Medical care
Medical care is provided by both private and public hospitals. Three private hospitals (Los Baños Doctors Hospital, St. Jude Family Hospital, and HealthServ) are frequently used by expatriates. The UPLB Health Service is government-run and caters primarily to UPLB staff and students. There are several large hospitals in Manila, including Makati Medical Center, St. Luke's, and Manila Doctors' Hospital. The Asian Hospital and Medical Center is located in Alabang.
Doctors
Lists of health care centers and doctors in Los Baños, Alabang, and Manila commonly used by expatriates can be found at the end of this chapter. A list of doctors may also be obtained directly from these health centers or online. Your embassy may also have a list of doctors in Manila and Alabang.
Most doctors see patients on a first-come, first-served basis, and making an appointment is not a standard practice. If you want to see a doctor, go to their office and put your name on the sign-up sheet that will either be on the door or with the receptionist. You can then wait until your name is called or ask how long it will take and come back at about the right time. Emergency cases should be taken straight to the emergency room.
During a consultation, the doctor will be happy to answer any questions you might have, but would not necessarily give you any information that you do not specifically ask for. Being prepared with a list of questions before you go will help you get all the information you need.
You will need cash to pay for consultations and medical tests. Credit cards can be used for hospital charges.
Make sure to get receipts for consultations, examinations, treatments, and prescription drugs to be able to claim your medical insurance. Pharmacies will give an official receipt, in addition to the till receipt, if you ask for one.
Dr. Zenaida Torres (home-536-5489, mobile no.: 0905-246-6351) at the Los Baños Doctors Hospital (tel. nos.: 536-0100, 536-1825, 536-4462 [local 120]) is on IRRI retainer. Wednesdays, 5 p.m.-6 p.m., is usually her reserved slot for IRRI staff. She also makes house calls. Be sure to call before you go. If you don't have a regular physician in the Philippines and don't know which doctor to see, Dr. Torres can be your first contact and she can advise you about further treatment.
Hospitalization
If you have to be admitted to a hospital, it is important to have somebody go with you. In the Philippines, standard nursing procedures do not normally cover the patient's basic needs; it is assumed that these will be met by their family. In a non-emergency situation and you will be going to the hospital, remember to take towels; soap, shampoo, and other toiletries; drinks, snacks, and even a kettle, and a supply of tea or coffee, if you want. Extra clothes are advisable if you will be in an air-conditioned room. Hospitals usually provide food for patients, but it may not be the kind of food you like, so your companion may be responsible for bringing in food. The companion will usually be provided a small cot to sleep on in the room. They will also want to bring extra provisions, including a blanket. If you cannot have a family member or friend to look after you in the hospital, you may want to contact your embassy to see if they can provide alternative care arrangements. The In-Touch Foundation [tel. no.: (02) 893-1893] may also be able to put you in contact with a group of volunteer nurses. If you are going to have a baby, take a large supply of sanitary pads with you.
In an emergency, call ext. no. 2222 for the IRRI ambulance. Again, you should try to have someone accompany you, if possible. Check that you know the best way to get to the nearest emergency department before the need arises.
A list of hospitals in Los Baños, Alabang, and Manila can be found at the end of this section. Treatment can also be obtained outside the Philippines, if necessary. Most international staff, depending on their contracts, are under the FrontierMEDEX emergency evacuation plan. Check with HRS for more information.
What to do if your child is sick
If you have just arrived in a new country, the first onset of sickness, especially of a child's, can be daunting. Where do you go, how do you get there, how do you make an appointment, etc., are questions that come to mind. You may do the following:
- Ask your host family or call the Family Liaison Officer for advice.
- Go to the Los Baños Doctors Hospital on Lopez Avenue (LBDH). There is someone on duty all the time. Take someone with you. Don't feel shy about asking for help to work out the logistics of how to get there, even if it is at night.
Letter of authorization
It is wise to make arrangements regarding emergency medical care for your children, if both parents are traveling. A letter of authorization for whoever is responsible for your children during your absence will allow them to make the necessary decisions should a medical emergency arise. An example of an authorization letter is given below.
We, the undersigned ...(parents)..., being the parents of ...(child's name)..., do hereby authorize any physician licensed to practice medicine in ...(city/country)... to provide any medical or surgical treatment to our ...(son/daughter)..., ...(name)..., during the period from ...... to ......, upon the written authorization of any one of the following individuals: ...(list name, address and telephone number for more than one person-friend, neighbor, colleague, helper, etc.).
It is the intention of the undersigned that our ...(son/daughter)... be afforded all necessary medical and surgical treatment necessary during our absence from ...(city/ country)... .
...(father)...
...(mother)...
Adapted from McKay, Virginia L. Moving abroad: a guide to international living.
Blood banks
RH negative blood is extremely rare among Filipinos. The American Association of the Philippines [(632) 892-5198, Mondays to Fridays] has a list of possible donors and coordinates with various other organizations in Manila that keep donor lists. The American Women's Club maintains a record of their members' blood types and of those willing to donate blood. Call them at (632) 817-7587 or 850-0901 for more information. There is no guarantee that volunteer donors will be available, and blood must sometimes be obtained from Hong Kong. For those having scheduled surgery, it is common to find blood donors among friends and colleagues or have your own blood stored in advance.
Prescription drugs
Many prescription drugs are available over the counter in the Philippines. They are often dispensed without packaging or instructions, so you should make sure you understand the doctor's instructions when he gives you a prescription. You can ask to see the drug information sheet for the medicine you will be taking when you go to the pharmacy. Most medicines in tablet form can be sold one tablet at a time, so you should specify if you want to buy the whole prescription at once. The same is true for liquid medicine-you may need to buy two or three bottles to fill the prescription. Check that the medicines dispensed are the correct dosage and match the prescription. Philippine law specifies the use of generic or non-brand name medicines, so what you get from the pharmacy may not have the same name as the one on the prescription. It may be helpful to consult a reference book on drugs, for instance, the Physician's Desk Reference book, if you want more information. You may also use online references such as www.mayoclinic.com.
Bring your own prescription medications with you until you can confirm that they are available in the Philippines.
Most people buy their prescription drugs from Mercury Drug at Los Baños Crossing or from Mercury Drug in Olivarez Plaza. Mercury Drug has a website you can check: www.mercurydrug.com.
