Wednesday, October 15, 2014

The Staging Debate: An Analogy

Note: This post is not intended to reflect my views on gun control or gun owner rights…it is to merely serve as an analogy to make my point.

A gun was pointed right at you.  The eyes of the gunman were wild and stared into your soul.  You glanced at the gun and saw his trigger finger curl.  Then there was the deafening sound.  There was no way you could completely dodge the bullet. 

There are a few scenarios that could have played out from this scene.  Let’s count them down from worst to best.

4. The bullet inflicted a severe wound and you had an 85% chance of dying.  The internal damage was extensive and you likely suffered a painful death.

3. The bullet inflicted significant damage to a major organ and you were in intensive care and watched closely.  You still had a 60% chance of dying.  If you didn’t die, the recovery process was slow, painful and expensive. 

2. The bullet hit no vital organs but you were still hurt quite significantly.  You may have gone through rehabilitation and suffered permanent scarring.  Chances are that you lived, but you may have limitations later in life…not only physical, but mental and emotional.  The image of your experience will never go away.

1. The bullet hit your arm or leg, but didn’t cause major damage.  You required some minor surgery and ended up with scarring, but there was no danger at loss of life.  You will, however remain emotionally scarred.

0. The bullet barely grazed you.  You had no physical evidence of being hurt except for maybe a scratch, but you may wake up from your sleep with nightmares of your experience.

Of these five results, would you claim that any is not a victim of an armed assault?  My guess is no.  Whether you died or you were barely touched by the bullet, the morning headline would still most likely read, “One Person Shot.”  You would indeed be a victim.

So why is it that someone with Stage IV melanoma (who has only a 15% chance of surviving) is deemed as a melanoma warrior or survivor, but those diagnosed Stage 0 or Stage I are told they can’t be considered the same?

Sure, the higher stage diagnosis involves a LOT more heartache, pain, treatment and money spent.  No one would ever dispute that a Stage 4 warrior suffers far more than a Stage I patient.  But anyone…ANYONE…who is told “you have cancer” has seen that gun barrel pointed right at their chest.  They’ve seen the wild eyes of a killer face-to-face.  They’ve realized that they have a very real chance of something going very bad.  Perhaps hearing those words…”you have cancer”…is what defines a warrior.  It’s what defines a survivor.


There is one difference between the analogy comparing an armed assault victim to a melanoma patient.  The gun victim may never have to experience such an encounter again.  The melanoma warrior has a 1 in 3 chance of the melanoma coming back.  And in the case of my low-stage diagnosed brother, it came back to kill him 6 years later.

Wednesday, October 1, 2014

Pennies and a Tutu

Please accept my apologies for my absence from blogging.  Work is always a challenge, plus I went on a vacation, celebrated an anniversary, and enjoyed the height of softball season for my daughter (my first as a sport parent).  Oh, and there was this little thing called the 4th AnnualAmanda Wall – Corey Haddon Memorial Walk…also known as the Miles for Melanoma – Raleigh Walk.  (Whew…that’s a long name!)

This is the third year that I’ve been associated with this walk and it’s greatly rewarding every time.  Admittedly, those that founded this walk do a lot more than I, but I still try to pitch in when I can.  For me personally, this was the most successful walk yet!  Here’s why:

Over $22,000 raised!  This is lower than our goal, but considering that the committee cut back on some raffle items, we did pretty damn good!

One of our top fund-raising (nearly $3000) and entertaining teams...The Sun Block-ade 


Blue Lizard!  The awesome sunscreen company became a corporate partner with the walk this year and made their presence known with some samples at the walk.  It was nice to know that Blue Lizard is now available locally at Harris Teeter supermarkets (although…pssst…it’s cheaper to order online).

Blue Lizard...Corporate Sponsor!


Skin screening!  For the first time, we had a dermatologist (from Sanford Dermatology) performing free skin screenings.  The doc pointed out two spots that should be looked at more closely.  I have my annual appointment in about a month, so you can bet that my dermatologist will be made aware of these spots!




Family and friend support!  While I would promote the walk at my workplace in previous years, there seemed to be a greater interest this year.  This was partly due to the Amanda-Corey group’s presence at my company’s health fair in August.  Also, I decided to be a bit more aggressive in urging people to attend or donate.  And they did!  Plus, my family joined me at the walk for the first time.  There had always been some conflict in the past, but this year I got to have my wife and two kids walk along side…even though they seemed a little wary of my attire.

