I saw Dr Bo Shen years ago when he was at the Cleveleand Clinic, is he now in New York City? Willow, the problem I now have has nothing to do with the pouch, my pouch is okay, but the muscles in my bottom have stopped working, thus making it almost impossible to move my bowels with some type of product like Miralax. I have a video visit with a doctor from NYU who specializes in this, although I don't know if they can or for that matter anyone can help me. I cannot have a pouch again, at the end I became very allergic to it and was rushed to the hospital several times, it would get puss that formed where the bag was and would just fall off, one of the worst things I had to go through. Thank you so much for your advice, it is very appreciated.