Tip:
Highlight text to annotate it
X
IN THE SUN. EVEN CHILDREN ARE GETTING THE
MESSAGE. BACK WITH OUR DOCUMENTARY "MORE THAN SKIN DEEP" IN JUST A MOMENT.
I'M BACK WITH DR. GLENN GOLDSTEIN DIRECTOR OF THE DERMATOTOLOGY AND SKIN CANCER
CENTER IN LEAWOOD, DR. GARY DOOLITTLE FROM THE UNIVERSITY OF KANSAS CANCER CENTER, AND
KELLY KLOVER WITH THE OUTPACING MELANOMA FOUNDATION.
KELLY, DO YOU GET A CHANCE TO SPREAD THE MESSAGE ABOUT THE DANGERS OF SUN?
NICK, WE HAVE NOT HAD THAT OPPORTUNITY YET. I HAVE APPROACHED ONE SCHOOL
DISTRICT, AND WE WERE ALLOWED TO HAVE A STUDENT GIVE A PRESENTATION INTO THE HEALTH
CLASSES. -- FOR A CLASS PROJECT, BUT THAT IS SOMETHING THAT IS
DEFINITELY SOMETHING WE'D LIKE TO DO. IS THAT A CHALLENGE,
DR. GOLDSTEIN? I'VE SPOKEN ONCE BEFORE TO THE KANSAS CITY, MISSOURI
SCHOOL DISTRICT WHERE THEY HAD ALL THE NEWSPAPER WRITERS COME IN AND GET INFORMED
ABOUT SKIN CANCER AND THEY WENT BACK TO THEIR SCHOOLS AND WROTE ARTICLES ON IT, BUT
IT IS A CHALLENGE FOR THEM. OKAY. WE'RE GOING TO GO TO THE
PHONE NOW TO HEAR WHAT YOU HAVE TO SAY AND YOUR QUESTIONS FOR OUR PANEL.
WE GO FIRST TO CHRISTINE IN INDEPENDENCE. WELCOME CHRISTINE, YOUR
QUESTION PLEASE. HI. HELLO THERE.
WHERE CAN I GO TO GET IT CHECKED OUT? I DON'T HAVE ANY
INSURANCE, AND THE GUY I WENT TO AT THE SWOPE PLACE ON 50 HIGHWAY AND CLEVELAND DIDN'T
WANT TO TAKE IT OUT. OKAY. IF YOU DON'T HAVE INSURANCE,
AND YOU HAVE AN ISSUE, WHERE WOULD YOU GO? THERE ARE SEVERAL FREE
HEALTH CLINICS THAT ARE AVAILABLE, AND EVEN SOME OF OUR DERMATOLOGISTS FROM OUR
PRACTICE DO THAT. ONE IS IN JOHNSON COUNTY FREE CLINIC.
ALSO, METRO MED ALSO HAS DERMATOLOGISTS THAT ARE AVAILABLE AS WELL, AFTER THEY
CHECK YOU OUT TO MAKE SURE YOU DON'T HAVE INSURANCE. THERE'S ALSO THE JACKSON
COUNTY FREE HEALTH CLINIC. ABSOLUTELY. IF THIS LADY IS IN
INDEPENDENCE. SO YOU CAN GO TO SEE A DERMATOLOGIST AT A FREE
HEALTH CLINIC? YES. MADAM, YOU'VE GOT YOUR
QUESTION ANSWERED THERE, YOU CAN STILL, EVEN WITHOUT INSURANCE.
OKAY? WE GO NOW TO A GENTLEMAN FROM GLADSTONE, WITH YOUR QUESTION
NEXT, SIR? YES? HELLO THERE?
MADAM? WE'RE READY FOR YOU. OH.
YES. KATIE, HELLO? I'M CALLING ABOUT MERCEL
CELL SARS NOMEA. -- CARCINOMA. WHAT WOULD YOU LIKE TO
KNOW? I'D LIKE TO KNOW MORE ABOUT IT.
MY BROTHER-IN-LAW PASSED AWAY TWO YEARS AGO WITH IT. I WOULD LIKE TO KNOW.
THIS IS AN INTERESTING QUESTION BECAUSE WE FOCUSED A LOT ON MELANOMA SO FAR, BUT
ONLY 5 PERCENT OF SKIN CANCERS ARE MELANOMA. ISN'T THAT THE CASE?
YES. TELL US ABOUT, SO WHAT ARE THE OTHER 95 PERCENT OF THOSE
SKIN CANCERS THAT PEOPLE ARE DEALING WITH? WELL, BASAL CARCINOMAS
REPRESENT ABOUT 80 PERCENT OF ALL OF THE SKIN CANCERS THAT ARE OUT THERE.
20 PERCENT ARE REPRESENTED BY SQUAMOS CELL CARCINOMAS AND 1-5 ARE MELANOMAS, THEN
THERE'S A MERCEL CELL TUMOR THAT THAT COMPRISE LESS THAN 1 PERCENT OF ALL SKIN CANCERS
OUT THERE. DO YOU DEAL WITH THAT AT THE UNIVERSITY OF KANSAS
CANCER CENTER, DR. DOOLITTLE? WE DEAL WITH MERCEL CELL. OFTEN TIMES THE PATIENTS
PRESENT TO DETERMINENOLOGISTS FIRST AND THE DIAGNOSIS IS MADE.
SOMETIMES THERE'S SURGERY THAT IS NECESSARY, AND IF THE MERCEL CELL SPREADS BEYOND
THE PRIMARY SITE, SOMETIMES CHEMOTHERAPY. WHEN WE TALK ABOUT
MELANOMA, IT'S LIKE -- FIRST OF ALL, IS THIS AN AUTOMATIC DEATH SENTENCE IF SOMEBODY IS
TOLD AT A DERMATOLOGIST'S OFFICE THEY HAVE MELANOMA? ABSOLUTELY NOT.
