I'm sorry you've been ill, and hope you recover soon.
Given that history, I'm fairly sure the spots are from underwatering. The stake method is not useful for plants in chunky bark; there isn't enough contact between bark and stake,. Just water Paphs every 2-3 days. If the medium is in good shape they do well.
It would benefit from repotting. Paphs are like Phals in that repotting almost doesn't affect them. Medium bark would be a better choice, but if you only have large bark, use that.
Hold the plant gently, turn the pot upside down, and ease it out of the pot. Shake off only the old medium that falls off easily. Don't cut any roots.
Set the plant down on the table. Clean the old pot with soap and water. It's the right size for this plant.
Put a little of the new medium just on the bottom of the pot.
Hold the plant with one hand, suspended, with roots dangling in the pot, and the leaf base just below the pot rim.
Use the other hand to backfill with new medium. The root zone should wind up just below the new surface of the medium.
Set in a bowl. Fill with water to an inch below the rim. Let it soak 8-12 hours.
Put back in its spot. Put a saucer under it. Water heavily every day for a week, leaving a half inch of water in the saucer. New bark doesn't hold water well.
Then water heavily every time the water in the saucer is gone.
After a few weeks it should look a lot better.
Paph roots don't look at all like roots of other orchids. They are normally mid to dark brown, and fuzzy. People here on OB have not known this, and cut off all their normal Paph roots because they thought they should look like Cattleya roots. They don't.
If you'd like to learn more on Paphs,
here are some notes from a lecture given by the orchid curator at the Huntington Gardens in Los Angeles.