#2 WHAT IF I TOLD YOU... Rehabilitation is the most important reason for quarantining?

Fish_Sticks

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Fish_Sticks submitted a new Article:

WHAT IF I TOLD YOU... Rehabilitation is the most important reason for quarantining.

azmhgld-jpg.986308

A freshwater rehabilitation performed by reddit user /u/ErrantWhimsy
This is his photo of Phoenix, one of six bettas ErrantWhimsy has rehabilitated.
Thank you for letting us use this photo. ©2019, All Rights Reserved.
A freshwater rehabilitation performed by reddit user /u/ErrantWhimsy
This is his photo of Phoenix, one of six bettas ErrantWhimsy has rehabilitated.
Thank you for letting us use this photo. ©2019, All Rights Reserved.

Question to you, the reader:
Which fish would you rather put into your display tank? Day-1 Phoenix? Day-25 Phoenix? Day-80 Phoenix? Which do you think would have a better survival rate against competing inhabitants?

This photo illustrates the power of quarantine + rehabilitation.


Code:
We've all done it before. In fact, I just did:

Go to LFS because they have fish, and fish are cool.

See they are having a 50% off fish sale.

See a host of lethargic, bottom of the barrel, last-pick fish.

See that the LFS closes tomorrow and they are remodeling the entire store.

Buy the fish because you needed a lawn mower blenny and clown anyways.

So now what? Are you really gonna toss these two fish into your main display tank, are you? Absolutely not. That's an easy ride on the way to a shiny new dead display tank.

There are a few different approaches to quarantining fish:

1) No quarantine:
  • Skipping any form of quarantine entirely, putting a severely weak fish into the fray for territory as soon as they get home.
  • Very high chance to introduce diseases and parasites.
  • Very high chance that the weak fish will not be able to compete against current tank mates for food, territory, or social hierarchy.

2) Quick observation period, halfway-committed quarantine: (4 weeks)
  • Quarantining for a short period of time to observe the fish for disease until the ammonia levels get too high - so we hit the eject button and dump them into a main display. LOL - may or may not be speaking from personal experience with this one.

3) Expedited quarantine (4-5 weeks)
  • Dosing medications immediately whether or not the fish shows any signs of disease and providing a completely sterile environment throughout a 4-5 week period. Enough time to fix some disease and pest problems, but not enough time for the fish to reach its full fighting potential.
  • Still not the best chance of survival when introduced to tank mates than can be achieved.
  • No guarantee of preventing disease or parasite transfer as most diseases take longer than 4-5 weeks to completely dissipate.

4) Attempting total parasite/disease elimination: (8 weeks)
  • Dosing medications regardless of signs a few days after introducing the fish. Providing a completely sterile environment throughout an 8 week period. If the fish shows signs of disease, the quarantine period starts over - no exceptions
  • A proven and tested method that works well at preventing disease transfer as much as possible.
  • Sometimes enough time to let the fish gain strength, depending on how much medication was used and for how long.

But there is more to it than meets the eye.

By skipping either of the quarantine processes, or dosing medication immediately, one takes away the most beneficial part of quarantine: the opportunity to rehabilitate. An 8-week or longer quarantine is a necessary step of the acclimation process. Nothing increases a fish's chance of success in a main display more than the opportunity to be nursed from a stressed fish back to their full strength, before slowly acclimating them to find space in a tank with other fish; especially if a display consists of mostly aggressive species.

Here is where we split into two different types of thought, when compared to immediate medication and disease prevention, versus a low stress quarantine.

