It looks like you have been having quite the series of challenges this year.
People who have never lived thru a full blown sinus infection have no idea how impactfull they can be
I hadn't has one for about ten years, but got one for christmas
It's been mostly mild compared to the past, but damn, does it mess with the nighttime, and leave you groggy and out out of it during the day
... sucks...
I have always tried to get ahead of them by doing many of things that you are already doing.
My go to is a hot water bottle laid across the affected area,
... and then a single sudafed (the real ones, pseudephedrine HCI 30mg) that are kept behind the counter at the pharamacy (no script required)
recomeneded dose is two tablets, but one is usually enough
Sit upright, and give it time to work, and most nights, it'll knock it back enough I canget some sleep
Use your netti pott, they can be magic
... but understand you must be very carefull to not introduce any bacteria/pathegens or other allergens
(the advice on "nursery water" by "my little penguin, and the follow up from "Lady Organic" were spot on!)
Use it when you needit, but try and give the system some time inbetween to recover naturally
One thing that is kinda crazy but kept me from having allergies, and really minimized my sinus troubles was "five mile honey"
That's honey that is collected in your very local area, and it will contain everything that's in your local pollen groups.
My wife just puts it on one of my toast slices at breakfast every day
In the diluted form collected by happy little bees, it will condition your system to recognise the local pollens and allergens and it kind of :mutes" your immune system response. Try it, you might just have the same luck that i (and many others!) have had with this particular approach
I also run a hepa air purifier in my bedroom to cut down on the airborne irritants
I am also on Stelera, and I have been very impressed by the Jannsen pharmacuetical group's response to my questions and concerns.
They have an excellent nurse navigator system, and if you sign up for their programs, they will absolutley exceed any expectation you could ever have about product support. Truly incredible folks!
One last thing, (and I don't want to sound negative), but you've got to slow down a bit, boss.
Every single drug we take has side effects, and some of them can be very impactfull
Your health care team sound like they are on it and trying to help, but you can help them by slowing down and defining some priorities.
Antibiotics and steroids are very powerfull tools
... almost too powerfull at times
Overuse of antibiotics can (and often will) cause gi problems, and in many cases they can cause the system to flare, and make those flares hit harder and last longer as the symbiotic happy little guys doing work in the digestive system can really get nuked by the action of many antibiotics
There's a time and aplace for them, but it is a VERY good idea to discuss their use with your gi team
It's a bit of the same thing with the steroid therapies
There's a time and a place for them, have no doubt!
But mixing different types can cause all kind of problems, especially if care team is not kept informed.
ER folks only see one data point (you, that instant), and they *may* mistake that one data point as being the whole picture
your care team sees the big picture, they see many data point as you cycle thru your many appointmments, and they will become familiar with you, your particular climical presentation, and how you want to approach things.
always consult them before making any drastic changes to your medication list or dosages
You got this man,
it's just gonna suck ebery now and then
Get outside on the warm days,
keep moving
Both my grandparents used to say;
... when you're going thru hell ... keep moving ...
You got this!
