Spring break state of mind

Sun Bum sunscreen / Butter london nail polish / Vintage cateye sunglasses / Stella Dot beige leather handbag / Gap loafer shoes

The past few weeks have been busy, busy. I have lots of exciting things in the works that I can't wait to share, but for the time being I'm going to keep my lips sealed and simply blab about my upcoming vacation plans.

When I was in college, I never went on *spring break.* My family paid to fly me across the country to go to college, so they couldn't rationalize spending $1,000 to put me up in an all-inclusive resort when I was 19. Fair enough. Nearly ten years later, I finally have the opportunity to travel to Mexico for the first time this April. After all the traveling I did last year, I've been getting a little stir crazy the past couple of months. Plus, I need an excuse to shop for shorts when it's still nearly freezing outside. Needless to say, I'm stoked.

Because of the whole skin cancer thing, traveling to exotic, sun-filled locations continues to present some challenges. I'm obviously not going to have a tan when I arrive in Cabo, and I'm probably going to be paranoid about getting a sunburn while I'm there. But that doesn't mean I don't like visiting tropical islands or drinking piña coladas on the beach. I love going on vacation. I wish I could travel more frequently than I already do. In fact, at some point during the next year or so, my heart is set on visiting a good friend of mine who is currently living in Australia. What this means is that I usually end up spending a fair amount of time under the beach umbrella and I pay extra to check luggage because I have too many bottles of SPF to fit in a quart-sized plastic baggie. Sometimes I wish I could be more "normal," but what does normal really mean, anyway?

White legs in the wintertime

Unless you've visited a tropical island (jealous) or a tanning salon (tsk tsk) recently, chances are your legs are looking a little "pasty" by mid-December. I just got back from a trip to Michigan for Tim's brother's wedding, where I decided to wear a new LBD and peep-toe pumps despite the fact that it was 18 degrees and snowing. Usually I wear tights with dresses and skirts when it's freezing out, but when it comes to a semi-formal wedding or holiday party, there are times when I'm faced with the inevitable: baring my white legs in public.

Of all my body parts, I have always been most self conscious of my legs--especially without a tan. I toyed with the idea of buying some Jergens self tanner, but ultimately decided against it. If nothing else, it was a good reminder that even I sometimes fall prey to vanity and the peer pressure to maintain a tan year round. When I see even my friends continue to tan (even the UV-free kind) I can't help but wonder what they think of me and my white legs. After all, unlike some of my other silly worries (e.g., Is everyone staring at the zit on my chin?), people have made comments about my legs. They did it when I was in 8th grade and they've continued to do it since I was diagnosed with skin cancer. I admit that my legs look smoother and slimmer with a tan than without, but I also realize that my health is more important than how thin my thighs look. I just hate that I sometimes still feel like I should be hiding beneath closed-toed shoes, tights, and leggings.

What about you? Do you bare your legs in the winter?

Infographic: Know your skin

I'm back! ...kind of. Still working away until my trip to DC next week. In the meantime, someone sent me this infographic on how to spot a melanoma. I'm mildly obsessed with infographics, and I think this one does a really great job of distinguishing different types of skin spots.

View the full size infographic.

Dear Bruce Jenner, basal cell carcinoma is not melanoma

Bruce Jenner after surgery. E! News.

Bruce Jenner--a guy who gave the keynote speech at a tanning industry conference last year--has been diagnosed and treated for skin cancer. Unfortunately, he's also been spreading misinformation that belittles the dangers of melanoma.

In an E! News article, Jenner is quoted saying: "I was diagnosed with a form of Melanoma called Basal cell carcinoma and have undergone Mohs surgery to remove it."

Basal cell carcinoma is the most common form of skin cancer, with approximately 2.8 million cases diagnosed per year. Basal cell carcinoma is classified as a non-melanoma skin cancer. Although it can be pretty disfiguring, it's hardly ever life threatening.

Melanoma, in contrast, is much less common, but it's much more dangerous. Many melanomas cannot be treated with Mohs surgery. They require more extensive surgeries, and patients often require lymph node removal and other treatments if the cancer has spread beyond the initial tumor. In 2013, it's estimated that nearly 10,000 people will die from melanoma.

Last week, I had a really fantastic phone conversation with Mary Tripp, Ph.D., M.P.H., a researcher from MD Anderson Cancer Center who is leading a new melanoma prevention initiative. In her opinion, one of the reasons why people downplay the dangers of tanning beds is that they mistake melanoma for other skin cancers.

