Though they never became her legal guardians, her Pakistani foster father, Syed Ali Moazzam, and his Filipino wife, Muozzama, who had spent years caring for her through some of the most gruelling circumstances imaginable, bid emotional farewell to her: grieving, but grateful Fatima was finally at peace.“Finally, we managed to lay our Fatima to rest in Dubai’s Al Qusais Cemetery,” Moazzam told Gulf News on Sunday.He said Fatima's biological mother, however, was not there. She could not attend the burial because she was in police custody. She was transferred from Ajman to Dubai, according to one of her friends, with multiple cases involving financial dealings filed against her.Special permission in DubaiAs reported by Gulf News, Fatima was declared dead after she was found unresponsive at their home in Ajman on Tuesday morning. She was 15.After Ajman authorities informed the foster parents that she can only be buried in Dubai because she was born there and her biological mother’s last visa was also from there, they had to seek permission from Dubai authorities for the same.Getting permission to bury Fatima in Dubai was expected to be a long battle, said Moazzam. With no Emirates ID and a complicated legal history, he said he was told they might face a long wait, possibly until after the Eid holidays."I didn't have peace. I didn't want her body to stay in cold storage. I wanted to relieve her of all worldly things as soon as possible," he said.He approached Dubai Municipality and Dubai Police, explaining Fatima's story in full. He said he showed the previous Gulf News reports on Fatima to the officials. Dubai Municipality granted permission following which Dubai Police issued a no-objection certificate for her burial despite her undocumented residency status."Alhamdulillah, we got permission. We are thankful to Dubai Municipality and Dubai Police," Moazzam said.Faces in the crowdThe funeral followed Islamic rites. Fatima's body was brought to a facility beside a mosque at the cemetery, where she was washed and the family and well-wishers were allowed to see her face one last time. The janaza prayer was offered at the mosque, and she was then carried to the graveyard with her coffin borne by Moazzam's former Pakistani colleagues.Among those who came to pay their respects were neighbours, many of them Filipino, and members of the Pakistani and Arab communities who had followed Fatima's story or known her personally.Moazzam said he was thankful to everyone who came to pray for Fatima. “I was glad when I saw Dr Tariq, one of the teachers at an Islamic centre in Ajman where Fatima used to attend religious classes with Muozzama.”He said everyone who knew Fatima loved her. “She was a very inspiring and well-behaved child," Moazzam said.The little girl’s plightFatima was born out of wedlock and her father had disappeared, according to her mother who took care of her initially. She then handed over the child to a friend and her partner when Fatima was just a year old. That first set of informal foster parents also eventually gave up on her. It was then that Moazzam and Muozzama stepped in and started homeschooling her.Fatima had sent Gulf News a video thanking the newspaper and the reporter who had helped her. However, the couple could not adopt her legally as she did not secure a visa and Emirates ID as the mother, who faced some cases, disappeared again. Fatima’s dream to continue studying at a school, which she had attended briefly, did not materialise due to the absence of her residency documents.What followed was two and a half years of intensive home care that few families, let alone those who took in a child not their own, could have endured.Spent thousands out of pocketFatima had spent her final years on a home ventilator. She had a tracheostomy tube, which needed to be changed every three months at a cost of around Dh6,000 per change, said Moazzam.Her nasogastric (NG) tube, which ran from her nose to her stomach, also had to be replaced every three months at around Dh2,000 each time. She could not eat on her own, surviving only on liquid nutrition delivered through the tube. In her last month, doctors inserted a PEG (Percutaneous Endoscopic Gastrostomy) tube directly into her stomach.The couple were trained by the hospital to manage her ventilator and keep her airways clear. When her tracheostomy tube became blocked by secretions, they had to clean and reinsert it themselves. They learned how to feed her through the NG tube, how to reposition her body regularly to prevent bedsores, and how to give her physiotherapy at home."We were trained by the hospital to take care of her machines. We learned how to use the ventilator, how to handle the tracheostomy,” Moazzam said.The monthly cost of her care, including diapers, disposables, special milk formula, medicines and equipment, came to around Dh5,000, he said.Emergency admissions to government hospitals in Ajman and Sharjah sometimes ran into hundreds of thousands of dirhams. However, the hospitals waived those bills when they understood Fatima’s story."We are grateful they didn't take any action against us. But we were still bearing all routine expenses from our own pocket,” Moazzam saidHe approached multiple charities. However, none could help because without an Emirates ID, Fatima did not qualify.Small signs, great painIn the first three months, Fatima was in a full coma. She did not respond to anything. Slowly, something changed, Moazzam recalled.She began to open her eyes. She could move her head. She became responsive to light."The only improvement was that she could hold her head and move it and open her eyes. She was responsive to light, but doctors said what she was seeing did not create any image in her mind,” Moazzam said.Her body remained largely still. One arm and one leg could not be bent. When she was injected or in pain, she could not cry out. But her expression changed, and sometimes, she would shed tears.Doctors had warned early on that the brain damage from lupus and the subsequent oedema meant her chances of meaningful recovery were very low. Whatever recovery was going to happen, they said, would occur in the first six months."It happened exactly like that," Moazzam recounted.In her final weeks, doctors had discussed a possible brain surgery to drain fluid but eventually decided on the PEG tube insertion instead. She never made it to any further intervention.Muozzama's griefOf the two, it was Muozzama who felt the loss most acutely, said Moazzam."Both of us were taking care of Fatima. But she was more attached to Fatima than me. Muozzama is definitely heartbroken. I am trying to stay strong,” he said.For two and a half years, the couple had kept Fatima alive in their home, suctioning her tubes, adjusting her position, feeding her through day and night, and holding on to the possibility that she might one day improve. She did not. But they never stopped."We took care of her when she was healthy and when she fell sick also," Moazzam had said when Fatima passed. "No child should go through what our Fatima has gone through. We hope she is in a better place."