【One Idiom】“在困境中坚持着“英文口语怎么说？

Nowadays I have been very sensitive to all kinds of idioms I heard. Everyday， I could hear at least 2-3 idioms.

I am sure we are going to make a lot of progress if we are good at speaking idioms. 
 

What idiom would u say "在困境中坚持着”in English in the following scenario:

Doctor ：“How are you doing today？”

Patient：“在困境中坚持着。” 它的英文idiom是神马？Hint：3 words