Farewells are always hard for me, to the point that I avoid them as much as possible. As we wrap up Telluride Napa 2018, I reflect on the lessons we have all been exposed to over the last four days and what I will bring back to my home institution. Some talks were so powerful that I feel that I cannot forget how they inspired me. I am glad to have made a new family, with whom I will be bonded and always be able to reach when I have issues undertaking the overwhelming obstacle of changing the healthcare culture. I also will not forget the happy moments and laughs we shared both within and outside of the classroom. This experience was incredible and I will recommend it to my junior residents when I return home.