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dooce® - dooce.com

Adventures with Roberta

One night last week as Jon and I were changing clothes and getting ready for bed I noticed a small mole on his back that sent the arrow of my skin cancer radar so far into the red that it broke in half. My radar is perhaps more sensitive than most, and if you're new to this website I should explain that I've had five suspicious moles and discolorations removed from my body in the last few years, two of which turned out to be skin cancer (you can read about my experience here, here, here, and here). So you could say I get a little jumpy when I see the tiniest skin abnormality, and for the next twenty minutes I grilled him as if he were a suspect in a gruesome homicide: how long has he known about this mole? Has it recently changed colors? Was he planning to have it checked out or was he just going to take his chances and SUDDENLY MY CHILDREN HAVE NO FATHER?

Problem is there was no one there to play good cop, so it looked less like an episode of "Law and Order" and more like a cartoon where a maniacal hen who's been left in charge of an egg accidentally pecks it into a thousand tiny pieces.

Jon's suspicious mole

It could be absolutely nothing to worry about, but we've scheduled him an appointment with my dermatologist to be safe, and there's a part of me that wants to thank Jon's mole for reminding me that I'm due to self-treat another suspicious spot on my body, one I found on my forehead several months ago. It's tiny, not even half the size of the fingernail on my pinky, but because of its rough texture and unwillingness to go away I brought it up with my doctor who diagnosed it as a "precancer" known as actinic keratosis:

An actinic keratosis, also known as a solar keratosis, is a scaly or crusty growth (lesion). It most often appears on the bald scalp, face, ears, lips, backs of the hands and forearms, shoulders, neck or any other areas of the body frequently exposed to the sun... In the beginning, actinic keratoses are frequently so small that they are recognized by touch rather than sight. It feels as if you were running a finger over sandpaper.

If you have actinic keratoses, it indicates that you have sustained sun damage and could develop any kind of skin cancer – not just squamous cell carcinoma.

In keeping with the tradition of naming these suspicious invaders I've decided to call her Roberta. When she isn't busy disrupting the surface of my forehead she teaches salsa lessons at the local community center and routinely sleeps with her students.

Here's a picture of what she currently looks like when I haven't covered her up with make-up:

actinic keratosis

actinic keratosis

My doctor assures me that we've caught it early enough that I can successfully treat it at home with a medicine called Aldara, a topical ointment that I apply directly to the skin for a period of twelve weeks, and that I could even wait to start treatment if I was worried at all about its effects on the baby in utero. I've also put it off because of my vanity, because he said it would cause the spot in question to turn a reddish color that couldn't be concealed with make-up, and I just wanted to get through my book tour without having to keep coming up with creative answers to WHY DO YOU HAVE A HICKEY ON YOUR FOREHEAD?

I figure no one is going to notice the hickey on my forehead when my boobs are the size of nuclear warheads and leaking milk with the force of a fire hose.

I wanted to bring this up here for a few reasons:

One, The American Cancer Society recently became one of the sponsors of this website, and they asked me if I'd be willing to write about one of the ways in which cancer has affected my life.

Two, some of you have written to ask if I've found any more suspicious spots on my body. I think you could ask me that question every year from now until I die and the answer will always be yes. This is just what happens when you're as careless as I was in my teens and twenties about sun exposure, and as a result I will spend the rest of my life terrified that every skin irregularity could end up threatening my life.

And finally, maybe these details will be what finally urges someone to make an appointment with a dermatologist, maybe these images will turn up in some Google search and convince someone that they should take the discoloration on their forehead seriously. And so let me urge you, if you are at all unsettled about a strange place on your skin, please don't ignore it. And in the meantime put on some sunscreen, hug your kids, and call your mom.

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05.20.2009 Daily 346 comments
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  • 1. Claus D Jensen said:

    Thanks for sharing the story about Roberta!

    I think I have a couple of Roberto's myself!!

    Have a great day.. :-D

    Greetings,
    Claus D Jensen

    05.20.09 - 08:25 AM
  • 2. Jessie said:

    I'm glad you caught Roberta before she made herself a little too at home.
    And as someone with a strong family history of skin cancer, I thank you for reminding everyone how seriously this stuff should be taken.

