The conservative radio host Rush Limbaugh made a solemn update to undergo treatment for advanced lung cancer after missing many shows earlier this month, according to Fox News.

“The scans did show some progression of cancer,” Limbaugh told his listeners. “Now, prior to that, the scans had shown that we had rendered the cancer dormant. That’s my phrase for it. We had stopped the growth. It had been reduced, and it had become manageable,” he said.

“But there’s always the reality and the knowledge that that can change and it can come back because it is cancer. It eventually outsmarts pretty much everything you throw at it.”

Limbaugh confirmed his cancer diagnosis last February — the day before President Trump ‘s State of the Union was awarded the Presidential Medal of Freedom.

Limbaugh also revealed some of the distressing psychological consequences of his affliction on Monday.

“It’s tough to realize that the days where I do not think I’m under a death sentence are over,” Limbaugh said.

“We all know that we’re going to die at some point, but when you have a terminal disease diagnosis that has a time frame to it, then that puts a different psychological and even physical awareness to it,” he said.

And despite the physical toll caused by his disease, Limbaugh said he’s grateful to still be able to continue his work.

“I feel very blessed to be here speaking with you today. Some days are harder than others. I do get fatigued now. I do get very, very tired now. I’m not gonna mislead you about that,” said Limbaugh.

“But I am extremely grateful to be able to come here to the studio and to maintain as much normalcy as possible — and it’s still true,” he said.

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