Hello again
When I mentioned his chances of recovery being slim I was, unfortunately, referring to his chances of survival because of how difficult it is to treat this problem. Having said that, the fish's own immune system
can fight it. So if he's otherwise doing well, he could potentialy make a full recovery and the ulcer would then go too. I've never seen this happen though so I doubt his chances...
Now that was all assuming it's viral like I expect it is. If it's bacterial (and Myxazin is best for this like you suggested), treatment could help but his chances are still not great. My two main concerns with not quarantining is, firstly, that anti-bacterial meds can mess up your biological filtration - causing ammonia and nitrite spikes. In a hospital tank, this can easily be controlled by big water changes. In a community, not only is the sick fish affected but all the rest too. Considering your platies don't seem to be in perfect health themselves, this sort of deterioration in water quality could prove deadly for them. This is what I was referring to when I said it could cause more harm than good to treat in the tank. The other problem is that the treatment for ich is considerably different to what you need for a bacterial infection. The meds, for one, are different and mostly cannot be mixed. The other is the temperature issue - high temps. accelerate the ich lifecycle, speeding up treatment and reducing the stress on the infected fish - but high temps. also accelerate the growth of bacteria - so this is bad for treating bacterial infections.
Since it looks like you're going to have to treat within the main tank, begin just by treating for the ich but without making any temperature increases. I'd personaly use Sterazin for this. BTW - yes - the visible stage of the ich lifecycle appears as white spots on the body (hence the other name 'whitespot disease') and fins of the fish. It looks like a fine sprinkling of salt. But the vast majority of the ich lifecycle is not visible with the naked eye.
It is crucial that keep up with water changes. If you see the ulcer on your gourami becoming bigger or his behaviour changing for the worse, then you should consider treating for that but monitor your water parameters very closely to prevent major ammonia spikes. Hopefully you'll never get to this stage or the platies will have recovered by then anyway.
Just to add - for hospital tanks, I use plastic food storage boxes. These are very cheap and come in all sizes. Then all you need is a small sponge filter and heater and you can fishless cycle it and have a simple, affordable, quarantine and hospital tank... that can also be used for breeding at other times
Concerning Melafix and Pimafix - don't bother

I've never used Pimafix myself, actually, but I do know that Melafix does little more than make your tank smell nice. The active ingredients in Melafix are a
miniscule percentage of the product and I read up on them a while ago and found the claims shaky at best. It probably confers some kind of preventative protection from bacterial infections but, IMO, is best not used except perhaps when quarantining. One side effect of Melafix is that it creates a film on the water's surface and overall reduces the amount of dissolved oxygen that can be held in the water. This obviously isn't good for the fish and can cause stress - though not so much for gouramies as they breath air. This is actually the case with most meds. but melafix is especially good at doing this and, considering what I think is its worthlessness, the costs are not worth it for the questionable benefits.
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Freeze-dried foods should be avoided. I often quote whoever it was who first said that they have the nutritional value of cardboard

It's not an overstatement. Also, they are notorious for causing constipation because of how dry they are and can also indirectly lead to swim bladder problems in some fish.
Any pellets/tablets are great for any fish that'll take them. That they sink is advantageous as it means the fish are less likely to swallow air or very dry food - as can sometimes be the case with flake. Having said that, most pellets/tablets are made for catfish and the like that are not particularly omnivorous so they have a high protein content. This is good for gouramies but they need a vegetable/algae/spirulina supplement to balance things out. IMO, unless you are conditioning for breeding, the diet of your gourami should consist of as many brands of flake as possible (replaced regularly as their nutritional value decreases over time so only get small containers) rotated with catfish pellets, algae waffers, spirulina flake and fresh veggies like blanched zuchinni and peas. Live and frozen foods such as bloodworm/blackworm can be fed often in place of the pellets, brine shrimp even in place of flake and daphnia is especialy good in that it plays a similar role in 'clearing out' the digestive system as peas. Generaly speaking, tubifex is best avoided - there have been concerns over them carrying pathogens that could harm fish so I steer clear of them to be on the safe side
