I have seen Dr. Laker conincidently he is @ Harborview UW sports & Spine Specialist, although his bedside manner is good I have had no good interaction with the staff. Because this is a result of a WC injury I see him he prescribes what he beleives to be the treatment and then i have to go through the referring OS who did my 2 surgeries. GRRRRR That has been my only issue with the Dr. office. The trreatment thus far has been great I'm pleased with my first block and I guess I will take this Ampitriplyn(sp)(not sure @ this). Just thought I lend my 2 cents