Surgery??? If you're that miserable (& it sounds like you are!), & none of the big drugs are working, why not? 60mgs of pred is high, but I've always started at that dose myself. It did work great the first time, but then lessened with every course. Thankfully, the Remicade is keeping things in check for me right now- barely, but good enough for me! What does your doctor say, they must'e brought up surgery to you at this point. What would he do for you in the hospital, IV steroids, cyclosporine???