Are you using the old hard rigid cone? There is a soft floppy cone that may be better tolerated. I have also seen one that looks like a donut or small inner tube--may be better tolerated. I would use a heavy dose of benadryl for the itching or find out if atarax can be used in dogs. Ears of course need to be treated--probably ketoconozole. I'd clean hot spots as I posted in an earlier email. Also talk to vet avout some kind of sedative to help reduce anxiety and stress.