Northern Taiwan

Pre-Implantation Genetic Diagnosis- A tool for families affected by genetic disorders
Pre-Implantation Genetic Diagnosis- A tool for families affected by genetic disorders

International Medical W Story We were thrilled by the successful stories during covid-19!o:p>/o:p> Mia and her lovely other half, Joe both carries the gene forα-thalassemia. At this time, PGD (Pre-Implantation Genetic Diagnosis) seems their option that was sensible to have a healthy baby.For patients who decide to go with PGD program, good quality blastocysts for biopsy and viable embryo for future transfer are key factor to achieve pregnancy. With Mia’s low AMH level and being aged 38 combined with Joe’s male factor, the challenge continues. o:p>/o:p> Seek out for Second Opiniono:p>/o:p> Mia and her husband Joe are Taiwanese American. The timing of their First Visit in our center is rather unique. They just finished their egg retrieval at other fertility center and were eager to seek out for Dr. Wang’s second opinion. PGD (Pre-Implantation Genetic Diagnosis)- A tool for families affected by genetic disorders With the “probe” been set up when they were in United States. Now, lots of prayer for a good stimulated cycle and good quality blastocyst to be biopsied and viable embryo for transfer. Counseling appointment before Egg Retrieval Despite the unsuccessful experience last cycle Mia quickly began her next stimulated cycle in our fertility center. With Mia’s low AMH level and Joe’s male factor, an experienced reproductive endocrinologist and exceptional embryology lab equipped with advanced technology and incubator system may be what they need most. And most important, they are with a highly professional fertility team pursue persistent quality improvement. o:p>/o:p>During this counseling appointment, Dr. wang understood their concerns and make sure they understand every step of his protocol and the treatment plan individualized for them to allowed them to make informed decisions. An Amazing Result o:p>/o:p>Everything seems easy this time, but we know it is not easy.o:p>/o:p> The egg retrieval went pretty well, 18 eggs were retrieved, six embryos made it to Day 5, been biopsied then sent it to genetic testing.When the PGD tests results came back two weeks later with 2 viable embryos that did not carry the gene and were suitable for embryo transfer. We were thrilled!o:p>/o:p>These two tiny embryos provide them with the chance to build a family free of the disease. This tells us maybe luck is also part of strength. They decided to transfer one viable embryo in December 2020 and were finally relieved when Mia was pregnant with their first tiny precious gift. They froze the other viable embryo, a real chance of having their healthy baby #2.o:p>/o:p>Everything seems easy this time, but we know it is not easy at all. Congratulations, mom-to-be and dad-to-be We knew that Mia and Joe just embarked on one of the world’s most wonderful journey. The fertility journey is not always easy to travel, but with the help of Dr. Wang’s fertility team, they just made it! We cannot wait to see this tiny little bundle of joy in this summer! May health and happiness bundle them up through the remainder of pregnancy as well! Note: PGD involves embryos being tested before implantation and is suitable for patients at risk of having children affected by an inherited disease.o:p>/o:p> o:p>/o:p>☏For more information about PGD please call:+886-2 2758-6966o:p>/o:p> 📩Email: bivfinter@gmail.como:p>/o:p> ✈Address: No.60, Sec.2, Keelung Rd, Xinyi Dist., Taipei City 110, Taiwano:p>/o:p> 🍼 There are at least tens of thousands Baby Woei. And Counting! https://reurl.cc/R6DGzg Definition of Baby Woei : Baby who is born possible through IVF or IUI treatment by Dr. Chia Woei Wango:p>/o:p>

#Artificial Reproduction
Two Lines on the Pregnancy Test
Two Lines on the Pregnancy Test

I’m graduated. Past 3 years of infertility is not easy for me to go through. Every month I’m thinking it will be the month I get pregnant, but the period arrives as scheduled and I’m just disappointed. I started my IVF journey at a very famous Taiwan Hospital via the recommendation from my friend. Spent lots money but retrieved four Day 3 embryos only. There was a lot of misunderstanding during the whole IVF procedure and I failed in egg transferring finally. Feeling very sad and resting for a year, I was struggle whether I should try one more time IVF in Taiwan. At the end, I choose Dr. Wang and it was a great decision. I felt comfortable and confidence to start my 2ndIVF journey here. Dr. Wang was so different from other doctors. He was patient and considerate; he would help us to save money. So I believed I MUST get pregnant every time I met Dr. Wang. As a woman who is getting old and has low AMH, I retrieved a great amount of embryos in Dr. Wang’s clinic. Although I failed in 1stFET, Dr. Wang kept encouraging me. I still remembered his expression and tone before the surgery. I felt really relax and calm. I cried and hugged my husband when I knew I got pregnant. Finally, my twin brothers were born. One is 2.645kg and the other one is 2.25kg. So heart touching when I first met my babies. We really don’t want to delay our trip to visit Dr. Wang because of COVID-19 and the age of babies. We will bring babies to see one of the most important people when they are 1 – Dr. Wang!!