"A lot of people will know friends and family with squamous and basal cell carcinomas, which are not as dangerous," she said. "But melanoma is a major cancer."

I think that statements like the one made by Bruce Jenner help perpetuate the misconceptions that skin cancer isn't a big deal and that tanning beds aren't something we need to be worried about. I hope that Mr. Jenner gets better soon, but that he learns more about the different types of skin cancer, and that he actually does try to take better care of his skin.

8 for August: Melanoma surgeon turned patient, the "base tan" myth, and more

Lots of skin cancer articles in the news recently. Here are a few worth sharing:

1. In his LA Times article, "My melanoma, my message," surgical oncologist Travis Kidner shares what it's like to go from being a melanoma doctor to a melanoma patient. After his surgery for stage I melanoma, he says, "On my first day back at work, I saw four new patients with melanoma who were under age 46. My job as a doctor is to do everything possible to cure them. But as a survivor, I also feel a huge responsibility to prevent new cases... We need to get the word out: Tanning kills."

2. This USA Today article discusses state and federal regulation changes on indoor tanning that may help curb increasing young adult skin cancer rates. The article also mentions a social backlash against tanning, which includes a quick reference to Pretty in Pale, "a popular blog [that] raises awareness about melanoma and helps young women love the skin they were born with."

3. A new report in JAMA Internal Medicine that says about 29 percent of white high school students are still using tanning beds. With melanoma rates raising steadily at about 3 percent per year, this has a number of doctors worried.

4. Mary Elizabeth Williams gives a candid, moving glimpse into her experience with stage IV melanoma on the SU2C blog. A quick snippet: "All I knew was that it had to very, very bad for there to be no Stage 5."

5. A new study at Yale's School of Public Health helps validate previous claims that tanning is addictive. A number of people in the study continued to use tanning beds even after being diagnosed with basal cell carcinoma. About half of them, according to the article, exhibited classic signs of dependence.

6. I've blogged about the "base tan" myth before, but now there's new evidence to suggest tanning before a vacation may actually increase your risk of burning.

7. Illinois is the latest state to sign into law a ban on indoor tanning beds for teenagers.

8. Want to increase your chance of detecting a malignant mole early? Look at pictures of skin cancer online. A study published in the Journal of the American Academy of Dermatology in July indicates that people who see pictures of skin cancer may be more likely to do their own skin examinations. Find lots of helpful images on The Skin Cancer Foundation website.

I made the "Top 10 Skin Cancer Bloggers" list!

Last week I was contacted by the folks at ShareCare.com, an interactive social media site that connects experts and patients on issues related to health and wellness. I showed up on their radar as someone who is sparking conversations about skin cancer online. They've included me in this month's "Top 10" list, which includes two fellow melanoma awareness advocates that I highly respect and admire--Chelsea Price and Susan Hayes. To be frank, I don't know how the heck I made it onto the same list as these superstars, but I feel very flattered and thankful for the opportunity to keep spreading my message. Apparently someone is listening! :)

Read the full press release and check out all the other awesome blogs that made the cut.

Legislators approve teen tanning bed ban in Oregon

After much back and forth, both the Oregon Senate and the House of Representatives have passed House Bill 2896, which--once signed by the governor--will ban minors under age 18 from using UV tanning devices. Oregon will be the third state (following California and Vermont) in the nation to implement such a ban.

I was thrilled to hear the news just days before the Portland Melanoma Walk. As many of you know, I traveled to our state capitol twice this spring to testify in support of the teen tanning ban.

Teenagers: Feel free to hate me. The only thing more "devastating" than being told you're not allowed to tan is to be told "you have melanoma."

My relationship status with the sun: It's complicated

Enjoying the nice weather with my mom on Easter Sunday.

Last week, we had a sunny Easter in Portland for the first time since I can remember. I was thrilled to get a break from the rain, to dust off my sunglasses, and to sit outside without a jacket for the first time in months. But with the nicer weather comes questions from my family and friends: Shouldn't you be sitting in the shade? Did you remember to put on your sunscreen?

Melanoma survivors (myself included) often describe having a love/hate relationship with the sun. I love BBQ-ing and eating outside on the patio, but I also worry about burning and putting myself at risk for more skin cancer.

