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Blue Sky

Blue Sky

Written by: Bill Burke
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Hosted by Bill Burke, founder of The Optimism Institute, this weekly podcast will feature inspiring leaders, authors, researchers, and big thinkers who are taking on some of our world's toughest challenges with an infectious sense of optimism. Blue Sky takes its name from the meditation reminder that there's always blue sky above, sometimes you just have to get your head above the clouds to see it.2025 Hygiene & Healthy Living Psychology Psychology & Mental Health Social Sciences
Episodes
  • Risa August Describes Her Path From Perfectionist to Patient, and How She Faced a Devastating Diagnosis With Grit, Resilience, and Optimism

    Risa August Describes Her Path From Perfectionist to Patient, and How She Faced a Devastating Diagnosis With Grit, Resilience, and Optimism
    May 20 2026
    Once an ironman athlete and perfectionist, Risa August faced a devastating diagnosis that stripped away her former life. This is the story of how she found new purpose and adventure, transforming her approach to life, from rigid achievement to joyful discovery, even with her unexpected companion, "Bubba," her brain tumor. Chapters: 00:00 From Extreme Achiever to Illness Host Bill Burke introduces Risa August, an adventurous woman who once excelled in extreme sports, asking, "Is there anything you can't do?" Risa describes her past as an intense overachiever and perfectionist, pushing limits in Ironman, mountain climbing, and hot yoga, always striving to be better than others and maintaining a rigid lifestyle. 03:51 The Diagnosis of Acromegaly Risa recounts the onset of strange symptoms after her first Ironman in 2010, including significant weight gain despite a strict diet and increasing fatigue. After years of doctors dismissing her concerns, she insisted on an MRI, which revealed an enlarged pituitary and led to her diagnosis of acromegaly, a serious condition she had never heard of before. 11:09 Choosing Adventure Over Despair Faced with a devastating diagnosis and a challenging life, Risa decided not to break down but to break out, committing to her adventures despite doctors' warnings about what she could no longer do. She realized she would never be her old self, so she focused on "who can I be then?" and made a conscious decision to truly live life on her own terms. 14:00 The Road Unpaved and Bubba Risa found a new purpose in a cross-country bicycle journey along the Pacific Coast Highway, a trip she committed to doing on her own terms after reflecting on her past perfectionism. She also named her brain tumor 'Bubba' as a way to connect with her changing body, turning him into a central character and partner in her healing journey and the book. 21:29 Gestalt Therapy and Connection Risa discusses how her Gestalt therapy training, which she underwent during her diagnosis, provided a crucial support network and helped her become a more patient, compassionate, and curious practitioner. She also emphasizes the importance of deep, personal connection and active listening, a lesson she learned on her bike tour by giving others a chance and finding unexpected commonalities. 30:13 The CAN Framework Risa shares her 'CAN' framework—Capable, Able, Now—which she developed after feeling stuck post-surgery and questioning her purpose. This mantra helped her simplify the complex challenges she faced, prompting her to ask, "What am I capable and able to do now, in this moment?" 35:29 Living a Full Life Now Risa openly discusses the progression of her acromegaly and its physical toll, yet she maintains a strong mindset, dedicated to inspiring others to live full lives. She now finds joy in simple things, like perusing a farmer's market, and doesn't worry about disappointing others by not always seeking the 'next big thing.'
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    41 mins
  • ENCORE PRESENTATION: Dr. Robert Soiffer on His Career at the Leading Edge of Cancer Care at Dana-Farber and Reasons to Be Optimistic About the Future of Oncology