Medications might have to be stored in the refrigerator. Check the directions on your medication.
Having a baby in the Philippines
Expatriate mothers-to-be generally prefer to give birth in larger hospitals such as the Asian Hospital in Alabang where facilities are extensive and modern. Gynecologists and obstetricians (often female) and pediatricians are available both in Los Baños and in Alabang. Lamaze classes are available and fathers are usually welcome to witness the birth of their child.
Baby Supplies
There are a number of baby supply stores in the area. It will be helpful to get somewhat familiar with what is available during the months leading up to delivery. Some of the local shops where you can find baby supplies include:
- Rustan's at Alabang Town Center
- Several shops on the 2nd floor of the Festival Mall (Chicco, Babyland, etc.) in Filinvest, Alabang
- SM stores (Calamba, Mall of Asia, Ayala, Megamall)
IRRI does have a few baby cribs available for rent. Inquire at the FHS office in Harrar Hall to find out if one is available. You may want to check its condition before deciding if you will use it.
Choosing the Hospital
When choosing which hospital to have the baby, consider the frequency of checkups prior to delivery. In the 1st trimester, appointments may happen once every couple of months; in the 2nd trimester, maybe once a month; later, in the 3rd trimester, it will be a couple of times a month. These trips provide a good opportunity to begin picking up some baby supplies if you will be traveling to Alabang or Manila.
Nursery and rooming-in
You will want to check the hospital policy about the nursery and rooming-in. In some cases, once you choose to keep the baby in the room with you (called rooming-in), the infant can no longer return to the nursery.
Infant tests
Be familiar with the type of tests you want to have performed prior to leaving the hospital, such as the infant hearing test. Inquire whether this has been done and request it if it hasn't been done yet.
Checkout procedure
The billing procedure and checkout is often a very time-consuming process. It may take more than half a day to get the necessary documentation completed and the billing finished. If you plan to check out on a particular day, start the process early and be patient.
Hospital and Doctor Payment
If possible, complete a pre-approval form (obtained from the hospital) prior to delivery time. The hospital will submit this form to the insurance company for pre-approval. After pre-approval, this document will be held by the billing section at the hospital. For those who have Vanbreda International, this is called "direct payment", and information about this can be found on their website: www.vanbreda-international.com.
Some doctors may choose to be paid upfront instead of waiting for the insurance. It will be helpful to inquire with the doctor so you know how they want to be paid and then you can prepare the cash, if necessary.
It is usually possible to pay through credit card, but this may cost an additional 3% service charge.
Hospital certificate of live birth
The hospital certificate of live birth includes the names of the baby, the father, and the mother, and must be signed by the attending obstetrician. The parents and the baby may not leave the hospital until this form has been completed. The hospital gives a copy of the registration to the parents and sends the original to the Local Civil Registrar for the birth to be registered in the Philippines.
Philippine registration of birth
The original hospital certificate of live birth will be sent to the nearest municipal hall, where it is entered into the record of births, for example, at the Muntinlupa Municipal Hall if the birth was at Asian Hospital in Alabang. The Local Civil Registrar will issue the registration certificate for your child, which can be picked up at the municipal hall a few days after the birth. You or your authorized representative can pick up this document. Birth certificates are forwarded to the National Statistics Office (NSO), and certified copies may be obtained from the NSO. In most cases, only the NSO birth certificate will be accepted. Visit this website: www.census.gov.ph.
Birth certificate from the embassy, passport, and visa
Expatriates having a baby abroad must register the birth with their embassy and receive a notarized birth certificate. The birth registration certificate will be needed for this. The papers needed to obtain a passport for a new baby vary. Call your embassy first before registering the child's birth and requesting for a passport so you will know what to bring. Some embassies require originals of the marriage certificate and birth certificates of parents and will not accept copies. When the child has been issued a passport, they will need a Philippine visa. The child will not be allowed out of or back into the Philippines without this visa.
Health notes
Newcomers from temperate countries are often worried that living in the tropics can be a health hazard. There are indeed diseases and risks not encountered in cooler climates, but few families find health issues to be a major factor in their daily lives. A common-sense approach to cleanliness and prevention is sufficient to nullify most health risks. The following is based on the materials listed in the References section, and provides basic health information for potential problems.
Acclimatization
Los Baños is extremely humid. New families may take a while to get accustomed to the wet heat of the local climate. The hottest months are April and May, with temperatures reaching 90 ˚F or 32 °C. The wettest months are those from July to November. The relatively cool months are December, January, and February. Mold grows on everything quickly during the hot, wet months. Sunlight or bleach will kill the spores. Wearing cool cotton clothes, avoiding heavy exercise in the middle of the day, and drinking lots of fluids will help newcomers adjust in a few months. High humidity can trigger asthma attacks and encourages dust mites and the growth of mold.
Cholera
Cholera is caused by the bacteria Vibrio cholerae and Vibrio El Tor. It is usually contracted from drinking water contaminated with feces. A great majority of people infected with cholera do not fall ill or only suffer mild diarrhea. A lack of basic medical facilities is usually the reason for the high death tolls of cholera outbreaks in some developing areas. Vaccination against cholera gives limited protection only; ordinary precautions, such as boiling drinking water, are more important to prevent cholera.
Dehydration
Dehydration can happen quickly in tropical climates and, in children, this can be extremely dangerous. Thirst is not a good indicator of when you need to drink as you are already starting to become dehydrated if you feel thirsty.
The symptoms of dehydration in an adult include dry skin, weakening muscles, and dark-colored urine. In a small child or a baby, symptoms include continuous thirst, depressed fontanel (the soft spot on the top of a young child's head), and the baby feels cold to the touch.
Rehydration drinks are more beneficial than plain water in cases of dehydration. Serious cases require intravenous rehydration. The victim should be taken to the emergency room of the nearest hospital or clinic.
- Pedialyte-liquid for children, available from pharmacies and Los Baños Doctors Hospital (LBDH)
- Oral rehydration salts (e.g., Hydrite)-tablets that are dissolved in water, available from pharmacies and LBDH
- Gatorade, Powerade-'sports' drinks, sold in grocery stores
- Homemade: 1 liter boiled water, 2 tbsp sugar or honey, salt, and baking soda
Dengue or 'H' fever
Dengue fever is also known as hemorrhagic or 'H' fever. The dengue virus is transmitted by the Aedes mosquito, which feeds during the day and causes acute illness. Symptoms include a high fever, which rises and falls for up to 10 days; headaches; muscle, back, and joint pain; a slow pulse; and the appearance of red rashes on the third day. Symptoms are similar to those for some other conditions and should be confirmed by a blood test.