    05.20.09 - 08:25 AM
  • 3. Kristan said:

    Tell Roberta you've already got too many women in the family and she needs to get the f#ck out! :P

    (Unrelated: your eyes look gorgeous in that shot.)

    05.20.09 - 08:25 AM
  • 4. Richelle said:

    I too am always on the lookout for new, strange marks on my body. Several years ago a noticed that a birthmark had changed colour and texture. I went to my doctor, and she referred me to another doctor. They removed my birthmark, and discovered that just below it, a little mole had grown that was cancerous. Because I noticed the change almost immediately, they caught it before it could spread, but still terrifying to find when you're only 23!

    05.20.09 - 08:25 AM
  • 5. Calli Wilson said:

    Hear hear! I've done the same thing to my husband, but I also like to show him the inch long scars I have from my mole removals to emphasize the point.

    05.20.09 - 08:26 AM
  • 6. Brooke said:

    Great post Dooce! I am in my late-ish twenties and am now freaking out (okay, maybe not freaking out but am very paranoid) about skin cancer. I've never had an incident of skin cancer or suspicious moles but I curse my teenage and early twenties self for letting me sit out in the sun without sunscreen. Luckily(?), I live in Minnesota so the sun isn't as strong as other parts of the world and hopefully that ups my chances of not getting skin cancer.

    I now religiously apply sunscreen and encourage my friends to do the same. It's good to hear someone's personal experience on this matter and how much damage the sun can really do.

    05.20.09 - 08:26 AM
  • 7. typingelbow said:

    Way to be proactive, Heather! (Also, the spam code on this comment was "seasick mutuels." Awesome.)

    05.20.09 - 08:26 AM
  • 8. Matin said:

    Thank you for this post Heather. I've been studying precancerous lesions for my finals in the past couple of weeks and I am very paranoid at the moment!
    My husband is pale and has a few moles especially on his back so Im gonna check them tonight. I really hope Jon's mole is harmless and I hope you start treating Roberta before she kicks your ass:-)

    Lots of love
    M

    05.20.09 - 08:26 AM
  • 9. Jennifer said:

    Thanks for posting this. The Today Show just did a segment on skin cancer and how to prevent it. Just putting on sunscreen everyday makes a huge difference.

    05.20.09 - 08:27 AM
  • 10. Karrey said:

    Ugh, this reminds me that I need to get my moles checked out. There's one on my chest that scares me, and the prospect of skin cancer scares me even more.

    05.20.09 - 08:28 AM
  • 11. Sara Headington-Sass said:

    What a great reminder to all of us. Not everyone takes their skin seriously, but when skin cancer sneaks into your life, it can be devastating. Both my mother and father have had skin cancer so I am also a drill sargent when it comes to my family's auspicious spots! Thanks for sharing your story and your call to action! Sara

    05.20.09 - 08:30 AM
  • 12. Anne M said:

    I'm so glad to see you talking about skin cancer. I had Malignant Melanoma when I was 20 years old and I didn't really have a whole lot of sun exposure and a teen, just one or two bad burns. They caught it very early so I was blessed, but I do have a giant scar on my arm and I am starting to look like swiss cheese from the other moles they took of as a precaution. People don't realize how common it is, especially these days.

    05.20.09 - 08:31 AM
  • 13. Jennifer said:

    I'm glad you posted that--I had my annual full-body check yesterday morning. I had blistering burns on my shoulders when I was young, so I'm suceptible to skin cancer. I'm proud of myself for having used a daily sunscreen since I was about 26--it really is the best defense. When people like yourself who actually talk about doing something when you notice something, it can make a difference. Thanks.

    05.20.09 - 08:32 AM
  • 14. Jasmine said:

    Thank you for using the popularity of your website to raise awareness of issues like this! I'm 25 and have had 2 suspicious moles removed. I'm one of those people who burn in spite of sunblock use and always begging my friends to quit their horrid tanning bed habits. I guess I can only take care of myself with my dr. recommended yearly full-body skin checks.

    Anyhow, I hope others appreciate you putting this information out there and sharing your experiences with skin cancer.

