I am still nursing my little Clownfish, Jigsaw, away from "the light". His Ich resulted in a clouded eye, followed by severe inflammation of his right gill and a seemingly fluffy white material around the outside of that gill. When this occurred, the salinity in the tank was 1.018 and he was getting FW baths with PH adjusted RO water daily. He had resumed eating, albeit on a limited basis, within 36 hours of his first day in the hospital tank.
24 hours after the right gill inflamed, he developed patchy spots on the left side of his face. Being unfamiliar with THIS development, I thought he was suffering from Marine Velvet and that only Copper therapy might ]save him. So, I began using Cupramine 6 days ago. Within 24 hours of achieving a therapeutic copper level of .05, the inflammation in the gill had significantly diminished and his appetite had markedly improved (not "normal", but better), but there was still the patchy areas on his face and the odd substance on the outside of the right gill.
A local fishy expert said that it sounded more like Slime, a secondary bacterial infection, than Velvet and that I should remove the Copper from the tank with Carbon, do a major water change after 4-5 hours of carbon filtration, and treat him with Furan 2 within 24 hours of the water change or immediately if he was deteriorating quickly.
It was with GREAT trepidation that I began to carbon-out the Copper, followed by a 5Gallon water change in the 7 Gal. tank, and waited 24 hours to begin treating him with Furan 2. Just getting the Copper out of the water helped his appetite appreciably.
Yesterday was his first dose of Furan 2. Today was his second. He is FINALLY eating voraciously, like he did when he was well, consuming 6-10 frozen Brine or Mysis at all three meals. He is swimming around like a healthy clownfish and no longer seems lethargic, in fact, he ALWAYS comes to the front of the tank when he sees me, hoping to get something to eat. Tomorrow I will do a 25 percent water change and dose him with Furan 2 afterward. I hope that he continues to improve because I am fully invested in this fishy's recovery. He has taught me a lot about heart and spirit. I too am a "survivor". I know what it takes to muster every ounce of one's being to just breathe. I know what it is to be too sick to eat and I know what it is to be so famished that no amount of food is sufficient. I feel for Jigsaw. He is tough and he does not give up the fight.
I learned from this experience that there is no substitute for experience when it comes to fish disease diagnosis and treatment. I don't know that Jigsaw will "survive", but I have learned some valuable lessons about the disease diagnosis process and the course of such parasitic diseases as Marine Ich...Parasitic infestation, bacterial infiltrate, death. This fish keeping stuff...it's not for the faint of heart!
I know too, that not all strains of Ich will "wipe out" an entire tank of fish, as three clownfish died in our reef tank before Jigsaw was stricken with it (two I now know for certain died of Ich and Ich related complications) and, after 7 weeks, no other fish in that tank, has been stricken with it.
One of the last clownfish to perish was moved into my 37 gallon tank five days before he died. Jigsaw was moved into that tank two days before the clownfish died because when we separated them, Jigsaw became the target of 5 Chromis who decided he was in their spot. Two resident Blue Chromis who were riding out the 37 Gallon tank cycling have not developed Ich.
I stand by my original belief that Ich, in one form or another, is present in EVERY saltwater fish tank and is an opportunistic parasite that preys on fish who are stressed and become immunologically weak. I don't doubt that there are strains of Ich that are, like MRSA, pernicious foe and might even be resistant to conventional treatment like Copper.
What I find interesting is that while Clownfish aren't listed as "the most likely" to develop Ich like, for instance, Blue Tangs are, more and more reefers are experiencing quick killing Ich outbreaks with their Clownfish. Is it possible that, like in-breeding in Dalmatians that produced serious genetic defects still prevalent in the breed today, captive bred Clownfish have been made weaker, NOT stronger, from the breeder's efforts to breed for color/markings? My husband wants to get a pair of the original old Pecula Clownfish and see if they can survive in the reef tank where three other hybrid Clownfish did not.