I had the Kinder Procedure (recision of Accessory Navicular Bone) on May 7, 2024. I took notes about my pain so I could communicate my experience effectively to my surgeon and anesthesiologist during recovery.
I will be 2 weeks non-weight bearing, then have a follow-up appointment with the surgeon to remove stitches and switch me from a splint to a boot (to begin weight bearing).
5/7/24
7:30am surgery takes place this day. They gave me one Promethazine in pre-op and then the anesthesiologist performed a block from two nerve points (each side of the knee) to numb my lower leg and foot completely. I was completely asleep from the Promethazine by the time the block was being administered. Then general anesthesia was then administered for the surgery.
11:30 in post op. Was given two Percocet and due to pain felt through the block. Surgeon was surprised I could feel pain. Pain was at an 8 right in my arch. Went home shortly after.
Was at the hospital for 4 hours total. Surgery takes about 45 mins.
*4:30pm took 1st oxy. Pain is at an 8
*11:30 pm took oxy
5/8/24
*4:30am took oxy
Woke up with feeling in my toes and I could move my toes. Foot and leg under outside of knee feels asleep
*11:30am took oxy. Started taking toradol.
2:00 Notable shooting pains from navicular for a quick second then tingling sensation
*5:45 Concerned I was taking the oxy too fast, I tried to spread out interval. Took 4:30p dose at 5:45. It’s very painful. Icing it. Pain scale 7
6:00 Shooting pains intensified. Feel it in the arch as well as in the inner thigh. Mostly feel it in the arch. Feels like pressure and aching pain with periodic shooting pains. Toes still mostly numb from block. Feel tingling in my toes.
6:15 increasingly very painful. 7-8 on the scale. Hoping for oxy taken at 5:45 to kick in soon. Hard to get pain back under control.
6:55 finally have some pain relief. Pain level down to 4
7:20 pain going back up to 5-6. Pulsating and shooting pains. Aching pain with tingles.
*7:35 icing it. Pain is 8. Feels like the navicular bone is pressed against the cast. Very tender. Taking another oxy. Restarting 6 hour cycle. Next oxy dose to be at 1:45am
7:40 shooting pain that made my body jolt. The jolts are a 9-10 and only last a second.
7:55 tmj flair up. Need to use bite guard. Pain is at 8.
8:15 feeling pain relief. Pain is 7-8.
8:35 pain down to 6
8:50 pain is under control but fluctuating from 6-7
9:20 5-6 pain scale
10:00 pain is down to 3-4
5/9/24
*1:45am took oxy
*7:45am took last oxy
*1:45pm started tramadol in place of oxy. Have been taking Tylenol and toradol in 6 hour intervals. Moving Tylenol/toradol intervals to not be at the same time as tramadol (e.g. taking med every 3 hours - Tylenol/toradol one 3 hour interval, then Tramadol the next 3 hour interval)
Pain managed well the rest of the day and thru 5/10. Pain level 4.
5/11/24
Woke up with (new) heel pain from splint. Its bearable. Pain from arch is well managed and at a 4.
5/12/24
4:15am Tried to skip tramadol dose in the middle of the night but woke up in pain 1.5 hours after the time I was supposed to take it (continuing to take toradol and Tylenol on schedule). Took 1 tramadol at this time.
10am Woke up with a pain level of 3-4. Took a shower today for the first time since surgery. It went well, but afterwards it caused my pain level go up to 5 once I propped it up and iced it. Continuing to keep it elevated and iced as much as possible.
1:45 in pain of 6 so am taking tramadol. Most of the numbness in my toes and knee is gone. Can still feel numbness when I squeeze my big toe. Can move toes pretty well now. Can lift big toe up. Couldn’t do that yesterday.
3:00 tmj pain when eating
3:25 pain in arch is tingling. Pain level 6-7. Hasn’t been back under co trip since my shower.
4:15 pain back down to 5.

I had the Kinder Procedure (recision of Accessory Navicular Bone) on May 7, 2024 in the US.
I took notes about my pain so I could communicate my experience effectively to my surgeon and anesthesiologist during recovery.
I will be 2 weeks non-weight bearing, then have a follow-up appointment with the surgeon to remove stitches and switch me from a splint to a boot (to begin weight bearing).
5/7/24
7:30am surgery takes place this day. They gave me one Promethazine in pre-op and then the anesthesiologist performed a block from two nerve points (each side of the knee) to numb my lower leg and foot completely. I was completely asleep from the Promethazine by the time the block was being administered. Then general anesthesia was then administered for the surgery.