A few cases of dengue fever have been reported in Los Baños. The treatment consists of rest, relieving the symptoms, and careful monitoring of blood plasma levels. A patient with dengue fever should NOT take aspirin, as this could aggravate hemorrhagic bleeding. Tylenol or paracetamol can be taken to relieve the fever.
Diarrhea
Everyone who lives or travels in the tropics contracts diarrhea from time to time. Most stomach and diarrheal complaints come from drinking water contaminated with amoeba or bacteria. Diarrhea can be caused by gastric infections, food poisoning, a parasite (giardia, amoeba), bacteria (shigella or other), or virus (rotovirus), usually transmitted through contaminated water. In children, diarrhea may also be a sign of an infection elsewhere (ears, throat, urinary system) or of measles.
The most serious effect of diarrhea is dehydration, which can happen very quickly in hot climates (in a matter of hours), especially in small children. Rehydration drinks (Pedialyte, oral salt tablets, Gatorade) should be given to those with diarrhea. If a child experiences a lot of vomiting and/or diarrhea, and cannot keep fluids down, go immediately to Los Baños Doctors Hospital, the University Health Service, HealthServ, or St. Jude's Hospital on Lopez Avenue, and ask for intravenous rehydration (IV). An anti-vomiting drug (Plasil) may be given through the drip as well. Diarrhea is still the leading cause of death in children in the tropics.
- Day1
unsweetened black tea only for first 24 hours, rest, up to 10 charcoal tablets - Day 2
tea with added salt, fruit juice, soup, apple sauce, porridge (oatmeal, avoid milk) - Day 3
drink a lot (soft drinks at room temperature), toast with salt, pudding, soft-boiled egg - Day 4
add boiled vegetables, bananas (should be feeling much better by now) - Day 5
slowly get used to normal food again, but avoid greasy food for several more days.
Local drugstores stock all necessary anti-amoeba and antibiotic medicines to combat diarrhea. Anti-diarrheal drugs, such as Imodium, can be taken in cases of mild diarrhea (e.g., if the victim has to travel), but should not be taken by patients with high fever or dysentery (blood and mucus in the feces). Another suggested diet for diarrhea is the BRAT diet (bananas, rice, applesauce, toast).
Fever
Fever can be a symptom of many illnesses. Slight fever can often be dealt with at home, but anything more severe normally requires medical treatment [37 °C = 98.4 °F (normal); 38 °C = 100.4 °F (slight fever); 39 °C = 102.2 °F (fever); 40 °C = 104.0 °F (high fever)].
First aid
IRRI Safety and Security Services runs first aid and cardiopulmonary resuscitation (CPR) courses for IRRI staff and dependents.
Adhesive tape
Antibiotic disinfectant ointment or cream
Antihistamine cream
Antiseptic ointment or cream
Aspirin or paracetamol (Acetominophen, Tylenol)
Calamine lotion
Cotton wool, cotton buds
Disinfectant (e.g., Betadine, Physohex)
Imodium or other diarrheal medicine
Insect repellant (e.g., Citronella, Off, Cutter)
Lanoline or petroleum jelly (e.g., Vaseline)
Oil of cloves (for toothache)
Oral rehydration tablets (e.g., Hydrite, Glucolyte, Pedialyte) Peroxide
Plasters (Band-Aids) and bandages
Scissors
Sterile gauze squares
Talcum powder
Thermometer
Tweezers
Water purifiers (e.g., Puritabs, use as directed when it is impossible to boil water)
Remember to check medicines regularly and replace those that have passed their expiration date. Check with your doctor for alternatives if you are allergic to any medicine.
Heat exhaustion/heat stroke
High temperatures and high humidity can lead to heat exhaustion and/or heat stroke, particularly if you are unaccustomed to a tropical or subtropical climate. The hottest months are April, May, and June, and temperatures in Manila can reach 40 °C or 104 °F. The wettest months are from July to November. Wearing cool cotton clothes, avoiding heavy exercise in the middle of the day, and drinking lots of fluids will help you adjust in a few months.
Signs of heat exhaustion include headache, dizziness, confusion, loss of appetite, nausea, sweating, pale and clammy skin, cramps in the limbs or abdominal wall, and rapid and weakening pulse and breathing. The signs for heat stroke are not the same-skin becomes hot and flushed, pulse is strong and rapid, sweating stops, the victim becomes restless and confused, and his/her ability to respond to simple questions deteriorates rapidly. Heat exhaustion can lead to heat stroke.
Heat stroke is an extremely serious condition; it can occur quickly and may cause unconsciousness in a few minutes. If you suspect heat stroke, you must start to cool the victim down immediately by wrapping him/her in a damp blanket, sponging with tepid water, or fanning, if no water is available; call a doctor right away. Maintain cooling until body temperature reaches 38 °C/100.4 °F (under the tongue) or 37.5 °C/99.5 °F (under the armpit). Check frequently afterward to make sure the temperature does not rise again.
Hepatitis (jaundice)
Hepatitis A, in all its forms, is fairly prevalent in the tropics. It is caused by a viral infection of the liver and is transmitted through contaminated food (often shellfish). It is not treatable with antibiotics. Recovery demands a long period of rest. Gamma globulin injections offer some protection for a short time. Active immunization with hepatitis A vaccine is recommended for extended coverage.
Hepatitis B is widespread in Asia. Transmission of the virus occurs through body fluids, including sexual contact, contaminated hypodermic needles, ear-piercing or acupuncture equipment, and contaminated blood transfusions. A vaccine is available and recommended for all individuals.
Malaria
Malaria is transmitted by mosquitoes that feed or bite between dusk and dawn. Symptoms include very high fever, chills, muscle aches, and drenching night sweats. You can take several steps to keep yourself from being bitten, such as wearing clothes that cover as much of the body as possible, having fly screens on all open windows and doors, and using insect repellants (coils, sprays, or lotions).
