Last spring in a tragic role reversal, Pambuan became one of those patients – admitted to the intensive care unit of St. Mary Medical Center, her workplace for the past 40 years, where she was rendered unconscious by paralysis-inducing sedation and placed on a ventilator to breathe. A feeding tube was later added.

She came close to death on several occasions, her doctors later revealed. So dire was her condition at one point that end-of-life options were discussed with her family.

By the time she awoke and could breathe on her own again, she was too weak to stand. But she fought back and struggled through weeks of painful therapy to regain her strength and mobility, celebrating her 66th birthday in St. Mary’s acute rehabilitation ward in late October.

On Monday Pambuan beat the odds of her eight-month ordeal by walking out the front door of the hospital, drawing cheers, applause and exhilaration from colleagues lining the lobby to rejoice in her discharge.

“This is my second life,” Pambuan said moments earlier, as she prepared to leave her hospital room, accompanied by her husband, Daniel, 63, and their daughter, Shantell, 33, an aspiring social worker who spent months at her mother’s bedside as her patient advocate and personal cheerleader.

The spectacle of Pambuan striding slowly but confidently through the hospital lobby – she had insisted on making her exit without assistance of a wheelchair or walker, although was still connected to supplementary oxygen – marked a transformative victory for the diminutive but tough ICU nurse.

The outpouring of affection she received from colleagues – including many of the physicians, fellow nurses and therapists who took part in her care – also reflected a rare moment of communal triumph for the pandemic-weary hospital staff.

“This is what we live for … seeing our patients going home alive and in good condition,” said Dr. Maged Tanios, a pulmonary and critical care specialist at St. Mary. He said Pambuan’s recovery was especially rewarding since she is part of the hospital’s extended “family.”

Tanios said he was not aware of other St. Mary medical staff being admitted to the ICU for COVID. However, studies show frontline healthcare workers’ frequent, close contact with coronavirus patients puts them at higher risk of contracting the disease, hence the decision to give them top priority in getting immunized.

Pambuan’s discharge, ironically, coincided with the recent rollout of COVID-19 vaccines to medical workers, as well as a crushing surge in coronavirus infections that have overwhelmed hospitals, and ICUs in particular, across California.

Pambuan said she has no recollection of the four months she spent hooked to a breathing machine – from early May to early September – but recalls first waking up from deep sedation unable to move her extremities.

With encouragement from nursing staff and her daughter Pambuan said she grew determined to regain her mobility and her life.

“I said, ‘No, I’m going to fight this COVID,’” she recounted. “I start moving my hand (and) a physical therapist come and say, ‘Oh, you’re moving your hands,’ and I said, ‘Oh, I’m going to fight, I’m going to fight. I’m trying to wiggle my toes. I’m going to fight it.’”

Pambuan spent the last few months of her hospital stay undergoing physical and respiratory rehabilitation and will continue recuperation from home, while making peace, she said, with a change in pace.

“It’s going to be very difficult for me,” she said. “But I have to accept it, that I’m going to be on oxygen for a while and slow down a little bit.”

When or if she will return to work in the ICU remains an open question, she said.

In the meantime, Pambuan said she feels indebted to her co-workers for their “really professional” care, grateful for the support of loved ones and newly convinced of the power of optimism.

Her message to others in her shoes – “Don’t lose hope. Just fight. Fight, because look at me, you know. I’m going home and I’m walking.”

The tax investigation was launched in 2018, the year before the elder Biden announced his candidacy for president.

WASHINGTON: The Justice Department is investigating the finances of  US President-elect Joe Biden’s son, including scrutinizing some of his Chinese business dealings and other transactions, a person familiar with the matter told The Associated Press on Wednesday.

The revelations put a renewed spotlight on questions about Hunter Biden’s financial history, which dogged his father’s successful White House campaign and were a frequent target of President Donald Trump and his allies. They also come at a politically delicate time for the president-elect, who is weighing his choice to lead an agency that is actively investigating his son.

The tax investigation was launched in 2018, the year before the elder Biden announced his candidacy for president. Hunter Biden confirmed the existence of the investigation on Wednesday, saying he learned about it for the first time the previous day.

“I take this matter very seriously but I am confident that a professional and objective review of these matters will demonstrate that I handled my affairs legally and appropriately, including with the benefit of professional tax advisors,” he said in a statement.

It isn’t clear which entities or business dealings might be tied up in the probe, though the person with knowledge of the matter said at least some of focus was on his past work in China. Federal investigators served a round of subpoenas on Tuesday, including one for Hunter Biden, according to another person familiar with the investigation.

Investigators did not reach out until recently because of Justice Department practice against taking overt investigative actions in the run-up to an election, one of the people said. The people familiar with the investigation insisted on anonymity to discuss an ongoing probe.

Hunter Biden has a history of international affairs and business dealings in a number of countries. Trump and his allies have accused him of profiting off his political connections, and have also raised unsubstantiated charges of corruption related to his work in Ukraine at the time his father was vice president and leading the Obama administration’s dealings with the Eastern European nation.

Late Wednesday, Trump tweeted a quote from New York Post columnist Miranda Devine claiming, “10% of voters would have changed their vote if they knew about Hunter Biden.”

Biden is actively assembling his Cabinet, but is yet to name a nominee to lead the Justice Department. That person could ultimately have oversight of the investigation into the new president’s son if it is still ongoing when Biden is sworn in on Jan. 20.

The transition team said in a statement, “President-elect Biden is deeply proud of his son, who has fought through difficult challenges, including the vicious personal attacks of recent months, only to emerge stronger.”

The revelations could also add weight to Trump’s broad accusations that Biden was weak on China. Trump took a tough line on China during the campaign as he tried to deflect blame for the coronavirus. Biden has rejected the characterization that he was weak and said that, unlike Trump, he would rebuild global coalitions to check China’s power.

A New Yorker profile on Hunter Biden last year detailed some of his business work in China, including how he accompanied his father on a 2013 trip to Beijing, where he met with a business associate. He also acknowledged having received a diamond from a Chinese energy tycoon interested in liquified natural gas projects.

He downplayed the idea that the gift could have been intended to affect his father’s policy. He told the magazine he gave the diamond to an associate.

“What would they be bribing me for? My dad wasn’t in office,” he said.

Hunter Biden has been caught up in controversies before. While his father was vice president, Hunter joined the Naval Reserve and was discharged after testing positive for cocaine in his system, later revealing a yearslong struggle with addiction.

He also joined the board of Ukrainian energy company Burisma in 2014, sparking concerns about the perceptions of a conflict of interest given the elder Biden was deeply involved in U.S. policy toward Ukraine. An investigation by the Republican-led Senate did not identify any policies that were directly affected by Hunter Biden’s work.

In the weeks before the election, Trump supporters used the existence of a laptop they said was connected to Hunter Biden — and the emergence of someone who maintains he had business discussions with him — to raise questions about Joe Biden’s knowledge of his son’s activities in Ukraine and China. The president-elect has said he did not discuss his son’s international business dealings with him and has denied having ever taken money from a foreign country.

The laptop surfaced publicly in October when The New York Post reported on emails that it said had come from Hunter Biden’s laptop and that it said it received from Rudy Giuliani, Trump’s personal lawyer.

A third person familiar with the matter said the tax investigation does not have anything to do with the laptop.

In a CNN interview last week, President-elect Biden addressed the business dealings of his son Hunter and his brothers, pledging that they would avoid any perceived conflicts of interest during his time in office.

“My son, my family will not be involved in any business, any enterprise that is in conflict with or appears to be in conflict, where there’s appropriate distance from the presidency and government,” Biden said.