Co-workers Phung and Marcie, Marcie's kids Max and Connor, Me, my kids and my wife Kim  (missing from photo are co-worker spouse Jon Bailey and son Joshua)


Pennies!  I decided to start a campaign called #CARRYMYPENNY in which I would carry a penny for every dollar donated.  While my unofficial total was $860, I went ahead a carried an even 1,000 pennies just in case I missed a few.  That’s 6 ¼ pounds worth of pennies.  Admittedly, that’s not a lot, but I can tell you that it feels quite a bit heavier after 3 miles of walking.  Although as you can see in the next photo, I had a bit of help from one of my co-worker’s sons.

Connor toting my pennies!


Tutu!  I was very proud to wear the black tutu as the East Coast Division of Men in Black.  There was talk among the Amanda-Corey group that perhaps others would don the tutus next year for certain donation amounts.  I know this method works…I had a rush of donations once I announced I’d wear the tutu after I hit the $500 mark.  Perhaps next year I’ll offer other humiliating incentives for higher amounts.  I need to ponder that for a while.

Man in Black...East Coast Division


My friends at the Amanda-Corey Walk deserve a nice long rest and a celebration dinner.  I know they’ll start planning again in a couple months, and I have no doubt that next year’s event will be spectacular!

Monday, September 1, 2014

Labor Day...No Time to Put Away the Sunscreen!

It’s Labor Day.  Summer is unofficially over.  If you or your kids aren’t back in school already, they’ll more than likely start very soon.  It’s time to put away the beach towel, the boogie boards and the sunscreen, right?

Wrong!  Okay…the beach towel and boogie board can get stowed away, but that sunscreen needs to remain in your medicine cabinet or bathroom counter!  Even though the hot summer sun won’t be shining so high in the sky, it still emits those UV rays that damage your skin.

Many people associate heat with sun exposure.  If it’s not hot, the sun can’t be causing any harm…right?  The truth is sun exposure can be damaging even in the cold winter months.  While UVB rays, which cause burning, are weaker in the mornings and afternoons as well as the non-summer months, UVA rays are at their full intensity.  Yep…UVA rays are as strong in mid-winter as mid-summer, from sun-up to sun down.

UVA rays are more commonly associated with aging and wrinkling.  They also penetrate the skin more deeply than UVB rays (thus not associated with burning as much).  This deeper penetration causes significant and irreversible damage to your skin that may not be noticed for months or years down the road.  It’s important to protect yourself year round!

How?  Use sunscreen, but be well aware of what your sunscreen protects.  The SPF rating of a sunscreen indicates its ability to protect against UVB rays.  The SPF rating has no bearing on how well you’re protected against UVA rays!  It’s important to use a sunscreen that is “broad spectrum” or offers UVA/UVB protection.  Otherwise, you may not be protected from UVA rays at all!

Even if you have the right sunscreen, it doesn’t offer all the protection you need.  That low autumn or winter sun plays havoc on your eyes, especially when driving.  Most likely you’ll be wearing sunglasses, but again, it’s important to wear the right type.  Did you know that 70% of UVA rays penetrate glass?  Yes…even eye glasses and car window glass.  Don’t simply by glasses with a darker tint.  It’s important to select sunglasses rated with 100% UV protection…these will deflect the UVA rays as well as UVB rays.

As the air gets cooler, you’ll most like wear longer sleeves and slacks.  This should provide good sun protection, but don’t forget your exposed neck, face, ears and hands.  Apply sunscreen as mentioned before, but also wear a hat.  A wide-brimmed hat is preferred over a ball cap in order to protect your neck and ears.


I hope this past summer created great memories while you protected yourself against the sun.  But please don’t forget that sun protection is a year-round event.  Stay sun safe!

