Alexander needs Have you ever heard of Atrial Septal Defect (ASD)? Apparently, it’s a congenital heart defect.

If you have a defect in your interatrial septum, the tissue that divides the right side of your heart from the left side, your blood can get confused. And if that happens, you end up with blood that goes where it shouldn’t. That’s bad.

In a normal heart, the left ventricle has to produce enough pressure to pump blood throughout the entire body, but the right ventricle has to produce only enough pressure to pump blood to the lungs.

In the case of a large defect, this pressure difference means that blood from the left atrium can flood and enlarge the right side of the heart and, if left untreated, can result in heart failure.

That’s ASD in a nutshell. And this is why I tell you.

Alexander is an 8-year-old Kenyan boy who has ASD. He is in the third grade and is the youngest child in a family of five. Because his heart has been pumping deoxygenated blood to his growing body for his entire life, Alexander is smaller than most children his age.

In August 2008, during an evaluation at the child development center, a pediatrician noticed that Alexander has a heart murmur. Follow-up tests in Nairobi identified the birth defect and recommended a cardiac catheterization procedure and open heart surgery.

But Alexander’s parents are peasant farmers, and his mother sells fruit at the market to earn extra income. They survive on $13.70 per month.

$13.70 a month is barely adequate to meet the family’s basic needs, let alone pay for open heart surgery.

At this point, heart failure is a real possibility for Alexander. However, studies have shown that patients with a surgically repaired ASD have an excellent prognosis, particularly when the operation is done before the age of 25.

But Alexander’s family can’t afford the operation. It costs $8,303.

Alexander has been waiting to receive the surgery for several months now, since early December, but he can’t wait any longer. His condition has recently worsened – which made me think of something Amanda suggested back in February.

“I am just kicking around a few ideas here. What if Compassion had a “Spotlight of the Week” – or “Spotlight of the Month?” It could be either a child (medical need?), family, or small community need. It could even be in the area of the global financial crisis, disaster relief, Child Survival Program, or some other facet of Compassion. For example, one week you could highlight the (global food crisis) need of a community in Uganda to have goats or seeds for crops (or both). After the donations have been given, you could easily follow up with a story in the blog to share the results of the giving.”

So, Alexander has a need. And our objective is to give him a normal heart. Can we do this for him?

Make a donation to help pay for Alexander’s surgery. (Update: May 21, 2009 – You did it! And more. You contributed around $10,000. I expect to have the exact amount tomorrow.)

Thank you for loving this child.


As I receive updates on how Alexander is doing, I will share them with you. I can’t promise you updates with any degree of regularity though. I can just promise that there will be a follow-up.

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  1. May 21, 2009
    at 1:08 pm

    @Cheryl J – What did you have in mind? Anything specific?

    Everyone could love on him here, and we can have our country office “share the love” with him. :-)

  2. May 21, 2009
    at 1:19 pm

    @Judith Tremblay – The $8,303 included hospital and home post-op checkups.

    Everything above $8,303 will be added to the Medical Assistance Fund and used to meet the critical medical needs of other Compassion kids – assuming each need is below $5,000. :-)

    Originally Posted By Chris Giovagnoni @Cheryl J – “When a medical need arises that is more than $5,000, we attempt to raise the money because if the money cannot be raised the child development center must pay for the need by using money that was budgeted specifically for other needs.

    If that money isn’t replaced, then the center will do without whatever it was they pulled the money from.

  3. Caitlin
    May 21, 2009
    at 1:19 pm

    @Chris Giovagnoni – Are you suggesting “Notes” we could right to forward to him? I hope you are!

  4. Caitlin
    May 21, 2009
    at 1:23 pm

    *correction write

  5. May 21, 2009
    at 1:38 pm

    @Caitlin – Yes. There are two ways to do it.

    I was initially thinking people could write encouraging notes as blog comments, but it’s probably best to submit your “notes” of encouragement through the contact us form.

    I will collect them and will have them delivered to Alex.

  6. Kristen
    May 21, 2009
    at 1:48 pm

    Chris – is your job just to sit and monitor the blog comments all day?!? I’m amazed at your quick responses all over the place! You rock!

  7. May 21, 2009
    at 1:53 pm

    @Kristen – That’s what it has become the past two days. :-) But rest assured, I’m getting other stuff done too.