5) Low stress rehabilitation/quarantine (8-12 weeks)
  • Aims to rehabilitate fish over a long 8-12 week period. Rather than providing a sterile and disease-free environment, this method prioritizes low stress techniques over absolute sterility.
  • Using medications only when necessary, and definitely not right off the bat. Restarting the quarantine period to 8-12 weeks when major diseases or parasites are identified.
  • Use of fully cycled, algae ridden live rock in the quarantine tank to reduce psychological stress, encourage natural dwelling behavior, and foraging behavior. Also to help balance ammonia and nitrite levels and supply a small population of pods and beneficial hitchhikers. You can even go as far as introducing sand, but this is not recommended, and probably not veeerry beneficial for a majority of free swimming livestock.
  • 1-hour long drip acclimation into the bag the fish came in. Start by floating the rubber banded bag in the tank for 25 minutes. Afterward, use a syphon, or turkey baster to introduce small amounts of water incrementally every 10-15 minutes to the bag, while removing excess bag water as necessary to achieve total water replacement that matches all of your display tanks parameters.
  • After drip acclimation, pour the entire contents of the bag directly in to the quarantine tank. No pouring the fish into a net, no pasta strainer... we want that fish's slime coat to be perfectly untouched.

The focus of this method is not on entirely 100% attempt to guarantee the complete elimination of all possible diseases and parasites right off the bat. Notice my redundancy and emphasizing 100%. I would say that 100% is actually impossible, leading to unexpected tank crashes when a sick fish or a small spot of ich accidentally makes it's way through a quarantine or on a coral and reaches a sterile display - hitting all the sparkly clean, never before exposed fish.

The real goal could be aimed at increasing fish strength as much as possible so that they can hold their own against existing fish and ward off low-risk diseases already present in the main display; however, notes about providing a stress free quarantine can be combined with an immediate medication, or total sterility practice to still reduce stress and remain sterile - so really everybody wins by reading this article :D

Since the focus is usually on medicating fish and preventing diseases or parasites from making it into a display tank 100%, we often forget that fish need to be pampered, delicately handled, and allowed time to recover from their long journey from the ocean, or in rare cases, an actual breeder. The journey from the ocean is a very stressful process that swings though many different temperatures, salt levels, and multiple, continuous exposures to ammonia. This journey can take up to six different shipping transfers of stressful transportation, especially to big box stores. At this point in the process, the fish is very likely to be at the weakest point it has ever been in its entire life. I would even go as far to say that there is even the potential at this point to permanently mute a fish's personality and cause psychological damage.

With a focus on disease prevention, and not rehabilitation, we forego necessary stress-reducing measures in favor of being as sterile as possible. This involves dumping fish into hard plastic pasta strainers or nets to remove bag water, handling them outside the tank to get a photo for disease id, (both of these damaging the protective slime coat of the fish) introducing copper as a protocol without any sight of potential diseases, and keeping them in a brightly lit bare, sparse and empty tank with no where to hide, or a few pieces of PVC.

What about a low stress quarantine? One that lasted 8-12 weeks? A quarantine process so gentle and luxurious that fish would think they're at the Ritz Carlton? Only using meds as a last resort? Would one be nuts for getting a few ounces of bag water into the QT tank instead of dumping them into a plastic pasta strainer? I don't think it would be too crazy.

If the fish are under as least stress as possible, if they don't receive more damage to their slime coat, then they should have a better chance at fighting disease and parasites before needing medical intervention. This is going to require sacrificing some live rock... to keep QT ammonia stable, to provide a more familiar environment to the quarantined fish, and also to grow diatoms and GHA to encourage natural feeding behavior.
____________________________________________________________________

So let's have a live case study.

One clownfish, and one lawnmower blenny, straight from fish hell - ladies and gentlemen, and Petco rehabilitation.

Upon observing them at the pet store, both fish had ripped fins, and both were breathing heavily from ammonia poisoning. The blenny's tail fin was almost nonexistent (due to ammonia burn) but had no signs of disease. The maroon clown had a single spot of ich on his dorsal fin and shredded fins. Depending on who you ask, many people do not have the time to deal with sick and beaten up fish. I decided I could commit to them since they're affordable, I've been researching and looking for these two, and I've got spare time. If you do decide to pickup fish in this condition, keep in mind that it will take way more attention and care.

A typical response to this situation would be to dip them into a chemical dip or freshwater, toss them into a tank already medicated with copper and under hypo salinity, and throw in some PVC tubes, and that can work just fine. Others may wait a few days before adding medication, regardless of diseases being present. The goal being to create a completely sterile environment...

