Otology and Neurotology provides care related to the ear and surrounding skull, specializing in the diagnosis and medical and surgical treatment of diseases of the ear and related structures.
Otology and Neurotology are subspecialties of Otolaryngology / Head-Neck Surgery, also known as ear-nose-throat or ENT medicine. PacMed Otology and Neurotology provides comprehensive, caring treatment of many conditions.
These providers focus on ear and hearing-related disorders, diagnosis of hard-to-treat or recurrent middle ear and skull base problems, and disorders of the inner ear, which can lead to balance and hearing issues.
Reasons for a referral to an Otologist include:
- Sudden, chronic and progressive hearing loss
- Acute and chronic ear infections, perforations of the eardrum and cholesteatoma
- Dizziness and vertigo
- Meniere’s disease
- Positional vertigo
- Facial nerve paralysis
Otologists and Neurotologists often work closely with allied professionals in Audiology, Neurology, Neurosurgery, and Vestibular Rehabilitation.
Services provided include:
- Medical assessment for hearing aid clearance
- Middle ear surgery for chronic infections, ear drum perforations, and cholesteatoma
- Stapes surgery for otosclerosis
- Implantable hearing devices
- Medical and surgical treatment of dizziness and Meniere’s disease
- Treatment for superior semicircular canal dehiscence (SSCD)
PacMe partners with Skilled Nursing Facilities to provide medically-necessary services to residents. A skilled nursing facility is an in-patient rehabilitation and medical treatment center staffed with trained medical professionals that give patients round-the-clock assistance with healthcare.
PacMed contracted Skilled Nursing Facilities:
Each location has their own range of skilled care professionals, including: physical therapy, occupational therapy, speech therapy, dietitians, social workers, and registered nurses. Please call your facility to see what may be available for your loved one.
Pharmacists have expert knowledge of medications. Ambulatory Care Pharmacists take this knowledge into the clinic setting, where they provide comprehensive medication management for patients with chronic health issues.
PacMed Ambulatory Care Pharmacists employ a team-based approach to managing health issues such as hypertension, dyslipidemia, diabetes, heart failure, and pulmonary diseases. Your Ambulatory Care Pharmacist works closely with your doctor and other medical experts to coordinate medications for your care plan.
Like the rest of your medical team, the Ambulatory Care Pharmacist wants to help you reach your health goals. With deep training in medication dosing, drug interactions, side effects, and over-the-counter (OTC) medications, a pharmacist is an important member of your clinic care team.
The Ambulatory Care Pharmacist collaborates with your doctor to review your medications, adjust doses, monitor medication therapy, and ensure you are realizing the benefits of your medications without a minimum of side effects. The pharmacist will also help you understand how your medications fit into your treatment plan, and how to make each drug work with your daily life. Your pharmacist also provides education on how to take each drug and what reactions may occur, plus answer your questions.
Appointments are only available by PacMed provider referral.
If referred, please call 206.505.1300 for scheduling.
PacMed’s Ambulatory Pharmacists:
At Pacific Medical Centers, we realize the health concerns of women can be a little different. Not just from a medical perspective, but from a life perspective: Between meetings, homework, carpools and soccer practice, we understand that your life can seem like one big juggling act. And when you’re taking care of everything (and everyone) else, it’s not always easy to take good care of yourself. That’s why we have an entire practice group devoted to the unique interests of women. You’ll find our doctors are not only experts in their respective fields, but that they understand you and your life as well. And like everyone at Pacific Medical Centers, they know that things like same day appointments, shorter waiting times and open parking spaces make all the difference. A handpicked group of doctors that understands more than medicine. It’s yet another way that Pacific Medical Centers helps you find what you’re looking for.
Pacific Medical Centers offers a wide range of women’s health services including:
- Birth control
- Bone density screening
- Family planning
- Irregular bleeding
- Menopausal issues
- Minimally invasive surgery
- Pelvic pain
- Urinary incontinence
- Well women care
When you visit your gynecologist, it makes a difference to have someone you can speak freely with about your concerns. Because we have a number of gynecologists to choose from, you can find the one whose personality and medical approach fits you best. You can see our gynecologists for anything from annual exams to hormone therapy. And if an urgent or complicated need arises, they’ll work as a team to treat your specific conditions. This may include post-menopausal treatments, or specialized surgery. Whatever gynecological issue you’re facing, a member of our women’s practice group can help.
Many women suffer alone and in silence from urinary incontinence (UI), or loss of bladder control. In reality, UI is a common condition affecting up to 30 percent of adults over age 65. Most important, UI is not something you have to put up with; it is treatable and can be controlled or even cured. In fact, we provide care every day for UI patients with a wide variety of symptoms. Scheduling an exam with your gynecologist is the first step in seeking a diagnosis. Based on your personal situation, we’ll design a treatment program customized to you.
