Cathy -- please don't feel like "about all that's left" is holistic. The right holistic vet, particularly using the right modality is like "DAY DAWNED BRIGHT AND FRESH!!!" It's not a 'poor alternative' -- it's the thing that can WORK.
Sometimes an integrated approach is what works, but darned few vets are comfortable with that (using holistic AND 'regular' vet methods).
The GOOD holistic practitioner is going to give Sassy a completely **different** exam. I can't even begin to explain how incredibly different it is. Yeah, they'll listen to the heart -- but then they'll feel the pulse points all over the body to see how the blood flows from here to there -- they'll look at the color of the tongue, in the ears, between the toes -- all to see how the various body systems are all working together -- not just to see if something within their own specialty is wrong.
Not all allergy dogs are extremely itchy -- Muffin never was and allergies would zoom into his EARS.
When did a regular vet ever make a difference as to whether it was "papules" or "pustules" on the skin -- and when did a regular vet ever differentiate that it can be a "different cause" wether the breakouts are on the "top" of the skin or under the belly or in folds, etc.?? Not just to say "that's staph" or "that's yeast" -- but that some different area of the body indicates a different problem??
I think you'll find this vet you have picked out to go to may shed some serious light.
See the problem with "regular" vets is they rely SO much on "numbers" -- test results -- that if the "numbers" don't match a thing then it can't exist. And it never seems to occur to them that the spleen and the skin might be 'connected' -- a regular vet tends to treat the symptoms -- not the real 'thing' that might be weak or a problem. They think allergies have to be treated by dealing directly with allergens or forcing the immune system to 'ignore' certain things -- when in a holistic perspective (and not just 'Eastern' medicine but pretty much any good holistic practitioner who treats the "whole" being) they're going to see a direct connection between the organs and if X is a problem then maybe it's Organ A or B that's affecting Organ C or D ...
Kinda like me knowing Billy was feeling just a wee bit upset in his stomach (so tiny almost not even recognizably) -- rather than just trying to settle the stomach ... even my regular vet saw the wisdom in doing a senior blood panel to try to put some pieces together.
In Billy's case, altho this has been this incredibly long, frustrating circuitous route - at least he IS alive. Had I not made a major PIA out of myself and gone to the vet and asked for a blood test (which I figured I"d have to take to the holistic vet to see what SHE thot too) we wouldn't have found the anemia until he was likely crashed and beyond help.
Like back when Muffin had cancer -- the western vets were focused on mast cell and killing them. The Chinese way was to move the blood better in the body and thus eventually preventing the mast cells from being a problem. (and he stayed cancer free the rest of his life). Western medicine would say what does the blood have to do with cancer cells?
Homeopathy sees it all as a body 'balance' thing. Chiropractic sees things from a neural angle -- if there's a subluxation (something 'out' in the spine) then the neural pathways won't be clear and blood and body fluid won't do what it should.
Each modality has it's own way of looking at it -- but the exam you'll get is SO different. Different modalities tend to have different strengths.
I hear your frustration loud and clear (boy howdy, I surely do) ... and I can only reply having seen holistic medicine work on both me and my dogs for many years. So I have the luxury of looking back at a variety of things and seeing "hmm, that really helped THAT" --
I used to use Benedryl on Muffin the Intrepid jsut because it helped calm down the skin a bit when he had the demodex. I honestly had NOT a clue he was an 'allergy' dog -- his itching was minimal and the Benedryl kept him from digging at himself so he didn't spread staph. It wasn't later, until we were dealing with the ear ablations, that I finally learned what a MEGA MAJOR allergy boy he had *always* been.. Who the heck knew. I just didn't want him digging that fragile, sore skin from the mites with what little itching he had ... and the Benedryl helped that. Little did I know I was probably doing the right thing for a totally alien reason -- altho too little too late to save his ears.
I don't know if all of this makes sense -- and if you aren't a person who has ever used holistic/alternative meds for yourself, then getting backed out on a limb and HAVING no alternative but to try it on the dog (simply cos nothing ELSE has worked) can feel like a poor poor substitute.
But it's not. Gosh, I hope it does help Sassy -- trust me, I truly feel your pain.
SOME DAY I'm gonna have a dog who has only ONE small problem, and one easily fixed -- *grin* Mostly it's not ever that way. But SOMEONE has those dogs -- just not you nor me, right??
Take care -- C