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John P. Howlett, MD

3.0 (2 reviews)
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Proliance Orthopedic Associates

Proliance Orthopedic Associates

3.2(33 reviews)
0.0 mi

I have had TWO referrals at Renton office near VMC with different providers at the end of December…read more2025. Only one person has called me back, however, she didn't actually make the appointment. She was supposed to call me back, I believe she was looking for a sooner one. (I actually had that appointment penciled in!) Not a word. I agree, I should follow up as well, but I have had a devastating month and have failed to "follow up" on a few things. If someone is going to be making suggestions as to best treat my spine, I want to get not only 2, but 3 opinions! The other is lined up just fine, completely different facility. They called me right away. Now it will be months before I can get into Proliance. It was actually down the same week, two days before the one at the other place. My phone updated and I lost many notifications and appointments, but it was definitely down! Now they have no record of it. Just great.

I've been to Proliance many times over the years, both as a patient and as a caretaker. I primarily…read morevisit the Renton location, but I've also been to the Tukwila urgent care. The biggest plus, honestly, is convenience -- it's very close to my house. Beyond location, the experience really depends on which provider you see. Some have been genuinely impressive, while others appear not to be keeping up with modern techniques. Recently, I had a consultation for shoulder surgery, and the procedure recommended by a Proliance surgeon was later described as "antiquated" by two other surgeons. Even my physical therapist pulled up NIH recommendations to show me how starkly different (and outdated) the proposed approach was. I understand that professionals can have differing opinions, but this was shocking and significantly undermined my confidence in their surgeons as a whole. Additionally, their lack of a modern patient portal is frustrating and, frankly, unacceptable in 2026. They do not use widely adopted systems like MyChart and do not participate in Share Everywhere, which makes it unnecessarily difficult to share medical records with other providers, such as a PCP or specialists for second opinions. It also makes it difficult to ask follow up questions or communicate with your provider. Convenient location aside, the variability in care quality and outdated systems make it hard to recommend Proliance.

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Proliance Orthopedic Associates
Proliance Orthopedic Associates
Proliance Orthopedic Associates

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Swedish Orthopedic Institute - Parking Garage rates.

Swedish Orthopedic Institute

4.4(24 reviews)
12.4 mi•First Hill

Saw another reviewer mention a failed surgery with Keem and that "complications occur," as if this…read moreisn't what so often happens with Keem (I've met people who've known physical therapists who work with numerous butchered Keem patients at a time) - so I'm back to update my review. This is a placeholder until I type out another banger lambasting Keem for being a terrible surgeon. Keem told me my artificial disc migrated - in actuality, a team of Virginia Mason neurosurgeons investigated, and found the disc was installed in the wrong place (which took a while to diagnose, as Keem refused to release intra-operative imaging for close to a year). Entire steps of my surgery were skipped. And he lied to my face about it - and to the Polyclinic ... just before mysteriously leaving his cushy position as their sole spinal surgeon. ¯\_(ツ)_/¯ Keem is a lazy, incompetent butcher. I still experience daily pain and take daily pain medications after what he did to me as a young athlete. He mysteriously vanished from the Polyclinic after multiple government investigations of my surgery, including a winning ruling by the Washington state AG's office because Keem was double-paid by both me and my insurance, and his office said I'd have to sue him directly to be reimbursed. He's corrupt, and a liar. After some time floating around, it appears he's been hired by Swedish. They should be ashamed of themselves - I reached out directly to share the results of my surgery. Clearly, Swedish doesn't care about the longevity of their patients, or keeping them safe, functional, and pain-free. Keep in mind that this man has a long and extensive history of "complicated" surgeries, as well as kickbacks into the millions from the manufacturer of the only artificial disc he installs. (They also cover fusion equipment, etc.) I could find no other surgeon who only uses equipment from one company ... let alone ones paid by them on the side. More corruption to the absolute core. More coming. I have other reviews for him in my profile, including one in which I caught him leaving himself a fake positive review. Don't be fooled by this slimy, unctuous guy who has a long history of leaving his patients immediately post-op to go get paid by Medtronic while they suffer through permanent and life-changing complications. Expect a PA to see you for your first post-op appointment (dangerous and insidious scope creep, going against all advice of the American Medical Association), and expect them to misread your imaging and gaslight you about your pain because they have no idea what they're talking about. This is an established pattern of Keem's. If Keem has 5,000 haters, I'm one of them. If Keem has 1 hater, it's me. If Keem has 0 haters, it's because his rotten surgery finally killed me Lmaoooo. If Shakespeare knew this guy, he'd call him an egg.

In July, I had an anterior fusion surgery performed by Sean Keem. My surgery did not go as…read moreexpected and there were complications that kept me in the hospital for 14 days as opposed to the 2 that was anticipated. I'm 52 and totally understand the complications and risks with this type of surgery. I felt what could go wrong went wrong. The problem with a lot of people is they do not understand that when something goes wrong, almost all of the time it has nothing to do with the surgeon performing the procedure. Things just happen. Dr. Keem has always been professional and straight forward with me as well as the staff that works around him. I knew the risks and accepted what happened as part of that but Dr. Keem is great. I'd go to him again (this was my second procedure with him...the first being 7 years ago). The staff at the surgery center was amazing. All of them were great compared to my previous visit. I'd like to give a huge shout out to all of those who cared for me but the one that stood out the most was Morgan. She seemed so much of a real person than a robotic nurse that i had experienced with my previous surgery. She was easy to talk to and seemed relatable to my life experiences. Again...all of the nursing staff was amazing this visit but Morgan stands out the most. Thanks again.

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Swedish Orthopedic Institute
Swedish Orthopedic Institute
Swedish Orthopedic Institute

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John A Miyano, MD - Can you see the scar? Barely? Yup he's that good!!

John A Miyano, MD

4.6(15 reviews)
12.4 mi•First Hill

Christina is a gem. She goes above and beyond to make sure you feel comfortable, and then helps…read moreschedule appointments with their office and outside as needed. Dr. Miyano is really patient and respectful, and is great at explaining what possible things are affecting you. He prescribes tests as necessary, and allows for plenty of time for questions.

Everything about this is easy. I filled out the paperwork ahead of time making check in for a new…read morepatient a breeze. The gals at the reception desk are nice, professional and help to make what has potential to be a stressful experience a pleasant one. Dr. Miyano's medical assistant, Christina is a real gem. She's on top of whatever questions you may have and has such a warm and relaxing personality. She's flexible with scheduling surgeries and will help you to decide which day and time would be ideal for getting set up. Dr. Miyano himself is great. He presented me with options and gave the likelihood of my ailment coming back. We had a medical student shadow for my appointment. I've had appointments where the doctor either lets the med. student take over entirely or ignore that they were even in the room making it awkward for everyone; Dr. Miyano doesn't do this at all. It was a comfortable consultation appointment. I felt guided with direction and empowered with the ability to choose what I wanted to do versus not being given options. I would highly recommend Dr. Miyano just based on one appointment and will write a follow up once I've gotten rid of my cysty wristy.

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John A Miyano, MD - 8 days post carpal tunnel surgery

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8 days post carpal tunnel surgery

John P. Howlett, MD - surgeons - Updated May 2026

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