I found his mother sitting quietly with Elaf and her mother when I arrived. After a few tears Um Wahaj ("mother of Wahaj") waited through the morning peacefully even though Elaf had a very rough morning with another cyanotic spell.  Not long afterwards Um Wahaj telephoned me, and we met in the hall so that she could tell me Wahaj would be up from surgery soon. I was very surprised since it was not yet 11 AM ... but after another ten minutes, Wahaj was wheeled down the hallway (pictured above) on his way to the ICU. The OR staff told her that the surgery went well, and as she followed the bed down the hall she was crying tears of relief and joy, and thanking God.
 
As is the usual procedure, Um Wahaj had to wait about half an hour or so to go into the ICU to see her son. As she looked over all the equipment attached to him and near his bed, she was very quiet. The nurse assigned to his care was still working to prepare all of the medications, and the x-ray equipment was brought in to follow up. When the x-ray equipment was removed and we walked back to the bed, Um Wahaj noticed for the first time how pink her son's skin was, and she got tears of joy again to see such an immediate change in his appearance.

Indeed as you can see from the picture, he no longer has blue lips. The ICU staff reported that Wahaj did very well in surgery even though it was a difficult one. They hope to extubate him tomorrow, and if he continues to do well, he will be moved to the ward in several more days.
 
This evening when we left the hospital Um Wahaj shared that she was feeling some fear over his condition. I reminded her that there are doctors and nurses there all the time watching and caring for her son. We had a time of prayer together for all the mothers and children before leaving, asking the peace of God to be with each of them. Please pray that Um Wahaj can sleep tonight while Wahaj is still sedated, and be prepared for the special day she will have tomorrow as he is awakened from the sedation which protects him from the pain and helps his body heal. I look forward to seeing her joyful smile in the morning as God answers our prayers.

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Monday, December 15, 2008
Surgery Moved To Tuesday
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As I hurried down the hall of the hospital this morning to be with Wahaj and his mother before his surgery, I passed the head nurse of the children's ward where Wahaj is admitted. She called out that his surgery was cancelled for today, that she didn't know why, but that she'd just told the mother. I was surprised, and as you can imagine, Wahaj's mother was very disappointed. Neither the doctor in the ward nor the nursing staff knew why it was cancelled, so couldn't tell me any further information until they spoke with the surgical team later in the morning. Dr. Alona came by to do rounds, and said that Wahaj is rescheduled for Tuesday morning. Wahaj's mom was very thankful for this news, and set out to have a good day as she waits. Wahaj was still sleeping when I got there, but woke up shortly afterwards. He was very blue this morning, but seemed better through the day. By afternoon he was his usual jovial self, and was napping when we left late in the afternoon.
 
Please keep praying for peace for Wahaj's mother, as well as for Wahaj himself. He is still very wary of the doctors and is about to enter the time he needs their full-time care. Let us pray that when he awakens from surgery he feels so much better that he is no longer fearful of them, but instead counts them as his friends like he does most everyone he meets.

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Sunday, December 14, 2008
Many Tears Shed During Admission Process
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Wahaj left Jerusalem this morning to be admitted at Wolfson on schedule for his open heart surgery Monday morning. Just like Elaf last night, he was struggling with a cyanotic spell and we were all relieved that he was indeed hospitalized so he would have proper equipment for monitoring his condition. I felt that both he and Elaf were admitted without a moment to spare.
 
I was already at the hospital with Elaf when Wahaj arrived, and he was absolutely delighted to see her - he began calling her name as he was carried down the hall into the children's wa
rd, and reached out for her when he arrived in her room. It was precious to see! He is such a loving and tender-hearted little one. He was content to wait in her room as the two mothers visited, but his mood quickly changed when it was time for him to begin admission procedures. He knows from experience that doctors and nurses mean unpleasant and painful things could happen, and he cries when they approach. We were able to distract him for a little while with bubbles during the more mundane exams like blood oxygen monitoring, but the blood test and insertion of the IV port was so traumatic he needed to be sedated. Even after the sedation he cried and as he did so his oxygen level began dropping, so he was given oxygen while the bloodwork was finished. Later he was still so groggy he seemed to actually enjoy the doctor's examination when she came to his bedside.   



