Paul B rarely adds any fish. He has no more room, he told me.
I do lose some fish. I normally post when I do. My 12 year old spawning watchman gobies died. Old age I assume but I really don't know. My bluestripe pipefish I replace every 4 or 5 years as that is their lifespan. My shrimpfish died. I am just a lousy shrimpfish keeper and they eat 800 million new born brine shrimp a day. A copperband jumped out 4 or 5 years ago and I replaced him. Some large gobies and a couple of wrasses jumped out. I think I covered all the holes now but it is hard in my tank because I have no sump so there are a lot of openings. Many of my fish die after 10 or 12 years or so as that is the lifespan of many fish especially small fish as the type I keep. I lost one of my breeding pair of clown gobies a couple of years ago. They only live a few years. My clowns are 25. But I "never, never" lost a fish through disease. Like never. I can't remember the last time that happened "unless it was a fish I just bought already with a disease and I got it to see if I could save it" . OK maybe 35 years ago I lost fish, I don't remember that long ago. As was said, I like parasites because they keep my fishes immune system strong. You are welcome to come here and put a parasite infected fish in my reef. My fish will laugh at you. Some of them may spit at you though. I add ocean mud, fish, crabs, amphipods, seaweeds and any fish from any LFS and have been for decades. No diseases. Disease comes from keeping a sterile, over quarantined tank. Fish have a fantastic immune system but very few of us allow the fish to use it and almost none of us feed properly.
And fish spawning is an excellent guide to a fishes health or more importantly, if your paired adult fish are not spawning, they are in pretty bad health as virtually all healthy, paired, adult fish that can spawn should spawn. All wild fish are pregnant all the time. Kind of like Mormons.

I have one medication and it was made in Brooklyn. I think I got it in the 70s. It is copper and formalin which I would only use on something that I get for free and I attempt to cure it. I have no quarantine or hospital tank as I have no need for them. I posted my theories numerous times along with pictures and even wrote a book.
If your fish get white spots, it is your fault, not the store, the fish or Lady GaGa.

This is not that hard and if some of us can have immune fish, we all can.
If I offended anyone. I don't know, I guess you have to get over it or just make fun of me or draw silly pictures of me. Tweet about my stupid methods on Twitter as I don't even know what that is.

Manatees spawning near my powerhead.