From the west, you don't need to go to the hilltop and back down. The four-level (no, really, four levels--470, WV 2, ramps and surface streets) intersection can be confusing, but it's not that bad. You just have to drive in a circle a few blocks wide.
Try this on Google Earth street view and you'll see what I mean. Take the first WV exit off 470. Get in the left lane and turn left (north.) There's a small exit lane that would put you back on 470. Ignore that and go to the main intersection. You can only go straight or left. Turn left (west) staying in the left lane. There's a side street headed south past the state patrol building. Take it. When you get to the Dairy Queen, turn left again. Pat's will be a couple of blocks up on the right, under the 470 bridge you just came from.
From the east, you can take the bottom of the hill exit on 470, turn right onto the connecting road and go to the intersection, then use the same directions.