This study took a different approach focused solely on rehabilitation over the course of twelve weeks, together, in a 20G tall quarantine tank, 20lbs of healthy mature live rock with a GHA/Diatom population for the blenny, a few free swimming copepods, and no immediate medications. The pet store already keeps their fish in hypo-salinity and copper, so I brought salinity to 1.020. I will bring the salinity up over the course of the next four weeks to meet my display (1.025-1.026).

It took two weeks for the lawnmower blenny to not run for his life as soon as I entered the door. He would stick against the underside of the rock upside down as much as possible to hide, literally glued onto the rock--a survival tactic common among camouflaged blennys due to being stressed beyond the limits.

The clown was tank raised and very friendly after only a few days, but the blenny was much slower to adjust. The clown's spot of ich dropped off within an hour or two. When a more serious diseases or parasites arise and take hold, I planned on intervening with medication accordingly.

After three weeks, both fish were already showing their personality and swimming around again. I continued the process to a full 8 weeks, where by that time, both fish were happily grazing on the developed quarantine's ecosystem. Both fish were fully finned out, appeared to have strong slime coats, strong grazing behavior, strong eating behavior, no flight at the sight of sudden movements or even tapping on the glass, low stress, and therefore strong immune systems,

I wouldn't recommend this process if the fish you purchase is severely ill, is covered in parasites, or if you are dealing with disease-sensitive fish. In that case, I would most likely perform a dip and administer medication at the start of QT. But in my case, I saw very limited possibility for disease overtaking these two hardy marine creatures and decided to try a low-stress quarantine.

This low-stress process still entirely prevents diseases and parasites from hitchhiking into the main display after 8-12 weeks with no signs of disease or parasites, and the rock used in the quarantine should probably not be moved to the display; however, my tank strategy in general is to reduce fish stress as much as possible so that they have a better immune system that can fight diseases if and when disease or parasites surprisingly find their way into my display - not to mention that they'll be strong enough to take on my damsels for social hierarchy and compete for food against the others :)

13453592_2019-01-28-12_22_03-1-jpg.987475

This image was created by @Fish_Sticks, ©2019, All Rights Reserved.
13453592_2019-02-06-14_51_46-jpg.987478

This image was created by @Fish_Sticks, ©2019, All Rights Reserved.
azmhgld-jpg.986308

A freshwater rehabilitation performed by reddit user /u/ErrantWhimsy
This is his photo of Phoenix, one of six bettas ErrantWhimsy has rehabilitated.
Thank you for letting us use this photo. ©2019, All Rights Reserved.
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Author Profile: @Fish_Sticks

With a decade of experience keeping small ponds, arrays of juvenile wild caught freshwater species, freshwater planted aquariums, and reefs, my goal is to spark interesting and productive discussions in hopes that we each learn something new. In addition to patience, getting involved in discussions is the best way to find success with your reef!

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Fish_Sticks

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For those interested in the setup, I'll be posting a photo of the whole QT tank tomorrow. Unfortunately the lights are off and they're all sleeping :(
 

C-Reefer

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I'm going to say right out of the gate I'm one of those people who prophylactically treat. I treat Copper, Metro, and Prazi. I do however try to rehabilitate as much as possible. When I get the fish in hospital tank, which is a hospital tank for treatment, not a true "QT" like you have described, they get lights off for the day while they settle in. I have loads of deco in there, and if its an algae eating fish I keep Nori and algae covered rock in the tank. I feed heavy and fatten them up, before starting Prazi which is very gentle. I make sure they're in top health before going through copper, and I only do copper for 14 days as opposed to 30, because I transfer to a clean QT. I have not had a death in QT yet.

I think that this type of quarantine, just like Paul B's (aka non) requires a certain... genre of tanks. Hardier fish and a tank full of well fed happy fish. Also they need to be fed the right foods, not just pellets every other day. If you're trying to keep disease-prone fish such as for example a blue hippo tang, this likely will not work very well. Even if you successfully rehabilitate your fish in QT, and it "fights off" all the disease, or mabye it never showed any, the disease will still very likely be camped out somewhere on the fish, just waiting for the right stressor to trigger an outbreak. I for one am not willing to take that risk, mabye I do a bit too big of a water change and salinity swings a bit much and, uh oh, the next day half my fish are lying on the sandbed gasping for air. It may work for some people, but this wouldn't work for me. If I had a different type of fish, mabye. But not with my planned and current stocking.
 

ekoed

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I just have to say, that's an amazing rehab. That betta turned out beautiful!
 

