Rams should be kept on a low Ph and high temp. Don't know if that's the case. Especially at higher Ph they are often infected with specific bacteria that can't survive more acid water. The same reason lot's of cardinals get infected at higher Ph. Rams als are under suspecion to be prone to Iridovirusses as Gouramis for sure are. This virus isn't treatable and causes lot of different symptoms at a later stage, Don't thinks this fish is gonna make it (Hope I am wrong).
By the way : Tje white spot behind the gills is often seen, but not sure what it is. It points to Iridovirus for me, but don't have any serious proof.