Simone Biles has returned to hospital for an unspecified medical procedure, more than a month after saying she had “almost” died during a medical emergency. She shared a photograph from hospital with her husband, NFL player Jonathan Owens, thanking him for accompanying her on his birthday; the update highlights that she is still receiving medical care following the earlier scare.

Biles was pictured wearing a hospital gown and cap alongside Owens in an Instagram Story. Neither Biles nor the article disclosed the nature of the procedure or the earlier emergency, so the extent of her condition remains unclear.