Last week we caught up with Risa in San Francisco, California. She was nearing 1,200 miles (1,931 kilometers) on her bicycle ride from Canada to Mexico to focus awareness of acromegaly and pituitary disease. We chatted at a cafe not far from the Golden Gate bridge about her experience and what it is like to undertake an effort like this one while managing a challenging disease like acromegaly. Not surprisingly the Fleet Week event in San Francisco created a few distractions as we were recording the podcast. When you hear it, you'll know why. Check out the ride's progress here, and on the Risa Unleashed page.