August 31st, 2010 by DrJeffreyBenabio in Better Health Network, Health Tips
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Having a high-quality doctor’s visit takes effort on your doctor’s and yours. Here are 10 tips to get the most out of your next visit with a dermatologist:
1. Write down all the questions you have and things you want to discuss with me. Be sure to list any spots you’d like me to check or any moles that have changed. Have a loved one lightly mark spots on your skin they are concerned about.
2. Know your family history: Has anyone in your family had skin cancer? What type? Patients often have no idea if their parents have had melanoma. It matters. If possible, ask before seeing me.
3. Know your history well: Have you had skin cancer? What type? If you have had melanoma, then bring the detailed information about your cancer. Your prognosis depends on how serious the melanoma was, that is its stage, 1-4. You need to know how it was treated, if it had spread, and how deep it was. The answers to these questions determines the risk of your melanoma returning. Read more »
*This blog post was originally published at The Dermatology Blog*
June 30th, 2010 by DrToniBrayer in Better Health Network, News, Opinion, Research
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According to the Archives of Dermatology, there are people who are addicted to indoor tanning. That journal reported on a study of 421 university students in the northeastern United States. Using self-reported questionnaires, they screened for alcoholism and substance use as well as anxiety and depression. They also had a questionnaire about addiction to indoor tanning.
If you’re scratching your head (as I was), there’s a medically-accepted criteria known as CAGE (cut down, annoyed, guilty, eye-opener) that correlates with addiction, so they used this for “addiction” to indoor tanning also. They found that more of the kids who met the criteria for addiction to indoor tanning also had greater anxiety, greater use of alcohol, marijuana and other substances. Read more »
*This blog post was originally published at EverythingHealth*
April 13th, 2010 by DrNancyBrown in Better Health Network, Health Tips, News, Opinion, Research
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Baby boomers may have a new reputation. According to new cancer research, they are five times more likely to be diagnosed with malignant melanoma — the type of skin cancer that kills the most people.
The incidence rates of melanoma have risen from 7 cases per 100,000 people in the 1970’s to 36 cases per 100,000 today. The rising rate corresponds to the increase in tanning during the 1970’s, when baby boomers were young adults.
Parents and grandparents of teens should be checked by dermatologists as part of their preventive healthcare. I can only hope that teens today will be responsible for the stopping of this increase as they’ve grown up with the message that sunscreen is important and should be a daily part of their lives.
Photo credit: tata_aka_T
This post, Baby Boomers And Skin Cancer, was originally published on
Healthine.com by Nancy Brown Ph.D..
March 30th, 2010 by DrRamonaBates in Better Health Network, Health Tips, News, Research
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The entire March issue of Archives of Dermatology appears to be dedicated to skin cancer — melanoma and non-melanoma.
Basal cell carcinoma (BCC) represents 65% to 75% of all skin cancers. Most occur on sun-exposed parts of the face, ears, scalp, shoulders, and back. Intense short-term UVB exposure is important in the formation of BCC. Clinical features include pearly translucent flesh-colored papules or nodules with superficial telangiectasias (broken blood vessels). More active lesions may have rolled edges or ulcerated centers.
Squamous cell carcinoma (SCC) represent 30% to 65% of all cutaneous malignancies. SCCs are most attributable to UVB exposure, long-term or accumulative exposure over years. Clinical features include crusted papules and plaques that may become indurated, nodular, or ulcerated. SCC may arise in chronic wounds, scars, and leg ulcers. Recurrent SCC development within 3 years is 18%, a 10-fold higher incidence compared with initial SCC diagnosis in the general population.
Malignant melanoma (MM) represents the most serious of all cutaneous malignancies. It is estimated that approximately 65% to 90% are caused by UV exposure, predominantly UVA. Roughly 10% of all melanoma cases are strictly hereditary. Read more »
*This blog post was originally published at Suture for a Living*
January 12th, 2010 by DrRamonaBates in Better Health Network, Book Reviews, Health Tips
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Earlier today I wrote a short article which resulted in correspondence with one of the authors of the new book, ‘FDR’s Deadly Secret’ by Steven Lomazow and Eric Fettmann.
Dr. Steven Lomazow sent me a copy of his Archives of Dermatology article with Dr. Bernard Ackerman, this photo, and a pdf of his book which I have spent the afternoon reading.
The article goes through a series of photos of FDR from his younger days to his older ones, showing the progression and changes. From the article: Read more »
*This blog post was originally published at Suture for a Living*
December 24th, 2009 by DrRamonaBates in Better Health Network, Health Tips
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It’s winter so why think about skin cancer? One of the major risk factors is UVA and UVB rays from sun exposure which is much more common in the summer. Tanning beds never cease being used, regardless of season and may even be used more in the winter than summer.
There is never a wrong season to be reminded of the prevalence of skin cancer or the risk factors for skin cancer or ways to prevent skin cancer. Read more »
*This blog post was originally published at Suture for a Living*
August 13th, 2009 by DrRamonaBates in Better Health Network, Health Tips
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Finally! [H/T to Cleveland.com]
After surgery I am often asked, “When can I get back in the tanning bed?” I say something like, “I would rather you not use a tanning bed. You need to protect you new scar from the sun, that includes tanning beds, for at least 6 months.”
“But, if I cover up the scar, when can I get back in the tanning bed?” is the usual response.
I then counter with, “IF you feel you must, then yes cover the scars. Please, limit or reduce the time you spend in the tanning bed. I would rather you not use a tanning bed.”
Most see “no harm” in using a tanning bed. After all, it’s not like laying out in the sun for hours. Too many see tanning beds as a “safe” way to get a tan. It isn’t.
