For someone with my level of patience

and manual dexterity

a diamond whetstone is worth looking at. There are compact folding ones with medium "grit" on one side, fine on the other (or course/medium, fine/extra fine). They're readily available on eBay and Amazon.com.
I've never had really good results with a ceramic sharpener. Someone once told me that, like a steel, they are only for dressing a blade after use, not for basic sharpening.
Frank2135