So I had my follow up appt. with the derm. last Thursday.  First thing she asks is if the shampoo is working and I told her it has gotten worse.  My hair is so thin now I can't really pull it into a pony tail because then you see the scalp.   She looked at where she injected the steroid and noticed that while the hair is growing back there, the skin has atrophied.  She said that she is very reluctant to give me another injection.  She said that because my skin is so sensitive, I could be having a reaction to the steroid shampoo and gel.  I also told her about how my scalp was always really red, itchy and has these hard welts on it.  Now, this summer I started smoking again...bad, I know.  I also drink quite a bit of red wine, probably more since my hair started falling out.  So I did an experiment, I quite smoking and drinking and a few days later my scalp didn't itch as bad and it wasn't red anymore.  I told the derm. this, and she said that smoking and drinking will make the itching worse.  I can't remember the technical parts, but either way, it isn't helping the inflammation if not contributing to it.  This time she prescribed an antibiotic for the bumps on my head.  Two weeks of cephalexin.  I really don't like taking antibiotics especially when I feel fine.  She also suggested that I start Rogaine 5%.  I asked her if there was an initial shed, and she said no, only if you stop using it.  Well, I heard there is initial shedding, and I don't have much more hair I can lose.  She also told me if I wanted to, I could try a short bout of Prednisone.  I told her no, my aunt was on it and she lost her hair, granted she was on it for a while and she had other health issues.  I'm just not ready for that yet.  If anyone has tried prednisone and had some good results, I would love to know. 

The tiny bit of good news is that she noticed some little hairs growing in the bald spot in the back.  I would love to have some grow back to cover the bald spots on top, but I'll take what I can get.