I can't tell off that picture if the spots are flat I would keep treating with ick X and I would add a small amount of aquarium salt 1 table spoon for 5 gallons as Ich causes massive electrolyte loss and the salt will add back in essential electrolytes if there raised you could be dealing with epistylis I would treat with a combination of ick X and do a course of maracyn2 in food feeding a small amount twice a day for 7 days as epistylis feeds off of the gram negative bacteria on the slime coat of your fish and spreads more quickly at higher temperatures @Zac