Original Research and Contributions

Special Report

Review Article

Case Report

Image Diagnosis

Nursing Research and Practice

Healthcare Communication


Narrative Medicine

Soul of the Healer

On the Cover

etoc emailClick here to join the eTOC list or text TPJ to 22828. You will receive an Email notice with the Table of Contents of The Permanente Journal.

Dance in the Clouds

Spring 2018



Dance in the Clouds
Shenshen Dou, MS

From the artist: “On an early spring evening, in a typical thermal inverse weather pattern in Portland, OR, the fog is rising, the sun is setting, and the sky is turning a pinkish hue. I set my camera on a tripod to try to shoot the snowy mountain beyond the tree line, when suddenly a flock of birds appeared and gave this tranquil scene a poetic mood.”

Ms Dou worked as a molecular biologist and is an artist living in West Linn, OR. More of her artwork
can be seen on the cover of this issue and in other issues of The Permanente Journal,
and on her Web site at www.shenshenstudio.com.

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 thepermanentejournal.org.

All Rights Reserved.