Please pray for Wahaj to have total healing of his heart, so his loving and engaging personality will flourish as he grows up healthy and strong. Pray for his lovely mother to have peace tonight, and patience to wait through the day to receive the good news of her son's completed surgery. We look forward to sharing that joy with her tomorrow afternoon.
 

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Friday, December 12, 2008
Surgery Scheduled!
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Early this evening Dr. Alona called me with some wonderful news for all the mothers in our house - their surgeries are scheduled! When the doctor began telling me that the first child was scheduled for Sunday morning, I thought she would say it was Wahaj, since he'd just been dismissed a few days ago. Instead, she said to bring Elaf when the Sabbath ends tomorrow evening for her Sunday morning surgery.

I had the joy of sharing the news with the mothers, and when I told them I'd heard from the doctor, they each began asking if they were the ones who were going in. Wahaj's mother was thinking like me, expecting him to be the first one, so everyone was a little surprised when I shared the actual schedule. When I told her that Wahaj was to go in on Sunday morning, she smiled broadly and began to thank me over and over. I told her not to thank me, but to thank God for this. Wahaj was oblivious to the life-shaping discussion going on around him, and continued playing contentedly with his cars while watching the movie 'Cars' in Arabic. He was his usual happy self through the evening, although he began to tire after a celebration of the long-awaited surgery dates, complete with cake the mothers made this evening.
 
Wahaj's mom is a delightful woman who takes very good care of her son.
By the demeanor with which she carries herself here, it is hard to imagine the difficulty of the life she lives in a very dangerous area of Iraq. Nonetheless she needs prayer for the intense events ahead as Wahaj undergoes the surgery which will save his young life. What a blessing it is to know that God has such a wonderful plan for his life that He sent him here to get surgery now so Wahaj can grow up into manhood.

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Wednesday
December 10, 2008

Shyness Gone; Surgery Postponed
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This morning we got a surprising call from the doctors at Wolfson telling us that Wahaj was being dismissed to come to Jerusalem. We expected that he would have his surgery either today or tomorrow, but instead there were several other emergency cases which took precedence over Wahaj's need for treatment. Wahaj's mother sounded better than I expected when I spoke to her by phone about the change. I imagine that there was some relief for her at being able to come back to the house and rest, since she has been in the hospital for a week, beginning just 12 hours after she had arrived in Israel. We were told today that Wahaj will likely have his surgery next week.
 
He was significantly improved from his condition when he arrived from Jordan last week, and was an animated and active boy today. His previous shyness was gone; he recognized Justina and I right away and came to us happily. Once we arrived at the house all the moms and babies enjoyed seeing each other again, and after a few hours, Wahaj was ready for bed.
 
Please pray that Wahaj will not have any cyanotic attacks while waiting for his turn for surgery. Pray for rest for his mother and patience as she has to wait another week for the help Wahaj needs. Pray for all of us as we continue getting to know our new friends, counting this time as precious opportunity to share God's love with them.

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Sunday, December 7, 2008
Well Taken Care Of
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Hank, Dorothy and I took a pillow to Wahaj and his mother today. He seemed to be doing well. One thing is for sure--he has enough nurses around him to take care of him if he has any problems. This reminds me of the scripture that says, "He will give his angels charge over you to keep you in all of your ways." God is looking after this baby. 

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Friday, December 6, 2008
Mom Thanks You For Praying
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Thanks be to God! This morning Wahaj was stable enough to be moved out of the ICU into the children's ward. Our volunteers who went down this morning found Wahaj rather swollen from the fluids he was given yesterday afternooon when he had to be put in the ICU. Otherwise, currently he is on no oxygen and no IVs. He has monitors on his blood oxygenation, and is laughing and playing contentedly in his bed. Seeing him so improved is a great relief to his distressed mother. Indeed, this laughter is doing everyone good like medicine, just as Proverbs 17:22 says.
 