THE PROGNOSIS IS BASED ON THE THICKNESS OF THE MELANOMA AT THE TIME OF THE DIAGNOSIS, SO
THE EARLIER IT'S CAUGHT, THE THINNER THE MELANOMA IS, AND THEREFORE, THE GREATER THE
PROGNOSIS LATER ON. AND THAT'S WHY WE TELL PEOPLE, WHEN THEY SEE A MOLE
CHANGING, OR SOMETHING LOOKS UNUSUAL, GET IN EARLY, BECAUSE THE EARLIER YOU
DETECT IT, THE BETTER YOUR CHANCES ARE GOING TO BE. BUT THAT BEING SAID, I
THINK MANY TIMES, OFTEN TIMES SIGNIFICANT SYMPTOMS DO NOT PRESENT THEMSELVES, AND IT'S
TOO LATE. LIKE IN OUR CASE. I MEAN, YOU KNOW, HOW DO YOU
GO THAT STAGE ZERO OR ONE TO FOUR, ALMOST OVERNIGHT? RIGHT.
YOU KNOW, IT JUST -- IT'S SO HARD TO PROCESS. IF YOU PRESENT WITH A
MELANOMA, DOES THAT AUTOMATICALLY THEN LEAVE THE HANDS OF A DERMATOLOGIST AND
GO INTO THE HANDS OF SOMEONE LIKE DR. DOOLITTLE AT THE UNIVERSITY OF KANSAS MEDICAL
CENTER? I WOULD TELL YOU, WE PRACTICE TOGETHER, THE
DERMATOLOGIST, MEDICAL ONCOLOGISTS WORK AS A TEAM. EVEN WHEN PATIENTS COME TO ME
WITH HIGHER STAGE DISEASE I WORK WITH A DERMATOLOGIST LIKE DR. GOLDSTEIN AND OTHERS
FOR THAT FOLLOWUP. ONCE YOU'VE HAD ONE MELANOMA, YOU'RE AT RISK FOR DEVELOPING
A SECOND AND IT'S CRITICAL TO WORK IN THAT TEAM MANNER WITH YOUR DERMATOLOGY COLLEAGUES.
WE GO NEXT NOW TO THE PHONES, AND DALE IN LEAVENWORTH, YOUR QUESTION
FOR THE PANEL, DALE? THANKS, NICK. THANK YOU FOR THE SHOW, AND
THANK YOU FOR THE SUBJECT. I WANTED TO -- AND I'M IN LIBERTY, BUT THAT'S OKAY.
NO, YOU DESERVE ALL OF THE ATTENTION AND RECOGNITION FOR BEING IN LIBERTY.
[LAUGHTER] I HAVE HAD A MELANOMA REMOVED.
I'VE BEEN FOLLOWED BY THE GROUP THAT'S ON YOUR PANEL FOR THE LAST THREE YEARS.
THEY ARE VERY DILIGENT. OKAY, HE'S DROPPED OFF THE LINE FOR A MOMENT.
I SHOULD POINT OUT, BY THE WAY, THIS IS MELANOMA AWARENESS MONTH, AND THAT'S
APPROPRIATE AS THE MONTH OF MAY IS WHEN PEOPLE START HEADING INTO THE SUN. A
COUPLE OF WEEKENDS AGO, THOUGH, ON MAY 5TH, ON A MORE CHILLY SUNDAY MORNING AT
CORPORATE WOODS IN OVERLAND PARK, HUNDREDS OF RUNNERS TOOK PART IN THE SECOND
ANNUAL OUTPACING MELANOMA 5K RUN. SOME JUST WALKED, BUT ALL WERE THERE TO HONOR THOSE
WHO HAVE BEEN LOST AND THOSE WHO ARE SURVIVING MELANOMA. KCPT'S TODD FEEBACK WAS
THERE. AND THEY'RE OFF! OUTPACING MELANOMA.
STEP BY STEP. WE'RE OUT HERE TODAY TO RAISE AWARENESS AND TO FUND
RESEARCH FOR MELANOMA. OUTPACING MELANOMA IS REALLY ABOUT GETTING
AWARENESS OUT SO PEOPLE UNDERSTAND THE IMPACT OF MELANOMA.
IT REALLY IS ABOUT GETTING CHECKED, YOU KNOW. OUR SLOGAN, DON'T DELAY, GET
CHECKED NOW, IS SO CRITICAL. I HAVE HAD MELANOMA THREE TIMES SINCE THE AGE OF 25.
I'M A 2-TIME MELANOMA SURVIVOR. I WAS DIAGNOSED IN AUGUST OF
'97. I WAS DIAGNOSED WHEN I WAS 21.
MELANOMA IS THE MOST COMMON TYPE OF CANCER AMONG 25-29-YEAR-OLDS.
AND THE SECOND MOST COMMON FOR YOUNG PEOPLE 15-29 YEARS OLD.
BUT MOST OF US THINK IT ONLY HAPPENS TO OTHER PEOPLE. HAVE YOU EVER CONSIDERED THAT
EVERYONE ELSE IN THE WORLD, YOU ARE THAT OTHER PERSON? WHEN YOU GET DIAGNOSED AND
-- YOU'RE TERRIFIED. I MEAN, I WAS -- I DIDN'T KNOW IF I WAS GOING TO LIVE
TO BE 22, AND YOU'RE 21. I HAD AN OLDER DAUGHTER THAT HAD JUST GRADUATED, A
SON THAT WAS GETTING READY TO GRADUATE, AND A TWO-YEAR-OLD, AND I THOUGHT THAT I WAS DONE
I WASN'T GOING TO SEE MY KIDS GROW UP. I DID TAN WHEN I WAS
YOUNGER LIKE ALL MY FRIENDS DID, AND WE WERERER ALL JUST, YOU KNOW, NEVER THOUGHT IT
WAS GOING TO HAPPEN TO ME. BUT NOW IT'S VERY REAL, I DON'T GO OUT IN THE SUN VERY
MUCH. IF I DO, I HAVE SUNSCREEN ALL OVER, AND I REAPPLY AT LEAST
EVERY HOUR, IF NOT MORE. I'M VERY SELF-CONSCIOUS AND AWARE.
