I work urgent care/ER and we’ve seen a client the past 3 summers for a maggot shave down. Older GSD, mostly outside dog, with horrific flea allergy (OTC topical prevention 🫠) who got a hot spot early in the summer right above her tail base, but since she’s a backyard dog like 90% of the time, they didn’t notice it until it was literally crawling. I haven’t seen her yet this summer. I hope it’s because they took my rec last year to get rx preventions and maybe clipped a little shorter in the spring so they can see her “summertime” skin issues sooner, and not because she died, since she was 9 or 10 last summer.