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.

On The Cover


by Carol Nelson


This acrylic painting was inspired by a bed of poppies in Breckenridge, CO. Backlit by the sun, they were a tangled riot of color that demanded to be painted. Carol Nelson is a retired medical technologist from the Central Support Laboratory in Denver, CO. Her new career as a professional artist has met with tremendous success and recognition. She teaches art workshops in her Colorado studio and around the country. More of her work, and her workshop schedule, can be seen at:

Image Diagnosis

Image Diagnosis: Knee Dislocation
Adam Gordon; Minh Van Le, MD; Clifford Swap, MD


Femorotibial dislocation is an uncommon extremity injury, typically occurring in the setting of high-energy mechanisms such as motor vehicle collisions, falls from heights, and certain sports. However, up to 46% of dislocations are in the setting of low-energy mechanisms, particularly with overweight individuals and amateur athletes. Less frequent, but of primary concern upon presentation, is concomitant vascular injury following knee dislocations.



Click to join the eTOC list or text TPJ to 22828. You will receive an e-mail notice with the Table of Contents of each issue.

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Clinical Medicine

Image Diagnosis: Immune Thrombocytopenia Secondary to Abdominal Koch Disease

Image Diagnosis: Dental and Skeletal Fluorosis

Image Diagnosis: Knee Dislocation




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