Al at Black is the New Pink recently wrote a blog post that asks: Is anti-tan the same as anti-sun? I always enjoy reading Al's posts, but this one really resonated with me. After all, here I am testifying in support of a teen tanning ban in Oregon, and yet I'm tempted to tweet about the nice spring weather. Does this make me a hypocrite? Al's blog post helps reassure me that the answer is no. Here's a short except from his post:

"Those who have been adversely affected by the sun (whether it be from melanoma or aged skin) have every right to fear the sun. But for many, they’ve learned to respect it rather than fear it. They have learned that it’s important to wear sunscreen when enjoying the sun’s warmth. They know it’s best to seek shade between 10AM and 4PM when the sun’s rays are at their strongest. They know that wearing a hat provides additional protection. Believe it or not, they enjoy the sun very much. They embrace the sun. They also know the limits in which to enjoy and learned to respect it."

Later this week, I'll be flying to Punta Cana, Dominican Republic for my friend Jessica's wedding. I'm excited--obviously--but to be honest, I'm also a little nervous. What if my pale skin makes me stand out like a sore thumb on the beach? What if I miss a spot with my sunscreen and end up with a nasty burn? I've finally come to terms with being "pretty in pale" in my rainy hometown, but what happens when I travel to the Carribean?

Interestingly, a study published earlier today found that 1 in 4 skin cancer survivors does not use sunscreen, and that a small percentage of melanoma survivors continue to use tanning beds. I can't explain this, but there's definitely a part of me that understands. Despite the fact that I've stocked up on sunscreen and bought a new hat to protect my skin on this trip, almost every person I've told about my vacation has said to me, "Oh my gosh! I'm so jealous! You're going to come back so tan!"

It would be so much easier to just lay out in the sand and not worry about what the sun was doing to my skin, but knowing everything I know now, knowing everything I've been through, and knowing young women who have died from the same type of cancer I had--it changes things. I won't ever not be able to worry about it. I'm sure I'll have plenty to share when I get back. Including reviews on about five different brands of sunscreen!

Don't forget to enter my Fitbit giveaway while I'm gone :)

A tribute to Ashley Trenner (1972-2013)

Ashley Trenner celebrating her 40th birthday.

Blogging about melanoma and raising awareness for skin cancer in my community has its perks. I've met some of the most inspiring people I know, and most recently, I had the opportunity to testify in front of the Oregon State legislature. But there's a downside to raising awareness about a disease that kills 1 in 8 people who receive its diagnosis: melanoma kills people I care about.

After testifying in Salem, I heard about Ashley Trenner on the local news. Ashley was a stage IV melanoma patient whose final wish was to inform people about the dangers of UV exposure. I was touched by Ashley's story. I could totally relate--I used to love tanning beds, too, until I was diagnosed with melanoma in 2010. I reached out to her mother, Karen, to ask permission to share Ashley's story at the Portland Melanoma Walk this May.

Ashley at hospice. Melanoma is so much more
than just skin cancer.

I was deeply saddened when I learned about Ashley's passing on Friday, March 15. While I never had the opportunity to meet Ashley personally, my heart goes out to all her friends and family.

I encourage you to read and share Ashley's warning about melanoma, which is posted on her friend Tracie's blog. Here's a quick excerpt:

"I want to help people to be knowledgeable about Melanoma. It’s a cancer that’s not taken seriously. The majority of people say, 'Oh, it's just skin cancer, your lucky.' If not detected early skin cancer is deadly. It’s so important to get regular skin checkups by a dermatologist. Also don’t procrastinate if you see something suspicious. I didn't listen when I was warned about the dangers of tanning beds and not using sunscreen. I can't take back my poor decisions but I HOPE to help others make better decisions about not using tanning beds."

Read more.

My trip to the Oregon House Health Care Committee

Me testifying at the Oregon House committee hearing. Photo: Jeremy Rush.

Let me begin with a spoiler: On Wednesday afternoon, Oregon House Bill 2896 passed unanimously through the Oregon House Committee on Health Care! That means we're one step closer to banning minors under 18 from using UV tanning beds in Oregon.

Now, let me rewind a bit. Earlier this week, I got to drive down to Salem and tell my story about tanning beds and skin cancer to the committee. I was one of three patients who testified (special shout out to my friend Mark Williams, who gave a fantastic testimony). Three experts also spoke in favor of the bill, including world-renowned cancer researcher Brian Druker.

Me and Brian Druker, M.D. Photo: Jeremy Rush.

Several friends have asked me if I was nervous at the hearing. Of course I was nervous! I'd never been to a hearing like this before and I had no idea how the representatives would react to my testimony. Plus, I've been following how similar bills have been proposed in other states. Learning about Chelsea's recent experience in Virginia was also a bit disheartening.

