Fall Colors

Fall 2019



Fall Colors
Jorge A Ramirez, MD

This photograph was taken while hiking down from Cadillac Mountain in Acadia National Park, ME, shortly after sunrise. Standing at 1530 feet tall, Cadillac Mountain is the highest peak on the eastern coastline, and from October to mid-March, it offers the first sight of sunrise in the US.

Dr Ramirez is the Family Medicine Chief at the Downey Medical Center in Southern California.



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.


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




ISSN 1552-5767 Copyright © 2019 thepermanentejournal.org.

All Rights Reserved.