Parade Magazine, June 3, 2001, page 12

To Save A Child’s Heart

A team of Israeli doctors has performed more than 650 cardiac operations on children from developing countries. They’ll go anywhere they’re needed

By Lyric Wallwork Winik

Many headlines from the Middle East tell of bombs and violence. But at the Wolfson Medical Center in Holon, Israel, PARADE found a story of hope and healing.

Here, a team of 75 volunteer doctors and nurses, including Jewish and Arab Israelis, dedicate themselves to saving sick children from around the world - Ethiopia, Moldova, Ukraine, Nigeria, Tanzania, China, Vietnam, Jordan and, yes, the Palestinian territories.

The children have one thing common: a diseased or damaged heart. In the last five years, Save a Child’s Heart (SACH), pioneered by Dr. Amram Cohen, 46, a U.S.-trained surgeon, has performed lifesaving cardiac operations on more than 650 children from developing countries; 97% returned to a normal life.

The program began in 1995 with two Ethiopian children. At first, Dr. Cohen even housed the patients and their families at his parents’ home. Today, Save A Child’s Heart is the largest program in the world providing free pediatric cardiac care, at an average cost of $10,000 and operation. (Private donations, including support from Rotary International, cover medical costs, while doctors and nurses donate their services for free.)

"For every million people, there are 700 kids born with a congenital heart defect," explains Cohen. "If a child lives in the U.S. or Israel, there are more than enough resources to care for them." But not in developing countries. Without treatment, most children won’t live beyond 12 or 14 years.

In Ethiopia (pop. 64 million), 120,000 children are born every year with congenital heart disease or damaged caused by infections. SACH’s doctors were the first to perform heart surgery there. And when a team went to Nigeria in 1977, "the families had no concept that these kids could be saved," says Cohen.

Besides treating children, the surgeons, anesthesiologists and nurses of SACH have set up clinics in Asia and Africa and trained doctors in their own countries or in Israel (for up to 15 months). The sickest children who can travel are brought to Wolfson Medical Center for surgery.

Cohen’s eyes well up when he talks about a mother in the former Soviet republic of Moldova who was told her 2-month-old son was too young and sick to fly to Israel for surgery. "Vassily’s mom sold her farm and bought a ticket to Israel," he says. "She came to the airport with the child half-dead in her arms, gambling that we would help." Cohen happened to be at the airport meeting other Moldovan families when he heard his name being paged. He rushed the baby to the hospital, operated and saved the boy.

But given the violence that has gripped Israel and the neighboring Palestinian Authority, some of the team’s most poignant stories come from close to home. Cohen speaks of one Palestinian family in particular: "Their daughter, Aziza, spent 10 days in the hospital. The family was very formal, and the father said very little to us the entire time." Going home, the family was stopped at an Israeli military checkpoint. A radio reporter asked the father how he felt about being stopped, and he replied with warm praise for the Israelis who had saved his daughter’s life.

Cohen was driving home when he heard the father on the radio. "I was so shocked," he recalls, "I almost drove off the road." Another Palestinian family took out an ad in the local paper in English and Arabic thanking - all the doctors and nurses for their remarkable efforts to give back the smile to the faces of our children."

Since September, when Palestinian and Israeli hostilities resumed, Cohen and his team have operated on 27 Palestinian children. Cohen is saddened that the Palestinian Authority’s government won’t allow him to speak to their local doctors about vital follow-up care, as he does with other doctors around the world. But he prides himself on the personal relations he has developed with the parents and children. "Everybody is the same the world over," Cohen says. "All the parents want is a healthy kid."

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