Saturday, August 9, 2014

Kings Island Kicks Cancer


When I was a kid growing up in St. Albans, West Virginia (near Charleston), one of the best day-cations we would take every year was a trip to King’s Island just north of Cincinnati, Ohio.  My parents would wake my brother and me up well before sunrise and we’d hop in the car for the 3 ½ to 4 hour drive to Mason, Ohio…usually stopping for breakfast at the original Bob Evans farm near Gallipolis, Ohio.  Spotting the 333 feet Eiffel Tower from Interstate 71 set our hearts racing and we knew we’d soon be stopping in the Penelope Pitstop section of the massive parking lot and riding the shuttle to the main gate.  Carousels, rides, shows…this place had it all.  As little kids, we’d hold our parents’ hands and drag them to each attraction.  As teenagers, we’d venture out on our own and seek every thrill ride, and perhaps a cute girl we’d never meet again.  But the highlight of the day back then was challenging the longest wooden roller coaster in the world…”The Beast!”  Whipping through the woods at 65 MPH caused us to scream in delight and terror all at once.  It was the best.

It’s been years…no, decades since I’ve been to Kings Island, but the memories I have are still some of the best ever.  So it was with great interest and pride that I saw where the amusement park had launched a program called “Kings Island Kicks Cancer.”  From July 25 through August 24, park guests can purchase a soccer ball for $5 to kick into the park’s massive fountain.  


Each ball is an entry to win a 201 Honda Fit, plus net proceeds benefit three cancer charities: TheDragonfly Foundation, Pink Ribbon Girls, and Melanoma Know More!

Today, August 9, 2014, Kings Island and Melanoma Know More teamed up to organize a world record-setting event.  2,148 people applied sunscreen at one place at the same time!  


This beat the previous world record of 1,822 set in May by Ann’s Hope Foundation, another great organization raising funds for melanoma research and education.

Ever since melanoma entered my life after my brother’s diagnosis and eventual death, I have heard melanoma referred to as “The Beast.”  Every time I’ve heard those words, I was reminded of the good times at Kings Island, tackling a different Beast.  Today, these two parts of my life merged in a beautiful way…one beast fighting another.


Events like this are a fun way to educate people about melanoma, to encourage sun safety, and to answer the Surgeon General’s Call to Action against skin cancer.  Thank you Kings Island…and thank you friends at Melanoma Know More.

Friday, August 8, 2014

Psoriasis and Tanning Beds

Credit: Rich McDonald
I ran across a headline during a general Google search stating, “Kim Kardashian At Ulta – Promotes Kardashian Sun Kissed.”  This was immediately next to another headline touting, “Kim Kardashian  Flaunts Cleavage in Tight Pink Dress.”  The second headline itself was no more shocking to me than, “Scientists Determine that Water is Wet.”  However, the first headline grabbed my attention as I wanted to see whether or not Mrs. West was promoting “safe” tanning products or tanning enhancers.

When I clicked the link, there she was in her tight pink dress and plenty of cleavage.  In truth, all things Kardashian, or any name associated with tabloid headline pandering, simply turns me off.  To use an old cliché, I was reading this for the article.

Sure enough, Kim was appearing at a Los Angeles Ulta Beauty Store to promote the Kardashian Sun Kissed tanning line.  While her tanning product line does include self-tanning products, it also includes a “tanning extender” which is used after tanning to lengthen the life of one’s tan.  This didn't surprise me at all as I had little faith that any Kardashian would promote sun safety, despite having had episodes of skin cancer in the family.  While there was no surprise in the article, there was one major face-palm quote from Kim.

When I travel, the one thing that makes me feel alive whether or not I have makeup on is a tan, especially in my face. When you travel, you can’t just go lay out. I do like regular tanning because I have psoriasis, and the tanning beds are particularly good for that.

Tanning beds are good for that…that being good for the treatment of psoriasis?  I've heard that before.  I’ve addressed it before.  But I’ll address it again.

If you search the internet for “Psoriasis and tanning beds,” you’ll find a variety of information on both sides of the argument.  The fact is that Phototherapy is indeed a legitimate way to treat psoriasis.  Ultraviolet B rays (UVB) penetrates the skin and slows the growth of the affected cells.  Treatment is recommended to be administered on a set schedule by a medical professional, although there are home-based systems available by prescription only.  Sometimes, the UVB therapy is combined with a topical agent or other medication to make the treatments more efficient.  UVA rays are also used in other forms of light therapy, but only in conjunction with a medication psoralen which makes the skin more sensitive and much be monitored VERY closely.  All therapies described above, in fact are monitored closely by a health care specialist.  