    ENCORE PRESENTATION: Dr. Robert Soiffer on His Career at the Leading Edge of Cancer Care at Dana-Farber and Reasons to Be Optimistic About the Future of Oncology
    May 13 2026
    Dr. Robert Soiffer took an interest in medicine at an early age when he played a physician in his first-grade play. Today, he is a leading physician, researcher, and teacher at Dana-Farber Cancer Institute, a world leader in oncology. In this episode, Dr. Soiffer describes the incredible pace of change in the field of cancer research and treatment and the detection tools and cures that are right around the corner. He also reflects on how he maintains a positive and optimistic outlook despite the many times he's forced to deliver terrible news to patients and families. While he tries hard not to bring these tough times home with him, he also stresses the importance of keeping his humanity and treating his patients and their families as people, not just statistics. Chapters: 02:29 Dana-Farber's Special Mission Dr. Soiffer discusses what makes Dana-Farber Cancer Institute unique, emphasizing its focus on cancer patients and the common purpose among all staff. 05:50 Evolution of Cancer Treatment This segment details the seismic shift in cancer treatment over the past 40 years, from nonspecific chemotherapy to targeted therapies focusing on specific mutations. 10:25 Bone Marrow Transplants and Graft vs. Leukemia Dr. Soiffer delves into the history of bone marrow transplants, highlighting the Nobel Prize-winning work of E. Donald Thomas and the intriguing concept of graft versus leukemia effect. 15:02 The Role of Medical Education and Mentoring This chapter emphasizes the critical role of medical education and mentoring in shaping the future of medicine, drawing from Dr. Soiffer's experience as chief medical resident and mentor. He discusses the mutual learning process between experienced physicians and younger generations, and the importance of continuous learning. 19:50 Personal Impact of Oncology Work Dr. Soiffer reflects on the emotional challenges of his work, balancing optimism with realism and honesty while treating patients facing life-threatening situations. He discusses the difficulty of compartmentalizing emotions and the importance of maintaining humanity and connection with patients and their families, even when outcomes are not positive. 24:57 The Value of Clinical Trials This chapter explains the critical role of clinical trials in advancing cancer treatment, from early-stage phase I trials to comparative studies. Dr. Soiffer describes patients participating in these trials as brave pioneers, highlighting how targeted, immune, and cellular therapies would not exist without their contributions. 28:39 Global Collaboration in Medicine Dr. Soiffer discusses the extensive global collaboration in medical and scientific fields, emphasizing the shared mission to develop therapies for suffering patients. 35:33 Future of Cancer Treatment and Prevention Looking ahead, Dr. Soiffer predicts less toxic and more precise cancer treatments with improved therapeutic ratios, focusing on overcoming resistance and early detection. He discusses the potential of preventing progression to full-blown malignancy through early intervention and the growing understanding of germline predispositions to cancer. 41:26 Conclusion and Call to Optimism The episode concludes with Bill Burke thanking Dr. Soiffer for his time and invaluable insights, highlighting the rapid pace of change and innovation in cancer research. He also expresses hope and optimism for the future of cancer care.
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    44 mins
  • New York Times Bestselling Author David Epstein Discusses His New Book, Inside the Box: How Constraints Make Us Better

    New York Times Bestselling Author David Epstein Discusses His New Book, Inside the Box: How Constraints Make Us Better
    May 6 2026
    While many of us wish we had more resources, more options, and more time, David Epstein suggests that it's scarcity and constraints that lead us to better outcomes. This notion might feel counterintuitive, but David explains the research and reasoning behind his terrific new book, Inside the Box: How Constraints Make Us Better, including examples from Apple, Southwest Airlines, NASA, and others. Chapters: 00:00 Welcome David Epstein to Blue Sky Host Bill Burke introduces David Epstein, author of Range and the new book Inside the Box. David shares his career transition from science to journalism, explaining his passion for synthesizing and sharing new knowledge rather than specializing in one field. 03:03 From Range to Inside the Box David discusses the inspiration behind "Inside the Box," which emerged from reader questions about applying broad skills and his personal struggle with inefficient project boundaries. 05:52 The Green Eggs and Ham Effect David explains the 'Green Eggs and Ham effect,' illustrating how Dr. Seuss's creativity flourished under severe word count constraints for his iconic books. This phenomenon demonstrates that limitations can force novel approaches, as our brains tend to avoid new thoughts unless truly compelled. 10:09 Jesse Jackson's Green Eggs and Ham This chapter recounts David Epstein's fascination with the 'Green Eggs and Ham' effect, where constraints boost creativity. It also includes a special soundbite of Reverend Jesse Jackson's memorable reading of the Dr. Seuss classic on Saturday Night Live. 11:55 General Magic and Too Many Resources David discusses General Magic, a company that envisioned the iPhone but failed due to an excess of resources and lack of clear constraints, leading to an over-complicated product. This contrasts with the Palm Pilot and eBay, which emerged from General Magic alumni who embraced limitations to solve specific problems. 17:24 Tony Fadell and the iPod's Constraints David explains how Tony Fadell, traumatized by General Magic's failure, became a zealot for constraints, leading to the rapid and successful development of the iPod. Fadell's approach, emphasizing tight deadlines and limited resources, also guided the creation of the simplified Nest thermostat. 20:09 Apollo 13 and Long Leash, Narrow Fence Bill and David discuss the Apollo 13 mission as a prime example of creativity under extreme constraints, where limited resources forced ingenious problem-solving. David highlights how the 'long leash, narrow fence' approach, giving freedom within strict boundaries, consistently leads to innovative solutions in various fields, including NASA missions and product design. 22:59 CNN and Southwest Airlines: Scrappy Success Bill shares the story of CNN's founding, highlighting how Ted Turner's severe financial and time constraints forced innovative, cost-effective solutions that outmaneuvered larger, resource-rich networks. David then parallels this with Southwest Airlines' early success, demonstrating how extreme limitations can drive creative problem-solving and long-term profitability. 29:39 Optimism and the Power of Constraints David connects the concept of constraints to optimism, explaining how obstacles can be reframed as opportunities for clarity and creativity, challenging the negative perception of limitations. 35:02 AI, Scarcity, and the Generalist Advantage David discusses how AI, despite its abundance of resources, paradoxically emphasizes the importance of defining clear problems before seeking solutions, cautioning against 'drowning in started things.'
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    44 mins
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