SMB

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I agree with a rehab tank. And since quarantine originally meant 40 days, I randomly use that time table. More if the fish needs it.
Low lights with lots of PVC hiding places. I also try to train them to spot feed.
I suspect all fish carry pathogens so they must fight them off by having a healthy immune system, which comes with a healthy fish.
Just like with humans, I bet over medication is leading to resistant organisms and infections that will be harder if not impossible to control.
 

Frogger

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It's amazing how quick the fin reproduction takes off once he gets comfortable...

It would be interesting to know how much of this is actual fin regeneration versus just being healthy, happy and opening up his fins more.

I had a yellow tang years ago that lost some of his fins in his early battles with other tang tank mates. 10 years later long after I had moved him from that tank his fins had not regenerated any at all. He lived a long healthy life as I had him for close to 20 years. He died about 2 years ago.
 

MnFish1

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To me - (first thanks for writing the article) - but it is a lot of words saying nothing. You don't specifically define what qt is - its one of a couple different things depending on 'timing' or something - I cant tell what. secondly - you're using pictures of a betta - a freshwater fish to suggest that what you say Is correct - apologetically - I dont get any of it....
 

Kal93

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When I started my tank, I has a plan to prophylactically treat or QT everything that came into my system using a sterile, bare-bottom tank and a host of medications. After 3 delicate fish died within a week, I changed directions. Now, I have an observational QT tank with cured rock and chaeto to simulate a natural habitat, and a small chromis to help my fish feel safe/alert them to food. I am treating with 2 rounds of prazi or feeding metro, but otherwise not medicating unless there is a disease. It reduces much of their stress, which seems (for me) to be the biggest killer.
 

Gaspipe

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When I started my tank, I has a plan to prophylactically treat or QT everything that came into my system using a sterile, bare-bottom tank and a host of medications. After 3 delicate fish died within a week, I changed directions. Now, I have an observational QT tank with cured rock and chaeto to simulate a natural habitat, and a small chromis to help my fish feel safe/alert them to food. I am treating with 2 rounds of prazi or feeding metro, but otherwise not medicating unless there is a disease. It reduces much of their stress, which seems (for me) to be the biggest killer.
Could you please post a pic of your QT tank? Thanks!!
 

Gaspipe

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Very new to the hobby and very eager to learn from people's mistakes and advice. (I should have that as my phrase so I don't need to type it as a disclaimer each time).

What procedure would you recommend to someone new to the hobby who is NOT looking to buy discounted fish who may be weak, sick etc? I would be buying (hopefully) strong, active, healthy looking fish and my main reason for a QT tank is to stop any infections/disease into my DT.

What I have read so far, I would:
  1. Have a simple small QT tank (10ish gallons), I know small but I will not be buying larger fish (think clownfish) and never a bunch at one time. I'm thinking only a pair of clowns would ever be in that tank at one time.
  2. Very simple set up, bare glass, PVC, heater, a HOB or a pump filter (I'm not sure on the filter and will research this more, suggestions are more than welcomed)
  3. Introduce the fish via a drip method using the QT tank.
  4. After a (was 4 weeks) 8 week QT time (I will start the counter over if I see illness or issues) I wanted to place the fish to my sump's refugium for X amount of time (not sure yet). I read that this allows a better acclimation for all fish involved.
  5. Then off to the display tank as the new fish should be accustomed the the water parameters.
Any advice, corrections and lessons would be appreciated regarding the QT.
  1. Should I be doing anything different?
  2. Is there anything I should be adding to the tank in regards to equipment (please remember I am looking to KISS and a good chance this tank will be broken down when I am not introducing it to new fish, but willing to set it again as a hospital tank)?
  3. Is there any products I should add to the water if I see NO sickness/issues?
  4. How often a water change and what percentage?
  5. Lights, would like a simple cheap light. How long would you run them?
  6. Food: any advice?
Thank again for the time!
 