Fortunately, as I told my story about using tanning beds and my subsequent melanoma diagnosis, members of the committee seemed engaged and many nodded their heads when I shared how I begged my mom to let me go tanning in 10th grade. Some of the key concerns I expressed in my testimony are:

• That teenagers are unaware how serious skin cancer can be.
• Even if they know tanning is dangerous, they may engage in risky behavior because of influence by peers.
• A large number of high school students use indoor tanning beds, especially before prom and senior portraits. Even smart, high-achieving students are worried about their appearance.
• Tanning beds use is very poorly regulated. Most tanning salons I visited let me tan for the maximum time and did not take into consideration my naturally fair complexion or that I might burn.
• Parents are often unaware of the risks of indoor tanning, so they are unable to adequately protect their children. For example, many parents believe it's smart to get a "pre-vacation" tan or that you need to tan to produce enough vitamin D. Medical research suggests that neither of these myths are true.
• Melanoma rates in young tanning bed users are skyrocketing.

I also gave a detailed description of my melanoma diagnosis, treatment, and the anxiety I deal with knowing I may develop a second melanoma.

Talking with one of the committee members after the hearing. Photo: Jeremy Rush.

Of course, we had to hear from the opposition, which included both a local tanning industry representative and a national lobbyist who flew in from Colorado. It was frustrating to hear them speak, especially when they said things that contradicted what I had said just minutes earlier. Their arguments were predictable: that tanning beds don't actually cause melanoma, that parents should be able to monitor their own children, and that the tanning bed industry strives to encourage "smart" and healthy tanning behavior. Interestingly, the lobbyist's testimony was very argumentative. At one point, everyone in the room held their breath while he sparred back and forth with the committee chair, refusing to directly answer his question about the safety of UV tanning equipment. Ultimately, his testimony persuaded one of the more conservative committee members to vote in support of the bill.

The bill is now headed to the full Oregon House for a vote, so it's not over yet! But I do feel very lucky, not just to be alive to share my story, but also to have been chosen to speak on behalf of so many other people impacted by melanoma in our state. This is all a tremendous learning experience for me, and I hope it becomes another vehicle to raise awareness about melanoma--not just in Oregon--but across the U.S.

Save the Date: Portland Melanoma Walk, May 11

I am thrilled to announce that I am coordinating the 2nd Annual Portland Melanoma Walk! In it's inaugural year, the event raised over $15,000 for AIM at Melanoma. This year, the event will be kicking off at Wallace Park in NW Portland on Saturday, May 11, 2013. We've still got quite a bit more planning to do, but mark your calendars now! Here are a few different ways you can get involved:

1. Register for the walk. It's free. Plus, you get a t-shirt.
2. Make a donation. Can't make it? Don't live in Oregon? You can still support us! I'm hoping to raise at least $1,000 on my personal fundraising page. Every little bit helps. If you're a small business owner, you can also contact me for sponsorship and in-kind donation opportunities. Tax deductions, warm fuzzy feelings, etc. :)
3. Create your own fundraising page. There will be amazing prizes for participants who help us raise money!
4. Volunteer. If you live in the Portland area, I'm looking for several day-of volunteers. Contact me if you'd like more information about volunteering.

Share this widely with friends and family! Here are a few reasons why:

• Melanoma is the most deadly type of skin cancer.
• Every eight minutes, someone in the United States will be given a melanoma diagnosis and every hour someone will die from the disease.
• Melanoma is the fastest growing cancer in the United States and worldwide.
• Melanoma is the most common form of cancer in young adults 25-29 and the second most common cancer in young adults 15-29 years old.
• If caught in the early stages, melanoma is very treatable with a survival rate of nearly 100%. If untreated or allowed to spread, there is no known treatment or cure. Unfortunately, melanoma metastasis is very unpredictable and it often spreads quickly.
• The rate of new melanoma diagnoses was 36% higher in Oregon than the national average from 2002-2006 and was the 4th highest in the U.S. An estimated 1,220 state residents were diagnosed with melanoma in 2009.

Top Posts from 2012

Time to count down top 10 posts from 2012 like we're on a VH1 special (or Dick Clark's Rockin' New Year's Eve).

10. My story

9. Melanoma and mommyhood: Is it safe to tan when pregnant?

8. Does this look like a cancer patient to you?

7. Cancer can't be cute, right?

6. Ladies of the bachelor: Don't forget to wear your sunscreen

5. The man tan

4. My own "Dear 16-year-old Me"

3. Guilt trip

2. Irony on my newsfeed

And drum roll please (insert commercial break here)....

