Winter 2009 - Volume 13 Number 1



16 x 20"

Oil on canvas

By Samir Johna, MD, FACS

Dr Johna is an Associate Clinical Professor of Surgery at Loma Linda

University School of Medicine in Loma Linda, CA. He is a Staff Surgeon

at the Fontana Medical Center in Fontana, CA.


The Kaiser Permanente National CME Program designates this journal-based CME activity for 4 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


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