    05.20.09 - 08:32 AM
  • 15. Kristen said:

    I was diagnosed with keratosis pilaris when I was 16, while it is not at all cancer it's still a pain in the ass. And my doctor keeps on telling me I will grow out of it, but it has been 8 years and I see no signs of it going away.

    And of all the topical treatments I've been prescribed and that I've tried, Avon's skin bump minimizer lotion works wonders. So tell your mother that if they ever discontinue that item, I may have to hurt someone.

    05.20.09 - 08:33 AM
  • 16. Lauren From Texas said:

    Yikes!!!! Time to go see the dermatologist! Thanks for writing about this so openly and honestly. I am a nazi with the sunscreen but must admit I love a good tan. I'll try to keep Roberta in mind this hot summer in Texas!

    05.20.09 - 08:35 AM
  • 17. Karen said:

    Excellent post. Also, anybody who has a family member with a history of skin cancer needs to wear sunscreen and be checked on a regular basis. My father had basal cell carcinoma and had 1/4th of his nose removed. It was a large nose, but still, 1/4th of a nose is noticeable. My mother had pre-melanoma, which was thankfully stopped in its tracks with a topical treatment.

    Needless to say, I and my son who is as lily-white as a piece of paper, we don't like the sun.

    05.20.09 - 08:36 AM
  • 18. Anne said:

    Thanks for writing about this and sharing your stories about cancer. Luckily (knock on wood) my family doesn't really have a history of cancer (I'm going to die by heart disease I'm sure). That doesn't mean I don't take the precautions when going out in the sun, however. Growing up I'd be called "Casper" since I'm so pale from taking care of my skin and making sure I didn't burn. You should have seen me when I got sun-burned last year. You can still see the bikini outline on my skin since I, again, never go in the sun.

    Thanks again for sharing this and making people aware of the topic. Warm fuzzies knowing how many people you're going to make check themselves and be aware of this. :)

    05.20.09 - 08:36 AM
  • 19. virgotex said:

    Yes. Good post.

    I've got a 26 yr old neice who's had more chunks than I can remember cut or burned off her skin, was getting regular "skin map" checkups, and STILL ended up with malignant melanoma and it was scary as f*cking hell but with surgery and treatment she beat it, at the age of 21.

    So yeah, keep up with the checks and don't take Roberta and her ilk for granted.

    05.20.09 - 08:36 AM
  • 20. repliderium.com said:

    When you start the conversation it's amazing how many people say "oh yeah... I had...."
    I had a weird boob lump removed in my twenties but it turned out to be nothing (and small enough to not render them totally uneven!)

    05.20.09 - 08:38 AM
  • 21. kalisa said:

    That tiny little discoloration?? How did you even SEE that? I have all sorts of discolorations on my face. But that's because I'm 42. I think old ladies like us call them "liver spots."

    05.20.09 - 08:39 AM
  • 22. mommaruthsays said:

    I was just wondering what kind of sun exposure you had as a kid/teen? I didn't know if you went to the beach repeatedly and didn't wear sunscreen or sun-bathed in the backyard without any protection covering your skin, or if this is just the result of prolonged daily exposure to the sun while you grew up in TN? I'm not that far from your homeplace and I've never thought the sun was so bad here it could mess me up like that.

    I really don't want any "Robertas" on my forehead later in life.

    05.20.09 - 08:39 AM
  • 23. Jo said:

    I just sent a link to this post to my husband. His family has a history of skin cancer, I'm 18 weeks pregnant, and he has a suspicious mole or two that I've been begging him for WEEKS to go get checked out. Unfortunately, he's very doctor-averse so it's a bit like pulling teeth without any painkillers. But I'm not ready to be a single parent, much less a single first-time parent. Dramatic? Yes. Effective guilt tripping? Hopefully.

    Hopefully your post will finally give him the kick in the ass he needs. Either that or my incessant nagging will finally wear on his last nerve.

    05.20.09 - 08:39 AM
  • 24. Dana N said:

    While I should be checking my Roberta's, Nancy's, Lisa's, Norma,'s, etc. (there are just way too many to count!)I do have to share that my dog, Mike, just had a tumor removed from his back right leg. I don't know how or why he got this but all of a sudden, there it was. And now he's limping around with a lamp shade on his head so that he won't lick the incision to death. Hopefully he is now cancer free! What does that say about me that I will take my dog in for emergency surgery but I keep putting off my own check up?