1. Spray tans might be bad for you now, too

 

Wishing you all a healthy, happy and safe New Year!

Five-year tanniversary

National Health Blog Post Month Day 20: A health moment you regret

A health moment I regret? This one's easy. I wish I hadn't used tanning beds in high school and college. Not only did I end up with melanoma just one year after I quit tanning indoors, but my skin has lasting, visible signs of UV damage. Sexy, right?

Yesterday, one of my best friends from college forwarded me a promotional email that was sent to her old ".edu" address this week. Here's the email she forwarded me:

This is what she said: "I'm pretty positive I unsubscribed to these emails 2 months after graduating college and haven't received anything since then, then BOOM, what's in my inbox? Also, it makes me feel really old that this place is 5 yrs old because I remember what a hit it was when the "nice" tanning place came to south Bethlehem. We used to plan our days around when we would tan, sickos!"

Seeing this in my inbox gave me the kind of feeling my friend Chelsea had recently when she found her old tanning goggles. It brought back so many memories--both good and bad. My friends and I really would plan our days like the guys on Jersey Shore who GTL'ed. We knew it probably wasn't good for us, but it was fun. It was always a social activity.

On one hand, it's hard to believe that I graduated from college almost five years ago, but on the other, it feels like a lifetime has passed since then. I'm not just taking about skin care, either. Of course, that's part of it, but I've become more conscious of my health overall and I'm learning to listen to my body more. As much as I do regret using tanning beds as a teenager, I think that dealing with melanoma has empowered me to make healthier decisions in all aspects of my life that I may never have not made otherwise. I do, however, regret that I'll never be able to get rid of some of these sun spots...

***

This post was inspired by the Day 20 prompt for National Health Blog Post Month.
View posts by other participants.

Sookie Stackhouse and other vices

National Health Blog Post Month Day 13: What’s your favorite book and how can you tie it to your health or life? 

 

Anna Paquin as Sookie Stackhouse

Since HBO's True Blood is dead and gone until next summer, I decided to check out the books from whence the TV show came. The first book, I thought, was awful. The second one? Not impressed. The third one? Eh, not bad. Now, I'm on book ten and I'm certifiably obsessed.  I love reading about my favorite characters (namely, Eric Northman)--but with all kinds of crazy plot twists we haven't seen on TV. Spoiler alert: Sookie (protagonist, telepath, object of everyone's affection) dates a "weretiger" in book seven. Weird, I know.

Much as I love the books, I'm genuinely surprised by how much Sookie talks about tanning beds throughout the series. Of all things! Naturally, I'm more sensitive than the average person when it comes to tanning talk, but really, Sookie? Really?!

Here are some examples. Let at me put my college lit major to use:

• "I took a deep breath, turned to the mirror, and slapped on some makeup. My tan wasn't great this far into the cold season; but I still had a nice glow, thanks to the tanning bed at Bon Temps Video Rental." - Club Dead (Sookie Stackhouse/True Blood, Book 3)
• "His companion's face might have been sculpted from marble. Had the woman never heard of a tanning bed?" - Dead as a Doornail (Sookie Stackhouse/True Blood, Book 5)
• "I enjoyed lying in the sun in a little bikini, timing myself carefully so I didn't burn. I loved the smell of coconut oil. I took pleasure in shaving my legs and removing most of my other body hair so I'd look smooth as a baby's bottom. And I don't want to hear any lectures about how bad tanning is for you. That's my vice. Everybody gets one." - Dead as a Doornail (Sookie Stackhouse/True Blood, Book 5)
• "Every year I thought of all the reasons I shouldn't lie out in the sun. Every year I added up my virtues: I didn't drink, I didn't smoke, and I very seldom had sex, though I was willing to change that. But I loved my sun, and it was bright in the sky today. Sooner or later I'd pay for it, but it remained my weakness. I wondered if maybe my fairy blood would give me a pass on the possibility of skin cancer. Nope: my aunt Linda had died of cancer, and she'd had more fairy blood than I had. Well... dammit." -Dead and Gone (Sookie Stackhouse/True Blood, Book 9)

One thing I find particularly interesting is that over the course of the series, Sookie's tone evolves. It goes from "I use tanning beds and everyone else should, too" to "stop giving me a hard time for tanning" to "I hope I don't get skin cancer from tanning so much." I suppose, from a literary standpoint, Sookie's bronze skin makes her a good foil to her paler than pale vampire suitors. But when something like suntanning makes its way into popular chick lit, it's indicative that tanning has become ubiquitous in American culture.

