Yum Yum Update and Medication Definitions

Everything is about the same since the last update. She still spends much of her time under the table, but she does come out more often. Usually, about 6-8 hours after her medication, she will venture out and wander around a bit. It's really nice to see her more often! She still has not begun to groom herself, but at least she is coming out and interacting with us...even if it is for a short while.

Here's Yum Yum in her favorite hiding spot. It's the table right next to my chair. I cleaned out a nice spot for her and placed something there for her to lay on. In order to make her feel secure, I left the books in front.

Here are the definitions of the medications Yum Yum will be given during her surgery...

• Marcaine (Bupivacaine): A local Anesthesia which blocks the generation and conduction of nerve impulses ²
• Retrobulbar Block: This is the procedure for administering the Marcaine.In this technique, local anesthetic is injected into the retrobulbar space, the area located behind the globe of the eye ¹
• Buprenorphine: This is a very powerful opiate used for pain control. This is what what Yum Yum is currently taking sublingually
• Hydromorphone: Another narcotic used for pain
• Midazolam: Used before anesthesia for surgery to cause drowsiness, relieve anxiety, and prevent any memory of the event ³
• Propofol: provides loss of awareness for short diagnostic tests and surgical procedures, sleep at the beginning of surgery, and supplements other types of general anesthetics ⁴
• Cefazolin: Antibiotic
• Rimadyl: Used to treat pain and inflammation
• Atropine: Causes the muscles in the eye to become relaxed, which widens the pupil. The pupil will remain wide and will not respond to light ⁵

I've gone through and done these definitions to not only help you understand what is involved in her surgery, but for me to understand as well. I know I could have just asked my wife and she would have explained it, but I find it more therapeutic to do it on my own.

For those who have not been following Yum Yum's story, I have included a link to where you can find out what happened to her. I hope that you will be able to help her, but if you cannot, please say a prayer for her and share her story with others.

Yum Yum Needs your Help

I want to thank all of you for your prayers, purrs, and support. It means a great deal to not only Yum Yum, but also to my entire family. We have never had to go through anything like this before and it can be very difficult and for me, humbling.

So you can see where the money in the surgery fund is going, here is a more readable breakdown of Yum Yum's surgery costs. The items that have been crossed out are the ones that are now currently funded...

Description	Units	Price per Unit	Total
L211 Ophtho. Pre-Operative Panel	1.0	$105.40	$105.40
L301 CBC Comprehensive	1.0	$44.20	$44.20
IV Catheter- Placement (Initial)	1.0	$63.00	$63.00
Fluid Administration- IV Pump per Liter	1.0	$43.00	$43.00
Anesthesia General each 30 minutes	2.0	$69.00	$138.00
Operating Room Initial Set-Up	1.0	$78.80	$78.80
Operating Room each 30 Minutes	2.0	$59.70	$119.40
Retrobulbar Block	1.0	$0.00	$0.00
Marcaine (Bupivacaine) inj 5 mg/ml	1.0	$24.50	$24.50
Buprenorphine inj 0.3 mg/ml	1.0	$29.70	$29.70
Surgery Pack- Eye Minor	1.0	$65.40	$65.40
Enucleation	1.0	$128.00	$128.00
Ocular Implants 14-24mm	1.0	$52.50	$52.50
Suture-Monosof 4-0 C-13	1.0	$9.17	$9.17
Suture-PDS 4-0 RB-1	1.0	$15.65	$15.65
Patient Care Level 1 6-12 Hours	1.0	$86.25	$86.25
Est-Medications (oral, topical, other)	3.0	$60.00	$180.00
E-Collar	1.0	$14.81	$14.81
Est-Additional Treatments,Medications	1.0	$200.00	$200.00
Hydromorphone inj 2 mg/ml	1.0	$24.50	$24.50
Biopsy Antech Single	1.0	$156.16	$156.16
Midazolam inj 5 mg/ml	1.0	$24.50	$24.50
Propofol inj 10 mg/ml	1.0	$24.50	$24.50
Cefazolin inj 100 mg/ml	1.0	$24.50	$24.50
Rimadyl inj 50 mg/ml	1.0	$24.50	$24.50
Atropine inj	1.0	$24.50	$24.50
Felv FIV Snap Test	1.0	$53.10	$53.10

Saying Goodbye to Yum Yum

¹http://emedicine.medscape.com/article/2000744-overview
²https://www.drexelmed.edu/Home/Research/UniversityLaboratoryAnimalResourcesULAR/Resources/BupivacaineMarcaineUse.aspx
³http://www.nlm.nih.gov/medlineplus/druginfo/meds/a609003.html
⁴http://www.drugs.com/propofol.html
⁵http://www.drugs.com/search.php?searchterm=Atropine+

Yum Yum Update 7/29

First, I would like to announce that thanks to your donations, Yum Yum now has $215.00 toward her goal of $1,509! Thank you very much!! Below, listed in alphabetical order, are those who have donated to Yum Yum's Surgery Fund so far:

Anonymous (1)
BeadedTail
Karen & Gerard Zemek
Rebecca Mecomber
Sparkle the designer Cat
Vicki W


A big thank you for your help!!!