I TRY TO SPREAD THE AWARENESS TO EVERYONE THAT I SEE OR KNOW.
YOUR CHANCES OF GETTING MELANOMA ARE A LOT LESS IF YOU JUST GO TO THE DOCTOR AND
GET CHECKED. STAY OUT OF THE SUN. STAY OUT OF TANNING BOOTHS.
THAT'S OUR MESSAGE. I JUST -- I DON'T WANT ANYBODY TO GO THROUGH WHAT I
WENT THROUGH. JUST THE THOUGHT OF YOU'RE NOT GOING TO SEE YOUR KIDS
GROW UP, YOU KNOW, THE THOUGHT OF IT'S NEVER GOING TO HAPPEN TO ME, THAT'S WRONG
IT'S A WRONG CONCEPT. IT CAN HAPPEN TO ANYBODY. ADAM STANISLAUV, YOU RAN THE
RACE. NOW YOU'RE HELPING US AT THE PHONEBANK. WHAT KINDS OF QUESTIONS ARE WE GETTING
IN AT THE PHONEBANK? NICK, WE'RE HEARING A LOT ABOUT TANNING BEDS,
SUNSCREEN, WHEN SHOULD I GET CHECKED, I HAVE MOLES, WHAT SHOULD I LOOK FORK THE
ABCDES, ALL THOSE FACTORS THAT REALLY COME DOWN TO MAKING SURE THAT YOU DO GET
CHECKED, AND THAT YOU UNDERSTAND, YOU LOOK AT YOUR BODY.
BECAUSE IT'S REALLY IMPORTANT. THAT'S THE MESSAGE THAT'S
GETTING CALLED IN ON THE PHONES AND TRYING TO UNDERSTAND THAT.
WE SHOULD POINT OUT THESE ARE ALL MEDICAL DOCTORS WE HAVE, THESE ARE TRAINED
DERMATOLOGISTS. THEY ARE AND THEY ARE ALSO CALLING IN ABOUT SUNSCREEN,
THE DIFFERENT TYPES THAW MIGHT WANT TO APPLY AND HOW TO APPLY IT AND WHEN TO APPLY
IT. I'M GOING TO ANSWER THOSE QUESTIONS IN OUR EXPERT PANEL
IN A MOMENT. THIS HOUR YOU CAN CONFIDENTIALLY GET YOUR OWN
MEDICAL CONCERNS ANSWERED BY A DERMATOLOGIST AT THE KCPT PHONEBANK. THEY'RE HERE TO
HELP YOU TONIGHT. CALL THE TOP NUMBER ON YOUR SCREEN. IF YOU HAVE A BROADER
QUESTION ABOUT SKIN CANCER THAT YOU THINK OTHERS WOULD LIKE TO KNOW THE ANSWER
WE WELCOME YOU CALLING THE BOTTOM NUMBER TO SPEAK WITH OUR EXPERTS HERE IN THE
STUDIO. WE'LL GET TO YOUR CALLS RIGHT AFTER HEARING FROM ANOTHER SKIN CANCER
SURVIVOR WHO KCPT TRACKED DOWN AT THE OUTPACING MELANOMA 5K A FEW WEEKENDS
AGO AT CORPORATE WOODS. MY NAME IS RACHEL HAGEN, I'M 37 YEARS OLD AND ALMOST
FOUR YEARS AGO I WAS DIAGNOSED WITH STAGE TWO MELANOMA, I FOUND THE MOLE BY
CHANCE, MY TWO-YEAR-OLD SON HAD A VIRAL SKIN DISORDER, SO I HAPPENED TO BE GOING INTO
THE DERMATOLOGIST OFFICE TO GET HIM TREATED, AND IT WAS IN THE SUMMER, AND I WALKED
OUT, AND THE DERMATOLOGIST SAID THERE'S SOMETHING ON YOUR LEG, AND SHE SAID YOU'RE
COMING BACK TOMORROW MORNING AT 8:00 A.M. TO GET THIS THING TAKEN OFF, SO I WENT
BACK, GOT IT TAKEN OFF, GO BACK 10 DAYS LATER, THE DOCTOR COMES IN, THE HAND IS
ON THE ARM AND COMES BACK THAT I HAVE A STAGE TWO MELANOMA.
FOLLOWUP SURGERY WAS SCHEDULED, THEY GOT ALL OF IT OUT.
I HAVE A LOVELY SCAR TO REMEMBER MY SAVING GRACE BY THAT DOCTOR WHO WAS TREATING
MY SON, AND THE WART THAT IS MY SON HAD ARE WHAT ENDED UP SAVING MY LIFE AND I'M FOUR
YEARS OUT OF HAVING MELANOMA AND I WOULD LIKE TO JUST DEFINITELY TELL PEOPLE THAT
AS YOU CAN TELL, I'VE NEVER BEEN TAN, AND I'M NEVER GOING TO BE TAN AND IT'S OKAY.
I HAVE THREE KIDS THAT ARE 11, ALMOST 10, AND SIX, AND THEY ALL ARE SKIN AWARE, AND
THEY WEAR THEIR SUNSCREEN, THEIR HATS, THEY'RE NOT OUT DURING THE HOTTEST TIMES OF
THE DAY AND IF THEY ARE, THEY ARE COVERED UP, AND THEY ARE TELLING THEIR FRIENDS THAT
THE WAY WE WERE BORN AND THE WAY WE LOOK IS THE WAY WE'RE SUPPOSED TO LOOK AND TAKE
CARE OF OUR SKIN SO WE CAN HAVE LONG, HEALTHY LIVES. WE WERE JUST HEARING FROM
ADAM AT THE PHONE BANK AND A LOT OF THE QUESTIONS AT THE PHONE BANK WERE ABOUT THE
SUNSCREENS AND WHAT YOU SHOULD USE. TELL US WHAT SUNSCREENS YOU
USE YOURSELVES. TELL US WHAT YOU USE, KELLY. YOU KNOW, TO BE HONEST, I
HAVE NOT ALWAYS BEEN VERY GOOD WITH THE SUNTAN LOTION. THAT'S SOMETHING THAT IN
RECENT YEARS, SINCE I'VE LOST MY HUSBAND, I AM NOW STARTING TO PAY ATTENTION TO.
