Do you have a general practice doctor that you can go to and trust? He / she can get you through simple health issues while you only need to see your surgeon once a year (or so) for the more thorough pouchoscopy exam. I go to my GP for bloodwork (which is sent to my pouch surgeon so he is updated), flu shot, joint pain, whatever, and she watches over my general health. I see my pouch surgeon only for pouchoscopy now. Keep adding change to the bowl of silver. You think you don't have much in there now, but one day you'll be surprised. I hope the medication you picked up has helped.