On The Cover

Koi Pond at Ho’omaluhia
By Jae Lim, MD, PhD


This photograph was taken at Ho’omaluhia Botanical Garden in Kaneohe, Oahu, HI. The 400-acre park boasts hiking trails, freshwater lakes and streams, and a campground.


Dr Lim is an Otolaryngologist for the Hawaii Permanente Medical Group. He is passionate about exploring and photographing the natural beauty of Hawaii. More of his work can be seen at


Knee Osteoarthritis: A Primer

Knee Osteoarthritis: A Primer
Michelle J Lespasio, DNP, JD, ANP; Nicolas S Piuzzi, MD; M Elaine Husni, MD, MPH; George F Muschler, MD; AJ Guarino, PhD; Michael A Mont, MD



Yellow Palms and Soles

Image Diagnosis: Yellow Palms and Soles
Puneet Chhabra, MBBS, MD, DM; Deepak K Bhasin, MD, DM, FASGE, AGAF, FAMS


 yellow palms article


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The Permanente Journal

The Permanente Journal is a peer-reviewed journal of medical science, social science in medicine, and medical humanities published quarterly by The Permanente Press.


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