Pope Francis, who is spending his sixth day in hospital for treatment of a respiratory infection, is alert and ate breakfast on Wednesday, the Vatican said in its latest update on the pontiff’s fragile health.

Hospitalized in critical condition with double pneumonia, Pope Francis was well enough to meet with the Vatican secretary of state to approve new decrees for possible saints and make some major governing decisions.

The Vatican’s evening update said the 88-year-old pope had had no new respiratory crises and that his blood parameters were stable. He underwent a follow-up CAT scan Tuesday evening to check the lung infection, but no results were provided. Doctors said his prognosis remained guarded.