It's easy. I have a Phoam Phraxionator (protein skimmer) and although it's design allows for the formation and expelling of foam which contains the DOC or (protein) it also has a tower full of media that makes for a perfect breeding grounds for nitrifying bacteria. I can at any time stop it from expelling foam at any time by simply opening the bottom water level valve so the DOCs just continue to cycle through the pond, but the water will still continue to flow (trickle) through the biological media in the tower. Also the foam production is not consistent because or certain environmental factors, and at times it will produce very little or no foam at all. When that happens it still continues to function 100% as a biological trickle filter without any changes or modifications be me.I would be very interested to hear how someone could mix up a protein skimmer and the other two mentioned.
Protein skimmers are designed to mechanically remove DOC. Towers and showers are meant to facilitate bacteria digesting DOC.
.
Interesting if I wanted to convert my Phoam Phraxionator into one of Meyer's anaerobic nitrate reducing towers all I would have to do is seal the opening on the top of the tower, and seal the foam expelling port and reduce the water flow to a trickle. Done!
The point being that these designs are not so completely different.