  8. Caitlin
    May 21, 2009
    at 1:55 pm
  9. Karen
    May 21, 2009
    at 3:35 pm

    Amazing!!!!!! I hesitated on donating and missed the blessing :( I guess I’ll have to be quicker on the draw next time.

  10. Cheryl J
    May 21, 2009
    at 5:07 pm

    I would like to see comments, but also a card or better yet, a stuffed animal. Something tangible. I guess comments are tangible, but I think you know what I mean. Little kids undergoing surgery, even if it is long-awaited, go through a lot of stress. I would like to see him have something that would put a big smile on his face. @Chris Giovagnoni -

  11. Mike Stephens
    May 21, 2009
    at 9:03 pm

    @Kristen

    Kristen,

    At the end of the day we cannot know every little thing, but that is why I send family gifts so I know my sponsor kids are “getting” something for sure. They usually send a picture of what they received but I am steadily realizing the profound wealth of the intangible. I think I value my sponsored child’s prayers the most b/c I believe they are authentic as are mine. I do not care about financial integrity in terms of why I chose to get invovled with Compassion, I simply saw them as trying to help and throw TRUTH through God’s Word and practical acts of kindness in the general direction of those who need help. I like how I see Jesus’ and God’s name everywhere with Compassion and bible verses. It is important to model Godly practices being about God but I like Compassion b/c I agree with the bible and Compassion has a lot of bible verses which I like. There is more to it than that, but they are a tunnel for me so to speak to allow me to go to places and help people that often desperately need it when otherwise I probably would not be able to without Compassion. I do not think I would be involved with Compassion if they did not have the opportunity to visit, which is AMAZING b/c then you don’t have to listen to your family and friends’ suppositions about Compassion and helping others you can TELL them HOW IT IS ;) …at least on your short trip.

    I Peter 5:7 “Cast all your anxiety on Him because He cares for YOU!!!”

    Mike

  12. Kelly Creason
    May 22, 2009
    at 7:31 am

    Blessed be the Lord God Almighty who supplied this young boy’s need!

    Will any excess be put into the Medical Assistance Fund or roll over to the next “Spotlight of the Month” need?

  13. May 22, 2009
    at 10:33 am

    This is not the final number because we’re actually still receiving donations, but so far the total is $11,603.

    @Kelly Creason – Everything above the $8,303 needed is placed in to the Medical Assistance Fund.

  14. May 22, 2009
    at 11:28 am

    @Cheryl J – I received the encouraging note that you sent to Alexander via email. Thank you.

    We certainly wouldn’t be able to send a gift, like a stuffed animal, to Alexander because that runs into the same issues that prevent sponsors from sending gifts like that to their own sponsored children.

    If there is enough interest in sending cards and small items, such as what can be included in a letter sent to a sponsored child, I can look into how we might handle that in this situation. Let me know.

  15. Caitlin
    May 22, 2009
    at 11:59 am

    @Chris Giovagnoni – It would be nice to be bale to send a handwritten card, if that is possible.

  16. May 25, 2009
    at 6:08 pm

    I came over here today to do my part for little Alexander and almost fell off my chair when I saw that the amount needed has been raised! That’s awesome!

    I hope that Compassion will offer other opportunities to help individuals, as the need arises — and that God will guide us to those who would be best served in this way.

    In my community, we do this kind of thing all the time. Fundraisers for families whose children are ill, whose homes have been destroyed by natural disasters, who have been in accidents. I like the idea of doing it through Compassion, as well, because that’s what truly makes us a global community. When someone has a need, you’re there for them. Doesn’t matter how many miles separate you. That’s the kind of world I want to live in.

  17. Mike Stephens
    May 26, 2009
    at 12:44 pm

    @Lisa Miles – I agree Lisa, however as you probably know better than me we do live in a world where we help each other, but many are not helped.

  18. Mike Stephens
    May 26, 2009
    at 12:48 pm

    It’s easy to help. As we’ve seen with Alexander!

  19. Mike Stephens
    May 26, 2009
    at 12:54 pm

    @Karen – Karen,

    you can still donate!!!!!!!!

  20. Sara Benson
    May 26, 2009
    at 3:18 pm

    @Lisa Miles – I agree that having a name to put to the donation is more substantial for me. This is in fact what we are all doing through child sponsorship. Instead of just giving a certain amount every month to a charity, we are getting the help of a charity to reach a specific child. And developing a relationship that means much more than just financial support.

    I love the fact that we have been given the opportunity to donate to a specific need. I would rather be able to pray, “Lord help Alexander’s heart surgery to go well” than just “Lord help all those who are sick.”