A few of my favorite vices that Sookie might try as a tanning substitute:

• Pinterest
• Weekly manicures
• ABC's Revenge
• Cheese
• Vanilla lattes
• Cheesy vampire novels :)

***

This post was inspired by the Day 13 prompt for National Health Blog Post Month.
View posts by other participants.

A melanoma survivor walks into a tanning salon

National Health Blog Post Month Day 12: Call BS on Something 

 

Starting on #12! What a fantastic idea.

Walking into a tanning salon after being diagnosed with melanoma feels a bit like being a hippie-liberal at a tea party convention. This was about a year and a half ago. I was there because even after my run-in with skin cancer, I was still a little self-conscious about wearing a bikini in public. I was also curious to try spray tanning, which temporarily darkens the skin using a chemical called DHA instead of UV radiation.

I hadn’t been to this tanning salon before, so the gentleman at the front desk asked me to fill out a new member questionnaire. Every salon’s questionnaire is a bit different, but they all ask about your natural hair and eye color, as well as if you tan easily, so that if you ever decide to UV tan, operators can recommend an appropriate UV dosage.

“Have you ever tried UV tanning before?” he asked. “You could do what we call a tanning cocktail. Lay in a UV bed for a few minutes, open your pores up, and then head on in for your spray tan.”

“Yes, and no thank you.”

Meanwhile, a woman who was just nine days away from her wedding had come in for her first ever indoor tanning experience. She’d received a full tour of the facilities from a friendly female employee and was deciding which package to buy. Sensing a bit of hesitancy in the bride-to-be, the man at the front desk walked over to the waiting area and grabbed a newspaper that was sitting on the table.

“This here is gold,” he said, pointing to the cover story. “Researchers at Oregon Health & Science University right here in Portland say that we need more vitamin D. In a climate like Portland where it rains eight months of the year, the only way you’re going to get enough vitamin D is by using an indoor tanning bed. Plus, tanning beds have improved so much in the past few years. They won’t fry your skin and burn you like they used to. Our beds are so high tech. They use 98% UVA rays—hardly any of the burning rays at all. So we don’t even have to worry about the c-word anymore.”

As he finished his sentence, I felt like I’d been punched in the gut. Research by doctors at the university where I worked was being manipulated to sell tanning beds to innocent consumers. And him blatantly saying that tanning beds won’t cause cancer? Do you think he would have been offended had I pulled up my shirt and showed them the scar on my chest? I didn’t want to start a scene, nor start a fight that I knew I wasn’t going to win, so I kept my mouth shut.

Despite this salon operator’s promises that today’s tanning beds won’t cause the “c-word,” in the scientific community, UV radiation is well known to be the primary cause of most skin cancers. Even the Indoor Tanning Association, a lobbying organization for the indoor tanning industry, admits that their products can lead to skin cancer, stating clearly on their website: “You do not need to become tan for your skin to make Vitamin D. Exposure to ultraviolet radiation may increase the likelihood of developing skin cancer and can cause serious eye injury [1].”

When the skin is exposed to UV radiation from the sun or from an artificial light source, it triggers a molecular reaction within skin cells, specifically between the keratinocyte cells in the top layer and the melanocyte cells in the bottom layer. UV rays cause the pigment-containing melanocytes at the bottom layer of the epidermis to travel upwards, where the pigment creates a protective cover for the top layer cells [2]. According to a report by the American Academy of Dermatology, the molecular mechanism that is responsible for creating a tan appearance is the exact same mechanism that leads to skin cancer [3].

Although the Indoor Tanning Association has acknowledged that exposure to UV rays may increase a person’s risk for developing skin cancers like basal and sqaumous cell carcinoma, they are adamant that there is no correlation between melanoma (the most deadly type of skin cancer) and UV exposure from tanning beds.

In contrast, the World Health Organization, a global authority on health research, has found not one or two, but 19 studies that linked sunbed use with an increased risk for melanoma. The same group also came to the conclusion that using tanning beds before the age of 30 increases a person’s risk of developing melanoma by 75% [4]. An American’s risk of developing melanoma has increased 2000% over the past 75 years [2], signifying that a change in human behavior over the last century is likely responsible for this increase. And what has changed that dramatically in the last 75 years? The use of tanning beds.

Admittedly, we have more epidemiological evidence than biological evidence that tanning beds increase a person's risk for developing melanoma. But why risk it? Tanning salon owners are more concerned about making a profit than taking care of your health.

Next time you try to tell me tanning beds don't cause cancer, I will call bullshit.

