Keep an eye on the dust you dump out of the bowl. You don't want to remove actual Meerschaum, just cake.
When the reamer stopped producing results, but I still had a noticable amount a cake in the bowl, I grabbed a deep socket that would fit in the bowl and wrapped a bit of electrical tape around it. I then wrapped the sand paper around that and kept at it.
Once this stopped producing desired results I switched to wrapping a bit of sand paper around my finger...and I kept at it.
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