Saturday, August 20, 2011

KT-Star Service Apartment in Taipei, Taiwan



We've also checked out another place near Mackay Memorial Hospital.  It's the KT-Star Service Apartment.  This was actually recommended to us by a Filipino couple we met there.  They were so kind to share with us their experience.

The KT-Star Service Apartment is a residential building which also doubles as a short/ long stay condo residence.  Since it is a service apartment and not a hotel, you need to pay for maid service if you want your bed made, your towels changed or your trash taken out.  Unlike in hotels wherein these are done for free daily, here in KT-Star, cleaning is offered once a week only.

The person in KT-Star showed us the smallest unit, which they claimed was 16-ping in size.  1 ping is equal to 3.305sqm, that means the room is 52.88sqm.  But I think this includes the terrace and common area already.  Anyway, the room is quite spacious and modern as compared to Bailee Hotel.    

For a night, it is NT$1800, but If you will stay for more than 21 days, room rate will be around NT$1,100-1,200.  They give special rates for Mackay Memorial Hospital patients, so you have to inform them upon reservation.  Electricity fee is not included and there is no free breakfast.

KT-Star Service Apartment - smallest unit
This place is good for 2 persons.  There's a double bed, and a sofa.  Please note that it's only a sofa, not a sofa bed.


A 32" LCD, cable TV, closet space, complimentary broadband internet and wifi in the room




A kitchenette with microwave, refrigerator, induction stove, electric kettle, pot, plates, spoon and forks, and other cooking utensils.  You can really cook here inside your apartment.  There's also an automatic washing machine for your laundry.



The toilet


 The bath tub. 





Just like a hotel, they also have a lobby, front desk, and security.  


Public facilities include: outdoor swimming pool, fitness center, gym, lounge bar, KTV room, relaxing area and meeting room. 

Swimming pool at night


KT-Star is located at Long An St., Zhongshan District.  It is one street away from Qing Guang Market, a small night market.  There are plenty of restaurants around and there's a supermarket and Watson's nearby.

In terms of transportation, there are many bus stops in the area and it is near the MRT.  You can walk to Minguan W. Rd. MRT Station (around 7 minutes).

KT-Star is a bit far from Mackay Memorial Hospital compared to Bailee Hotel though it is also walkable. If you do not want to walk that far, you can ride the bus (one stop only) then walk a little to the hospital.

Considering the price, the bigger space and the swimming pool, KT-Star is worth thinking over.  We might stay here in case we push through with the IVF procedure.

If you are interested, you can contact KT-Star Leasing Center at Tel. No. (02)-2597-6686.  You can also call or email Layla (0922-104-907; kt255@thekeetai.com.tw) or Lee (0928-226-718; kt254@thekeetai.com.tw).  Another option is to course your reservation through Ms. Vanessa or Clark.

Have a nice weekend!

Friday, August 19, 2011

Bailee Hotel in Taipei, Taiwan



Bailee Hotel Taipei is a 3 star hotel.  It is more of a business hotel.  It is designed in an elegant way to provide business travelers a comfortable and luxurious lodging experience.  

We stayed in Bailee Hotel during our entire stay in Taipei.  Location wise, I can say it is very good.  First and foremost, it is just walking distance to Mackay Memorial Hospital.  It is also near the MRT (Minquan W. Rd. Station), which makes it very accessible and convenient to visit nearby attractions like Chiang Kai-Shek Memorial Park, Longshan Temple, Shilin Night Market, Taipei 101, Taipei Zoo etc.  It is also only about 45 minutes from the airport.  There are also convenience stores, restaurants, and market around the hotel.

This Family Mart, a convenience store is just across Bailee Hotel.
This is the lobby of the Bailee Hotel.  You have to leave your room key here at the front desk every time you leave the hotel.  When you return home, you have to get the key from them.  Together with the key, they will give you the breakfast coupon for the next morning.  

