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The Permanente Press, in conjunction with The Permanente Journal presents this medical literary and arts e-journal, leaflet -- to open greater opportunity to share the creative visual and written works of physicians and nurses.

Health care professionals and employees are encouraged to submit original poetry, prose, and artwork for future issues.


The Permanente Journal advances knowledge in scientific research, clinical medicine, and innovative health care delivery.

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"Aurora with Reflection" by Stephen Henry, MD


This photograph of the Aurora Borealis was taken near Jökulsárlón, a large glacial lake in southern Iceland. A photograph can give only a hint of the amazing sight of the cosmos in motion.


Dr Henry is retired from The Permanente Medical Group as Chief of Urology at the San Jose Medical Center. He currently practices part-time at the Veterans Affairs Medical Center in Fargo, ND. Photography is no longer a hobby for Dr Henry—it has progressed to more of a condition.


Case Study

A Novel Use of Foley Catheters to Prevent Injury to the Pelvic Viscera During Stereotactic Radiosurgery for Undifferentiated Pleomorphic Sarcoma of the Sacrum


John Maa, MD; Stephen Waterford, MD; Thierry Jahan, MD; David A Larson, MD; Dean Chou, MD


The use of a Foley catheter to protect the small and large bowel from radiation injury during stereotactive radiosurgery to the spine has not previously been described in the surgical literature. The proximity of visceral organs may preclude adequate target delivery of radiation. The authors describe the novel use of Foley catheters placed intraoperatively to displace the bowel during stereotactive radiosurgery, allowing for a full radiation dose to be safely delivered to the tumor.


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Review Article

Thoracic Endometriosis Syndrome: Case Report and Review of the Literature


Alka Sharma, MD; Vishal Sharma, MD


Thoracic endometriosis syndrome is the presence of endometrial tissue in or around the lung in 4 distinct clinical entities: catamenial pneumothorax, catamenial hemothorax, hemoptysis, and pulmonary nodules. The diagnosis is often delayed or missed by clinicians. The authors report the case of a 48-year-old woman with endometriosis causing bowel obstruction and concurrent catemenial pneumothorax.


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Case Study

A Novel Use of Foley Catheters to Prevent Injury to the Pelvic Viscera During Stereotactic Radiosurgery for Undifferentiated Pleomorphic Sarcoma of the Sacrum

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