BUT I DID READ THE STATISTIC, AND THIS IS FROM THE AMERICAN ASSOCIATION FOR
CANCER RESEARCH, MORE THAN ONE OUT OF THREE AMERICANS, FIRST OF ALL, DON'T USE ANY
SUNSCREEN, BUT 27 PERCENT OF PEOPLE WHO WERE ACTUALLY DIAGNOSED WITH SKIN CANCER
DON'T USE SUNSCREEN, DR. GOLDSTEIN. THEY SHOULD KNOW BETTER.
THEY SHOULD KNOW BETTER. WHAT WE USUALLY TELL OUR PATIENTS, THEY SHOULD USE AN
SPF OF AT LEAST 30 AND LOOK ON THE LABEL TO SEE IF IT SAYS BROAD SPECTRUM BECAUSE
BROAD SPECTRUM COVERS BOTH UVA AND UVB RAYS AND THAT'S VERY IMPORTANT.
WHAT DO YOU PERSONALLY USE? I PERSONALLY USE AN SBF OF
85 OR EVEN 100 ON SOME OCCASIONS ON MY FACE, BECAUSE MY FEELING IS IF YOU'RE
MAKING THE ATTEMPT TO PUT SUNSCREEN ON BECAUSE YOU DON'T WANT ANY SUN EXPOSURE,
WHY NOT USE THE HIGHEST SPF YOU CAN? HOW ABOUT YOU
DR. DOOLITTLE. I USE AN SPF OF 50 OR HIGHER.
IT'S NOT HARD FOR ME TO STAY OUT OF THE SUN BECAUSE I BURN SO EASILY.
I THINK THE OTHER MESSAGE THAT MIGHT BE CONVEYED IS STAYING OUT OF THE SUN FROM
10:00 TO 4:00, IF THAT'S AN OPTION FOR YOU, YOU SHOULD TRY TO AVOID SUN EXPOSURE.
I USE AN SPF200, YOU SQUIRT THE BOTTLE AND A SWEATER COMES OUT!
A LITTLE BIT OF HUMOR. WEAR PROTECTIVE CLOTHING. TELL US ABOUT THE
PROTECTIVE CLOTHING. YOU KEY A -- YOU SEE A LOT ABOUT SPF CLOTHING IN
CATALOGS AND OTHER PLACES. ARE THESE JUST MARKETERS TRYING TO GET MONEY OUT OF US
OR DO THOSE CLOTHING ITEMS WORK DR. DOOLITTLE? THEY ARE VERY EFFECTIVE
AND I ENCOURAGE PATIENTS WITH AN SPF, SUN BLOCK, SUN-PROTECTIVE CLOTHING, CAPS
AND TRY TO STAY OUT OF THE SUN AS BEST YOU CAN. THERE HAS BEEN A DISPUTE
ALSO THAT IF YOU HAVE A SUNSCREEN ABOVE 45, YOU'RE WASTING YOUR MONEY AND IT HAS
NO EFFECTIVENESS. CERTAINLY ANY SUNSCREEN THAT GETS SWEATED OFF OR
WASHED OFF IN THE WATER ISN'T GOING TO BE EFFECTIVE, SO YOU NEED TO REMEMBER TO REAPPLY
IT, EVERY TWO HOURS OR SO, AFTER YOU HAVE PUT IT ON THE FIRST TIME.
OKAY. NOW, MANY PEOPLE BLAME THE TANNING BEDS.
, PARTICULARLY AMONG YOUNG PEOPLE FOR THIS EXPLOSIVE RISE IN SKIN CANCER
DIAGNOSES. WE TRACK THAT ISSUE NEXT AS WE RETURN TO THE DOCUMENTARY "MORE THAN
SKIN DEEP". BUT AS YOU'RE ABOUT TO SEE, USING ARTIFICIAL SUNNING DEVICES TO
DARKEN THE SKIN IS NOTHING NEW. THIS MAN IS GIVING HIS
FACE A SIX MINUTE EXPOSURE TO SUN CRAFT ULTRAVIOLET RAYS. NEXT MORNING, HE SEEMS RATHER
PLEASED WITH THE HEALTHY OUTDOOR APPEARANCE CREATED BY THE SWELLING OF THE
CAPILLARIES UNDER THE SKIN. THIS SUNBURN OR ARYTHEMA IS THE FIRST PREREQUISITE OF
ULTRAVIOLET THERAPY, ULTRAVIOLET RAYS IMPROVE THE SUN AND THE HEALTHY SKIN IS A
BEAUTIFUL SKIN, THE REFLECTOR OF THE FLEXIBLE SUN CRAFT LAMP MAY BE READILY ATTACHED
SO AS TO FOLLOW THE MOTIONS OF A WIGGLING INFANT, MORE AND MORE PEOPLE ARE STEPPING
OUT OF THE SHADOW, BRINGING VITAL RAYS INTO THEIR HOMES FOR A HAPPIER AND MORE
HEALTHFUL LIVING. I STARTED GOING TO TANNING BEDS MY SOPHOMORE YEAR IN
HIGH SCHOOL, I WENT FOR ABOUT THREE YEARS, AND I WOULD GO AT LEAST TWICE A WEEK.
YEAH, I USUALLY WOULD TAN THE MOST IN THE SPRING WHEN THE SUMMER IS GOING BECAUSE I
WANTED TO GO TO THE BEACH AND BE ALREADY TAN, NOT GO TO THE BEACH AND BE PAIL -- AND BE
PALE, ESPECIALLY PROM SEASON, I'D GO LIKE THREE, FOUR TIMES A WEEK.
