He is comparing Jamie’s weight to leaves falling, since he has really started to notice (it) that she has become so sick (that) she has lost a lot of weight and (that) he (had) has to support her because she (could) can barely hold herself up.  He is not only realizing just her change in weight, but also how much her leukemia has taken over her whole body (and) in such a short period of time.  He realizes (that) she doesn’t have (that) much longer.  

He is comparing Jamie’s weight to leaves falling, since he has really started to notice that she has become so sick she has lost a lot of weight and he has to support her because she can barely hold herself up.  He is not only realizing just her change in weight, but also how much her leukemia has taken over her whole body in such a short period of time. He realizes she doesn’t have much longer.


      

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