Lobby of Bailee Hotel
They have 8 kinds of room for guests to choose from, including deluxe executive room which is equipped with steam room and Jacuzzi bathtub (NT$2480), deluxe triple room (NT$2380), executive room (NT$2280), twin room (NT2080), deluxe room (NT$1880), classic room (NT$1680), junior room (NT$1480) and single room (NT$1280).  These rates apply irregardless of how long you'll stay.  These are their promo rates already.

We stayed in their single room only.  We paid NT$1280 (around Php1920) per night with free breakfast for 2 persons.  They serve breakfast from 6:30-10:00am.  It is a buffet and there's plenty of food to choose from... rice, congee, bread, egg, juice, milk, tea, desserts, etc.  In my opinion, food was delicious.  The restaurant is located at the 2nd floor of the hotel.  Here's the place.  I forgot to picture it with the food though. Hehehe!
Restaurant of Bailee Hotel
Here on the 2nd floor of the hotel, you can get unlimited drinks 24 hours a day.
Water Dispenser
Coffee and other drinks machine
Here are the list of the FREE drinks available.

List of Free Drinks
There's also a business center here.  You can use the computers with internet for free. There are around 2-3 working computers here which you can use.
Business Center - Bailee Hotel
All rooms have comfortable down quilts, aircon, broadband internet service, TV, direct-dial telephones, refrigerators, private bathrooms and other essential facilities.  Our room was only approximately 8 sqm.  It was quite small, but it's clean.  Here are the pictures of the room.  (Sorry for the poor pictures, I only remembered to take these pictures, the day we were leaving... hehehe!)

This was our bed.  We only have one side table. 


There is an electric kettle available in the room and there are also free mineral water and tea bags.


There is a TV and a small refrigerator.


There's a cabinet with a few hangers where you can put your clothes.


Here's the toilet.  It has a bathtub.


You have to close the door before you can use the water closet.  Hair dryer and some toiletries are provided.

So there you go... a tour of Bailee Hotel. 

Generally speaking, the place is good.  Price is okay, location is good, food is good, room is satisfactory (quite small).  One thing I don't like though is that the room is carpeted.  I'm very prone to allergies and dust from the carpet might trigger it.  Apart from that, this place is okay already should we plan to stay for a month for the IVF procedure.   

For more information on Bailee Hotel, you can visit their website at http://www.bailee.com.tw  

Wednesday, August 17, 2011

IVF Consultation Part 7: Payment


Last but not the least... Paying for all the procedures done for the day.

Oops, I think we paid at the cashier first before having the blood tests done and getting the medicine.  From the 2nd floor, we took the escalator down to the 1st floor and the cashier was there already, so we paid first.   Hmm... maybe you can do whatever is more convenient for you.  They did not ask for the receipts anyway.

If you are paying in NT$, you have to pay here.  But if you are going to use your credit card, you have to go to the 7th floor of the hospital.

Cashier of Mackay Memorial Hospital
Here's the breakdown of our billing:
Registration                    - NT$ 150
Doctor's examination - NT$ 300
Medicine (Gynera)        - NT$ 137
Pelvic Exam                    - NT$ 84
Sperm Analysis             - NT$ 1560
Prolactin                          - NT$ 360
TSH                                     - NT$ 432
AMH                                    - NT$ 960
Ultrasound                     - NT$ 778
Pharmacy Service          - NT$ 60
Reprint of Ultrasound   - NT$ 6
Total of our Bill            - NT$ 4827

Generally speaking, I can say that the consultation went well.  They are very systematic and organized there.  In fact, we were able to finish everything in one day, except for the semen analysis which was submitted on another day.  So, we only spent one whole day for the consultation and assessment.  That means we've got more time for eating, shopping and touring around Taipei.  Hehehe!  

So, that concludes the First Stage.  To learn more, you can also visit the website of Mackay Memorial Hospital and Mackay Memorial Hospital International Medical Service Center.  

IVF Consultation Part 6: Getting the Medicine

Almost done with the whole process...

This time, we have to get the oral pills from the pharmacy located at the Ground Floor of Mackay Memorial Hospital.  This is also near the Laboratory.

