A different kind of exam
What Makes Aquatic Medicine Different
When a dog comes in sick, the exam starts with the dog. When a koi or an axolotl comes in sick, the exam starts with the water. Temperature, pH, ammonia, nitrite, nitrate, dissolved oxygen, and hardness — these are not optional extras. They are the first diagnostic step, because the vast majority of aquatic and amphibian disease is water-quality-driven or at minimum water-quality-exacerbated.
We ask you to bring a water sample to every aquatic visit. We test it here. The results directly shape the differential diagnosis and treatment plan. An antibiotic course that ignores a persistent ammonia spike won’t solve the problem — it postpones it.
Beyond water quality, we perform physical examinations appropriate to each species: skin and fin assessment for fish, mucous coat evaluation for amphibians, and where indicated, radiographs, cultures, and sedation-assisted procedures. We compound medications to species-appropriate concentrations and, where relevant, to bath-treatment delivery formats.