What actually happened is that I made my decision to have surgery after meeting with the surgeon. At that time (early 1992) I was still in good shape. He did not want to cut me until I lost 10 pounds. He was at that time the best colorectal surgeon or one of the best in the USA. And certainly the best in the northeast USA where I lived. He had done hundreds of J Pouches as well as the very 1st K Pouch in the USA in 1970, and he actually studied in Sweden under Dr. Nils Kock (after whom the K Pouch is named).
So I had to lose 10 pounds while taking 60 mg Prednisone because there was no way I wanted anyone else to operate on me. It was not not easy to do, losing that weight. By the time that happened and I could schedule the surgery with his permission, I had deteriorated very badly. I in fact had the surgery "just in the nick of time." He told me it could not have waited and told me my colon "dissolved in his hands" as he took it out of me. He was not a dramatic kind of a guy, more of a just the facts kind of guy. I knew I was flat out lucky.