    05.20.09 - 08:39 AM
  • 25. dk said:

    How is it that John has no hair on his back?

    05.20.09 - 08:39 AM
  • 26. Anonymous said:

    I just read an article about Aldara in Family Circle (I think). The woman's spots got more than just a little red, so be prepared. But she did say it worked wonders and provided her with new, undamaged skin.

    05.20.09 - 08:40 AM
  • 27. dk said:

    Sorry, I do know how to spell Jon's name.

    05.20.09 - 08:41 AM
  • 28. Kristen said:

    Heather, I've had a weird-looking mole on my forearm for a long time now, and I just NOW called and made an appointment with a dermatologist to check it out. I think about it every now and then, have a day or two of certainty that I'm going to die because of it, but always rationalize my way out of getting it checked out. Thank you for lighting the fire under my ass.

    05.20.09 - 08:41 AM
  • 29. Liz C said:

    Your timing is amazing. Today we go back to the Large-Highly Regarded Medical Institution (can you say cluster-f*ck?) to find out how much they want to cut off the top of my boyfriend's head. This time. A year ago he had a wide area excision for melanoma on his scalp and we found another Nasty Spot about two weeks ago that came back melanoma too.

    I'm not happy.

    I have to go get checked too. I've felt a couple of baby Robertas on my person. When I was a kid we didn't have sunscreen (I'm old) and I have a feeling I'm going to pay for all those horrid sunburns I earned in the cornfields of Indiana at a youth.

    05.20.09 - 08:41 AM
  • 30. misstraceynolan said:

    Thank you Heather. I'm now getting Ralph, my friend on my forearm checked out.

    05.20.09 - 08:44 AM
  • 31. bianca said:

    I really appreciate this story Heather, as cancer is currently a big worry in my family, with my dad waiting to hear back on his bone cancer test.:(
    I actually have two suspicious spots Im thinking of getting checked. thanks for reminding me. I better get it done!:)
    Bianca
    ivoryandmoss.blogspot.com

    05.20.09 - 08:44 AM
  • 32. Rhi said:

    I've had to have several moles removed from my body - thank goodness none of them were cancerous. But, one was removed from my breast and I just have to say that any career I may have had as a topless model is now over. Sheesh.

    05.20.09 - 08:44 AM
  • 33. Chris said:

    We live in Utah and my husband has seen a couple of dermatologists here. He's had several basal cell carcinomas removed and a handful of squamous cells as well.

    RESEARCH Aldara before applying it to your head. My husband used it on a spot (much larger than yours, so he was using more of the medication) and endured unexpected side effects... mood swings, depression, mental stuff in general. We couldn't figure out what was happening. It's a long story, but we finally linked it to his use of Aldara. Many people use the drug with no side effects, but if you're prone to depression and anxiety... you might want to consider having your precancer (or future ones) removed via the burn or scrape method. A little scabby, but quick and definitely doesn't mess with brain chemistry.

    Just something to consider... Google Aldara side effects... really.

    05.20.09 - 08:44 AM
  • 34. Jessica said:

    Glad you are talking about this. I'm 25 and just has a 3" mass of my back removed ... Melanoma is a bitch!

    05.20.09 - 08:44 AM
  • 35. NaysWay said:

    I have a girlfriend with a few Robertas and the sun/skin cancer problem. I think she's up to SPF 60 now, and she goes in every six months to have something removed. I wish I could give her some of my melanin, then she wouldn't have to worry.

    05.20.09 - 08:47 AM
  • 36. bohica said:

    Time to have my husband checked out. He has a fingernail-sized spot on the back of his thigh that is exactly as you described: feels and looks like sand-paper and has been exposed to the sun (when he was a kid and spent all his time in the sun in California). He'll hate that I've found something new to obsess about. Oh well!

    05.20.09 - 08:49 AM
  • 37. Karen said:

    Ugh.

    Yes, I'm making an appointment soon.