So tanning beds should be a good alternative…right?  Wrong!  The majority of tanning beds emit primarily UVA rays which are mostly ineffective against psoriasis, unless combined with psoralen as mentioned above.  But again, this medication causes the skin to be much more light-sensitive and severe burning will occur.  There are tanning beds that emit UVB rays, but they are hardly regulated for intensity and not properly adjusted for specific treatment of psoriasis.

The National Psoriasis Foundation (NPF) has this to say about tanning beds:

Phototherapy (light therapy), performed under medical supervision is safe, effective, and cost-effective. The National Psoriasis Foundation does not support the use of indoor tanning beds as a substitute for phototherapy performed with a prescription and under the supervision of a physician. Only medical professionals should provide and advertise light therapy for the treatment of psoriasis.

The NPF goes on to say that the “spectra of light in tanning beds vary greatly and often include wavelengths of light that are carcinogenic and photo-damaging.” The NPF’s full statement on tanning beds can be found here.

There are plenty of accounts online from people that claim that tanning beds DID help with their psoriasis, and I don’t doubt that they believe that.  Many people don’t consider other influences that may have simultaneously impacted their improved condition.  Did they change their medication?  Were there other changes?  Or did their condition improve simply from the placebo effect?  I don’t often doubt that when something works, it works.  But at the same time, I feel it’s best to take the advice of medical professionals devoted to the treatment of this skin condition rather than trust the declaration of a tabloid celebrity.



Disclaimer reminder…I’m not a medical professional.  I’m just a guy that’s expressing his opinion based on what I've read in articles from various organizations and individuals representing various views related to melanoma and skin cancer.  My opinions are mine and I’m not paid by anyone to express them.  And trust me, I wish I were getting paid just to be me.  But then again, if I was, I’d probably be a Kardashian.

Wednesday, August 6, 2014

Pampering Ignorance

Groupon recently revealed the country’s most pampered cities, based upon total spending on the company’s pampering coupon deals.   These deals included haircuts and coloring, nails, facials, teeth whitening and, yes, tanning.  Overall, Green Bay, Wisconsin was ranked as the most pampered city, based mostly on their ranking in facials (#1) and hair care (#2).  No doubt, cheesehead hats combined with green and yellow face paint wrecks havoc on one’s face and hair.  White Plains, NY and Cleveland, OH were the next two on the list.

Groupon also listed each winning city by category.  The “winning” city for cashing in on the most tanning coupons is Shreveport, LA.  The Louisiana city will very likely lose that distinction soon as Louisiana has banned minors from tanning salons as of this past week (August 1).. 

Sadly, this bit of trivial news supports that tanning is still considered a pampering luxury…at least by Groupon.  One would hope that perhaps the recent Call to Action would encourage Groupon and other such services to refuse to offer coupons for tanning salons.  Based on the number of tanning discounts I found on a quick search, it’s highly unlikely. 

Perhaps the fight against artificial tanning will follow the same path as cigarettes.  It was 1965 when cigarette packages were required to contain the Surgeon General’s warning that tobacco use can be hazardous to your health.  In 1971, cigarette advertisements on television and radio were discontinued.  Smoking was banned on interstate busses and domestic airline flights of less than 6 hours in 1990.  Joe Camel and other advertising deemed aiming at minors was sent packing in 1995.  Nowadays, smoking is not allowed in many public places, including the old staple of smoke-filled rooms, the bar.  Even in tobacco-rich North Carolina, there are significant restrictions on smoking. 

People still smoke, but I would be willing to bet that nearly every one of them knows that it’s bad for them.  How often have you seen or heard a smoker state, “yeah, I know these things will kill me…” before lighting up?  How many times have smokers referred to cigarettes as cancer sticks?  Tobacco use is down, but it’s not out, and I doubt we can ever expect it to be.  We need to have the same expectations for tanning.

If the current trend continues and the Surgeon General’s warnings are heeded, tanning will be banned for minors across the country within the next few years.  It’s not a matter of if, but when.  Yet, people will tan.  I’m hoping the difference then versus now will be a lack of ignorance.  I would guess that most tanners today are ignorant.  Yes, many are stupid and stubborn, but some are just plain ignorant because they simply don’t realize that tanning dangerous for one’s health.