The main concern for Wahaj at the moment is that he remain calm and quiet so he is not prone to more cyanotic spells. Any crying could allow another such event. Will you please pray for him in this regard? And pray for his mother to be able to rest too so she will be strong to persevere during this time of stress as the course of treatment is planned for Wahaj. Last night as each of us left the hospital, we assured her we would be praying for Wahaj and for her. I told her we would ask for prayer on the internet from friends all over the world. As I've called to get the details of his condition today, Wahaj's mom wanted to know why I was calling several times. When our volunteer told her I was writing you with this information and asking for more prayer, she asked the volunteer to call me back so I could thank you for your prayers. Let us pursue the God of all hope, the God of our salvation, for His healing of Wahaj on behalf of him and his mother, knowing she is aware of the way He is answering our prayers. 


Thursday, December 4, 2008
Rushed To ICU For Immediate Care
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Today Wahaj went to the hospital for his echocardiogram and initial check up. He is such a sweet boy who loves cars and loves to ask people to "come, come" to him. Wahaj seemed to be playing well and enjoying his morning, even through all of the waiting at the hospital. Once it was time to do his echocardiogram, it became clear that this little boy didn't have enough oxygen in his blood and needed immediate care. After the echo, he and his mom were rushed over to ICU where a handful of nurses huddled around him, attaching IVs, drawing blood, and assessing his condition. I don't know if I've ever been in a medical situation this intense. And not understanding any of the local language here only added to that intensity. It was clear the situation was very serious, but I wanted to know how serious and exactly what has happening to this sweet child at that moment. I can't imagine what his mother felt, as she also does not understand the local language and has to trust these new doctors and nurses with the life of her son her first full day here. She was strong for Wahaj, constantly comforting him, holding his hand, and patting his head as the nurses attached all kinds of things to his little body.

After a very difficult half hour, Wahaj had calmed down, his body became more stable, and doctors were determining what would be done next. A technician came to do a chest x-ray, which was not a very pleasant experience Wahaj, and then he was moved to ICU. After Wahaj was observed, he was given an injection to calm and stabilize his body, and he became responsive once again. He spent time drawing with highlighters from nurses and a little car crayon... well, drawing when he was not trying to eat them at least. :) In the photo above, you can see Wahaj "talking" to his dad after finally getting settled in ICU.

He'll spend the night in ICU and hopefully tomorrow morning will bring news of when his surgery will be scheduled and more details about how his heart is doing.


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Wednesday, December 3, 2008
Wahaj Arrives In Israel
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After a grueling day of travel, Wahaj and Elaf and their mothers entered Israel this evening. We waited until about mid-morning to hear the good news that their visa process was completed at the embassy in Amman so they could indeed travel today. By the time the paperwork was done and the official visas were printed, it was late afternoon. Thankfully we got the call from Dirk that he had the visas in hand and they were leaving for the border at almost 4 pm. We were on our way too with Tarza, Lawk and Rezhin who were leaving Israel to go home after their successful surgeries. We hoped to coordinate the departure of three healthy patients with the arrival of the two very ill babies. This came about around 8 pm tonight.
 
From the border we made the nearly two-hour drive back to Jerusalem with two tired children and their even wearier mothers. Wahaj was contented to be held in his mother's lap with his bottle and quickly fell asleep as we rode. There was a happy reunion here for these two mothers with Havan's mother; they had all become friends in Amman at the echocardiogram screening last month.
 
Early in the morning we'll leave for the hospital for Wahaj's initial examination in preparation for his heart surgery. Please pray for this precious little one and his mother. We are so thankful that he could come this quickly after he turned so blue the day before he was scheduled to return home after the echocardiogram screening. At that time we called Dr. Tamir to see if we could add one more child to our group of urgent cases which he'd asked to wait in Amman and travel immediately. Because he was willing to say yes, Wahaj has the chance for the life-saving surgery he desperately needs in the coming days. Thanks be to God!


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