11:30 in post op. Was given two Percocet and due to pain felt through the block. Surgeon was surprised I could feel pain. Pain was at an 8 right in my arch. Went home shortly after.
Was at the hospital for 4 hours total. Surgery takes about 45 mins.
*4:30pm took 1st oxycodone 5mg. Pain is at an 8
*11:30 pm took oxy
5/8/24
*4:30am took oxy
Woke up with feeling in my toes and I could move my toes. Foot and leg under outside of knee feels asleep
*11:30am took oxy. Started taking toradol.
2:00 Notable shooting pains from navicular for a quick second then tingling sensation
*5:45 Concerned I was taking the oxy too fast, I tried to spread out interval. Took 4:30p dose at 5:45. It’s very painful. Icing it. Pain scale 7
6:00 Shooting pains intensified. Feel it in the arch as well as in the inner thigh. Mostly feel it in the arch. Feels like pressure and aching pain with periodic shooting pains. Toes still mostly numb from block. Feel tingling in my toes.
6:15 increasingly very painful. 7-8 on the scale. Hoping for oxy taken at 5:45 to kick in soon. Hard to get pain back under control.
6:55 finally have some pain relief. Pain level down to 4
7:20 pain going back up to 5-6. Pulsating and shooting pains. Aching pain with tingles.
*7:35 icing it. Pain is 8. Feels like the navicular bone is pressed against the cast. Very tender. Taking another oxy. Restarting 6 hour cycle. Next oxy dose to be at 1:45am
7:40 shooting pain that made my body jolt. The jolts are a 9-10 and only last a second.
7:55 tmj flair up. Need to use bite guard. Pain is at 8.
8:15 feeling pain relief. Pain is 7-8.
8:35 pain down to 6
8:50 pain is under control but fluctuating from 6-7
9:20 5-6 pain scale
10:00 pain is down to 3-4
5/9/24
*1:45am took oxy
*7:45am took last oxy
*1:45pm started tramadol in place of oxy. Have been taking Tylenol and toradol in 6 hour intervals. Moving Tylenol/toradol intervals to not be at the same time as tramadol (e.g. taking med every 3 hours - Tylenol/toradol one 3 hour interval, then Tramadol the next 3 hour interval)
Pain managed well the rest of the day and thru 5/10. Pain level 4.
5/11/24
Woke up with (new) heel pain from splint. Its bearable. Pain from arch is well managed and at a 4.
5/12/24
4:15am Tried to skip tramadol dose in the middle of the night but woke up in pain 1.5 hours after the time I was supposed to take it (continuing to take toradol and Tylenol on schedule). Took 1 tramadol at this time.
10am Woke up with a pain level of 3-4. Took a shower today for the first time since surgery. It went well, but afterwards it caused my pain level go up to 5 once I propped it up and iced it. Continuing to keep it elevated and iced as much as possible.
1:45 in pain of 6 so am taking tramadol. Most of the numbness in my toes and knee is gone. Can still feel numbness when I squeeze my big toe. Can move toes pretty well now. Can lift big toe up. Couldn’t do that yesterday.
3:00 tmj pain when eating
3:25 pain in arch is tingling. Pain level 6-7. Hasn’t been back under co trip since my shower.
4:15 pain back down to 5.

The Big Tik Tok Star!!!
Trashy
What is a 30-something-year-old woman who locks herself in her makeup room day after day and ignores her husband who pays all the bills and utilities while she shops at TJ Maxx, Ulta and Sephora? Treats his family like absolute shit and it’s all about hers. She can drive two hours to go see her little brother, but she can’t spend any time with his kids. She doesn’t cook for him but yes, she cleans when she’s cracked out on Suboxone at 1 AM while he’s sleeping in the bedroom and has no consideration for him. I just don’t understand how she still has supporters when all she does is scam them with her bullshit lies. I know I won’t be purchasing any beach waivers. If she’s in partnerships with them screw that I will not support anything trashcan has to do with it!!! she is an absolute ripoff junkie who needs to be on the side of the road where she belongs in the trash. Aren’t these influencers supposed to have a positive impact on people? The way she makes fun of people because of their disability or a baby dying is the all-time worst thing ever!!!! Why is TicTok supporting a drug addict?

TW: physical abuse, suicidal ideation, opioid drug addiction, cancer, death. Wanted to post this in offmychest but attachments aren’t allowed.
My half-brother (42m) has had a severe drinking problem and a horrible temper since his early 20s. It’s no secret, but it’s never been addressed outright, and he’s never admitted he’s an alcoholic. He and I (39f) had a good sibling relationship and rarely fought as kids. He lived with us full time and his father had no relationship with him. We weren’t so close that we shared secrets, and he didn’t go out of his way to look after me or try to keep me safe as kids. He now lives 4 hours away with his second wife, 3 biological kids (1 with his ex wife) and 2 stepchildren. We don’t talk very often because we sort of drifted apart after he moved. I’ve been reaching out more often lately, trying to be a good active aunt as the kids get older.