Malaria occurs throughout Southeast Asia, but is not a normal occurrence in Los Baños and Manila. Malaria prophylaxis is therefore not considered necessary in Los Baños or Manila; however, you may need it when traveling to rural areas in the Philippines, particularly on the island of Palawan, where Plasmodium falciparum malaria is prevalent. Check with your doctor if you intend to travel to a potential malaria zone.
Poisoning
Minimize the risk of accidental poisoning by making sure that your household staff, including gardeners, do not transfer dangerous liquids, such as insecticides or bleach into other containers. Victims of poisoning should be taken to the hospital immediately. Do not attempt to induce vomiting, as the poison may damage the esophagus and the mouth.
Rabies
Rabies is present in the Philippines and is transmitted by warm-blooded animals, such as dogs, cats, bats, rats, and monkeys. All household pets should be vaccinated against rabies, and unknown dogs and cats should not be handled. Animal bites should be washed with a lot of soap and water, and the victim should see a doctor as soon as possible to determine if rabies and tetanus toxoid vaccinations are necessary. If it is outside normal clinic hours, go to an emergency room. Untreated rabies is almost always fatal.
Respiratory infections
Allergies and asthma are common. Asthmatic reactions are most severe in the mold-producing rainy season and when trees are flowering. Bronchial infections and accompanying ear infections tend to last a long time in children and adults alike. Antibiotics are prescribed in almost all cases. Los Baños drugstores and clinics have anti-asthma ventilators, inhalers, medicines, ear drops, and antibiotics. Hospitals and clinics generally have nebulizer machines, but asthma sufferers may want to bring one with them to the Philippines.
Skin infections
Scratches, mosquito bites, and open wounds heal slowly in wet heat and are prone to infection from both fungi and bacteria. Open skin wounds should be treated with antibiotic cream and/or antifungal cream to prevent tropical ulcers (bacterial infection of the wound) from forming. Head lice are a mild problem among children from time to time and are easily eliminated with a special shampoo.
Snake bites
Most species of snake found in Los Baños are not poisonous. If you are bitten by a snake, you can know whether it is poisonous or not by looking at the bite mark. Poisonous snakes have two fangs that leave visible marks where the poison was injected; there may also be marks from smaller teeth. Nonpoisonous snakes leave two rows of teeth marks with no fang marks. Antivenin is available at the IRRI Clinic and at the Research Institute for Tropical Medicine (RITM) in Alabang (tel. nos.: 807-2628 up to 32). Doctors at the RITM are trained to administer anti-venin, which is also available there. After exiting the South Luzon Expressway (SLEX) at the Filinvest Exit, turn left, then go on the wide uphill road until you see the RITM building.
- Do not attempt to catch or kill the snake. Move to safer grounds and let the snake escape.
- If someone has been bitten, calm the victim and let him/her sit or lie down with the bite wound positioned lower than the heart. Do not touch the bite wound or the immediate area around it and do not move the victim's bitten limb. The victim should be kept still and relaxed as much as possible.
- Immediately dial x2222 or call 0918-923-4798 for Emergency Medical Services. An ambulance will be dispatched and first aid will be given immediately. Handling and transporting a bite victim to a clinic other than by the EMS may aggravate the victim's condition. Relay the victim's condition to the EMS and give a detailed description of the snake.
- Those who assisted the victim, especially witnesses to the bite incident, should give their contact information to the EMS in case the bite victim becomes unresponsive and additional information would be needed for medical management.
- The doctor will evaluate the victim for signs and symptoms of envenomation prior to administering anti-venin, since this may adversely affect the victim's condition.
- Upon stabilization and initial medical management, the victim will be transferred to a tertiary hospital or the RITM for further observation and medical treatment.
- In cases when the clinic is closed (weekends, holidays, before or after clinic hours), the victim will be transferred to the nearest hospital that can handle snake bite cases (e.g., UP Health Service) after EMS applies first aid. SSS will endorse the anti-venin to the hospital staff when doctors confirm the need to administer anti-venin after evaluation.
- Use a torch or flashlight when walking in the dark.
- In areas where there might be snakes, wear shoes and long trousers to minimize the amount of exposed flesh.
- When walking through tall grass or thick undergrowth, use a stick to beat the grass/undergrowth in front of you.
- Do not reach into dark places or confined spaces without first checking for snakes.
- Do not disturb snakes in places where they typically rest or hide-under stones or wood, in long grass, under shrubs, in holes.
- Keep your house free of rats and mice.
- Keep the grass around the house short-snakes do not like open spaces.
- If you see a snake, keep still and quiet and give it a chance to get away.
Tuberculosis
Tuberculosis is common in the Philippines. BCG vaccinations are given routinely, and newcomers should consider having their family vaccinated if in doubt. Many countries no longer include BCG vaccinations in a child's regular immunization schedule.
Typhoid and paratyphoid
Typhoid is caused by Salmonella typhi bacteria and is contracted from contaminated food, water, or milk. Symptoms vary from person to person and may include vomiting, cough, headaches, persistent fever and chills, weakness, abdominal pain, diarrhea, constipation, and loss of appetite. A rash may appear in the second week, along with dehydration, weight loss, and a slowing of the pulse. You should see your doctor immediately if you suspect that you or a member of your household has typhoid. There is a vaccine that provides moderate protection and is available in tablet form. Prevention should also include making sure that anyone preparing food washes their hands frequently, being careful to drink only safe water and buying only pasteurized milk products.
Paratyphoid is caused by Salmonella paratyphi A, B, or C. It can only be differentiated from typhoid fever by a bacteriologist. Paratyphoid can be serious, but it is easily treated by a doctor.
Vaccinations
Routine vaccinations (such as tetanus, MMR, etc.) should be kept up to date; these are available in Los Baños.
In many countries, the BCG vaccination against tuberculosis is no longer given routinely. Tuberculosis is prevalent in the Philippines, so you should consider having your family vaccinated. A booster dose of polio vaccine may also be advisable.
Hepatitis A and B, typhoid, and rabies are widespread and vaccines are available. Vaccination against cholera (when traveling to remote areas), pneumonia, and meningitis should be considered. Always check with your doctor to find out what is recommended for your family.
Water and food
Contaminated drinking water is the most frequent source of bowel infections.
