Over the past year, I've had to use a barrage of Paraguard, PraziPro, API General Cure (4 weeks in tank and then 1 week dosed in food) and prescription antibiotics (dosed in food) to address my GSP's symptoms which ranged from subtle twitching to violent flashing, clamped gills and even a few days barely alive as lump of charcoal. The scariest symptoms have mostly subsided but two months ago he began to develop white patches on his back which appeared to be healing gradually... but have just now suddenly reappeared and spread.
Call in the professionals: Skin scrape/fecal testing by an Ivy League veterinarian and two weeks of daily observation by a career marine biologist from local aquarium both proved inconclusive.
PLEASE HELP! Any ideas of what this is or how to cure my little guy?


Conditions:
1) Water Parameters (using API Master / Red Sea hygrometer)
- PH: 8.4
- Ammonia: 0 (too low to detect)
- Nitrites: 0 (too low to detect)
- Nitrates: <2ppm (barely detectable)
- Salinity 1.020
2) Tank Description
- 67 gallon display (48x18x18)
- 20 gallon sump
- Single GSP (no tank mates)
- Eheim Canister Filter w/SeaChem matrix + carbon
- Reef Octo 110 skimmer
- 15 lbs dry rock (in tank for 11 months)
- 1 - 1.5" of aragonite sand
3) Tank Routine
- Located in my office (he loves the constant activity of visitors but yawns during conference calls!)
- Feeding lobster tail + hikari clam soaked in BioChem and Selcon
- Biweekly 30-40% water changes with generous dosing of Seachem Stability, Pristine and Prime
- Lights are generally off before 7am and after 7pm (he gets grumpy otherwise!); thereafter only moonlight through the window (no ambient night lighting in my area of the building)
4) Changes
- Relocated 9/7 - 9/28/17 during my honeymoon for daily observation by marine biologist (held solo in a 90 gallon tank w/30 gallon sump)
5) Tank Established
- Sep 2016: Tank established via fishless cycle with Seachem Stability
- Oct 2016: GSP introduced as sole inhabitant (approx 1.5 inches)
- Sep 2017: GSP has grown to 3.5 inches +/-