Not much has changed. There are a few different books on the desk, medical type texts, and a few stacks of papers, but other than that (and other than the fact that it's cleaner) not much is different.

"Plus I'm grateful for gettin' to eat somethin' other than hard tack and salt pork," he admits, as he starts in on a second slice. "Could have used a jar of those peaches of your's, that's for certain."

(The jar Doc had at one point has long since been eaten, during a late night snack craving with biscuits and honeybutter.)