I tried TTM once and the fish didn't live through it. I did it immediately after he arrived, so it could've just not been healthy after shipping. But it turned me off of that practice. It shouldn't have, bc I just need to gain experience so that I can properly perform it, but I live in an apartment so space is a challenge.
My QT practice now is just observation. I know it isn't 100% effective, but I just don't feel confident about my ability to properly perform the various prophylactic treatments, like TTM, hypo, copper, formalin baths, etc. I think once I get a house instead of an apartment, and I have a proper fish room, or second bathroom, or whatnot, I can set things up better and confidently (and prevent my cat from interfering.)
So I simply quarantine for AT LEAST 6 weeks to observe the fish. It has worked so far, though I strive to do an even better job in the future. But I am amazed that people can have an established tank, that houses fish that they care for as pets, and be able to just toss in a new fish without any type of quarantine.
I have a theory that this is directly related to the feelings of people on how they value their fish. There was a poll posted on here a few weeks ago about how people view their fish: as pets who are part of the family, or as replaceable decoration. And to my surprise, it was much more divided than I thought. Some people just don't view fish on the level of other pets. But I (and my wife even more so) get very attached to each and every fish. They all have distinct personalities and we get to know them and truly care for them, and I take my responsibility of keeping them alive very seriously. So the thought of possibly introducing a deadly disease into the tank is terrifying. It would truly break my heart if I did something like that, something that could have been prevented.
My clown goby died suddenly last week. No signs of sickness, was a perfectly healthy fish for the 4 months he was in the DT after 6 weeks of QT. Our male clownfish though, always seemed to not like him and would bully him from time to time, so my only theory is that he may have taken one bump or bite a little too far. But the point is that I felt truly awful. That I stole this fish from the ocean, and tried to give him a comfortable safe life, and I failed him. It was my wife's favorite fish because he was the smallest cutest fish in the tank.
So what I'm trying to say is that I feel it is clear that people who choose not to quarantine do not see their fish as real pets like a lot of us do. Because if you did, simply put, you would quarantine.