Yesterday afternoon he showed lower energy, was sleeping more and asked for pain meds more than previously. A routine blood pressure check showed 80/40. Fifteen minutes later it dropped further. He was continually asking for more pain medication, but that would have pushed the pressure lower. He was taken to ICU where they could administer medications to raise his blood pressure to the point where pain medication could be given. Currently his blood pressure is holding up without medication. However, his blood counts had gone down, and he is now receiving a transfusion. There may have been some internal bleeding.