Pope Francis is in critical condition in a Rome hospital, 10 days after he sought out treatment for bronchitis. The bronchitis has turned into double pneumonia, and the pope is also dealing with early signs of kidney failure and breathing difficulties.

The Pope was admitted to Gemelli Hospital on Feb. 14 after struggling for several days with bronchitis. Over the weekend the Vatican said the Holy Father had suffered a respiratory crisis and required a blood transfusion, with the Holy See on Sunday evening stating that Francis’ condition was “critical.”

Pope Francis spends “a peaceful night” at Rome‘s Gemelli Hospital and has breakfast while sitting in an armchair on Thursday morning, the Vatican tells journalists on Feb. 20.