There has been little change in Yum Yum's condition since my last update, except to say that we are getting her to eat a little more. She is only eating her wet food and the occasional piece of deli ham. I've noticed that even though she goes over to her bowl and tries, she does not eat the dry food anymore, I'm assuming it's because of the pain. As I was writing this, she came out and I was able to get her to eat a little ham. These photos were taken over the weekend...

:Here's a photo of Yum Yum getting her medication. Usually, Mary has to hold her in her arms, but for some reason, Yum Yum didn't fight this time

Here's Yum Yum having something to eat after getting her medication. She actually stayed around and slept on my wife's lap for a few minutes, before heading back to her hiding place

So you can see where the money in the surgery fund is going, here is a more readable breakdown of Yum Yum's surgery costs. The items that have been crossed out are the ones that are now currently funded...

Description	Units	Price per Unit	Total
L211 Ophtho. Pre-Operative Panel	1.0	$105.40	$105.40
L301 CBC Comprehensive	1.0	$44.20	$44.20
IV Catheter- Placement (Initial)	1.0	$63.00	$63.00
Fluid Administration- IV Pump per Liter	1.0	$43.00	$43.00
Anesthesia General each 30 minutes	2.0	$69.00	$138.00
Operating Room Initial Set-Up	1.0	$78.80	$78.80
Operating Room each 30 Minutes	2.0	$59.70	$119.40
Retrobulbar Block	1.0	$0.00	$0.00
Marcaine (Bupivacaine) inj 5 mg/ml	1.0	$24.50	$24.50
Buprenorphine inj 0.3 mg/ml	1.0	$29.70	$29.70
Surgery Pack- Eye Minor	1.0	$65.40	$65.40
Enucleation	1.0	$128.00	$128.00
Ocular Implants 14-24mm	1.0	$52.50	$52.50
Suture-Monosof 4-0 C-13	1.0	$9.17	$9.17
Suture-PDS 4-0 RB-1	1.0	$15.65	$15.65
Patient Care Level 1 6-12 Hours	1.0	$86.25	$86.25
Est-Medications (oral, topical, other)	3.0	$60.00	$180.00
E-Collar	1.0	$14.81	$14.81
Est-Additional Treatments,Medications	1.0	$200.00	$200.00
Hydromorphone inj 2 mg/ml	1.0	$24.50	$24.50
Biopsy Antech Single	1.0	$156.16	$156.16
Midazolam inj 5 mg/ml	1.0	$24.50	$24.50
Propofol inj 10 mg/ml	1.0	$24.50	$24.50
Cefazolin inj 100 mg/ml	1.0	$24.50	$24.50
Rimadyl inj 50 mg/ml	1.0	$24.50	$24.50
Atropine inj	1.0	$24.50	$24.50
Felv FIV Snap Test	1.0	$53.10	$53.10

Again, I want to thank each and every one of you who have donated to Yum Yum's Surgery Fund! As you can see from the cost breakdown, any amount that can be donated can go a long way. In my next update, I'll go through and explain what the various medications are and how they are used.

For those who have not been following Yum Yum's story, I have included a link to where you can find out what happened to her. I hope that you will be able to help her, but if you cannot, please say a prayer for her and share her story with others.
Yum Yum Needs your Help



Saying Goodbye to Yum Yum

Yum Yum Update 7/26

First, I would like to thank those of you who have donated to help Yum Yum get her surgery. It really means a lot to all of us knowing that you care. As I mentioned in my thank you emails to you, we have never had to face a situation like this before, but it is comforting to know that we are not alone. Also, I would like to thank publicly those who have donated. So, in my next update, I would like to do so. If you would like to remain anonymous or if you have a specific site/anchor text you would like me to use, please send me an email at tahtimbo@hotmail.com

This first photo will show you the medication that we give Yum Yum. We had to get it from a compound pharmacy, that's a pharmacy that actually mixes together the ingredients that are in the prescription. I had never heard of one before, so my wife had to explain it to me. Luckily, we have two here in Boise. They mixed-in a beef flavor, so Yum Yum would like it better.

My wife fills the syringe to the proper level, 0.25 ml, and then has to squirt it into Yum Yum's mouth. In order to be effective, the medication cannot be swallowed, but has to be absorbed through her gums and cheeks.







Even though she spends most of her time under the table, I am thankful that she comes out now and again. She still does not groom herself, nor does she lay on my wife's lap like she used to, but we are still hopeful. I have included the donation thing at the bottom, if you would like to help Yum Yum get the surgery she needs. If you are not familiar with what happened, here is the link, that will give you that information... Yum Yum Needs Your Help
Again, thank you for all your kind prayers and support. I will provide another update soon.
Tim

Saying Goodbye to Yum Yum