Pharmacy of Mackay Memorial Hospital
Dr. Lee gave us a slip of paper which we needed to claim the medicine from the pharmacy.  On the paper, you will see a letter and a number.  In our case it was letter C, so we have to line up there.


The medicine he gave us was Gynera, a birth control pill which I have to take for 21 days from the 5th day of my menstruation should we plan to start the IVF procedure.
Front of the Package

Back - Gynera Oral Pills
When we got there, the package was already ready for pick-up.  

To be continued... IVF Consultation Part 7: Payment

IVF Consultation Part 5: Semen Analysis

Borrowed from this site.
For the semen analysis, you have to go to the IVF Lab 6th Floor of Mackay Memorial Hospital.  Back to the place where we met Ms. Tsai early in the morning.


The office hours of the IVF Lab is from Monday to Friday 8:30am - 1:00pm and 2:00-5:00pm; Saturday from 8:30am-1:00pm.

First, you have to make a schedule for the semen analysis with the lady-in-charge.

Then, she'll provide you with a sealed, sterile plastic container with your patient chart number on it.  It must be sealed, so do not accept if seal is broken.

sterile container for the semen analysis
You have to return the container with the semen sample back to the IVF Lab on your scheduled date.

Important things to note:
1. Receiving time is from Monday to Saturday, 8:30am - 12:00nn.
2. Sexual abstinence of 3-5 days, but not more than 5 days is needed.
3. Do not use condom.
4. Directly ejaculate into the container.  Once only.
5. Bring the semen sample to the laboratory within 1.5 hours.
6. Keep the semen sample at room temperature.
7. Bring with you the slip of paper from Dr. Lee.
8. Results will be available after 1 week.

To be continued... IVF Consultation Part 6: Getting the Medicine

IVF Consultation Part 4: Blood Test

As I've mentioned in my previous posts, Dr. Lee asked me to have a blood test done to check my AMH, TSH and prolactin.  The laboratory for blood testing is located at the Ground Floor of Mackay Memorial Hospital.  From the entrance, turn left and you'll see this.
Laboratory OPD at Mackay Memorial Hospital
First, you have to get a number here.

Then, wait for your number to appear on the screen and approach the counter that corresponds to your number.

You have to present the slip of paper given by Dr. Lee and also your passport to confirm your identity.  Then he'll perform the blood test.  That's it!

To be continued... IVF Consultation Part 5: Semen Analysis

IVF Consultation Part 3: Infertility Treatment Consent Form

http://www.flickr.com/photos/qwrrty/
Ms. Tsai showed me into another room where she asked me to fill up a patient information sheet.  She also asked us to sign an Infertility Treatment Consent Form.  This form is in Chinese, but she provided us an English copy of the consent form so that we'll understand the content.  I typed the English version of the consent form, word for word.  Read it through so that you'll get to better understand IVF.

We are both of legal age and with healthy mind and body.  In our own free will, we have consulted this institution for infertility treatment.  Dr. Robert Lee Kuo-Kuang had explained the following points to us and we fully understand:

1. We understand when both the husband and wife have a normal reproductive abilities, the spontaneous pregnancy rate for each menstrual cycle is 10-15%.  When using assisted reproductive technique (ART), depending on the type of treatment used, the pregnancy rate will be variable, but will not be lower than that of a normal cycle.

2. We understand that in a normal pregnancy, 4% of the newborns may have mental or physical defects and 20% can result in miscarriages.  Infertility treatments can only help a woman to get pregnant but does not increase the chance of having a newborn with congenital defects.  Washed sperm used during infertility treatment do not increase the rate of congenital malformation in the newborn.

3. We understand that during ART procedures, drugs are use for ovarian stimulation.  They can result in ovarian hyperstimulation syndrome and can increase the rate of multiple pregnancy and preterm labor.  After a successful pregnancy from ART, we agree to a prenatal care and genetic diagnostic procedures, if deemed necessary.  After delivery, the baby will undergo newborn screening for congenital metabolic disease.