***

This post was inspired by the Day 12 prompt for National Health Blog Post Month.
View posts by other participants.

[1]The Indoor Tanning Association. http://www.theita.com/. Accessed June 5, 2011. 
[2] Tran TT, Schulman J, Fisher DE. “UV and pigmentation: molecular mechanisms and social controversies.” Pigment Cell Melanoma Res. 2008 Oct;21(5):509-16.  
[3] Lim HW, James WD, Rigel DS, Maloney ME, Spencer JM, Bhushan R. “Adverse effects of ultraviolet radiation from the use of indoor tanning equipment: time to ban the tan.” J Am Acad Dermatol. 2011 May;64(5):893-902. 
[4] “The association of use of sunbeds with cutaneous malignant melanoma and other skin cancers: A systematic review.” Int J Cancer. 2007 Mar 1;120(5):1116-22.

The skin cancer paradox

Image: Skin Cancer Prevention

A statistic that continues to perplex me: 86% of tanning bed users acknowledge that tanning causes cancer, and yet they do it anyway.

A reality that continues to perplex me: The number of people I'm friends with who continue to tan even though they know I've had melanoma (it's surprisingly high).

I realize that not all cases of melanoma are caused by UV radiation--natural or artificial--but some of them are. Yesterday, my dad sent me an article from CNBC.com that reiterates what I'm always saying about tanning and skin cancer: "Despite piles of research on the skin cancer risks of sun exposure and tanning beds, dermatologists and cancer groups struggle to persuade people to protect their skin from ultraviolet rays."

We know what we're doing is bad, and yet we do it anyway. It's like some sort of skin cancer paradox, isn't it?

If you're unfamiliar with recent findings, statistics, and legislation on melanoma, the CNBC article gives a great overview. I've read many of the studies it references in their entirety. I also love the suggestion from the University of North Carolina dermatologist at the end of the article: "Changing public opinion may be more effective than legislating change [for young people]. Effective campaigns to prevent skin cancer may need to emphasize that skin is most beautiful and healthy in it's natural, untanned, state."

P.S. Best of luck to my girl Chelsea Price who is speaking at the uber-fancy Skin Cancer Foundation Gala this evening. Besides hobnobbing with the rich and the famous, Chelsea will be sharing her experience of what it's like being a Stage III melanoma survivor in her mid-twenties. I hope that people pay attention because Chelsea isn't an anomaly. Melanoma isn't just an old person's disease anymore, and by limiting our exposure to harmful UV rays, we may be able to reduce the numbers of young people diagnosed with this crappy, crappy disease.

Everything causes cancer

When are we going to start seeing these as one and the same?

Over the weekend, I spent a few hours catching up on my magazine reading. I'm one of those people who swaps airline miles for magazines subscriptions, so there's a lot of junk for me to sift through (guilty pleasure, whoops!)

Every month, it's the same: eat blueberries, they protect against cancer. Drink wine, it's good for your heart. Drink coffee, the caffeine is good for you! Then two months--if not two weeks later--it's the opposite. Don't drink alcohol, it's bad for you! Caffeine is bad for you. Smoothies are bad for you and so is Diet Coke (OK, I already knew about that one, but still.) Admittedly, science is a moving target. Our knowledge base is constantly evolving, and it's only fair for the media to share the latest research with the public. But with so much conflicting health information out there, how do we know what to do?

For example, doctors tell us we need vitamin D for bone health and to support our immune systems. On the other hand, one of the easiest ways for our bodies to synthesize vitamin D is to sit outside in the sun. Well, guess what? Sun causes skin cancer. It's a real "damned if you, damned if you don't." So what do we do? Because UV radiation has been proven to be carcinogenic in numerous studies, the American Academy of Dermatology recommends adjusting your diet or taking supplements instead of getting vitamin D from sunlight. The key here is that UV has been proven to be dangerous. Vitamin D from the sun versus from a supplement is still up for debate. Just one or two publications don't mean something is a fact. It can take years to establish compelling evidence that something is truly beneficial or harmful (and even then, sometimes we don't know for sure.) Based on a large number of studies over a long period of time, there is a clear link between UV radiation and skin cancer.

This all leads me to an article I read recently about teenagers rationalizing risky behavior like tanning bed use. More than half of the teens questioned in a study by Memorial Sloan-Kettering Cancer Center said that they tanned because "everything causes cancer." To many, using a tanning bed seemed to hold about as much risk as walking across the street or eating a burger (cholesterol, hello!) Sure, tanning has been in the news a lot lately, but what makes using a tanning bed seem any more dangerous than the hundreds of other warnings we receive on a weekly basis? I fear that if every time I read one of my magazines that all the dos and don'ts are diluting warnings against behavior that is truly dangerous. The importance of taking care of our skin and avoiding tanning beds needs to rise to the level at which we educate our children about smoking, doing drugs, and driving without a seat belt.