Filter appliances must be cleaned regularly and the filters replaced. Bottled water is available in local supermarkets and grocery stores. There are outlets that sell purified drinking water in larger containers and that will deliver to your home.
Food is safest when boiled, baked, or fried well. Raw vegetables and unpeeled fruit are often a source of infection. Wash everything thoroughly in safe water. Bacteria multiply fast in tropical conditions, so food should not be left out for a long period of time. Leftovers should be refrigerated quickly and brought completely to a boil when warmed.
Worms
Threadworms (1-cm long, white, very thin) and roundworms (20-30 cm long, pink or white) are common. Often, adults do not realize that they have worms. Children may complain of discomfort, indigestion, weakness, or itching. De-worming medicines, such as Combantrin or Qantrel (tablets for adults and liquid for children), are readily available. Hookworms can be picked up when walking barefoot on ground contaminated with feces. Heavy infections of hookworm can cause anemia. However, without re-infection from the outside, hookworm infection eventually passes.
Medical services in Los Baños
The following is NOT a complete list of medical facilities and doctors. It is only meant to give suggestions to newcomers who may need medical help soon after they arrive and have no time to find their own preferred care. Doctors hold clinics at various hospitals. Clinic hours may change, so, if possible, check before you go.
Clinics and hospitals
Los Baños Doctors Hospital and Medical Center (LBDH)
Website: http://www.lbdhmc.com
Lopez Avenue
Tel. nos.: 536-0100, 536-1825, 536-4462
24-hour emergency room, outpatient consultation, routine laboratory, pharmacy, pap smear, blood chemistry, ultrasound, X-ray, ECG, bacteriology, pulmonary therapy, bone setting/casts, operating room, 50 beds.
Dr. Zenaida Torres (536 5489-home, 09052466351) at LBDH [536-0100, 536-1825, 536-4462 (local 120)] is on IRRI retainer. Wednesdays at 5:00-6:00 p.m. is usually her reserved slot for IRRI staff. She will also make house calls. Be sure to call before you go.
HealthServ Los Baños Medical Center
National Highway (Crossing)
Tel. nos.: 536-4858, 536-8407, 536-7718
Diagnostic laboratory, X-ray and ultrasound, optical shop, colposcopy, pharmacy, audiometry, pulmonary function test, dialysis center, CT scan, heart station, surgicenter, physical medicine and rehabilitation center, spa and wellness center, internal medicine, family medicine, pediatrics, rehabilitation medicine/psychiatry, surgery, obstetrics/gynecology, anesthesiology, radiology, dentistry.
IRRI Medical Clinic
Tel. no.: 536-2701 local 2333/2297
This is for emergencies and initial treatment only, and not for routine medical care. For ambulance service, call 2222.
UPLB University Health Service (UHS)
Forestry, UPLB
Tel. no.: 536-3247 and 536-2470
24-hour emergency room, X-ray, pharmacy, minor surgery, ambulance service.
St. Jude Family Hospital
Lopez Avenue
Tel. no.: 536-1232
24-hour emergency room, outpatient consultation, routine laboratory, X-ray, EKG, blood chemistry, 30 beds.
Doctors
This is not a complete list of doctors. There are many other doctors in Los Baños. These are the names of doctors that foreigners have previously consulted with. Be sure to call first, if possible, in case doctors' hours have changed.
Dermatologists
Dr. Leoncia Lintag
LBDH
Consultation: Sundays, 10:00 a.m.-12 noon
Dr. Judith Valdez-Eusebio
VE Eusebio Polyclinic and HealthServ Los Baños Medical Center
Tel. no.: 536-0097; mobile no.: 0918-904-9716
Consultation: Mondays-Thursdays and Saturdays, 3:00-7:00 p.m.; Fridays, 10:00 a.m.-12:00 noon. Call ahead to get listed for appointment. Dr. Eusebio is a consultant dermatologist who also does facials for aging, acne, etc.
Dr. Wilma Laureta
Medical Specialist Clinic, Lopez Avenue (opposite Plaza Agapita)
Tel. no.: 536-0125
Consultation: Wednesdays, 10:00 a.m.-12:00 noon and 2:00-6:00 p.m.
Ear, nose, and throat specialist
Dr. Rhodora del Rosario-Ocampo
Ear, Nose and Throat Clinic (ENT), HealthServ Los Baños Medical Center
Tel. no.: 536-4858 ext. 518
Consultation: Mondays-Wednesdays and Fridays, 5:00-7:00 p.m.
Endocrinologist and metabolism specialist
Dr. Ma. Cecille A. Cruz
HealthServ Los Baños Medical Center
Tel. no.: 536-4858
Consultation: Mondays, Wednesdays, and Fridays, 9:00 a.m.-7:00 p.m.
Internists and general practitioners
Dr. Ernesto Pua
Los Baños Doctors Hospital
Tel. no.: 536-0100 ext. 126
Consultation: Mondays-Saturdays (except Wednesdays), 7:00 a.m.-12:00 noon
Dr. Zenaida Raymundo-Torres
Los Baños Doctors Hospital
Tel. no.: 536-0100 ext. 120; home no.: 536-5489; mobile no.: 09052466351
Consultation: Mondays and Wednesdays, 6:00-8:30 p.m.; Tuesdays, 10:30 a.m.-1:00 p.m.; Fridays, 10:30 a.m.-1:00 p.m. and 5:00-7:00 p.m.; Saturdays, 5:00-7:00 p.m.
Dr. Marius Moran
Lopez Ave. near Agapita
Consultation: Mondays to Fridays, 5:00-7:00 p.m.; Saturdays, 9 a.m.-12 noon
Nephrologist
Dr. Edguardo Noblejas, Jr.
Dialysis Unit, Los Baños Doctors Hospital
Consultation: Thursdays and Saturdays 10:00 a.m.-12:00 noon
Dr. Noblejas also has clinics in Asian Hospital and Medical Center and Makati Medical Center.
Obstetricians and gynecologists
Dr. Renelle Ibarra-Labtuon
Rooms 134 and 155, Ob-gyne Clinic, 2nd floor, Los Baños Doctors Hospital
Tel. No.: 536-0100 ext. 134
Consultation: Mondays, Wednesdays, and Fridays, 5:00-8:00 p.m.; Tuesdays and Thursdays, 9 :00 a.m.-2:00 p.m.; Saturdays, 2 :00-6:00 p.m.