    To Chris and all who were behind the scenes on making this happen, “Thank you.”

  21. May 28, 2009
    at 9:37 am

    Hello everyone.

    Here is the final and official amount donated by you to Alexander’s heart surgery . . .

    drum roll please . . .

    $10,084.94

    Everything above the $8,303 needed for Alexander’s surgery will be used to meet the critical medical needs of other children through our Medical Assistance Fund.

    The number is lower than I originally mentioned (@Chris Giovagnoni) because I misunderstood the tracking report I read. I apologize for that and for the delay in getting this final number to you.

    Again, thank you for everything you did here and for what you do everyday on behalf of the children you support and love.

  22. Jun 3, 2009
    at 2:31 pm

    Alexander will undergo a diagnostic cardiac catheterization on June 9.

    What’s diagnostic cardiac catheterization? Glad you asked.

    ”Diagnostic cardiac catheterization is the process of introducing, under local anesthesia, hollow plastic tubes 2 to 3 mm in diameter called catheters into veins and/or arteries in the neck, leg, or arm, from which they are advanced to the right and/or left sides of the heart. Once the catheters are positioned in the various heart chambers or blood vessels, the pressure of the blood in various chambers of the heart can be measured, blood samples can be taken, and dye (radiographic contrast material) can be injected (a process called angiography) to allow x-ray visualization. Unlike bones, which are easily seen on x-ray, the heart and blood vessels cannot be visualized by x-ray unless they are filled with contrast dye.”

    Why is diagnostic cardiac catheterization done? Again, glad you asked. :-)

    ”Diagnostic cardiac catheterization can confirm or exclude the presence of a condition that is suspected from a patient’s history, physical examination, and/or evaluation by such noninvasive methods as ECG, chest x-ray, echocardiogram, and exercise test. Diagnostic cardiac catheterization can be used to clarify a confusing or obscure situation in a patient whose clinical findings and noninvasive testing are unclear. Finally, it can confirm a suspected abnormality in the patient for whom heart surgery is planned and exclude associated abnormalities that might require the surgeon’s attention.”

    Quotes are from Richard A. Lange, MD; L. David Hillis, MD, from the Department of Internal Medicine (Cardiovascular Division), the University of Texas Southwestern Medical Center, Dallas.

  23. Jun 3, 2009
    at 5:36 pm

    Yay! I’m SO thankful that the goal was met! Yay! I pray that the cath procedure will go well and that he will recover quickly.

    Thank you Compassion staff. I wish you were located in the bay area so I can come work for you. =)

    -Mary

  24. Jun 16, 2009
    at 10:12 am

    The results of the diagnostic cardiac catheterization require a more complex heart and lung machine to support Alexander during his surgery. That machine isn’t available in Kenya, so the surgery will have to be performed in India – at the MIOT Cardiac Centre.

    The exact date of the surgery hasn’t been set yet. The Compassion Kenya office is discussing this with the hospital and is also processing all the necessary travel documents for Alexander.

  25. Jun 16, 2009
    at 10:26 am

    Thank for keeping us up to date!

  26. Jun 16, 2009
    at 11:28 am

    If I were a betting person, I’d lay odds that, with the need for the travel and superduper equipment, the full amount of money that was raised from this blog may turn out to have been what is needed. As in, God would know how much it was really going to take. If so, I hope it’s all still available to Alexander!

  27. Jun 16, 2009
    at 4:04 pm

    @Vicki Small – Ya know, you just might be right. I think God likes to surprise us like that–to give us little reminders that a) he provides for what we need, b) he often gives us more than we think we need, and c) he knows what’s coming!

  28. Dwight
    Jun 16, 2009
    at 6:41 pm

    http://www.samaritanspurse.org/index.php/ChildrensHeart/index/

    Samaritans purse has a ministry giving needy kids heart surgery. They have done a wonderful 30 minute program on the process. The show is hosted by Billy Graham’s granddaughter, the show is on the web sight listed above.

  29. T Clarke
    Jul 12, 2009
    at 5:55 pm

    Is there any update on the pending surgery? Are funds still needed?

  30. Jul 13, 2009
    at 8:46 am

    @T Clarke – I asked the field for an update on July 7. I have not heard back yet. I will post a comment update as soon as I get a reply. Thanks for keeping me focused. :-)

  31. Aug 6, 2009
    at 2:53 pm

    I received this update from our Kenya office this morning:

    We would like to gladly report that Alexander traveled to India on 28/07/2009.