Now let me preface this post with the backstory... Sorry for the length but it’s all relevant.
We both grew up in a terribly dysfunctional home. Both our parents were alcoholics and fought a lot. We frequently witnessed domestic abuse both by my mom and dad, physical and psychological. It was not unusual for us to be pulled into their arguments as pawns, or in the case of my mom, try to pit us against our dad. Their fights would last for days sometimes, and it was constant screaming. My dad ended up getting diagnosed with hepatitis C at 40, and he immediately stopped drinking; my mom did not but pretended she quit. Instead of her usual beer, she switched to vodka so we couldn’t smell it on her breath. It was clear by her behavior she was drinking though. We weren’t stupid. I would find empty gallons of vodka hidden in the house. Their fights only got worse and her secret drinking finally led to them separate. I was 14 and thrilled it was going to be over.
The divorce started when I was 15 and was final when I was 17 1/2. My brother had moved away when I was 16 and left me to fend for myself while I was dragged into a custody battle. I moved in with my dad. My mother was a narcissist and always played the victim; our relationship was incredibly toxic and I refused to visit her despite the custody agreement because she was always drinking. She was a hateful, mean drunk and she seemed to despise me because I wasn’t as close to her as my dad.
Fast forward to Dec 2016. I filed for divorce from my ex husband due to his straight up coldness towards me during the last year of our marriage, not to mention his lack of compassion after I severely injured my back in 2013, and was in constant chronic pain, unable to do much of anything. I was deeply depressed and lonely. I ended up hooked on Percocet and became suicidal. I wasn’t talking to my mom at the time. In Jan 2017, I was 3 years deep into my addiction (which I successfully kept secret from everyone - 70mg a day habit), and one day, I just lost it. My ex ended up bringing me to a mental facility since I’d started cutting and had made a plan to end my life.
I had walked out on my job two weeks prior to this because I couldn’t handle the pressure put on me. I was sick of hating my life. So the timing was right for me to get some real help. They put me in intensive outpatient therapy 3x a week, four hour sessions, plus group meetings at night. This lasted for 2 months until I found the right mix of meds and ‘graduated’. I felt much more stable and happier. I moved out, landed a great job, and by April 2017, my divorce was final - easy and uncontested (no kids). I began seeing a therapist and psychiatrist weekly, and enrolled in a DBT program.
In late 2017, our mother died from liver and colorectal cancer. It was stage 4 before she saw a doctor. Her and I squashed our beef so we could spend the last of her days together. 7 weeks later, she was gone.
My addiction just got worse. I loved pills, to be honest. But after a couple more years, Percocet stopped getting me high, and I eventually burned through my entire savings chasing that dragon. In 2018, I happened to meet my soulmate and we married last year. It’s cliche, but he truly made me want to be a better person.
In 2020, I had to confess to him about my addiction because percs were getting harder to find and more expensive. I obsessed all day over where and when I could get some and I decided ‘no more.’ I had to get help because I couldn’t do it alone. I’d tried. So I found an amazing doctor who helped me get clean with suboxone. 2 1/2 years of treatment, and I’ve been off subs since August 2023. I’m happy as hell and never looking back. This is all important to know for what this post is about.
My brother’s marriage is a disaster. He is a full blown alcoholic and is always extremely angry and aggressive. They’re always fighting. His ex-wife disclosed to me a couple instances where he’d choked her, and it wasn’t long until I heard the same from his current wife. She would occasionally drop hints to me about his drinking being a problem, and even recorded one of their verbal arguments where he’s threatening to ruin her and calling her vile names. She sent it to me to prove what’s happening. She’s put up cameras inside and outside the house to catch the altercations, but he just smashes them. I was never able to confront him about this because he never told me, and I thought it would only cause violent repercussions for her.
Deja-fuckin-vu. He’s replicating our childhood to a tee. He’s a carbon copy of our mom’s worst traits - always the victim, never to blame, selfish and mean as hell. The same things he couldn’t stand about her. Their fights are almost always instigated by his drinking. He has to drink every night immediately after work, and he doesn’t stop until he’s wasted. She’s begged him to get help and has asked me to get involved. Apparently I’m the only person left that he would do anything for. Which is a surprise to me given that I never felt that close to him.