Dr. Marilyn M. Garcia
Los Baños Doctors Hospital
Consultation: Mondays-Fridays, 9:00 a.m.-12:00 noon; Saturdays, 4:00-7:00 p.m.
Dr. Guadalupe Villanueva
Los Baños Doctors Hospital
Consultation: Mondays, Wednesdays, and Fridays, 4:00-7:00 p.m.; Saturdays, 9 a.m.-12 noon.
Ophthalmologists
Dr. Rodrigo J. Senador
Calamba Medical Center (CMC)
Tel. no.: (049) 545-2566, call for appointment
Consultation: Wednesdays
Asian Hospital and Medical Center, Room 409
Tel. no.: (02) 771-9201, call for appointment
Consultation: Mondays and Tuesdays, 2:00-5:00 p.m.
Dr. Orville Ocampo
HealthServ Los Baños Medical Center
Tel. no.: 536-4858 ext 518
Consultation: Mondays-Thursdays, 3:00-7:00 p.m.; Saturdays, 9 a.m.-12 noon
Orthopedists
Dr. Leslie M. Reyes
Los Baños Doctors Hospital
Tel. no.: 536-0100 ext. 127
Consultation: Mondays, Wednesdays, and Fridays, 4:00-7:00 p.m.
Dr. Francisco Turalba
Los Baños Doctors Hospital
Consultation: Mondays, Wednesdays, and Saturdays, 4:00-7:00 p.m.
Pediatricians
Dr. Jocelyn Lusanea Tababa
HealthServ Los Baños Medical Center
Tel. no.: 536-4858 ext. 512; mobile no.: 0920-909-3262
Consultation: Mondays-Wednesdays and Fridays-Saturdays, 9:00 a.m.-3:00 p.m.
Dr. Vergel Eusebio
VE Eusebio HealthServ, Crossing (across Mercury Drug), Los Baños
Consultation: Mondays-Thursdays, 9:00 a.m.-3:00 p.m.; Fridays, 9:00 a.m.-1:00 p.m.; Saturdays, 9:00 a.m.-5:00 p.m.; and Mondays-Thursdays, 5:00-6:00 p.m. by appointment.
Dr. Rowena Pua
Los Baños Doctors Hospital
Tel. no.: 536-0100 local 141
Consultation: Mondays-Saturdays, 8:00 a.m.-12:00 noon
Dr. Cristina R. Tanchico-Reyes
Los Baños Doctors Hospital
Consultation: Mondays, Wednesdays, and Saturdays, 4:00-6:00 p.m.; Tuesdays, Thursdays, and Saturdays, 9:00 a.m.-12:00 noon
Dr. Rita Marie Vergara, asthma specialist
HealthServ, Crossing
Tel. no.: 536-4858 ext. 509
Consultation: Tuesdays, Thursdays, Saturdays, 9:00 a.m.-12:00 noon; Mondays, Wednesdays, and Fridays, 9:00 a.m.-4:00 p.m.
Physical therapy
Los Baños Doctors Hospital, 2nd floor. Call telephone numbers 536-0100, 536-1825 local 122, for appointments. Mondays-Fridays, 9:00 a.m.-7:00 p.m.; Saturdays, 8:00 a.m.-5:00 p.m.
Medical laboratories
LBDH Laboratory, Lopez Avenue, Los Baños
BIOSCAN Clinilab, Plaza Agapita, Lopez Ave., Los Baños. For blood, stool, and urine tests, pap smears, and biopsies.
HealthServ Los Baños Medical Center, Batong Malake, Los Baños
Dentists
Dr. Ma. Flor C. Romero-Velilla and Dr. Cynthia Catalan
Vega Centre, College, Los Baños
Tel. no.: 536-1258, residence: 536-2641, secretary Odette, 0927-844-0144
Clinic hours: Mondays-Saturdays, 9:00 a.m.-12:00 noon and 2:00-7:00 p.m.
Dr. Toniet Pordesimo and Dr. Lalaine Luis
Plaza Agapita, Lopez Ave., Los Baños
Clinic hours: Mondays-Saturdays, 9 a.m.-12 noon and 2:00-6:00 p.m.
Dr. Noel Piga
Near Plaza Agapita on Lopez Ave.
Clinic hours: Mondays-Fridays, 5:00-7:00 p.m.; Saturdays, 9 a.m.-12 noon
The UPLB University Health Service (UHS) has two or three dentists who are very thorough. You cannot make appointments. Drive to UHS (on the way to the Forestry apartments) and get a number from the dental clinic.
Dr. Nestor T. Vasquez Dental Clinic
Bayan, Los Baños
Tel. no.: 536-0618
St. Paul Augustine Dental Clinic (group of five dentists)
562 M. Pauline Street, Brgy III-C, San Pablo City, Laguna
Tel. no.: (049) 562-6409, 562-4759; mobile no.: 0917-500-4330
Veterinarians
UPLB Veterinary School Clinic
Clinic hours: Mondays-Saturdays, 8:00 a.m.-5:00 p.m.
Tel. no.: 536-0863; mobile no. (vet Leila): 0917-330-8410
Provides walk-in service for diagnostics, vaccinations, and small surgeries. It is staffed by two veterinarians and student assistants, and is located at B.M. Gonzales Complex, UPLB. A landmark is the Animal Husbandry Arch at the far end of the UPLB Freedom Park.
Dr. Songcaya-Fuentes' clinic is now located between LB Crossing and the railway line going to the UP Open University gate. Her mobile number is 0906-233-4489.
Ace Ark Vet Clinic and Pet Grooming
9660 Mt. Samat St., Umali Subd., Batong Malake, Los Baños
Tel. no.: (049)576-0675; mobile no.: 0906-387-4460
Medical services in Manila
Hopitals
Asian Hospital and Medical Center, 2205 Civic Dr, Filinvest Corporate City, Alabang, Muntinlupa City; Tel. no.: (632) 771-9000; Web: www.asianhospital.com.
Makati Medical Center, No. 2 Amorsolo Street, Legaspi Village, Makati City; Tel. no.: (632) 888-8999. Web: www.makatimed.net.ph.