Experts at the International Agency for Research on Cancer in Lyon, the cancer arm of the World Health Organization, have published their analysis of 20 studies online in the medical journal Lancet Oncology. The analysis concludes the risk of skin cancer jumps by 75 percent when people start using tanning beds before age 30.
These same experts have moved tanning beds and ultraviolet radiation into the top cancer risk category, deeming both to be as deadly as arsenic and mustard gas. The new classification also puts them in the list of definite causes of cancer, alongside tobacco, the hepatitis B virus and chimney sweeping, among others.
I would not mind tanning bed extinction. Regular use increased the risk of melanoma. It is much better to have a “peaches and cream” complexion or to use self-tanning creams. Skin cancer is no fun.
Related posts:
Sun Protection (March 19, 2009)
Melanoma Review (February 25, 2008)
Skin Cancer—Melanoma (December 8, 2008)
Melanoma Skin Screening Is Important (April 29, 2009)
Skin Cancer — Basal Cell Carcinoma (December 3, 2008)
Skin Cancer – Squamous Cell Carcinoma (December 4, 2008)
Moles Should Not Be Treated by Lasers (July 27, 2009)
*This blog post was originally published at Suture for a Living*
April 30th, 2008 by drval in Health Tips
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May is skin cancer awareness month, and Revolution Health has created an awareness campaign to help people become more educated about their risks. In a unanimous vote, I was selected as the blogger/spokesperson for skin cancer awareness - probably because I’m “the fairest in the land.” Well, the truth is I’m so white I’m actually closer to light blue - couple that with a high freckle count and green eyes and you’ve got one very high risk lady.
So I’ve decided to see a dermatologist once a year for a full skin check. I must admit that the first year I went I was convinced that I’d be biopsied into oblivion. The only way to be sure that a mole is not cancerous is to take a sample and check it under the microscope. So any doctor with a conservative eye would need to do a lot of “rule out melanoma” testing, right? Wrong. I was happily wrong. Dermatologists are trained to recognize individual freckle and mole patterns, and don’t do a biopsy unless they see an “ugly duckling” mole - one that stands out from all the others. I was so excited to escape the office with my skin in tact that I vowed to be obedient and return for a yearly check up.
If you are fair skinned and/or have had a significant amount of sun exposure in your life, or if people in your family have had skin cancer, you should definitely check in with a dermatologist to make sure you don’t have any suspicious moles. The doctor will tell you how frequently you should have follow up exams.
Here are some things you can do right now:
Find out if you’re at risk for skin cancer and learn what you can do to prevent it.
See what skin cancer looks like.
Check out my recent interview with Dr. Stephen Stone, past president of the American Academy of Dermatology, about skin cancer and about tanning salons.
Coming soon: the true story of my blogger friend who had a basal cell carcinoma removed from the side of her nose. She required plastic surgery to fill the gap, but it looks great now!This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
March 24th, 2008 by drval in Medblogger Shout Outs
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I was really impressed with some beautiful work done by a French plastic surgeon on behalf of this patient with Von Recklinghausen’s disease (Elephant man’s syndrome). Thanks to Dr. Bates for pointing it out. A full face transplant was performed with incredible improvement in the man’s appearance and quality of life. I discussed the ethics behind face transplantations in a previous post.
I also applaud the plastic surgeon who carefully filled the nose defect of my fellow blogger TBTAM who had a large basal cell carcinoma removed from the side of her face. See the post-op photo and recent healing shot here. I myself have had some facial surgery, after being mauled by a dog as a child.
I am so grateful to the surgeons who do this kind of work. I know they get a bad rap with all the Dr. 90210 publicity and breast/botox focus. But there are also many unsung heroes. This post is for you! Many thanks from those whom you’ve helped over the years.This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
January 31st, 2008 by drval in News
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Tonight (Jan 31, 2008) the CBS evening news will be airing a segment about a tragic case of a young Marine who died of melanoma. According to the news transcript, an unusual mole was diagnosed as a melanoma in 1997, but no follow up was scheduled, and no explanation given to the young man about his diagnosis or treatment plan. Eight years later in Iraq he complained to medical personnel of the mole growing larger and he was told it was a wart which would be treated once he returned to US soil. He slipped through the cracks somehow, and tragically died in 2008 of stage IV melanoma.
One interesting issue raised in the segment is that the Marine was not eligible to to sue for negligence in his case. There is a law, the Feres Doctrine, that denies military personnel the right to sue the government in cases of perceived or real medical malpractice. The rule was established in 1950 after a case was brought to the U.S. Supreme Court (Feres v. United States) in which servicemen who picked up highly radioactive weapons fragments from a crashed airplane were not permitted to recover damages from the government.
While I do understand (in theory) the purpose of this law - if every battle injury allowed soldiers to sue the government, we’d bankrupt our country in the span of a year - it does seem to be over-reaching in this case. The Marine was not injured in battle, but his life was indeed compromised by sloppy medical follow up. In my opinion, the doctor who correctly diagnosed him in 1997 should be held accountable for lack of follow up (if that’s indeed what happened). As for the military personnel who thought the Marine’s advanced melanoma was a wart, that is a tragic misdiagnosis, but hard to say that there was malpractice at play. With limited access to diagnostic pathology services, it is difficult (in the field) to be sure of the diagnosis of a skin lesion. And yes, I can imagine that an advanced melanoma could look wart-like. This is a tragic shame, but since the young man had the melanoma for 8 years prior to the misdiagnosis of the “wart,” in the end I doubt that a correct diagnosis at that point would have changed his terminal outcome.
But I wonder if the Feres Doctrine should be modified to allow for more accountability amongst military physicians in caring for diseases and conditions unrelated to military service? Although I am not pro-lawsuit, it does seem unfair that this Marine was denied the opportunity to pursue justice in his case. What do you think? Check out the segment with Katie Couric tonight and let’s discuss.This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