THE USE OF TANNING FACILITIES AMONG YOUNG PEOPLE IS A DISASTER, BECAUSE OF THE
ABILITY OF THESE UV RAYS TO INCREASE THE INCIDENCE OF MELANOMA IN YOUNG PEOPLE.
AT FIRST, I DISCOVERED I HAD MELANOMA WHEN I WAS 15. IT WAS ON MY FOOT, AND IT WAS
JUST LIKE A SMALL MOLE AT THE TIME. IT WAS REALLY SCARY.
I REALLY DIDN'T KNOW WHAT TO THINK. I WAS LIKE THE YOUNGEST
PATIENT THAT MY DOCTOR SAID HE'S EVER SEEN AND PEOPLE THINK IT DOESN'T HAPPEN UNTIL
YOU GET OLDER BUT YOU NEVER KNOW. IT'S AGELESS, REALLY.
WHEN I WAS IN THE WAITING ROOM FOR MY CHECKUP AND EVEN BEFORE SURGERY, IT WAS A
SPECIAL DESIGNATED ROOM FOR SKIN CANCER PATIENTS AND MOST ARE OLDER PEOPLE AND THEY
HAVE LIKE HUGE, LIKE, BANGS -- BADGES ON THEIR FACES AND HEADS AND IT'S LIKE HALF
THEIR FACES ARE GONE OR ON THEIR LEGS AND I'M LUCKY MINE WAS ON MY FOOT SO IT'S NOT,
LIKE, NOTICEABLE. IT MIGHT SEEM FUN NOW, YOU WANT A TAN, YOU THINK YOU
LOOK PRETTIER BUT WHEN YOU GET OLDER IT'S GOING TO BE A COMPLETELY DIFFERENT STORY
AND YOU'RE GOING TO LOOK BACK ON IT AND SAY WHY DID I DO THAT, LIKE IT WAS SO STUPID,
BUT IT WILL COME BACK AND HAUNT YOU. LAURA KELLY!
YOU MIGHT SAY I WAS THE ENVY OF A LOT OF YOUNG WOMEN, WHEN I WAS CROWNED MISS
MARYLAND. AT THE AGE OF 20, I WAS DIAGNOSED WITH STAGE TWO
MELANOMA. LOOKING BACK, I NOW KNOW HOW I GOT MELANOMA.
I DIDN'T HAVE TO TAN. I CHOSE TO. AND I NEARLY PAID WITH MY
LIFE. SINCE THEN, I HAVE HAD 24 ADDITIONAL SURGERIES TO
REMOVE SUSPICIOUS LESIONS. I AM LEFT WITH AN 8-INCH SCAR ACROSS MY BACK AND THE
CONSTANT REMINDER OF WHY I MUST TEACH PEOPLE ABOUT THIS DISEASE AND HOW TO PREVENT
IT. HOW MANY GO EVERY DAY? THAT WAS ME.
A LOT OF TEENAGERS AND EVEN ADULTS LOOK TO HOLLYWOOD, MOVIE STARS AND
MODELS AND FASHION ICONS FOR HOW THEY WANT TO LOOK, HOW BEAUTIFUL THEY WANT TO BE AND
IT'S FUNNY TO ME HOW WE'RE GOING TANNING, GOING INTO THE TANNING SALONS TO ACHIEVE
THAT TAN THAT'S GOING TO MAKE US LOOK BEAUTIFUL AND THE PEOPLE WE ARE ADMIRING,
LOOKING UP TO BE, ARE DOING THE COMPLETE OPPOSITE. IS IT MORE DAMAGING TO
YOUR HEALTH TO USE AN IN DOOR TANNING BED THAN TO ACTUALLY SUN BATHE AT THE POOL?
ABSOLUTELY, BECAUSE YOU'RE GETTING SUCH A HIGH CONCENTRATION OF ULTRAVIOLET
LIGHT IN SUCH A SHORT PERIOD OF TIME. DR. DOOLITTLE, I MEAN,
THERE ARE SOME STATES THAT ARE NOW REGULATING THE USE OF TANNING BEDS.
WHAT ABOUT IN KANSAS AND MISSOURI? IN KANSAS RIGHT NOW, THE
REGULATION FOR TANNING BEDS FALLS WITH THE BOARD OF COSMETOLOGY, THERE HAS BEEN
LEGISLATION IN THE LAST COUPLE OF YEARS LOOKING AT RESTRICTING TANNING FOR
TEENS, 17 AND YOUNGER, BUT IT HASN'T -- THAT LAW HAS NOT BEEN PASSED.
MISSOURI NOW HAS A LAW, THE HOUSE PASSED, FOR PARENTAL CONSENT FOR 17-YEAR-OLD
CHILDREN OR YOUNGER, BUT IT HASN'T GONE THROUGH THE SENATE YET.
SO THERE'S A LEVEL OF AWARENESS THAT EXISTS NOW THAT HASN'T IN PAST YEARS,
AND THAT'S ENCOURAGING. SOME PEOPLE THOUGH WOULD SAY WELL, THERE ARE -- IF YOU
USE A SPRAY TAN, THERE ARE CHEMICALS IN SPRAY TANS THAT ALSO COULD BE DAMAGING TO
YOUR HEALTH. DR. GOLDSTEIN? I DON'T THINK SO, BECAUSE
THE SPRAY TANS ARE PRETTY MUCH A COLORED SUGAR AND BASICALLY WHEN THEY SPRAY IT
ON YOUR SKIN IT STAINS YOUR SKIN AND THAT'S WHY IT SLOUGHS OFF AS THE SKIN
SLOUGHS OVER THE NEXT SEVERAL DAYS AFTERWARDS. BUT IT CAN LOOK VERY NATURAL
AND CERTAINLY SO MUCH HEALTHIER THAN GETTING INTO AN INDOOR TANNING SALON OR
BOOTH. OKAY. WE'RE NOW GOING TO GO BACK TO
THE PHONES AND GO TO NANCY? OATH. NANCY, THANK YOU FOR BEING SO
PATIENT ON OUR PHONE LINES. YOUR QUESTION FOR OUR PANEL, PLEASE?