4. We understand that after a successful pregnancy from ART, such pregnancies have a higher chance of miscarriage and ectopic pregnancy than a normal pregnancy.

5. ART will entail some surgical procedures, thus, bleeding, infection, or any other complications may occur as consequence of such procedures.

6. We understand that ART institution respects the patient's right of privacy.  Thus, only patient him/herself can request for information regarding on his/her medical records.

7. We understand this ART institution will keep the patient's well being as its highest priority, thus, all disposable instruments used during any of the ART and sperm washing procedures will be discarded.

8. We agree to undergo IVF type of pf artificial reproductive technique and any anesthetics procedures associated with it.  The medical staff in this ART institution will do their best to fulfill their responsibilities to promote patient's utmost well being.  If any unforeseen emergency occur during any of these procedures, we will allow any interventions they considered deemed necessary.

9. We understand all the procedures necessary for ART, as well as, all the statements above.

Ms. Tsai also explained to us the difference of Protocol 1, 2, 3.  Once we get the result of the AMH, we'll know as to what protocol we will use for the IVF procedure.  The difference lies in the dosage of Buserelin (Suprefact). 

By the way, you can buy Buserelin (Suprefact) 5.5ml per vial at Center for Reproductive Medicine Inc. (CRM) located at 11/F Raffles Corporate Center, F. Ortigas Jr. Rd., Ortigas Center, Pasig City, Philippines.  Telephone Nos. 470-5092, 915-1048, or 915-1049.  It costs Php6,000 per vial.

After this, she repeated the orders of Dr. Lee and off we went for the blood test, scheduling of semen analysis, picking up of medicine and payment of everything we have done that day.


IVF Consultation Part 2: Consultation with Dr. Robert Lee Kuo-Kuang

Borrowed from this site.

Consultation with Dr. Robert Lee Kuo-Kuang

The clinic of Dr. Lee started around 2pm.  Since we were new patients, Ms. Vanessa was the one who got the number for us.  We waited for our turn in the waiting area.  Your name will be called.

Obstetrics-Gynecology Department, Mackay Memorial Hospital
The clinic of the doctors are on both sides, while the center is the waiting area.  This is located on the 2nd floor of Mackay Memorial Hospital.

Dr. Robert Lee Kuo-Kuang's Clinic
Dr. Lee holds clinic in Room No. 2 every Monday morning, Wednesday afternoon, Friday morning and Saturday morning.


After around 30 minutes, I was called in.  But I have to wait on the couch first.  Then when it was my turn already, husband was allowed to come in.  Dr. Lee reviewed our medical and reproductive history and verified a few more information.


I was then shown into an examining room where he performed a pelvic exam on me.  Pelvic exam is done to check that your pelvic organs (uterus, tubes and ovaries) are of normal size and shape and located in the normal position; to detect infections that may result in vaginal discharge, pelvic pain or infertility; and to detect abnormalities of the cervix.

After this, he requested for an ultrasound which is done at the far end of the waiting area. 

Ob-Gyne Ultrasound Room

Dr. Lee gave me a sheet of paper, which I need to present to the lady in the Ultrasound Room.  She then gave me a number and I waited outside for my number to be called.  

After the ultrasound, I got the results in a few minutes.  After which, I brought back the results to Dr. Lee for the interpretation.

By the way, just in case you want a copy of the ultrasound result for yourself, you can ask them for one.  You just have to pay an additional of NT6.00 for the reprint. 

The result: I have 2 myoma.  But according to Dr. Lee, they are just small so there is nothing to worry. 

He asked me to stop all my immunotherapy sessions and stop taking aspirin for the immune system problems that I have.  Apparently, he does not believe that the immune system problem has anything to do with me not getting pregnant.  He says that this is only the problem of those who experience habitual miscarriage.   