    05.20.09 - 08:50 AM
  • 38. dooce said:

    # 22. mommaruthsays, we took family vacations to the beach every year, but I blame daily sun exposure. I never wore sunscreen, and I've been badly sunburned more than two or three dozen times. And then in high school I routinely visited a tanning bed. It's a miracle I haven't turned into one giant multiplying skin cell.

    05.20.09 - 08:50 AM
  • 39. Brenda said:

    I went to my primary doctor yesterday and got a referal for a dermatologist. I am going to have some moles checked and a very suspicious "thing" on my forhead checked out.

    05.20.09 - 08:53 AM
  • 40. Sarah @ BecomingSarah.com said:

    I'm glad you caught Roberta before she had a chance to become a little harder to evict. My mother had skin cancer when I was a kid and I cannot even begin to describe how much more careful I was with my skin as a result. I'm about the color of a ghost - maybe a little more white - but it's worth it to always be able to notice the small changes in moles and freckles and take them to the dermatologist before they become a bigger problem.

    Thank you so much for this post! I hope it encourages people to take a closer look at their body.

    05.20.09 - 08:54 AM
  • 41. Sonnet said:

    *Love*

    05.20.09 - 08:57 AM
  • 42. Roberta said:

    No, please don't call it Roberta. That's my name and I don't want to be associated with a precancerous mole!! ;)Also, I can't dance, and would never sleep with my students, if I had any.

    05.20.09 - 08:58 AM
  • 43. Angela said:

    I was careless in my teens and 20's too. I have my first dermatologist appt on June 1. I have several nasty looking moles. Thanks for always being so honest.

    05.20.09 - 08:58 AM
  • 44. Ellen said:

    I'm very anxious about spots, too. I never liked tanning (thankfully) but I know I still got too much sun as a kid. That reapplication business was the worst.

    I'm glad everyone posting is inspired or takes this as seriously as you.

    PEOPLE, GET IT CHECKED OUT IMMEDIATELY. Nag your family. My father-in-law died from melanoma entering the blood stream and riddling his body. It's rare but it happens.

    05.20.09 - 08:58 AM
  • 45. Labradoris said:

    Thanks for making this post, and also, being visible about your reasons for this post. :)

    I use Neutrogena's Ultra Sheer Dry-Touch Sunblock SPF 85 every single day, rain or shine. I'm 25, but I have the family history and the skin tone/hair color to indicate, with big flashing neon signs, SKIN CANCER RISK in the future.

    05.20.09 - 08:59 AM
  • 46. Karen said:

    Thanks for the information. I should take some steps my self just to check things out.
    And on the makeup issue with covering the red spots, have you tried Bare Escentuals? I am totally in love with it and have been for many years. Just thought I would pass that along to you.
    P.S. I purchased Diorshow after I saw it on your site and totally love it too. Thanks for the info.

    05.20.09 - 08:59 AM
  • 47. maggie said:

    OK, you have officially freaked me out. I am calling the doc today!!

    05.20.09 - 09:00 AM
  • 48. Mari said:

    Oh man, I know I am at risk: light colored eyes, fair skin, fried myself as a teen, etc. but I can't afford to do anything about it yet. Damn Utah sun! (shakes fist)

    05.20.09 - 09:01 AM
  • 49. Jenna said:

    I was told yesterday that since I brown up like jambalaya sausage WITH sunblock on that I should go to the tanning booth twice a week just because I can... And I live in Colorado, a permanent tanning booth.

    I then started a skin cancer shpiel that my mother would have been proud of. Thank goodness for that mother and her obsessive need to lather me in sunscreen. I'm going to go call her now. Thanks for the reminder.

    05.20.09 - 09:01 AM
  • 50. Rachel said:

    Calling my dermatologist today to find out when my last mole-check was. I too am a pale-faced one; one who spent the early 1980s lying outside slathered in baby oil and surrounded by a few aluminum foil reflectors to get as much UV out of that New Hampshire sun as possible. The stupidness of it is mind boggling. Thanks for the reminder and wishing you good news from the appointments.

    05.20.09 - 09:03 AM
  • 51. Jamie said:

    Hey! Thanks for the reminder, I ask my boyfriend weekly to get his 100 moles checked, please. I daily regret my hours lying in the sun and tanning beds.