ALL RIGHT, WE'RE NOT GOING TO GO TO NANCY. HOW ABOUT MARGARET IN
OVERLAND PARK, ARE YOU WITH US, MARK RECEIPT? -- MARGARET?
WE'RE NOT GOING TO WORRY ABOUT THOSE RIGHT AT THIS MOMENT IN TIME.
WHAT ABOUT RACE AND SKIN CANCER? IS THERE A -- DO YOU SEE
PATIENTS WHO ARE HISPANICS AND AFRICAN-AMERICANS WHO ALSO HAVE SKIN CANCER?
AND HOW DOES THAT PLAY OUT. WE DO SEE SOME WHO ARE HISPANIC AND
AFRICAN-AMERICANS, BUT THE TRUTH IS THAT WE SEE MORE OF IT IN PATIENTS WHO HAVE
FAIRER SKIN AND BURN EASIER. THOSE PEOPLE WHO FRECKLE VERY QUICKLY, WHO BURN VERY
EASILY, ARE THE ONES MOST SUSCEPTIBLE IN GETTING SKIN CANCER.
ON DARKER PEOPLE IT WILL BE ON THE LIGHTER AREAS OF THE SKIN.
I AGREE WITH DR. GOLDSTEIN, WE DO SEE MELANOMA IN THE
AFRICAN-AMERICAN AND HISPANIC POPULATION. THE INCIDENCE IS LESS BUT THE
CHALLENGE IS THEY ARE OFTEN DIAGNOSED AT HIGHER STAGES AND THE TREATMENT IS MORE
CHALLENGING BECAUSE OF THAT. OKAY. WELL, NEXT ON OUR DOCUMENTARY
"MORE THAN SKIN DEEP"WE TRACK THE ISSUE OF RACE AND SKIN CANCER. AND YOU MAY BE
SURPRISED HOW MELANOMA CUTS ACROSS ETHNIC GROUPS. WHILE CHILDREN AND THE
FAIR-SKINNED MAY BE MOST AT RISK MELANOMA CAN TARGET ANY ETHNIC GROUP.
IN TERMS OF ASIAN AMERICANS, AFRICAN-AMERICANS AND LATINO AMERICANS,
MELANOMA IS MUCH LESS LIKELY, HOWEVER IT CAN BE MORE DEADLY BECAUSE IT'S ABLE TO BE
DEVELOPED IN MANY CASES UNDETECTED. MANY TIMES, THOSE ARE FURTHER
ALONG BECAUSE THEY'VE BEEN MISDIAGNOSED. LET'S TAKE BOB MARLEY, FOR
EXAMPLE, WHO GRACED THE WORLD WITH HIS MUSIC. HE IS AN AVID SOCCER PLAYER
IN JAMAICA, UP IN THE STATES, AND HE WAS ACTUALLY MISDIAGNOSED BY SOME OF THE
WEST INDIAN DOCTORS, THEY THOUGHT IT WAS A SOCCER BRUISE.
HE HAD A DARK STREAK UNDERNEATH HIS TOENAIL AND AFRICAN-AMERICANS AND ASIAN
AMERICANS IN PARTICULAR WILL GET MELANOMAS, WHERE YOU SEE THEM MORE UNDERNEATH THE
FINGER NAILS, THE TOENAILS. UNFORTUNATELY, BOB MARLEY, BY THE TIME THEY DIAGNOSED IT
UNDER HIS TOENAIL SPREAD TO HIS BRAIN AND LIVER AND HE DIED FROM METASTASIS.
MY NAME IS JACQUELINE SMITH. I WAS DIAGNOSED WITH MELANOMA
AT THE AGE OF 28. I HAD A LUMP IN MY BIKINI LINE ON THE RIGHT SIDE.
I WENT SO MY PRIMARY CARE PHYSICIAN AND I SAW HIS PHYSICIAN ASSISTANT INITIALLY
AND SHE TOLD ME THAT IT WAS PROBABLY FROM SOME SORT OF INFECTION AND GAVE ME
ANTIBIOTICS. I ALSO SAW THE NURSE PRACTITIONER THERE AND SHE
GAVE ME MORE ANTIBIOTIC, AND THEN WHEN I WENT TO SCHOOL, I SAW A DOCTOR, A PHYSICIAN,
AND SHE GAVE ME MORE ANTIBIOTIC, AND SHE'S THE ONE WHO TOLD ME IF IT DOESN'T
BOTHER ME, DON'T BOTHER IT. SO I DIDN'T REALLY BELIEVE THAT THERE WAS NOTHING WRONG,
BUT SINCE I HAD HAD SO MANY MEDICAL PROFESSIONALS TELL ME THAT IT WAS NOTHING, I BEGAN
TO BELIEVE THAT. ś ś I WAS ALMOST INSTANTLY
DEVASTATED, BUT I WAS ALSO IN SHOCK, BECAUSE I DIDN'T HAVE A MOLE, AND IN SCHOOL, WE
LEARNED THAT YOU GET MELANOMAS FROM A MOLE, AND ATYPICAL BORDERS, AND IT
BLEEDS, SO I WAS CONFUSED BECAUSE THIS WAS SOMETHING THAT WAS INTERNAL.
THE FIRST SURGEON WANTED TO DO AN OPERATION, WHERE HE WANTED TO TAKE OUT ALL OF MY
JORGANS, AND -- OR BEGANS AND HE WANTED TO -- ORGANS AND I WAS NERVOUS BECAUSE HE SAID
WHERE HE CUT ME WASN'T WHERE THIS LUMP WAS, SO I DIDN'T UNDERSTAND HOW HE WAS GOING
TO HELP ME. OUT OF THE 16 MONTHS, I HAD MELANOMA IN FIVE, SO
FOLLOWING THAT, I WAS TOLD I WOULD NEED TO HAVE INTERFURON THERAPY, AS WELL AS RADIATION
IT'S BEEN A YEAR AND TWO MONTHS SINCE I WAS DIAGNOSED WITH STAGE THREE MELANOMA.
