If it comes down to a choice between irritation and suffocation, it is necessary When adding formalin and malichite, usable O2 severely depletes as it causes the fish to overrespire. How do you add enough usable O2 without a bubbler(many medications state right on the bottle to use aeration method such as this in conjunction with their meds. If you have your tank buffered correctly, increased aeration should not be able to affect your tank to significantly mess up PH...besides, with a QT, you should be doing H2O changes every day.
Please understand, I did not ever say nor did I want anyone to assume that I meant aerate the bagged water when you are acclimating to the QT tank. This would not be a smart conclusion from my statements above. I said aeration for medication, not for acclimation. I assume that people would know proper acclimation procedures before asking about a QT tank. This would be an inane idea to take from my previous statements.
Waterfall effect in a QT is not a bad idea, but will not replenish your water of used O2 enough during medicated periods. Every single clownfish breeder I talk to lists this as an essential part of a proper QT, which is why I list it and also why I use it.
Also, so there is no more confusion, I do not mean a bubble wall that is in the botom of the tank where the fish would not be able to move out of the way...I meant a bubbler and air stone(small one) that would go in a top corner to keep any air bubbles above him and away from his gills but to still aerate the water during medicated periods.
I have read many, many different ways of QT'ing and you can take what I say however you would like. Or you can actually go out and read a bunch of peoples QT setups. Doesn't really matter to me, but I will always use a bubbler during medication. If you see a fish resiping heavey, how would you aid in relieving this symptom, Carole?