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Has he been eating? He's very skinny. What have you tried feeding him?
Hard to tell in your second picture if there are small little white dots on his dorsal fin, are there, and if so what do they look like?
I'll let others chime in on the best way to treat him for the ich. I'm a little outdated on meds/treatment.
I'd try my best to feed him lots of small feedings throughout the day of as many different frozen/live/fresh foods you can. If he's been covered in ich, he is likely pretty run down and worn out, looks like it has taken it's toll on his body. Anything nutritious you can get him to eat the better. Nori and the purple seaweed from two little fishes are also good choices to see if you can get him to fatten back up.
Looks like he has hole in the head!
What picture? Where on the head?
Ever see any stringy white poop coming out of him? I think he has multiple ailments.
I agree. It's got HLLE (the holes around the eyes), ick and is very, very skinny. The white stringy poop would indicated intestinal worms if that's something you've seen from him. He's going to need some serious attention. I would pull all the fish for QT since there's no point in treating just one only to infect him again when he goes back into the display.
to help aide in his treatment, try getting him to eat some other food along with the shrimp pellets. My Desjardini goes bonkers for Formula 2 flakes, Prime Reef flakes and of course lots of seaweed as well.