He then explained to us the IVF procedure.  He also requested for a semen analysis from husband.  He said that in the Philippines, our semen analysis only magnifies up to 200x only, wherein in Taipei, they magnify it up to 1000x.  Through this, we can have a more comprehensive analysis of the sperm and will therefore be able to determine if male factor is involved in our infertility.  Should this be the case, he would perform Intracytoplasmic sperm injection (ICSI), an in vitro fertilization procedure in which a single sperm is injected directly into an egg.

As for me, he requested for a blood test to measure the Anti-Mullerian hormone (AMH), a hormone produce by the ovaries and helps the eggs mature each month.  It is also important in the production of the female sex hormone estrogen.  The level of AMH indicates how well you ovaries are functioning and represents both the quantity and quality of the egg store.  Women with higher AMH value will tend to have better response to ovarian stimulation for IVF and have more eggs retrieved.  In general, having more eggs with IVF gives a higher success rate.  The result of the AMH test will be used to determine what protocol you will follow for the IVF procedure.
  
Protocol 1: Good Ovarian Reserve or AMH > 2.5ng/mL; 
Protocol 2: Moderate Ovarian Reserve or AMH 1.5-2.5ng/mL; 
Protocol 3: Poor Ovarian Reserve or AMH < 1.5ng/mL


Dr. Lee also asked for a retest of my Thyroid Stimulating Hormone (TSH) and prolactin. TSH is produced by the pituitary gland.  It is responsible for controlling thyroid function which is important for all metabolic processes in the body.  A TSH result that is over the expected range can indicate an underactive thyroid which is linked to infertility.  Prolactin is also a  hormone produced by the pituitary gland and in increased amounts when breastfeeding.  High levels can stop ovulation and menstruation.


After the consultation with Dr. Lee, he endorsed me again to Ms. Tsai for further instructions and explanations. 


To be continued... IVF Consultation Part 3: Infertility Treatment Consent Form 

IVF Consultation Part 1: Clinic Evaluation and Tour of the Hospital

Clinic Evaluation with Ms. Tsai

Our appointment was set on August 3, 2011 afternoon.  However, we were asked to go to the hospital at around 10:30 in the morning that day to meet with Ms. Tsai, the assistant of Dr. Lee for the clinic evaluation.  We were supposed to meet Ms. Vanessa at the information desk of the hospital lobby at around 10:30 am, but since we were early, we went directly to the IVF Lab at the 6th Floor of Mackay Memorial Hospital.


IVF Lab at Mackay Memorial Hospital


We met Ms. Vanessa and Ms. Tsai there.  They are both very kind and accommodating.  They speak English, so you don’t have to worry. 

Ms. Tsai is the assistant of Dr. Lee.  She prepares the patient’s information for Dr. Lee.  We submitted all the photocopies of the documents, test results and other reports to her.  She then started to ask questions about my last menstrual period; symptoms experienced before and during menstruation (light or heavy bleeding, pain); surgeries done and the results; how long have we been trying to conceive; infertility treatments done like how many IUI we’ve tried, what medicines did we take or use, what dosage and for how long, etc.  Basically, she asked for the background of our infertility case. 

The whole interview lasted around an hour.  She then asked us to come back in the afternoon for the consultation with Dr. Lee.

Tour of the Hospital

We met Ms. Vanessa at the information desk of the hospital lobby at around 1:45pm.  She then toured us around the hospital and showed us the different places which we need to go to.  I think she should have done it in the morning but since we went straight to the IVF Lab this morning, she did it in the afternoon before the consultation with Dr. Lee.


To be continued... IVF Consultation Part 2: Consultation with Dr. Robert Lee Kuo-Kuang

Tuesday, August 16, 2011

Preparing for the Consultation for IVF in Taipei

Borrowed from this site.


Here are the things to do in preparation for the consultation for IVF in Taipei:

1. Set an appointment with Dr. Robert Lee Kuo-Kuang by emailing Vanessa or Clark of Mackay International Medical Service Center thru this email address mmhimsc@ms2.mmh.org.tw.

The clinic of Dr. Lee is every Monday morning, Wednesday afternoon, Friday morning and Saturday morning.

