Pope Francis, 88, has reportedly confided in close aides that he fears he "might not make it this time" as he continues treatment for a severe respiratory infection at Rome’s Gemelli hospital.

According to a report by Politico, the Pontiff, who was admitted on February 14, is battling double pneumonia and remains under extensive medical care.

While the Vatican has maintained that his condition is stable, sources indicate he is experiencing significant discomfort and has become increasingly dependent on medical intervention.

A Vatican official, speaking on condition of anonymity, told reporters on Wednesday that Francis was not on a ventilator and was breathing on his own.

The official added that the Pope had managed to sit up in an armchair and had resumed limited clerical work.

Health concerns and medical history

The Pope’s latest health scare follows a series of medical issues in recent years, including an abdominal hernia surgery in 2023 and chronic sciatica pain.

His respiratory condition has been exacerbated by a long-standing history of lung complications, dating back to his youth when he had part of one lung removed due to pleurisy.

Doctors at Gemelli hospital, which has a special suite reserved for papal treatment, have placed him on a “very targeted therapy” after identifying a polymicrobial infection. Experts believe the infection, though serious, remains localized and has not yet spread extensively.Despite his frail condition, sources suggest Francis has been “tying up loose ends,” making critical appointments to shape the Church’s future.

Notably, before his hospitalization, he extended the tenure of Cardinal Giovanni Battista Re as the dean of the College of Cardinals—a decision that could influence the selection of his successor in the event of a papal conclave.

Francis, elected in 2013, has been a reformist leader, advocating for a more inclusive Church and taking steps to address clerical abuse scandals. His tenure has been met with both praise and criticism, particularly for his progressive stance on social issues.

Global support and Vatican response

The Vatican has confirmed that all public engagements of the Pope have been suspended until at least Sunday, with no further official events on the Holy See’s calendar. Cardinal Pietro Parolin, the Vatican’s Secretary of State, has returned from a diplomatic visit to Burkina Faso, while other senior officials continue their scheduled assignments.

Pilgrims from around the world have gathered outside St. Peter’s Basilica, offering prayers for the Pope’s recovery. Outside Gemelli hospital, well-wishers have placed flowers and messages under a statue of Pope John Paul II.

“We will pray for him so that he can recover as soon as possible,” said Gianfranco Rizzo, a visitor from Bari, Italy.