We start the episode with quote from JRR Tolkien. Good to Great book review goes into the importance of addressing the brutal facts honestly and having leadership that allows for transparency. The Hedgehog concept may be the most important concept of the book and we dive deep into this. Central Giant Cell Granulomas can be treated with Interferon and this article review goes into this modality along with characteristics of CGCG. The interesting case is a case of CGCG and video of the actual curettage and a discussion ensue.