Kal93

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Could you please post a pic of your QT tank? Thanks!!

Unfortunately, I took it down last week after putting a wrasse into my DT. I can describe it for you though. I had a bare-bottom 10G tank with a HOB filter, air stone, heater, and ammonia badge. I placed 2 big pieces (4-6") of cured rock and a couple of handfuls of chaeto on either side of the tank. In the center, I had a 4" 3-way PVC pipe.

In my previous set-ups (without the rock/chaeto), my wrasses hid in the corner of the tank or along the PVC pipe and eventually died from stress/starvation. In this set-up, my wrasse was swimming around the QT tank and eating well. I would recommend adding rock/algae if you are going to QT delicate/easily-stressed species
 

Gaspipe

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Thanks for the reply! If I have a sump with my DT w/ a refugium, and I do not want to take out LR from the main tank, where could I store it in the sump? Just curious.

Unfortunately, I took it down last week after putting a wrasse into my DT. I can describe it for you though. I had a bare-bottom 10G tank with a HOB filter, air stone, heater, and ammonia badge. I placed 2 big pieces (4-6") of cured rock and a couple of handfuls of chaeto on either side of the tank. In the center, I had a 4" 3-way PVC pipe.

In my previous set-ups (without the rock/chaeto), my wrasses hid in the corner of the tank or along the PVC pipe and eventually died from stress/starvation. In this set-up, my wrasse was swimming around the QT tank and eating well. I would recommend adding rock/algae if you are going to QT delicate/easily-stressed species
 

Kal93

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Thanks for the reply! If I have a sump with my DT w/ a refugium, and I do not want to take out LR from the main tank, where could I store it in the sump? Just curious.

I actually have a 5G plastic bucket with the used rock, salt water, and a powerhead. Since the used rock may be encrusted with ich/velvet, I keep the used rock in this bucket for ~2 months to prevent parasites from entering my system (I believe the recommended time at room temperature is 72 days). After a fallow period, I transfer the rock back into my sump (I just place it in one compartment with other filter media).

Edit: I forgot to mention to toss the used chaeto. A bit paranoid, but if you're going through the trouble of QTing, it's better to be cautious :)
 

ca1ore

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Found the article a bit challenging to read .... so I didn’t :D. If the point is that quarantine is for more than just disease prevention; well, those of us in the hobby for a long time have been advocating that for years. Regardless of whether one prophylactically treats or just observes, the opportunity to get a new fish acclimated, eating and back to a healthy body weight is an equally (maybe even more) important role for quarantine. It’s asking a lot from a supply chain stressed, malnourished fish to survive the inevitable hazing it will get from established fish.
 

Gaspipe

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That's great info right there! Much appreciated. So just so I understand regarding the bucket.. you're not using a dedicated light and do you water change?

I actually have a 5G plastic bucket with the used rock, salt water, and a powerhead. Since the used rock may be encrusted with ich/velvet, I keep the used rock in this bucket for ~2 months to prevent parasites from entering my system (I believe the recommended time at room temperature is 72 days). After a fallow period, I transfer the rock back into my sump (I just place it in one compartment with other filter media).

Edit: I forgot to mention to toss the used chaeto. A bit paranoid, but if you're going through the trouble of QTing, it's better to be cautious :)
 

Kal93

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That's great info right there! Much appreciated. So just so I understand regarding the bucket.. you're not using a dedicated light and do you water change?

No, no light needed--it's a very easy setup. If you do want to keep the chaeto, then you could put the container in sunlight (some people have their pod cultures outdoors with a bubbler). I'm not sure if the chaeto would need water changes. Mine grows quickly, so I can justify tossing it after I've used it for QT.

I just add RO/DI to the bucket to top off. If you want to keep the rock live, you can also feed with ammonia, in which case I would suggest following Dr. Tim's dosing instructions.
 

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