I HAD MY PET SCAN AND IT CAME BACK COMPLETELY CLEAR. SO THAT MEANS THAT IT DID NOT
DETECT ANY CANCER CELLS, ANYWHERE WITHIN MY BODY. MY NUMBER ONE PIECE OF ADVICE
FOR EVERYONE IS IF THERE'S SOMETHING THAT YOU THINK IS WRONG AND EVEN THE DOCTORS
DON'T THINK IT'S AN ABNORMALITY, TO JUST BE DILIGENT, HARASS THEM IF YOU
MUST. THAT HAS BECOME ONE OF THE THINGS THAT -- THAT'S ONE OF
MY TRAITS THAT I'M NOW PROUD OF, THAT I HAVE NO SHAME, I WILL KEEP SENDING E-MAILS, I
WILL KEEP MAKING APPOINTMENTS, BECAUSE IF I DIDN'T DO THAT, THEN I MIGHT
NOT BE HERE, AND THAT'S ONLY BECAUSE I FOLLOWED MY OWN HEART.
ś ś KELLY KLOVER, YOU HAVE TO
BE EMPOWERED ABOUT YOUR OWN HEALTH CARE. YES.
WE NEED TO BE OUR OWN BEST ADVOCATES. WE NEED TO GET IN AND BE SEEN
AND, YOU KNOW, IF -- I JUST FELT LIKE IF THIS CAN HAPPEN TO US, I MEAN, IT CAN HAPPEN
TO ANYONE. AND THAT'S WHY, YOU KNOW, IN THE FALL OF 2011, WE CREATED
THE OUTPACING MELANOMA FOUNDATION, AND TO HONOR MY HUSBAND'S MEMORY AND TO BRING
AWARENESS TO THIS CANCER THAT IS BOTH MISUNDERSTOOD AND UNDERESTIMATED.
ABSOLUTELY. WE HAVE A LOT OF PEOPLE STILL ON THE LINE.
MARGARET FROM PRAIRIE VILLAGE, THANK YOU FOR YOUR PATIENCE, WHAT'S YOUR
QUESTION FOR THE PANEL MARGARET? GREAT SHOW.
THANK YOU. MY QUESTION IS IF YOU DEVELOP A SKIN MELANOMA IN AN
ODD PLACE LIKE THE TOE OR SOMETHING, IT'S NOT A HIGH SUN AREA, DOES THAT MEAN THAT
YOU WERE EXPOSED TO THE SUN AT THAT LOCATION, OR COULD YOU HAVE BEEN EXPOSED
ANYWHERE ON YOUR BODY AND IT SHOWED UP AT THAT LOCATION? DO YOU HAVE AN ANSWER TO
THAT? THAT'S A VERY GOOD QUESTION, MARGARET.
WHAT I WOULD TELL YOU IS THAT NOT ALL MELANOMAS OCCUR IN SUN-EXPOSED AREAS, THAT THEY
CAN OCCUR ON ANY LOCATION IN THE BODY, SO WE ALL NEED TO BE VIGILANT FOR ANY TYPE OF
PIG MENTED LESION THAT TOPS UP THAT LOOKS ATYPICAL. HOW CAN THAT BE,
DR. DOOLITTLE? YOU WOULD EXPECT, IF THIS IS A SUN-RELATED CONDITION, THAT
IT WOULD SHOW UP THERE. AND NICK, THE ONLY THING I CAN TELL YOU IS WE DON'T HAVE
A FULL UNDERSTANDING OF THAT PIECE. WE DO KNOW THAT MOST
MELANOMAS ARE FROM THE SKIN, 85 PERCENT OF THE TIME, 15 PERCENT OF THE TIME, THEY
ARE INTERNAL, AND WE DON'T HAVE A FULL UNDERSTANDING. YEAH, AND WE JUST HEARD
FROM THE PATIENT A FEW MOMENTS AGO, THE GIRL SAYING THEY WERE PROBING IN PARTS OF
HER BODY THAT HAD NOTHING TO DO, NO PART OF THE BODY THAT SHE FELT WAS AFFECTED.
DAVID IN SOUTH KANSAS CITY IS ON THE LINE. DAVID, THANK YOU FOR YOUR
PATIENCE. WHAT'S YOUR QUESTION? WELL, I'M 79 YEARS OLD,
AND I GREW UP IN PLATTE COUNTY, AND I DID FARM LABOR AS A YOUNG KID, AND I HAVE
BEEN IN THE HOSPITAL WITH SUNBURN, AND I'VE HAD A BASAL CELL CARCINOMA TAKEN OFF OF
MY CHEEK ABOUT THREE YEARS AGO AND I GO TO THE V.A. AND THEY CHECKNY TWO, THREE TIMES
-- CHECK ME TWO, THREE TIMES A YEAR, PRETTY WELL FROM HEAD TO TOE.
I WAS WONDERING, I HAVEN'T HAD A CARCINOMA, IF I AM STILL SUBJECT TO MAYBE THE
POSSIBILITY OR THE POSSIBILITY HAS DIMINISHED THROUGH THE YEARS.
GOOD QUESTION. AND THE ANSWER TO THAT IS WHAT?
WELL, I WOULD SAY YOU CAN DEVELOP SKIN CANCER AT ANY AGE, BUT ONCE YOU'VE HAD ONE
SKIN CANCER, YOU'RE AT A HIGHER RISK OF DEVELOPING ANOTHER.
