That's good to hear that things are progressing well. Today I talked to one of Dr. Finlayson's j-pouch patients, Lauri, and she mentioned that she had also talked to you! San Francisco J-pouch club, woo! Lol.
Dr. Finlayson didn't say definitively whether I would get a 2-step or 3-step. After my consult, I realized that I am still a little unclear on the reasons you would have one or the other, but here's what I *think* she said are the reasons to opt for a 3-step:
(1) After Step 1 of the 3-step procedure, you would have the opportunity to test drive the ileostomy, and could choose to keep a permanent ileostomy, rather than go to a j-pouch. I don't think this applies to me; I am pretty set on not having an external bag long-term if I can avoid it.
(2) After Step 1 of the 3-step procedure, you can have time to taper off of steroids and get healthy before they go in and create the J-pouch. So maybe the J-pouch would have a better chance of healing smoothly.
I would prefer to get it all done in 2 steps if possible, but if doing it in 3 increases likelihood of an issue-free j-pouch, I would go that way. I sent Dr. F a message to get more info on this because the more I think about it the more confused I get, but would be curious if you have any insight...