I also found it interesting that 32% of teenagers said: "If tanning bed use was so bad for you, the government would ban tanning beds." Kids: have you taken a look at our government lately? Take health matters into your own hands, and don't trust the government to do it for you.

Cancer can't be cute, right?

Amy's melanoma. Not what you'd expect, right?

A few weeks ago, I was scrolling through my Facebook news feed when this image caught my eye. It was posted by Amy Harris Parks, a stage I melanoma survivor who had a similar tumor depth as me. Amy's caption said: "My melanoma. Just a small freckle changing colors and had a slight haze around it. Not all melanomas are BIG, BLACK, and SCARY! Please protect your skin!"

Amy has generously allowed me to share her picture because, unfortunately, I never thought to take one of my own. People often ask me: "How did you know you had skin cancer? How did you know when to go to the dermatologist?" Truth is, I didn't really know until I had a biopsy that my mole was cancerous. Like Amy's, it wasn't big, black, or scary. The only reason why I even went to a dermatologist to have my skin looked at was because I has a history of using tanning beds, and there were a few freckles or moles that had popped up as a result of all the UV exposure (one of those "new" moles ended up being malignant).

A few months before I had the malignant mole biopsied, I asked the guy I was dating: "Do you think this mole is ugly? Do you think I should get it removed?"

"No," he said, "I think it looks cute." Cute? How can cancer be cute?

Last month, the Huffington Post did an article on a survey that suggests nearly half of us don't know how to spot a cancerous mole. This is a frightening statistic because early detection is key in preventing skin cancer-related deaths. The Skin Cancer Foundation has some great information about self-exams on their website, but I also encourage you to see a doctor if you notice any changes in freckles or moles. And remember: it doesn't need to be big and black to be deadly.

How did you find your melanoma? I'd love to hear. Also, if you have any questions for Amy, leave a comment below and she'd be happy to answer them!

Portland's first AIM at Melanoma 5k makes local news

May is Melanoma Awareness Month. Please help spread the word by sharing this post with your friends and family. 
 


Yes, that's yours truly, out of breath and sweaty, but still speaking out about the dangers of melanoma on Fox 12 Oregon. Thank you to everyone who sponsored me in Portland's first AIM at Melanoma 5k, including:

• Tim Slavin
• Kevin Posch
• Mark Williams
• Suzanne DeVaney-Wilkes (thanks, Mom)
• Jessica Giles
• Skin Zen Acupuncture & Esthetics
• Liz Carr
• Barbara Burbank

An extra special thank you to my wonderful friend Liz Carr who thought she was going to be walking on Saturday morning, but ended up jogging with me just because she is an amazing friend (and I am a huge pain in the ass.)

I was so impressed by the turnout and the high caliber of sponsors we had for the event. Emily Clay deserves a huge hug for organizing everyone. She and several others organized this walk in remembrance of their good friend Sarah Bach who lost her battle to melanoma at age 42 in 2011. It was incredibly difficult for me to hear the stories from people who have lost loved ones to this disease, but also comforting to know that we're all in this together.

Looking forward making things even bigger and better next year.

Free skin cancer screenings at Portland Melanoma Walk, May 12

May is Melanoma Awareness Month. Please help spread the word by sharing this post with your friends and family.

If you live in the Portland area and haven't yet signed up for the AIM at Melanoma 5k on Saturday, May 12, the walk's organizers have recently added free skin cancer screenings by the Portland Dermatology Clinic to the event. Save yourself a trip to the dermatologist, then stay and walk for a good cause.

A few reasons why you need a skin check:

• Melanoma is the most common form of cancer for young adults 25-29 years old and the second most common form of cancer for young people 15-29.
• The survival rate for patients whose melanoma is detected early is about 99 percent. The survival rate falls to 15 percent for those with advanced disease.
• The number of women under age 40 diagnosed with basal cell carcinoma has more than doubled in the last 30 years; the incidence of squamous cell carcinoma among women under age 40 has increased almost 700 percent.
• If you've used a tanning bed, you're 74 percent more likely to develop melanoma than those who haven't.

For more information, visit the AIM at Melanoma Portland website. Can't make it? Consider sponsoring me for the walk.