Manila Doctor's Hospital, 667 United Nations Avenue, Ermita; Tel. no.: (632) 524-3011 to 77. Web: www.maniladoctors.com.ph.
Research Institute for Tropical Medicine (RITM), Alabang, Muntinlupa City; Tel. no.: (632) 807-2628 up to 32. This small institute does research on tropical diseases. Malaria tests are done on the spot. Anti-venin is available here.
St. Luke's Medical Center, 32nd Street, Bonifacio Global City, Taguig; Tel. no.: (632) 789-7700. Web: www.stluke.com.ph or info.bgc@stluke.com.ph.
St. Luke's Medical Center, 279 E. Rodriguez Sr. Blvd., Cathedral Heights, Quezon City; Tel. no.: (632) 723-0301. Web: www.stluke.com.ph.
Doctors
Doctors can be located and called through the main numbers of the hospitals listed above. Some have direct lines as well. It is advisable to call in advance to check clinic hours. The following is not a complete list of doctors. These are doctors that foreigners have previously consulted with.
Allergies
Dr. Cristina Antonio, Makati Medical Center, Tel. no.: (632) 817-7788.
Dr. Manuel Canlas, Makati Medical Center, Tel. no.: (632) 892-4620.
Cardiology
Dr. Alexander Ayco, Makati Medical Center.
Dr. Patrick R. Carpo
Asian Hospital and Medical Center, Tel. no.: (632) 771-9336, Room 506, Mondays and Wednesdays, 8:30-9:30 a.m. by appointment.
St. Luke's Medical Center Global City, Tel. nos.: (632) 789-7700 loc. 7509, (632) 975-0141, mobile no.: 0917-567-5675, Room 509, Tuesdays and Thursdays-Saturdays, 8:00 a.m.-1:00 p.m. by appointment.
Makati Medical Center, Tel. no.: (632) 975-4916, (632) 888-8999, Room 5, CPM 3rd floor, Tuesdays and Thursdays, 2:00-5:00 p.m. by appointment.
Chiropractic
Intercare Alabang, Unit D, Upper GF, Westgate Tower, Investment Drive, Madrigal Business Park, Alabang, Muntinlupa City;
Tel. no.: (632) 807-6863, Fax: (632) 809-4163, Mobile: 0922-811-3649 and 0917-866-4156; open Mondays-Fridays, 10:00 a.m.-7:00 p.m. and Saturdays, 9:00 a.m.-4:00 p.m.;
Web: http://www.intercare-centers.com/.
Note: The chiropractor, Martin G. Camara, D.C., is actually only there on Wednesday afternoons and Saturday mornings.
Physical Medicine and Rehabilitation Clinic at the Asian Hospital and Medical Center.
Contact Dr. Melissa Gozum at (632) 771-9306, 6th floor, Room 603, for a consultation.
Counseling services
In Touch Foundation, Holy Trinity Church, 48-A McKinley Road, Forbes Park, Makati;
Tel. no.: (632) 893-1893 or 810-6233 (Office), 893-1892 (FX); Crisis line: 893-7603 or 893-7606;
email: intouchcommunity@gmail.com, intouch@i-manila.com.ph;
web: www.in-touch.org; postal address: In Touch Foundation, P.O. Box 3981, MCPO 1279, Makati City.
In Touch was co-founded by IRRI spouses. Services are provided by qualified professionals and include counseling (cross-cultural adjustment, marriage, substance abuse, parenting, etc.), training, newcomer orientation, cross-cultural communications, effectiveness programs for the business community, crisis line (free telephone counseling and information), and Meyer-Briggs Type Indicator workshops. In Touch has an extensive library on mental health and cross-cultural issues.
Center for Family Ministries Foundation, Ateneo de Manila University, Katipunan Avenue, Loyola Heights, Quezon City 1108.
Email: cefam@admu.edu.ph, web: www.cefam.ph. Tel. no.: 426-4289 to 92.
The Center for Family Ministries Foundation, associated with the Ateneo de Manila University, offers a number of paid or voluntary specialized services, including counseling, psychiatry, and family law. They also offer training and educational and community service opportunities.
Dermatology
Dr. Vermen M.Verallo-Rowell, Annex, Makati Medical Center, Tel. no.: (632) 888-8999.
Dr. Eleanore Nicolas, Asian Hospital and Medical Center, Room 317, Tel. no.: (632) 771- 9235.
Eye, Ear, Nose, and Throat
Dr. Jaime Sevilla, Makati Medical Center, Tel. no.: (632) 892-3481.
Dr. Jaime Anthony A. Arzadon, Asian Hospital and Medical Center, Suite 110, Mondays-Saturdays (by appointment), (632) 771-9311, clinic mobile no.: 0917-275-5371.
Executive Health Check
Asian Hospital and Medical Center, Tel. no.: (632) 876-5796. St. Luke's Medical Center and Makati Medical Center also offer executive health checks.
Gastroenterology
Dr. Hildegarde Vistal, Asian Hospital, Mondays-Saturdays, 9:00 a.m.-12:00 noon,
(632) 771-1069 or 771-9318, mobile no.: 0918-917-6748, email: godo_lastival@yahoo.com.
Dr. Patricia Anne Cabral-Prodigalidad
Asian Hospital, Wednesdays-Thursdays and Saturdays, Tel. no.: (632) 771-1791.
St. Luke's Global City, Unit 1203, Mondays-Saturdays, Tel. no.: (632) 789-7500/789-7700 local 5203.
General Medicine
Dr. Paul Tan
Asian Hospital, Room 503, Tel. no.: (632) 771-9000 or 771-9341, Tuesdays and Thursdays, 4:00-6:00 p.m.
Makati Medical Center, Room MB 322, Tel. no.: (632) 892-444 or 888-8999 loc. 2322. Call for an appointment.
Hematology
Dr. Francis Lopez, Asian Hospital.
Internal Medicine, Cardiology
Dr. Eloisa G. Pastores, Makati Medical Center, Tel. no.: (632) 892-5725.
Dr. Patrick R. Carpo
Asian Hospital and Medical Center, Tel. no.: (632) 771-9336, Room 506, Mondays and Wednesdays, 8:30-9:30 a.m. by appointment.
St. Luke's Medical Center Global City, Tel. nos.: (632) 789-7700 loc. 7509, (632) 975-0141, mobile no.: 0917-567-5675, Room 509, Tuesdays and Thursdays-Saturdays, 8:00 a.m.-1:00 p.m. by appointment.
