I got the impression?? Like Christine said, surprise the vet didnāt clean the pus, says a lot about that vet. Your āimpressionā said it all. If theyāre not to keen of the breed probably means they have no clue what to do with that breed n why bella didnāt get any attention.

. At the price these vets charge, my dogs better get 200% of attention
Regarding the probiotics, I only use fermented sauerkraut or fermented veggies as toppers. These 2 food groups are very high in probiotics plus itās fermented. Again thatās me as Iām more on the holistic side. Yogurt needs to be the plain Greek yogurt full fat. Not zero fat or no sugars as those are full of hidden sugars.
What exactly is Bella eating as kibbles n treats?
I know $230 is a lot of money but like mentioned above, hot spots are treatable without meds. IF it was my 2 dogs, treat the hotspot naturally as itās just a hot spot. Christine mentioned how to clean it. Cleaning needs to be consistent not once a day. 3-4x a day. If youāre giving those meds, basically it wonāt tell you what allergies she has. Better putting money on a bloodwork like mentioned. At least youāll know how to treat/guide her properly towards a healthier dog.