The Wheel of Life

Fall 2015 - Volume 19 Number 4


The Wheel of Life

The Wheel of Life is an acrylic on canvas painting (40" x 40") by Daniela Alexandru Abrams, MD. Dr Alexandru Abrams is
a Neurosurgeon in the Department of Neurological Surgery at the University of California, Irvine School of Medicine in Orange, CA. She has created numerous pieces of art over the years, including medical illustrations, some of which can be seen in The Permanente Journal.


25,000 print readers per quarter, 6900 eTOC readers, and in 2015, 1.4 million page views on TPJ articles in PubMed from a broad international readership


The Permanente Journal (ISSN 1552-5767) is published quarterly by The Permanente Press. The Permanente Journal is available online (ISSN 1552-5775) at


Articles, editorials, letters to the editor, and other material represent the opinion of the authors. Send your comments to

Copyright 2016 The Permanente Journal - Kaiser Permanente. All Rights Reserved.