Vatican journalists crowded into a side room of the Holy See Press Office on Saturday to get a full update on the pontiff’s health after he took a turn for the worse the afternoon before.

Pope Francis suffered a bronchial spasm on Friday that caused him to vomit, some of which got into his lungs and dramatically set back his days of steady recovery. He was last known to be on mechanical ventilation, though still alert — the worst condition he’s been in since entering Gemelli Polyclinic two weeks ago.