Hey girl, hey

You hear that? That's the sound of one gorgeous male celebrity telling you to strip down and do your monthly skin cancer exam. If Ryan Gosling doesn't suit your fancy, here's another reason why you should become more familiar with your skin.

I found my melanoma.

Over the years, especially if you're using tanning beds or spending a lot of time in the sun, you can (and probably will) develop new moles, freckles, and sun spots. One of the signs a mole is potentially malignant is if it's changing shape or evolving. My cancerous mole appeared out of nowhere at some point when I was in college - I wasn't paying too much attention.

Eventually, I realized that having a mole appear out of nowhere could potentially be dangerous, so I went and got a skin exam at the dermatologist. Turns out, I made a very, very smart decision.

I'm not the only one who found my melanoma. Several other people I've met both online and in the "real world" have been the ones to notice something was abnormal, or changing and they made the life-saving decision to go see a doc.

So make a point of taking a careful look at your skin each month. I usually do it right before or after a shower. The American Academy of Dermatology provides some guidelines on doing a self-exam, but the most important advice I can give is know your own body. Abnormal to you may not be abnormal to someone else. Visit a dermatologist if you're unsure. Melanoma is scary, but it's much easier to treat if you catch it early.

New year, new scar

As I mentioned earlier this week, I had a derm appointment on New Years Eve. Weird, I know, but it takes two months to get an appointment with my doctor, so I take what I can get. I've gotten several text messages and emails asking how things went, so here's the DL: one of the spots I was worried about looked suspicious to my doctor, too. They took a biopsy, and I should be hearing back within a week or two. Lucky me got to have stitches on NYE. Fun! (not)

I've had spots biopsied since my melanoma, but there was something eery about this appointment that gave me deja vu. The spot they biopsied was just this small, dark freckle that's popped up over the past year or so with slightly uneven pigmentation. It's not related to the old cancerous spot at all, but it's mere inches from my old scar. I think the proximity of it freaked me out a little bit. I mean, what are the chances that I get two primary melanomas right next to one another? Granted, I did burn that part of my body pretty bad back when I tanned, so maybe it's coming back to bite me in the ass. Who knows. Not going to worry about it for now.

My friend Melissa wrote a provocative blog post the other day in response to comments that were made on Facebook about stage I melanoma bloggers. As I've said before, I know I've never had to go through anything nearly as awful as my late-stage melanoma friends. But that doesn't mean I can't empathize with them and relate. One of the shitty things about skin cancer is once you've had it, you're exponentially more likely to get it again. Every time I go to the dermatologist for the rest of my life I get to worry: Is it back? Will it be worse this time? As Melissa said in her post: "We all know one loose cell and a stage 1 can become a stage 4 in a heartbeat." True statement.

No matter how you spin it and no matter how good or bad you have it, melanoma blows. I don't think any of us like writing about this stuff. Did you know I used to be a fashion & beauty blogger before all this? (OK, maybe you can tell by my sporadic product review posts.) But if we're not writing about it, then nothing is going to change. People are going to continue being diagnosed.

So fingers are crossed for good news. On a lighter note, I'm stoked for 2013. Lots of exciting things planned. Weddings, lots of travel, event planning madness, and more. Thank you to all my readers and friends for your continued love and support. I'm way behind on email, life, etc. so if I owe you an email, I promise I'll be in touch soon :)

New skin cancer iPhone apps get rave reviews: Is it worth a try?

A screenshot of University of Michigan's
new skin self exam iPhone app.

Ever since I read this article on CNET about University of Michigan's new skin check app, I've been dying to try it. Trouble is, like most Americans, I am lazy, and sometimes things like "downloading a new iPhone app" fall to the bottom of my priority list.

Today, I saw a report claiming that "Digital Aids Boost Self-Exams for Melanoma." My curiosity once again piqued, I decided to disrobe and give the app a try for myself. After three months of gathering data, scientists found that patients using the app were more than twice as likely to perform self exams and almost three times as likely to feel more confident in detecting a melanoma on their own skin. After trying the app for myself, here are the pros and cons.