USUALLY 30 PERCENT OF PATIENTS WHO DEVELOP ONE SKIN CANCER GET ANOTHER ONE WITHIN
A YEAR AND BECAUSE IT'S ALL CUMULATIVE SUN EXPOSURE. WATCHING THIS PROGRAM,
I'VE NOT BEEN TO A DERMATOLOGIST, AND I'M GOING TO GO TO THE DERMATOLOGIST
OFFICE AND I CAN GET CHECKED, AND THEN I CAN PAT MYSELF ON THE BACK FOR A JOB WELL DONE,
BUT I HAVE TO COME BACK, RIGHT? HOW OFTEN ARE YOU SUPPOSED TO
GET CHECKED? KELLY? WELL, I THINK AT LEAST
EVERY ONE OR TWO YEARS. BUT I THINK IF YOU HAVE MORE MOLES ON YOUR BODY OR IF YOU
HAVE A HISTORY, LIKE, YOU KNOW, WHERE MY HUSBAND HAD MELANOMA, MY CHILDREN COULD
BE AT HIGHER RISK. YES, OKAY. AND SO YOU WANT TO TAKE
THOSE PRECAUTIONS AND MAYBE GET IN EVERY SIX MONTHS. IF I CAME TO YOUR OFFICE
RIGHT NOW AND I -- AND HOW OFTEN WOULD YOU EXPECT ME TO COME BACK AND SEE YOU,
DR. GOLDSTEIN? DEPENDING UPON WHAT WE WOULD FIND, IF WE DIDN'T SEE
ANYTHING SUSPICIOUS, WE MAY TELL YOU TO COME BACK IN ONE OR TWO YEARS.
IF WE FOUND A NUMBER OF LESIONS THAT WE THOUGHT WERE CONCERNING WE'D PROBABLY HAVE
YOU COME BACK AT LEAST TWICE A YEAR OR MORE OFTEN DEPENDING UPON WHAT WE FIND.
WE GO TO BILL IN LENEXA, THANK YOU FOR BEING ON THE LINE, YOUR QUESTION, PLEASE.
I'VE HAD MOLE SURGERY BUT I WAS TOLD ALSO THAT EVEN THOUGH YOU MAY BE AT THE
BEACH AND UNDER AN UMBRELLA, THAT YOU STILL CAN RECEIVE DAMAGE FROM RAYS THAT ARE
REFLECTED BY THE SAND. IS THAT TRUE? IS THAT SERIOUS?
I'LL HANG UP AND LISTEN FOR YOUR ANSWER. IS THAT TRUE,
DR. DOOLITTLE? THAT IS TRUE AND ALSO REFLECTION FROM THE WATER, IF
YOU ARE OUT BOATING. AND THAT'S WHY IT'S JUST SO IMPORTANT, AGAIN, THE
MESSAGE, SUN BLOCK, SUN PROTECTIVE CLOTHING, TRY TO AVOID THE SUN DURING PEAK
HOURS. OKAY. WE GO NEXT TO BLAZE IN KANSAS
CITY, BLAZE, YOUR QUESTION PLEASE. YES.
I HAVE DEALT WITH THIS DISORDER FOR A NUMBER OF YEARS AND I WAS WONDERING, IF
I USE A LIGHT IN MY HOME THAT'S THE SAME AS A SUNLIGHT, DOES THAT ALSO GIVE
ME SOME RISK FOR EXPOSURE AND DEVELOPING CARCINOMAS OR MELANOMA?
GOOD QUESTION. WOULD IT BE THE SAME AS SUNLIGHT?
THE QUESTION WAS WHETHER OR NOT INDOOR LIGHTS ARE SIMILAR TO THE SUN.
THEY CAN BE, DEPENDING UPON THE TYPE OF BULBS YOU ARE USING.
OKAY. WELL, THAT IS ALL WE HAVE TIME FOR THERE.
ANY FINAL COMMENTS, AND FINAL REMINDERS FOR OUR VIEWERS, DR. DOOLITTLE?
DON'T DELAY, GET CHECKED TODAY. DR. GOLDSTEIN.
EXAMINE YOUR BIRTHDAY SUIT ON YOUR BIRTHDAY. GET IN EVERY YEAR AND HAVE
YOUR SKIN LOOKED AT. I DON'T KNOW WHERE TO LOOK!
OKAY, KELLY KLOVER? I JUST WANT PEOPLE TO KNOW THAT MELANOMA NEEDS TO BE
TAKEN SERIOUSLY. TOO MANY PEOPLE THINK THAT OH, IT CAN BE CURED.
THEY TAKE THAT RISK. THEY GO TO, YOU KNOW, GET THAT TAN, AND IT'S JUST --
THERE'S NO GUARANTEE. THIS 44-YEAR-OLD PALED SKIN MAN FROM BRITAIN
PROMISES TO GO TO THE DERMATOLOGIST FOR THE VERY FIRST TIME.
FOR OUR THANKS TO OUR GUESTS, DR. GARY DOOLITTLE WHO SPECIALIZES IN MELANOMA AND
SECOND OPINIONS IN CANCER AT THE UNIVERSITY OF KANSAS CANCER CENTER, DERMATOLOGIST
GLENN GOLDSTEIN, DIRECTOR OF THE DERMATOLOGY AND SKIN CANCER CENTER IN LEAWOOD, AND
KELLY KLOVER, CO-FOUNDER AND PRESIDENT OF THE OUTPACING MELANOMA FOUNDATION.
YOU CAN CONTINUE TO CALL OUR DERMATOLOGISTS AT THE KCPT PHONEBANK. THEY WILL STAY
HERE FOR A WHILE LONGER SO THEY CAN MAKE SURE YOUR QUESTION IS ANSWERED.
OUR THANKS TO Z- FILM PRODUCERS OF "MORE THAN SKIN DEEP." LEARN MORE AT
MORETHANSKINDEEP.ORG. WE'VE PULLED TOGETHER A LOT OF RESOURCES ON HOW TO
PREVENT AND DIAGNOSE SKIN CANCER ALONG WITH OUR RESOURCES MENTIONED IN THIS
PROGRAM. CHECK THEM OUT FOR YOURSELF AT THE LOCAL SHOW.ORG.
I'M NICK HAINES, FROM ALL OF US HERE AT KCPT, GOODNIGHT. CAPTIONING PROVIDED BY
CAPTION ASSOCIATES, LLC WWW.CAPTIONASSOCIATES.COM