O'Donnell himself claimed his editorial approach drew heavily on his experience in Weybridge in the 1950s when local GPs met at the Cottage Hospital after their morning surgeries to drink coffee and exchange ideas and gossip. 'It was a time for passing on what we had learned of the clinical facts of life, and for seeking one another's advice about real problems in real patients. What made those conversations memorable were the irreverence and scepticism with which they were conducted, qualities rarely encountered in the world of medicine as it was written about. In those days, medical journals portrayed a more solemn universe than that in which we and our patients seemed to be living. When serendipity parked me in an editor's chair, I decided I wouldn't just report news about medicine but would try to reflect the uncertainties, the paradoxes, and the black comedy that make practising our craft so rewarding.'