2. Book your plane ticket to Taipei, Taiwan via Philippine Airlines or Cebu Pacific.

3. Apply for your Taipei Visa at Taipei Economic and Cultural Office (TECO) located at 41F, Tower 1, RCBC Plaza, 6819 Ayala Avenue, Makati City, Philippines or you can also apply through a travel agency.  

a. Fill up the Taiwan Visa Application Form, which you can download from this link


b. Requirements include the following:  
   2 pcs. 2x2 colored picture, passport size taken within 6 months; 
   valid passport and old passport showing previous visa stamps, if any; 
   bank book or bank certificate; 
   birth certificate issued by NSO
c. Visa fees: 
   Php2,400 – single entry, + 1,200 if with expedite fee for one day processing
   Php4,800 – multiple entry, + 2,400 if with expedite fee for one day processing
   *fees could be higher if visa application is coursed through a travel agency
d. Visa processing will take 4-5 days.


e. If you are a Filipino and have a valid, existing US Visa, you don’t need to apply for a Taiwan Visa anymore.  But you need to register your documents and personal data with the "Advance Online Registration System for the Visitors of Nationals from Five Southeast Asian Countries to Taiwan" in this link and print out the confirmation sheet for online boarding and immigration check.  

4. Book your accommodation.
You can also ask Vanessa or Clark to help you book your accommodation.  We stayed at Bailee Hotel during our trip.  Nothing fancy with the hotel.  The room we got was NT1280 per night. 

5. Prepare the documents needed for IVF.
You need to bring the original as well as the photocopies of the following documents: you and your husband’s passports and driver licenses; marriage contract.

6. Have blood tests done.
Bring original and photocopies of the results.  Data must be within 6 months.
For husband: Blood Type (Php100), HIV (Php450), RPR or VDRL (Php150)
For wife: Blood Type (Php100), HIV (Php450), RPR or VDRL (Php150), TSH (Php350), Prolactin – mid morning in between meals, 2-4 hrs after waking up (Php500)

7. Bring the x-ray films of HSG or picture files of HSG in USB drive or compact disc; detailed treatment history of infertility and operation reports if any.

8. Semen analysis will be done in Taipei.  Sexual abstinence of 3-5 days, but not more than 5 days is needed so please prepare accordingly.

You can also check out my previous post on IVF in Taiwan: Mackay Memorial Hospital for additional details.

"There is no telling how many miles you have to run while chasing a dream." - Unknown

Consultation for IVF in Taipei, Taiwan

After several failed IUI, we have decided to stop treatment.  However, since husband and I were going to Taiwan for a business trip, we also took the opportunity to make a consultation with Dr. Robert Lee Kuo-Kuang of Mackay Memorial Hospital.  Talk about not totally giving up, eh?!?

I would like to share with you our experience with regards to the consultation for IVF.  They usually call this “First Stage”, wherein you go to Taipei for 3-4 days for the infertility evaluation.  On the other hand, the IVF procedure itself is called “Second Stage”, wherein you have to stay in Taipei for a longer period of 23 days or more.


While in Taipei, we also scout the place for possible accommodation.  I’ll post pictures of the place we stayed and another place recommended to me by a Filipino couple we met there.  Apparently, there are so many Filipino couples going to Mackay Memorial Hospital for the IVF.  I met around 4 Filipino couples there.

The consultation went well.  We met Dr. Robert Lee.  He is very kind and he patiently answers our questions and explains clearly.  His staff was very accommodating.  Instructions were very clear. 

Husband had his semen analysis, while I had some ultrasound, and blood tests done on me.  Results will be emailed to us after 2 weeks.  

Aside from the business and the consultation, we also toured around Taipei during our free time.  We visited different tourist spots like Taipei 101, Shilin Market, Ximending, Longshan temple, Danshui, Keelung and many other places.  I enjoyed our trip.  The food there is really delicious and not that expensive.  Transportation is very convenient and accessible.  
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