Makati Medical Center, Tel. no.: (632) 975-4916, (632) 888-8999, Room 5, CPM 3rd floor, Tuesdays and Thursdays, 2:00-5:00 p.m. by appointment.
Mammography
Makati Medical Center Breast Clinic, Tel. no.: (632) 888-8999 ext. 3200.
Asian Hospital and Medical Center, Tel. no.: (632) 876-5779.
Obstetrics/Gynecology
Dr. Ma. Theresa Tangkeko-Lopez, M.D., F.P.O.G.S.
Asian Hospital and Medical Center, Room 209, (632) 771-9296
Medical Plaza Makati, Suite 1109, Amorsolo St. Cor. Dela Rosa St. Makati City, Tel. no.: 813-0225.
Dr. Ma. Socorro Caedo-Lim, Asian Hospital and Medical Center, Room 319, Tel. no.: (632) 771-9313, Mondays-Saturdays (except Thursdays), 9:00 a.m.-12:00 noon.
Dr. Rebecca Singson, Makati Medical Center, Tel. no.: (632) 892-7879.
Dr. Romana Borromeo, Makati Medical Center, Tel. no.: (632) 840-4084.
Dr. Ma. Concepcion M. Ilao, St. Luke's Medical Center, Tel. no.: (632) 723-0301 or 723-0101 local 5154.
Occupational Therapy
Dr. Gina Ibay Sunico, Child Therapy Center, Suite 214, Medical Towers, V.A. Rufino St. Legaspi Village, Makati City, Tel. no.: (632) 892-0192.
Ophthalmology
Dr. Albert C. Mamaril, St. Luke's Medical Center, Bonifacio Global City, Medical Arts Building Room 517; Mondays-Fridays, 8:00 a.m.-12:00 noon; Tel. no.: 789-7700 loc 7517; email: mamarileyedoc@yahoo.com; diseases, surgery, and laser of the eye, subspecialty: vitreo-retina surgery and diseases, sutureless (Phaco) cataract/presbyopic surgery, laser vision correction (LASIK/PRK).
Dr. Rodrigo J. Senador
Calamba Medical Center, Calamba City, Laguna; Tel. no.: (049) 545-2566; Wednesdays, call for appointment.
Asian Hospital and Medical Center, Room 409; Tel. no.: (02) 771-9201; Mondays and Tuesdays, 2:00-5:00 p.m., call for appointment.
Dr. Benjamin M. Abela, Jr., Suite E-6 (Annex), Makati Medical Center, Tel. no.: 812- 8606.
Dr. Manuel Hechanova, Makati Medical Center, Tel. no.: 893-5437.
Orthopedic surgery
Dr. Antonio Rivera, Makati Medical Center, Tel. no.: 892-1541.
Orthopedic and spine surgery
Dr. Larry Acuña, Asian Hospital and Medical Center, Suite 417, Medical Office Building; Tuesdays, Thursdays, and Saturdays, 10:00 a.m.-12:00 noon; Mondays, Wednesdays, and Fridays 10:00 a.m.-12:00 noon, by appointment; Tel. no.: 771-9252, mobile no.: +63917-522-7237; email: lvacuna@yahoo.com.
Pediatrics
Dr. Miguel Celdran, Makati Medical Center, Tel. no.: 810-2215.
Dr. Carolyn Butler, pediatrician and neurologist, Makati, Tel. no.: 867-2026; Asian Hospital and Medical Center, Tel. no.: 771-9327.
Dr. Romeo S. Nuguid, general pediatrician
Asian Hospital and Medical Center, Tuesdays-Thursdays, Saturday, 9:00 a.m.-12:00 noon, Tel. no.: 771-9357.
Makati Medical Plaza, Mondays-Saturdays, 3:00-6:00 p.m., Tel. no.: 844-2329.
Dr. Camila Orig-Palo, MD, FAAP, Pediatric and Adolescent Medicine, Board certified to practice in the USA, Medical Arts Building, Room 621, St. Luke's Medical Center, Bonifacio Global City; Tel. no.: 789-7700 local 7621; mobile nos.: 0917-842-4792 or 0927-539-9335 pedia.palo@gmail.com, www.pedia-palo.com; Tuesdays, Thursdays, and Saturdays, 9:00 a.m.-12:00 noon, Wednesdays and Fridays, 2:00-5:00 p.m. by appointment.
Psychiatry
Dr. Alma Jimenez, Professor of Psychiatry, Ateneo De Manila University.
Urology
Dr. Rodolfo Herrera, Makati Medical Center, Tel. no.: 893-2780.
Dentists
Dr. Margaret Ascalon, 3rd Floor, Mile Long Building, Amorsolo Street, Makati City, Tel. no.: 892-5541.
Dr. Leandro E. Rosero and Dr. Anna Maria C. Valencia, 832 Arnaiz (formerly Pasay Rd), Lerose Building corner of Arnaiz and Edades streets, Makati, Tel. nos.: 844-8683, 752-8529, telefax: 843 7572; Dr. Rosero also has an office at the Asian Hospital and Medical Center, Room 711, Tel. no.: 771-9208.
Dr. Maria Teresa Paras-Goduco, orthodontist for children and Dr. Lourdes Caparas, pediatric dentist, Tel. no.: 815-2396, mobile no.: 0917-984-9002; The Forum 2nd Floor, 31st St. corner 2nd St., Fort Bonifacio.
Abesamis Dental Clinic, 4th Level, Festival Supermall, Filinvest Corporate City, Alabang, Muntinlupa City; Tel. no.: 771-2001; Web site: http://www.abesamisdental.com. Appointments can also be made online.
Veterinarians
Makati Dog and Cat Hospital, Amapola Street, Bel Air III, Makati City, Tel. nos.: 896-6386, 896-2860; email: makatidogandcathospital@gmail.com.
Beterinaryo Sa Fort, Ground Floor Kensington Place, 1st Ave., Bonifacio Global City (just off Burgos Circle), Mondays-Saturdays, 9:00 a.m.-7:00 p.m.; Tel. no.: (02) 822-7159, mobile no.: 09499885790; web: www.beterinaryo.com, info@beterinaryo.com.