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We are happy yet a little sad to say farewell to Dr. Wang’s fertility team
We are happy yet a little sad to say farewell to Dr. Wang’s fertility team

Hello, Dr. Wang After two heartbreaking early pregnancy losses, we start a series of fertility check-up. I was told by my previous fertility physician that low AMH level, shorter luteal phase and thyroid deficiencies would be issues to my infertility. At the time, IVF seems my only option to start a family. I brought all the hormone level and immune report while I met with you for my first appointment this May. I decided to start the process of IVF in June but this time it was cancelled unexpectedly given the poor follicular development I had. At first, this came as a shock. Later, though, you told me that “your first cycle is not a sign of how the next will go.” I still vividly remember the day of embryo transfer which was July 18th, 2020. After the transfer, you wheeled me into the recovery room and wish me good luck.o:p>/o:p>And, out of nowhere, I felt like I need a good cry as my tears welled up in my eyes.o:p>/o:p>I felt like it is your expertise and the uplifting, positive attitude you’ve created which makes me travel all the way from Hualien to Taipei to seek fertility treatment.o:p>/o:p> We are very happy that we graduated from your clinic yet a little sad to say farewell to you and your fertility team who helped me throughout the journey during this few months. We plan on keeping in touch with your fertility team as we hope to bring our little bundle of joy in person in the spring.o:p>/o:p> All the best to your fertility team Sep 13th, 2020 The patient has written Chinese poetry which cleverly inset Dr Chia Woei Wang's name in the poem! This illustrate the reciprocal relationship between patients and the clinic which we pride on our medical professionalism.

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Good News From Guam
Good News From Guam

Hi, Dr. Wang, I'm your patient living in Guam. I can finally share my happiness and luck with all of you. My health little boy was just born yesterday. He can't even wait to come to this world and celebrate the very first mother's day together with me. Thanks so much to Dr. Wang and the whole medical team for all your support and fulfill our 8-year long cherished wish. The baby is perfectly healthy and we can't wait to bring him to Taiwan to meet Dr. Wang and all the medical members. I am really grateful and want to let you know that we are now planning to have our baby#2 next year .We look forward to seeing you soon!

#Artificial Reproduction
Love from the Tri-Service General Hospital Oral Maxillofacial Surgery team knows no boundary – A second chance at life for Myanmar girl.
Love from the Tri-Service General Hospital Oral Maxillofacial Surgery team knows no boundary – A second chance at life for Myanmar girl.

