Well, even if the spots disappeared after 7 days, you still need to treat for a few days after, like I said at least one complete lifecycle longer, else there is always a chance the ich could come back. If you medicate that extra time, it may mean an extra day or three of stress for the fish, but 100% elimination of ich and thus zero chance of ich coming back is worth it in my opinion. If you just medicate for 7 days because the medicine only says 7 days, but there is still ich, why would you stop? What possible good could that do? If the medication is effective enough, a full course may be done in 7 days -- 3 days of killing during 1 life cycle then another 3 to 4 days or 1 more life cycle after to ensure 100% eradication. But, if the medicine hasn't killed everything off after 7 days, why stop? Just doing it for 7 days and only 7 days doesn't take context into account -- the context that the ich population may still be significant after 7 days. If the ich is gone very quickly, then by all means stop, but if the ich is still around it is just silly to stop just because the bottle said to stop after 7 days.