Last year in March of 2019, the legendary “Jeopardy!” game show host Alex Trebek revealed to fans that he had been diagnosed with stage IV pancreatic cancer.

At the time, Trebek was honest about his prognosis admitting that his chances of survival were poor but that he would fight the cancer and attempt to beat the odds. According to John Hopkins Medical Center, Stage IV pancreatic cancer has a “five-year survival rate of 1 percent.” While updates about his treatments since then have been optimistic at times, Trebek revealed last September that follow-up immunotherapy had been ineffective.

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After one year of cancer treatment, Trebek has announced that his diagnosis has worsened over time.

According to a recent report by The New York Times, if Trebek’s current cancer operation fails he has made the decision to no longer seek further treatment. “After some encouraging news from doctors last year, Trebek’s prognosis has worsened. If his current course of cancer treatment fails, he plans to stop treatment.”

Explaining his decision, Trebek said that his quality of life during his treatment has been difficult. “Yesterday morning my wife came to me and said, ‘How are you feeling?’ And I said, ‘I feel like I want to die.’ It was that bad,” he told NYT. “There comes a time where you have to make a decision as to whether you want to continue with such a low quality of life, or whether you want to just ease yourself into the next level. It doesn’t bother me in the least.”

Despite his decision, Trebek says that he will stick around for “Jeopardy!” for as long as possible.

While still intending to work for the show (which he has hosted for 36 years) Trebek told NYT that he wants to ensure it continues to be of “quality.” “It’s a quality program, and I think I do a good job hosting it,” Trebek explained. “And when I start slipping, I’ll stop hosting.”