I am submitting a review regarding my hospitalization at Covington Hospital and ongoing concerns…read moreabout pain management and communication during the sickle cell crisis in which I was admitted for. Dr. David Siebert's made very frustrating and neglectful statements about my medication adherence and his refusal to initiate around-the-clock IV opioid management despite my documented history, I would like to document further inconsistencies and communication failures affecting my care. During my first night at Covington, Dr. Michael Joyce informed my father and me that PCA pumps were not used at this facility and suggested that I would have better luck receiving sickle cell pain management at Fred Hutch. This recommendation was confusing and distressing. I reside in Lakewood, and Fred Hutch is located in Seattle. Additionally, Fred Hutch is a specialty cancer and hematology center and not an emergency hospital capable of managing acute vaso-occlusive crises. The suggestion conveyed a lack of viable local care options and contributed to my distress. Over the course of four days in severe sickle cell pain, I was later told that more effective pain management could have been initiated earlier in my stay, which was extremely frustrating to learn given the severity of my symptoms. Following comments made by Dr. Siebert regarding my pain management plan, I experienced an intense panic attack triggered by distress and perceived lack of appropriate care. A Code Grey was called in response to my emotional distress. Shortly afterward, Dr. Siebert returned and asked whether I had ever been on a PCA pump before. This raised several concerns: * We had previously informed care staff that PCA therapy has historically been the primary method used to control my severe vaso-occlusive crisis pain. * This information is documented in my medical record. * The question suggested that my documented care history may not have been reviewed. * It also appeared to contradict the earlier statement that PCA therapy was not available at this facility. These inconsistencies in communication, lack of continuity, and apparent failure to review documented treatment history have contributed to unmanaged pain, heightened anxiety, and significant emotional distress during an already vulnerable medical crisis. I am requesting review of: * continuity and coordination of communication between providers * review and utilization of documented pain management protocols * clarification of PCA availability and alternative pain control strategies * patient-centered communication practices during high-distress situations * care escalation protocols for patients with severe sickle cell pain My goal is to ensure that care is coordinated, evidence-based, and communicated clearly so that future patients do not experience similar distress during crisis treatment.

I have been a MultiCare patient for 5 years, always bringing my children here too. I have never…read moreonce complained or requested controlled medications--until this appointment, my very first with Dr. Show (my regular PCP was unavailable). I disclosed a traumatic experience for the first time and, while crying and extremely vulnerable, asked for short-term help with severe anxiety. Dr. Show responded by sighing audibly with an "ugh", as if my distress and request were a burden or annoyance. She shrugged off my concerns, dismissed why my current medication wasn't helping, and then bizarrely pivoted to complaining about how difficult it is to find a psychiatrist for her own daughter--turning my traumatic disclosure into a comment about her personal frustrations. I felt blatantly treated like a drug seeker despite my long, clean history. She offered zero empathy, zero alternatives, and zero support beyond suggesting I "take an extra pill" of the medication I am currently taking (which I'd already said wasn't sufficient). The entire visit left me re-traumatized and far worse than when I arrived. No one from the clinic even bothered to check on me afterward. This was not poor bedside manner--this was a complete failure of compassion and professional boundaries. I have filed formal complaints with MultiCare leadership, the Joint Commission, and the Washington Medical Commission. If you need genuine, trauma-informed care for anxiety or mental health, avoid Dr. Michelle Show at all costs.

Staff was VERY efficient and fast. I was having difficulty breathing. They got me in and treated…read morewithin the hour. I walked out of there a new man, feeling 100% better. Deon was the PA, staff was fantastic! Also they accept my VA coverage as payment.

Whole team was friendly and efficient. Jennifer NP was confident, knowledgeable and friendly to…read moreboth of us.

I'm so glad dermatology moved to this building, check in was easy. I am a big fan of Dr Bremmer and…read morethis building is much easier to access than the previous location. The urgent care clinic shares the waiting area, so fingers crossed no communicable diseases were spread. However, a clinic should have more than two accessible parking spaces!

I had a bad gash on my face from a fall . They took me in right away & the care / attention I…read morereceived from Lisa & Dr Sarah Mun was fantastic . I am so glad to have such world class care in our community. Keep up the great work Team !

Solid and fast service--I was in and out in less than fifteen minutes. I've never gone into a…read morefacility to do an employee drug test before. The staff was professional and made the process effortless without issue. Out of all the optional locations, I'm glad I went to Alliance, genuinely.

I came here for a pre-employment CDL drug screening. Was in and out in less than 15 minutes. They…read morewere very quick and polite. The place looks very clean and modern.

RUDE and UNPROFESSIONAL doctors! Your doctors and assistants…read moredon't know how to work with toddlers!! They got my kid crying and at the end doctor called him hysterical. It's not the kid hysterical it's your "doctor" who doesn't know how to work with toddler. We came with a bitten lip and I asked to explain me how to take care of it. They started by taking the vitals with finger clip and my kid didn't like it the assistant spent long time trying to take vitals while I was holding a crying baby who doesn't want that clip on his finger. After that the "doctor" came and tried to listen his lungs and check ears! Why? We came with cuts on his lip! They made my kid frustrated and wanting to leave in an instance from your building and run from your specialists. I will never be going to your place with RUDE and UNPROFESSIONAL personal!!!

DR.khan is the best thank you big thanks Always kindly and…read morebest take care of me Very Professional. I won't go anywhere else.

I have been going to this location since they opened. I followed my doctor, Dr Pham, from Kent to…read morethis location. The clinic is very nice and modern. If you need a doctor, Dr. Pham is the best.

I wholeheartedly endorse Lake Sawyer primary care, especially Dr Kachner, who has provided me with…read moreexceptional healthcare, consistently demonstrating a willingness to listen, conduct thorough research, and address all my inquiries Thank you, Dr. Kachner, for your unwavering commitment to my well-being and for your diligent efforts in determining the root cause of my health concerns. Chris S.