    Preoperative tests were carried out and the reports reaching us are that he went through a successful surgery yesterday.

    As of today, he is still in the Intensive Care Unit (ICU), where he had been taken for immediate post-operative management and he is reported to be in a stable condition. He is fully awake and even able to sit.

    We give God all the glory and please pray for the boy.

  32. Caitlin
    Aug 6, 2009
    at 4:01 pm

    amazing! (apparently my one word comment is too short, so this parenthesis comment should make it qualify)

  33. Irene
    Aug 6, 2009
    at 8:00 pm

    YAY! To think that Alex’s life has been saved because of God’s provision through the Saints is … comforting! :D

  34. Aug 6, 2009
    at 8:21 pm

    Praise the Lord!

  35. Aug 7, 2009
    at 6:15 am

    That’s wonderful news!

  36. Kristen
    Aug 25, 2009
    at 10:42 am

    Is it too early for an update? I can’t wait to hear that Alexander is back home and recovering!

  37. Sep 2, 2009
    at 11:54 am

    Here is an update on Alexander from the Compassion Kenya office.

    Master Alexander was brought back into the country from India on 18/08/2009 after a successful surgery.

    The surger was done on 03/08/2009, thereafter; the child was transferred to the Intensive Care Unit for post-operative management.

    He did very well and was transferred to the ward on the fourth post-operative day; the sutures were removed on the seventh post-operative day and he was later discharged on 17/08/2009.

    Post-operative investigations similar to the ones done pre-operatively (except for cardiac catheterization) were repeated.

    Currently, the child is on medication as prescribed by the surgeon and is for follow-up locally.

    He is stable and still on school holiday as our schools are yet to resume.

  38. Becky
    Sep 2, 2009
    at 5:01 pm

    Praise God that he is doing well and back home again! It’s great that he has school holidays now to play and regain strength before starting school again. Thanks for keeping us in the loop Chris!

  39. Apr 13, 2010
    at 4:16 pm

    We just received our final update from the Kenya office about Alexander.

    It says:

    “Alexander’s quality of life has greatly improved. His current physical appearance is quite impressive, once a hard to smile boy, he is now jovial and has brightened up. He is tirelessly assisting his mother with household chores like sweeping the home compound, fetching water and even tilling the farm.

    “Alexander is able to consistently attend the planned programmatic activities and his performance in school has greatly improved. Playing with his friends and schoolmates has never been this good.”

    It also contains a few comments from Alexander’s mother.

    “I was relieved when my son got treatment from India. The worries I used to have disappeared and the family joy, peace and unity have been restored. In addition, the family livelihood has improved since I have more time to trade in the market and work in the farm.

    “Through this experience, I have learned to trust and rely on God since now I know that God will never leave or forsake me. As a family we realized that God is the only answer to our problems and seeking Him more will be of great gain, therefore we began a home based fellowship where we read the Bible and worship God with songs and pray a lot. This has made our faith in God to grow and we go to church more frequently than we used to before.”

  40. Apr 13, 2010
    at 4:37 pm

    Praise God that, through the raising of funds for Alexander’s surgery, the Lord has been liften up; He has received the honor and glory due Him!

    Not to mention that Alexander is able, finally, to be a young boy, again! :)

  41. May 17, 2010
    at 12:21 pm

    What a beautiful example of what happens when the Body of Christ comes together to be the hands and feet, reaching out in compassion to meet the needs of our brothers and sisters. Praise God that He equips His church to meet the needs of His people all to His greater glory. Praise God for the wisdom and skill of workers and doctors who recognized a need, worked to meet it, and then treated this child and his family, bringing healing and wholeness and health where it had not been before. How beautiful is the Body of Christ!

  42. Aug 17, 2010
    at 12:05 am

    Bless his little heart.

    I’m so happy he had a successful surgical procedure. It’s amazing how much the little tiny bodies can take, yet they are the strongest and most pure.

    My best wished to Alexander and his family.

    Regards,
    Ceclia

  43. Nov 30, 2010
    at 1:29 pm

    I found this story and thought “YES! That is similar to what my daughter had”. I am so thankful that Alexander received his needed surgery. If he is anything like my daughter, he was up and going in no time at all. <3

  44. [...] Raised $10,000 in three days to pay for one of our sponsored children to have heart surgery [...]

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