The review

First of all, how frickin' cool is it that there is an iPhone app to help us become more aware of potential problem spots on our skin? We live in an increasingly digital world, so being able to set up reminders to perform skin checks is awesome. The University of Michigan app was super easy to find in the iTunes store. Just search "skin cancer." It's free. As for features:

Risk Factors
Based on my age, number of moles on my body, and the region I lived in, the app told me I had a low risk for developing melanoma. Ironic, eh? I wish it would have asked a few more questions--like, do you have a personal or family history of the disease? Or what about number of lifetime sunburns? Or past tanning bed use? Overall impression: Great concept, needs some work.

Full-Body Survey
I was mistakenly under the impression that I would be able to do this myself. There's no way. You absolutely need a buddy to help you with this. You also need to make sure your OK with that buddy getting up close and personal to take 23 pictures of you. More convenient than getting this done in the doctor's office, but what about aging patients who live by themselves? Or 26-year-olds who live in studio apartments and are too embarrassed to ask their friends to take the pictures for them? Overall impression: Wish there was a way to make this a one-man operation.

Lesion Tracker
This feature lets you take photos of suspicious spots that you can refer back to later to see if the mole has been evolving in any way. When I go see my doc, they usually do this with a high resolution camera. Not sure if it was the lighting in my apartment or just the resolution of my iPhone, but when I tried to snap a few photos of my skin, it was really hard to see them. This might be a good tool for me to mentally be more aware of where my potential trouble spots are, but I wouldn't trust the camera to show me any significant changes. Overall impression: Needs higher quality images for this to provide valuable data.

Self Exam
I loved this feature! No photos necessary, it just walks you step-by-step through a self skin exam. If you come across anything suspicious, you can mark that spot on your "virtual body" and check back on it later. I'm all about the self exam and do it frequently. I think this is a great way to educate people how to do skin exams properly on their own. Overall impression: Great tool.

Info Section
Some of the images here are a little cheesy, but for someone who is unfamiliar with skin cancer, it's definitely helpful to have the information readily available. Overall impression: Not bad.

I have to admit, I'm a little disappointed by some of the feature on the app, but I think this is a great first step. I look forward to feature versions that take into account some of the problems I had with photos, as well as a more comprehensive risk assessment tool. If nothing else, apps like this one are raising awareness about the importance of skin exams. Getting to know your body and what's normal for you is so crucial. When you see something that's out of the ordinary, then it's time to make an appointment with your dermatologist.

Have you tried one of these self exam apps? I'd be curious to hear your thoughts.

The man tan

Jake Gibb, Olympic beach volleyball player is
a melanoma and testicular cancer survivor.

When I was in college, still an avid tanning bed user, my girlfriends and I used to giggle every time we saw a guy at a tanning salon. Call me old fashioned, but I've always preferred my men to be more rugged and outdoorsy. If a guy is more high maintenance than me (think waxed chest and designer denim)--I'll pass.

Come to find out, many of my guy friends have been to a tanning salon. And many of the ones who haven't are notorious for shunning sunscreen when they spend time outdoors. While I spend most of my time educating young women about the dangers of UV radiation, I wanted to take a moment to remind you: guys get skin cancer, too. Men are actually more likely to be diagnosed with melanoma than women.

To quote a U.S. News article from a few years back:

"Why men? 'Part of it is because men tend to get more [ultraviolet] exposure because of their jobs, part of it is that they use sunscreen less, and part of it is later detection,' says Barbara Gilchrest, chair of the dermatology department at Boston University. Many of her male melanoma patients, she says, come in only after being nagged by family members. Forty-seven percent of men report they never use sunscreen, one survey found. That's part of the reason, no doubt, that researchers at the Centers for Disease Control and Prevention say men have higher rates of sunburn."

I hate, hate, HATE to stereotype, but so many guys I know are (a) too cool to wear sunscreen or (b) totally invincible and don't need to go see a dermatologist--or so they think. Even if you do stay out of the sun, be careful that you don't fall into the latter category. Make skin checks part of your regular routine, especially as you age. I imagine that checking your back in the mirror every so often is less of a pain than an annual colonoscopy. There are undoubtedly people in this world who care about you, so please take care of yourself.

Steve Hock, father of these two, passed
away from melanoma on July 16, 2012.
Men: You are not immune.

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.