Topic Explanation:
The forum topic is about a person who had a proctocolectomy in 1988, resulting in a Kock Pouch, and is currently diagnosed with atrial fibrillation and taking digoxin. The concern is about the poor absorption rate of medication and inadequate digoxin levels due to the Kock Pouch.

Advice and Insights:
- Medications don't absorb well with ileostomy, so breaking them down and putting them into liquid or over food can help improve absorption.
- Using a crusher to pulverize hard tablets can aid in better absorption of medications.
- Consider discussing with a healthcare provider about the availability of digoxin in liquid form for better absorption.
- Atrial fibrillation can be challenging, and it's important to communicate with a cardiologist about medication options.
- The forum discussion went off-topic, but the original poster expressed gratitude for the helpful information provided.