Hey, I'm also in Seattle, and I feel for you. I moved from Spokane (for college) in September, and developed a TERRIBLE exacerbation. I was supposed to be seen at the UW clinic. I had an appointment for the 24th of October, but I was so sick I needed to be seen THEN. I called the UW CF clinic, and they couldn't/wouldn't get me in. In my case, we called Seattle Children's and switched care to them because they could admit me through the ER and get me in that day, but definitely just go in through the ER at the UW Medical Center. It is a teaching hospital, you'll see fellows, but they're great. Honestly, we also emailed the head of the CF clinic and asked him what he could do, that might be an option, too.