Schedule Your Mammogram at PacMed
PacMed is proud to offer the highest quality care. We have the latest technologies, like stereotactic biopsy and breast ultrasound, all delivered on-site, in a comfortable and respectful setting. We can see you at our Diagnostic & Wellness Center for Women in Seattle or our Canyon Park clinic in Bothell. At Canyon Park, we offer Saturday mammogram appointments!
PacMed also offers a full range of Women’s Health services, including family planning, well-woman care, DXA bone density screening, da Vinci® robotic-assisted surgery and more.
We understand the frustration of waiting weeks or even months to see a physician. So even if this is your first time visiting us, we offer flexible appointments for those times when you need immediate assistance.
All In One Place
These patient-focused conveniences make going to the doctor that much easier:
- On-site X-ray and lab
- In-house pharmacy
- Convenient, on-site parking
- Most major health insurance plans accepted
PacMed Urologists offer vasectomies at their locations. A vasectomy is a surgical procedure that provides permanent birth control for men, is safe and effective and has a quick recovery period. It is much less invasive and much less dangerous than sterilization techniques for women.
Our urologists use a no-scalpel technique, which decreases the size of the incision and takes just 20 minutes.
If you are considering a vasectomy, please watch the videos below, then and download the vasectomy fact sheet Then, speak with your primary care doctor or urologist, who will be happy to answer your questions as you explore your options. To schedule an appointment, please call 206.505.1300.
What can I expect during a vasectomy?
Will a vasectomy affect sexual performance and is it reversible?
Our urologists have been named Seattle’s Top Docs!
Urinary and sexual problems can cause both physical and emotional distress. Fortunately, many urological issues can be managed, or even resolved. Our Urology team will work with you to determine the best course of care for your health and lifestyle.
Urology is the surgical specialty that focuses on problems of the bladder, prostate, kidneys and urinary tract. PacMed urologists diagnose and treat a wide variety of male and female urological conditions.
- Kidney stones
- Kidney repair following obstruction; kidney removal
- Enlarged prostate treatment
- Vasectomy (no scalpel)
- Kidney, prostate and ureteral cancer
- Bladder cancer and urinary reconstruction
- Ureteral obstruction
- Incontinence and urinary problems
- Erectile dysfunction
- Recurrent urinary tract infections
- da Vinci® Robotic-Assisted Surgery
Your PacMed board-certified urologist will do a comprehensive review of your symptoms and medical history. They may ask for a urine sample or blood test to check for infection, diabetes and other issues. Sometimes, the doctor will also order sophisticated imaging, such as a CT or MRI.
Treatments may involve medication, surgery, behavior modification or observation. If surgery is necessary, your doctor may offer you a minimally invasive technique such as robotic-assisted surgery. Or, with laparoscopic surgery, a procedure is done through a small incision with the help of a camera. Both techniques can improve comfort and speed recovery. Whatever the condition, you can expect your urologist to provide caring and comprehensive treatment that’s tailored to you.
If you are considering a vasectomy—your PacMed primary care doctor or urologist will be happy to answer questions as you explore your options.
PacMed urologists can see you at these locations
1200 12th Ave S
Seattle, WA 98144
1909 214th St SE, Suite 300
Bothell, WA 98021
1101 Madison St, Suite 301
Seattle, WA 98104
10416 5th Ave NE
Seattle, WA 98125
1801 Lind Ave SW, Bldg D
Renton, WA 98057
751 NE Blakely Dr.
Issaquah, WA 98029
Urinary incontinence, or loss of bladder control, is a common problem affecting up to 30 percent of adults over the age of 65. Yet evidence suggests that as many as 50 percent of those who have symptoms don’t report the problem to their doctor. The likely reasons are embarrassment and the misconception that urinary incontinence is an inevitable part of aging. Old age doesn’t cause urinary incontinence.
Why do I have this and what can I do?
There are different causes and different kinds of urinary incontinence. That’s why it is important to have a physical exam. Your doctor can help diagnose your condition and recommend appropriate treatment. Despite the prevalence of this problem, people with urinary incontinence often suffer in secret. They often limit their lifestyles, risking social isolation and depression. With treatment, urinary incontinence often can be controlled or cured.
Simplified treatment plans
Pacific Medical Centers offers a coordinated interdisciplinary program that includes primary care physicians, gynecologists, physical therapists and urologists specially trained in diagnosis and in medical and surgical treatments for managing urinary incontinence. So you don’t have to arrange for specialists on your own.
Primary care doctors
Visiting a primary care provider is a good starting point. Your provider may ask questions about when leakage occurs and whether activities like coughing or getting up from a sitting position trigger urinary incontinence episodes. Understanding these patterns can help in deciding which steps to take in developing a plan for further treatment. Tests on the urine and bladder and an evaluation by a urologist, gynecologist, or other healthcare provider specializing in urinary incontinence may be the next step.
