Brian --- read this on reef2reef
Over the years, reef enthusiasts have learned the common misconception that the only way to treat PMD is with a twenty min fresh water dip. This is not true and more often than not you will cause more harm than good. A fresh water dip is extremely stressful and should only be done as a last resort.
My first step to treating PM is try and see what is triggering it and then remove the trigger. IE: if you have GFO, a nipping fish, stinging coral, etc remove it ASAP. Once that has been done I highly recommend running as much carbon as you are able to and push as much flow through it as you can. Once carbon is running, I change mine out every two days during the first week of treatment. After that, I change it every four days till the PM is no longer present. If running carbon doesn't make a change in appearance of the clam in one weeks time then I recommend doing a twenty min fresh water dip.
When I do a fresh water dip, all I do is take a bowl full of new RO/DI water, float it in the tank for ten to twenty minutes to equalize the temperature. Once the temperature is the same as the display tank's water, I place the clam fully submerged in the bowl of fresh water. Over the next fifteen to twenty minutes, I gently use a turkey baster and blow the water all over the clam to ensure a good washing of fresh water. Once done, I place the clam back into the display tank in the lowest stress location I can find.