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Some 80 percent of the women are from Aleppo; others had fled from Kessab and Latakia near the shores of the Mediterranean. Most have been in Lebanon for as many as six years.

Mr. Ohanian personally introduces that day’s special guest speaker: Camille Salame, M.D., a neurosurgeon visiting Lebanon, his homeland, from Norwich, Connecticut.

Women listen with rapt attention to Dr. Salame’s presentation on back and neck pain. Some mothers pace, carrying fussy babies. A blonde, curly-haired toddler romps with her arms outstretched, her tiny feet pitter-pattering the floor, relishing the open space.

Concluding his talk with open questions from the group, Dr. Salame invites women with special back and neck concerns to accompany him to the Karagheusian clinic for a consultation.

“This is CNEWA in action,” he says, strolling with them to the sunny yellow building. Dr. Salame has been a longstanding donor to CNEWA.

“This is an oasis of hope,” he says of the center and its mission. “This is what keeps people attached to life: They know they have a place to go to that’s working for them all the time, working for them on their behalf. That keeps their spirit going. It takes a big heart to create big things. We need more of this in Lebanon.”

Of the 25 women he met with individually for consultations immediately after his lecture, Dr. Salame says, “I enjoyed talking to each one.” Although all had back- or neck-related issues, he says only one case was serious enough to possibly require a need for surgery. Center staff made notes on her chart, to begin pursuing this treatment.

In the clinic’s courtyard, Talar sways her younger son, Christ, nearly 2 years old, in his stroller as she waits to meet with Dr. Salame. She wants to ask him about the neck and arm pain she has been experiencing.

Being part of the women’s group at Karagheusian “has changed my life,” the young mother says. “We’re living in a small room, and I see only the four walls. But when I come here each week, it lifts me up.” She credits the center for her renewed strength and cheer.

Elizabeth, 58, also waits to meet with the visiting doctor about her back pain. She and her husband came to the safety of Lebanon in 2012 from Aleppo after their house became unlivable, with no water or electricity.

Before the war, life had been comfortable. Elizabeth’s husband was a jeweler, and they owned their spacious four-bedroom apartment.

Now they are living in a small, one-room dwelling. At 65 years old, Elizabeth’s husband now works at an auto repair garage. The hours are long; the labor, grimy and physically intensive.

“At a time when he should be thinking of retiring, he’s working so hard and comes home exhausted,” she says, love and concern written across her eyes. He also suffers from back pain, she says.

“And we’re barely able to cover our rent,” she adds.

“This group really helps us to overcome our difficulties,” she says of the women’s meetings and group therapy sessions. “So many of us were psychologically disturbed because of what we’ve gone through. When we came here, I felt so alone. But through the center, I’ve made many friends.”

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