Our gynecology department will take time to fully understand your personal situation so as to coordinate a plan of treatment just for you. Some causes of female urinary incontinence may be improved with diet and exercise, while others may require medication or surgery. Newer surgical developments in the treatment of female incontinence now allow for minimally invasive, out-patient procedures that allow you to begin your new life faster. And, best of all, treatment with our gynecology department may begin right away, without a primary care referral!
The urologist can evaluate your bladder with various diagnostic tools to identify the reason(s) for the incontinence, which may have a neurological, inflammatory, or obstructive/structural cause. Some cases can be treated using medications, behavior modification, and coordination with other specialists, such as physical therapy. Your urologist will also know when surgical procedures are needed to correct urinary incontinence problems.
Physical therapists help treat urinary incontinence by evaluating and working with the muscles of the pelvic floor. They will work closely with your medical provider. Treatment may include biofeedback and/or electrical stimulation, ultrasound, palpation, heat, cold, as well as stretching and strengthening exercises. Patient education and participation are integral aspects of our physical therapy, and we work with each patient to develop an individual program tailored to his or her needs.
Sports medicine is used to diagnose and treat sport and exercise-related injuries.
While many associate this field with professional athletics, sports medicine treats non-athletes, too. Our patients range from back-strained gardeners to overworked runners training for their first marathon. Your specialist can evaluate and treat most any musculoskeletal injuries, including concussions, muscle strains, ankle sprains, meniscal and ACL tears, tendonitis (including the Achilles), and injuries of the knee and rotator cuff.
Whatever the injury, your physician will work with you to devise a personalized treatment plan, from simple rest to surgical intervention. Careful evaluation will determine whether your injury can be treated conservatively with physical therapy, or if surgical intervention would be most appropriate. If surgery is required, your sports medicine specialist can recommend a surgeon who would be most appropriate for your injury.
35 Million Americans Have a Sleeping Disorder
If you’re feeling sleep deprived, you’re not alone. The fact is, 7 out of 10 Americans have trouble sleeping. And whether the cause is insomnia, apnea, snoring or any of the more than 80 sleeping disorders, the consequences can be devastating – including severe depression, anxiety, physical illness or injury and serious relationship problems. Pacific Medical Centers is ready to help with the new Diagnostic Center for Sleep Health (DCSH).
Get the Rest to Be Your Best – Call Today
If you suspect that you or a loved one have a sleep disorder, ask your primary care physician about a referral to the Diagnostic Center for Sleep Health. Your overnight evaluation and follow-up treatment are covered under most insurance plans.*
To schedule your appointment, call 206.709.UZZZ (8999) today. And say good night to sleep problems for good.
*While most insurance will cover your evaluation and treatment with a doctor’s referral, we recommend you check with your insurance program to verify coverage.
Sleep Facts: Did You Know?
- Want to cut stroke risk by 1/4? Get a solid night’s snooze.
If you routinely sleep less than six hours each night, you are four times more likely to suffer a stroke. (This risk holds steady even if you are at a healthy weight and don’t have a stroke history or risk!) Source
- Sleeping well can whittle obesity down to size.
Not getting enough sleep may be linked to obesity. Not sleeping well affects how your body controls your appetite, and this can lead to overeating. Source
- Too much light at night and not enough sleep may raise cancer risk.
The hormones that our bodies produce at night may play an important role in fighting off cancer. But if we don’t get enough sleep, our bodies can’t produce enough of these chemicals. Source
- Is a deep sleep your guilty pleasure? It may put diabetes to bed.
Many physicians believe that sleep loss can contribute to pre-diabetes. So getting enough hours of sleep and ensuring good-quality sleep may help you stay healthy. Source
- Low sleep increases risk for heart disease. Save your heart for love!
Healthy, middle-aged women who don’t get a good night’s sleep have a greater than average chance of developing heart trouble. Source
- You snooze, you lose? Wrong! Good sleep increases sperm count in men.
Sleep loss or poor sleep habits—even in men in their 20s—can result in 25% fewer sperm. It also may also cause sperm to be malformed. Source
If you’re concerned about getting a good night’s sleep, ask your primary care physician about a referral for a sleep study at the Diagnostic Center for Sleep Health. Your overnight evaluation and follow-up treatment are covered under most insurance plans.* Or call us at 206.709.UZZZ (8999) today. And say good night to sleep problems for good.
The Diagnostic Center for Sleep Health Offers:
- One convenient site for multidisciplinary review and patient consultation
- Board-certified sleep specialists and expert technicians
- Accredited by the AASM
- State-of-the-art equipment for monitoring and diagnosis
- Education for referring physicians
- Sleep awareness programs to improve the timeliness of intervention and effective treatment of sleep disorders
More About Us
Patients suffering from conditions such as arthritis, osteoporosis, rheumatism, autoimmune disease (e.g. lupus), or musculoskeletal tenderness have all benefited from treatment within our rheumatology department.
Our goal is to aid in the relief of the ongoing pain and inflammation that accompanies each chronic condition. Your rheumatologist will monitor your specific symptoms and provide a treatment program that reduces limitations on your daily activities.