The FDA now requires that tanning beds contain a warning that such devices should not be used by individuals under 18.  I would like to see required signs at the front door of each establishment that offers UV tanning that states the same thing.  Or better yet, the sign should state that UV tanning is hazardous to one’s health and have a nice photo of a severe skin cancer excision.  From that point forward, tanners of the future will no longer be ignorant because they would be reminded every time they walked through the door.  They will be idiots, but they will not be ignorant.


The battle against tanning is one fight within a huge war against melanoma, but it’s our most public and controversial battle.  Our mission is to eradicate the disease, but one of our more subtle goals should be not just to increase melanoma awareness, but to eliminate melanoma ignorance among those who wish to continue tanning.  Getting skin cancer of any type is not a form of pampering.   

Wednesday, July 30, 2014

A Call to Action


What exactly is a “Call to Action?”  In the sales world, a Call to Action (or CTA…sales people have to use acronyms) is a word or phrase that urges others to take immediate action, as in “Write now!” “Call now!” or “Click Here!”  It’s the punch line after the sale pitch.

I use CTA phrases all the time in my blogs.  “Wear sunscreen!”  “Get checked!  “Be sun safe!”  Of course, my calls to action do not necessarily result in a prize or reward, but they do attempt to inspire some type of action on the reader’s part with regard to melanoma awareness and sun safety.

The Surgeon General issued a Call to Action today.  His website states that a call to action is “a science-based document to stimulate action nationwide to solve a major public health problem.”  When the Surgeon General issues a CTA, it’s serious.  This is only the 10thth CTA that the Surgeon General’s office has issued in the 21st century!  Previous calls to action include preventing suicide, obesity and underage drinking and supporting breast feeding.

Today’s Call to Action is to Prevent Skin Cancer.  I know you’ve read about it.  Its big news in melanoma nation and is being covered by all major news organizations.  (In case you missed it, here's the Executive Summary)  I was fortunate to learn last night about the web broadcast of the Surgeon General’s announcement this morning.  The atmosphere I witnessed was nothing short of electric and optimistic.  I’d never seen nor heard of Rear Admiral Boris Lushniak before, but he made quite an impression.  I expected the acting Surgeon General to be staunch and serious, but he was light-hearted, energetic, and passionate.  He’s the type of person you’d want to be your doctor (he’s a dermatologist).  He’s the type of person for whom you would take action.

All the statistics that I and other melanoma advocates have been spouting for years were presented.  But in this case, it was the Surgeon General conveying that melanoma is on the rise while other cancers are declining.  It was the Surgeon General stating that one person dies from melanoma every hour and 6,000 cases of melanoma a year are attributed to tanning beds.  It was the friggin’ Surgeon General who repeatedly stated that “tan skin is damaged skin.”  And while people have listened to the grass-roots efforts of bloggers and Facebookers, ears were definitely perked today.  News organizations acted like this was breaking news.  The true breaking news is that they are finally listening!

The Surgeon General’s office also had a conference call with “stakeholders” in the afternoon.  I admit that I snuck into this one on a “borrowed” pass.  When I called, I gave my name, and when asked for my “affiliation,” I stated that I am a skin cancer awareness blogger.  I thought for sure I’d be kindly told this was invitation only, but to my surprise, I was in for the listening.  There was no news different than the morning’s announcement, but it was just as exciting.  Rear Admiral Lushniak addressed that many were afraid that the Call to Action would get lost in the pile of hot news stories today.  Ebola virus.  The Gaza Strip.  Ukraine.  However, he was happy to report that his time between the morning’s announcement and the afternoon conference call was packed with requests and interviews.  “We are breaking news and people are hearing our call to action!”

Going back to the Call to Action…what does it mean for me and you?  It means we need to take action.  We have done our part by making people aware of melanoma.  While we should never stop that campaign, it’s now time to take action against melanoma.  Attend a fundraiser.  Write your government representative, whether national or your neighborhood home owner’s association and petition for more umbrellas at the pool.  Encourage the PTA to install shade structures on the playgrounds.  Ask the school board to reconsider their policy on sunscreen use for kids.  Demand local coupon flyers refuse to post tanning salon discounts.  Organize a church or civic event to buy sunscreen for financially-strapped families.  TEACH YOUR CHILDREN! 


Answer the Surgeon General’s Call to Action to Prevent Skin Cancer!