Winter 2015 - Volume 19 Number 1





David L Shenson, MD

This image of a snowdrop blossom of the Galanthus genus was

captured at Crystal Springs Rhododendron Garden in Portland, OR.

Dr Shenson is an Internist at the Mt Scott Medical Office in Clackamas, OR.

More of his photography may be viewed at:


Reprint Permissions

The Permanente Journal welcomes requests for reprints and reproduction. Use of any and all published materials is copyrighted and protected.


Journal subscriptions for The Permanente Journal are entered for the calendar year. Advance payment in US dollars is required.


27,000 print readers per quarter, 15,350 eTOC readers, and in 2018, 2 million page views of TPJ articles in PubMed from a broad international readership.


Indexed in MEDLINE, PubMed Central, HINARI, EMBASE, EBSCO Academic Search Complete, rdrb, CrossRef, and SciVerse/Scopus.




ISSN 1552-5767 Copyright © 2019

All Rights Reserved.