Pope Francis made his first public appearance on Sunday after spending more than five weeks in the hospital, where he survived a severe case of pneumonia that doctors said twice threatened the Roman Catholic Church leader’s life.

The 88-year-old pontiff offered a Sunday blessing from Rome’s Gemelli hospital. The Vatican broadcaster also read in English a statement from the pontiff issued by the Holy See Press Office. 

In it, Pope Francis said he was “saddened by the heavy Israeli bombing in Gaza.” 

A large crowd gathered at the main entry piazza of Gemelli Hospital, including patients wheeled outside to see him in person. The pope waved from the balcony and smiled, briefly speaking through a microphone, though doctors have said his voice has been weakened by his illness. The Holy Father made the sign of the cross to the crowd. Francis was subsequently discharged from the hospital and will return to the Vatican to begin at least two months of rest, rehabilitation and convalescence. 

“But one morning we went to listen to his lungs and we asked him how he was doing. When he replied, ‘I’m still alive,’ we knew he was OK and had gotten his good humor back,” he said.

The Holy Father was never intubated and never lost consciousness, Alfieri said.

Alfieri confirmed that Francis was still having trouble speaking due to the damage to his lungs and respiratory muscles. But he said such problems were normal, especially in older patients, and predicted his voice would eventually return to normal.

The Vatican spokesman, Matteo Bruni, declined to confirm any upcoming events, including a scheduled audience on April 8 with King Charles III or Francis’ participation in Easter services at the end of the month. But Carbone said he hoped Francis might be well enough to travel to Turkey at the end of May to participate in an important ecumenical anniversary.

Francis is also returning to the Vatican in the throes of a Holy Year, the once-every-quarter-century celebration scheduled to draw more than 30 million pilgrims to Rome this year. The pope has already missed several Jubilee audiences and will presumably miss several more, but Vatican officials say his absence hasn’t significantly impacted the numbers of expected pilgrims arriving.

Only St. John Paul II recorded a longer hospitalization in 1981, when he spent 55 days at Gemelli for minor surgery and treatment of an infection.

The Associated Press contributed to this report.