Conservative talk show host Rush Limbaugh has been battling stage 4 lung cancer and announced Monday that his prognosis has worsened.

On The Rush Limbaugh Show, the host gave listeners an update on his condition, stating, “The scans did show some progression of cancer. … It’s not dramatic, but it is the wrong direction.”

Limbaugh, 69, was diagnosed with lung cancer in February. Prior to the update the host provided this week, Limbaugh had said his doctors changed his medications and that his cancer had become more manageable.

“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,” Limbaugh said while discussing the new prognosis.

Limbaugh is a Republican Party icon and a close friend of President Donald Trump. Trump awarded him the Presidential Medal of Freedom in January.

He has been hosting The Rush Limbaugh Show for over 30 years. The president himself appeared on the show just two weeks ago, following the cancelation of the second presidential debate.