The first grand rounds of 2018 started out with an R4 Simulation that highlighted the clinical presentation, diagnosis, and management of salicylate toxicity.  This was followed by a guest lecture by Dr. Richard Sears, who discussed the benefits of wellness and mindfulness, and how we can apply them in the workplace.  Dr. Hall then went over the utility and application of various labs used to evaluate patients with sickle cell disease who present in vaso-occlusive crisis.  We then finished the conference with a case based discussion on septic bursitis led by Dr. Mike Klaszky.