As a parent and a grandfather, I was glad that the Oct. 4, 2011, issue with the grossly diseased brain on the cover arrived at my home after my granddaughter had left from a visit with us. It is a disturbing image that as a physician and hospitalist on a brain injury unit I can understand. However, I do not think it belongs on the cover and I object to its placement there. I feel that there is a sensationalist approach to the use of this image and that the image did not serve the thoughtful article to which it was drawing attention. Nor did the image serve to advertise the medical profession as a group of people who would be likely to read an article unless it was associated with lurid imagery. Surely, we can capture the attention of our colleagues with less troubling images and can see that our presentation of ourselves is reflected in the styling of our Canadian medical journal.