I agreed, but it’s been difficult to find the right time. He would have to say something to me to give me the opening I need. I didn’t want his wife to get into trouble for telling me something that I wouldn’t have known, if not for her. Last summer, I flew out to visit with the kids, and he and I had a fun time catching up. Unfortunately he got blackout drunk and started a fight with his wife because she didn’t want to be around him in that condition. I saw firsthand his anger and was bright back to our childhood all over again. It turned physical. She was on the bed with their youngest, and he lunged on his wife. I jumped on him to get him to stop and it worked, but I had bruises and scrapes literally everywhere on my body after. My knee was messed up for a month. Their girls (10 & 6) were bawling their eyes out, reminding me of the pain and fright i felt as a kid. It broke my heart. I cried on the plane the entire way home. He didn’t remember anything from that night and asked me a month later what happened. Then I find out he was thrown in jail just a few months before, charged with domestic assault and forced to go to anger management. Lot of good that did.
In February, one of his fave bands was playing in our city, and weren’t coming to his town. So he offered to get us tickets if we’d let him stay with us. His wife decided not to come. She knew how it would turn out. I had a bad feeling about his visit and almost made an excuse not to go. When he got to our place around mid afternoon, he went straight for our rum and was already stumbling and being stupid while we waited for the Uber at 6:00. We get to the venue, and we’re in another section since he bought us tickets later. He keeps asking security if they’ll let us sit in his section because there were several empty seats. In the meantime he’s sucking down Guinness, and even says he’s not drunk yet and wants us to take shots with him. We didn’t. I go check on him occasionally to make sure he’s in his seat and isn’t trying to start a fight or something stupid.
When his fave band comes on, I see him talking to security again for a full song and a half. He can barely stand and is arguing with them, trying to get them to let us sit with him. Next thing I know, he’s texting me to come get him, and security finds me and tells me he’s with the police downstairs because he’s too drunk to be there. He was. They made the right call. I’m mortified. We go to the lobby and he’s talking with 3 cops asking over and over why he’s being kicked out. I dragged him outside where my husband and I had to yell at him to calm down. I wanted to put him in a hotel but decided against it because he’d probably end up arrested for being drunk and disorderly. He missed seeing the band he drove 4 hours for and only had himself to blame.
That night, we all had a very long convo where he admitted he was an alcoholic and that his wife had suggested he do what I did - get intensive therapy and work on getting sober. I said if he truly loved me and would do anything for me, that I wanted him to look into therapy and find an addiction doctor to get sober. I gave him till the end of March to do so. Five weeks to just reach out for help. I know how hard it is to take that first step. He promised he would, but of course said he’d try stopping on his own first. He’s made it clear that he would never do therapy so that’s a lost cause. Too macho I guess.
I follow up a few times asking how things are going, and check in with his wife who said he had slowed down more. The end of March rolls around and I decided to let it go another couple weeks before asking if he’d looked into treatment, because I knew he hadn’t.
Not long after, his wife calls to tell me about a fight he had with the neighbor. He went over there to drink and hang out, and apparently said something nasty about the guys wife. He got knocked the hell out and had a black eye, swollen shut, for more than a week. He didn’t tell me, of course.
She also asked me if something happened during the concert because he didn’t say anything about it when he got home. She knew something was up. I’m sick of keeping his secrets and since it seems he has no intention of stopping, I told her everything.
I knew he was never serious about getting help at this point. A few days later, mid April, I texted him ‘so you promised you’d get help by the end of March if you couldn’t stop drinking on your own - how’s it going? Because I will hold you accountable…’ His response was a sarcastic “I’m still drinking excessively!” Clearly he was pissed I even asked. So I stopped the convo there.
This past Thursday night, they got into a fight because he was drunk by the time she got off work. She let him know she knew about the concert. He was pissed that I told her - but he left me no other choice. I figured if me and his family begging him to get help wasn’t enough, then maybe shame or embarrassment would. (That might sound cruel, but if anybody knew about my opioid addiction, and made me feel ashamed about it, I would have stopped sooner. He’s lucky I’ve kept his other secret about taking online to other girls, one of whom he says he’s in love with. I don’t want to break his wife’s heart even more with that one. That’s another thing I told him to stop doing.)
So he decided to tell me off via text. Yes he was drinking when he wrote it but he’s never talked to me like this. I’ve never experienced how he treats the women in his life until now.
He’s an expert gaslighter too, and I purposely didn’t respond to his insults and accusations. He’s absolutely delusional and what he claims or blames me for are nothing but lies. I don’t know if his memory is shot or if he’s just trying to instigate shit.
What should I do?? Who am I obligated to help? What can I do being that we live 4 hours apart? I’m devastated.