Shuang-Ting Pu is a 5-year-old girl from the mountaineous regions of northern Myanmar.She was born with congenital hemangioma of the tongue, and as she grew older, it became three times the size of an average girl’s tongue causing her to involuntarily extend and expose her vascular tongue repeatedly. With such an abnormally large tongue, not only is Shuang-Ting’s appearance affected, but her daily life is greatly altered including sleeping and speaking. Moreover, Shuang-Ting often accidentally bites her tongue to cause massive bleeding into her mouth. Therefore, she has spent her whole life taking many trips down to the Emergency Department for blood transfusions required after major blood loss, which further causes malnutrition and anemia. This congenital anomaly of the tongue has caused Shuang-Ting to frequently miss school along with a burden on the family in terms of paying for medical fees. In order to receive any possible treatment for this lethal and complicated disease, Shuang-Ting’s mother has attempted to seek help from Thailand’s Bangkok Hospital Center. However, due to the severity of the disease, no doctor had been willing to operate. In August of 2014, the medical team of the Taiwan Root Medical Peace Corps visited Lashiao, Burma for medical service, where they came across Shuang-Ting Pu. After returning to Taiwan, the Taiwan Root Medical Peace Corps placed a tremendous amount of effort to bring Pu and her family to Taiwan for further treatment. In May of 2015, Pu was able to fly to Taipei under the supervision of her mother and her aunt, and was admitted for hospitalization at the Tri-Service General Hospital under the care of Dr. Shiao-Ping Lee. Following a series of examinations including Magnetic resonance angiography (MRA), Pu was confirmed to have an abnormal vascular lesion occupying the right side of the tongue which extends to the floor of mouth measuring 10cm in length. Moreover, both sides of her tongue were found to have an abnormal increase in width of blood vessels. Therefore, angiography combined with bilateral embolization of the lingual arteries was performed on May 21, 2015. Post-operative imaging showed localized cerebral infarction which implied possible stroke, but Pu showed no obvious abnormal neurological reactions. After the initial treatment, blood vessel volume and pulsation decreased, but Pu complained of intermittent headaches and pain of tongue. On June 4, 2015, the oral maxillofacial surgery team consulted the departments of radiology, anesthesiology, pediatric surgery, pediatric neurology, otolaryngology, rehabilitation, plastic surgery, and more including therapists, pharmacists, nutritionists, social workers and team of International Medical Care Center for hospice shared-care. On June 6, 2015, excision of the hemangioma and local flap reconstruction surgery was completed under general anesthesia. Once the wound healed, Pu was finally able to eat, speak, and smile like a normal child. Under the unconditional care of the medical care team, Pu was able to return to Myanmar after recovering fully. Pu and her family are very grateful to the Taiwan Root Medical Peace Corps, Ministry of Defense, Ministry of foreign affairs, and in particular to the director of the Oral Maxillofacial Surgery department of Tri-Service General Hospital, Dr. Shiao-Ping Lee for her complex treatment.
Medical Services without borders – Tri-Service General Hospital successfully treated a Pathology Professor from the Philippines who had giant hepatic hemangioma.
Medical Services without borders – Tri-Service General Hospital successfully treated a Pathology Professor from the Philippines who had giant hepatic hemangioma.

Five years ago, John Dennis, a pathology professor from the Philippines had abdominal distension and felt a lump in the area; he was diagnosed with giant hepatic hemangioma (approximately 20 cm). Doctors in the Philippines thought surgical resection was infeasible and suggested him to consider liver transplantation. However, instead of liver transplantation, Prof. Dennis has been receiving conservative treatment for the past five years. Later on, he began to feel abdominal pain, and started to seek for opinions from doctors in different countries. Recently, a student from Taiwan recommended him Dr. Chung-bao Hsieh, a surgeon in Department of General Surgery at Tri-Service General Hospital, who has in the past, successfully performed a surgical resection of giant hepatic hemangioma for a patient with a tumor over 30 centimeters. With the help from Center of International Medical Services in Tri-Service General Hospital, Prof. Dennis held a sense of hope and decided to fly to Taiwan for the treatment. John was admitted to the hospital on May 3rd, 2015, and received a series of detailed examination that precisely calculated whether the remainder of liver after the hepatectomy (surgical resection of liver tumor) would be sufficient to maintain his life. On May 15th, Prof. Dennis received the surgery, with good condition in post-operative recovery, and was able to be discharged from hospital on May 25th. Tri-Service General Hospital held a Medical Achievement Presentation in the morning of May 25th. “It is my pleasure to have successfully conducted the surgical resection of hepatic hemangioma for Professor Dennis. Amongst all the resections of hepatic hemangioma I have experienced in the past, the largest tumor was as big as 30 centimeters. Therefore, I was quite optimistic about the operative outcome this time. The biggest challenge of any surgical resections is the ‘hemorrhage’ during the surgery. Under the collaborative efforts of medical staffs in Tri-Service General Hospital, the blood loss during the surgery was estimated to be around 2,000 c.c., which was within the controllable range. Thus, this surgery is considered to be very successful,” said Dr. Chung-Bao Hsieh from Department of General Surgery in TSGH. Professor Dennis who personally attended the presentation said emotionally: “Maybe he is from Buddha!” He specifically praised the remarkable medical skills of Dr. Chung-Bao Hsieh, especially his patience in explaining, communicating, and building Prof. Dennis’ trust for the medical staffs. These actions and considerations made Prof. Dennis felt relaxed, and accepted the surgical treatment calmly. Prof. Dennis is deeply grateful towards Tri-Service General Hospital for helping him become lively again.

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Northern Taiwan

Pre-Implantation Genetic Diagnosis- A tool for families affected by genetic disorders

Two Lines on the Pregnancy Test

We are happy yet a little sad to say farewell to Dr. Wang’s fertility team

Good News From Guam

Love from the Tri-Service General Hospital Oral Maxillofacial Surgery team knows no boundary – A second chance at life for Myanmar girl.

Medical Services without borders – Tri-Service General Hospital successfully treated a Pathology Professor from the Philippines who had giant hepatic hemangioma.