    My grandma had skin cancer on her face and had to use a cream that left her looking like she had road rash for months. Thankfully it went away. SUNSCREEN is my new companion. Apply and re-apply!

    05.20.09 - 09:06 AM
  • 52. Fay said:

    I would like to add that it is important not only to go to the dermatologist to get any suspicious moles looked at, but to be very proactive about getting the mole biopsied. While there are several common features to skin cancers (the ABCDE rules), each one is different. I had a mole looked at by two dermatologists, both of whom said "Let's just keep an eye on it". If I hadn't insisted on getting it removed on my second visit, I may be dead by now. Malignant melanoma can be easy to treat in the early stages, but is very serious in the later stages.

    Never let your kids get sunburned and make sure you use a physical blocking agent in your sunscreen (zinc), not chemical blockers.

    05.20.09 - 09:07 AM
  • 53. SarahW said:

    And don't forget to check the bottoms of your feet! Weird, I know, but I had a flat mole removed from there.

    05.20.09 - 09:08 AM
  • 54. Layne Marie said:

    Hmm. My boyfriend has a mole on his back that looks very much like Jon's. I've been keeping an eye on it for a couple months and fear I've become the maniacal hen you describe. Apparently, he doesn't like it when I "interrogate" him. And he runs away when I say "Hey let me check out that mole again!" as I come after him with a ruler and magnifying glass.

    But now, NOW that boy is going to the dermatologist ASAP. We do live in South Florida, after all, and he's spent a large percentage of his life in the sun.

    It's probably nothing. But if a dermatologist confirms that, I'll have one less thing nagging at my paranoid mind.

    05.20.09 - 09:10 AM
  • 55. leesavee said:

    Thank you for reminding us to get ourselves checked. I need to make an appointment pronto, since I have my own Roberta (actually, I am planning to call her Bertha) on my cheek.

    05.20.09 - 09:11 AM
  • 56. Queen of Chaos said:

    Thanks for the reminder. I have moles that were pre-cancerous removed. I returned to the Dermatologist 2 years ago, had a full check and more removed that were benign. Doc said to keep a watch out but not to worry on the ones I have left.

    05.20.09 - 09:11 AM
  • 57. Alejandra said:

    thanks for the reminder... gotta go and call my dermatologist... got a "huge" (according to my vanity) on my back, and it had changed in it's form... so...
    again, thanks for sharing this!

    05.20.09 - 09:14 AM
  • 58. Katie said:

    After your last post about skin cancer, I went in and had my body checked. I was told that I am just one of those lucky girls that freckles alot and the one scary spot on me was actually a keloid scar that would just look worse if he tried to remove it. I then forced my hubby, who is more fair complected than I am (he has Irish, English, and Norse in his blood, I'm just German)to get checked out. Low and behold he has several "suspicious" spots that next year he's to have checked out again. It might seem a little over-kill, but since both his mom and my grandpa both have had melanoma spots removed from their faces, I'm just planning on my boys having parents until they're in their 60's!

    Aside, why the heck to some of us get the dang "mask of pregnancy" that doesn't leave after pregnancy!?!?!?! That's my biggest issue, I have spots of dark freckles and then I have spots that don't freckle or tan anymore either! I look like a frickin' Michael Jackson wanna-be! Sucks!

    05.20.09 - 09:15 AM
  • 59. Becky said:

    Thanks for this reminder. I just called my dermatologist about a red spot I've been trying to ignore. Also, this Friday is Don't Fry Day - a bunch of orgs interested in skin cancer prevention have united to put it on - good info on sun safety there http://www.skincancerprevention.org/Events/DontFryDay/tabid/113/Default....

    05.20.09 - 09:17 AM
  • 60. Anonymous said:

    John's mole is SCARY looking! He is lucky to have a wife who is so observant as to notice a very weird looking mole. Good job and i hope everything turns out ok. Please keep us updated.

    05.20.09 - 09:20 AM
  • 61. Annie said:

    Thank You for posting a good reminder to all. My husband has stage 4 melanoma, which started out as a small mole on his scalp. Yes, he was a child of the 50's with his little blond head buzzed down to a crew cut. We didn't see it till it was very far gone due his full head of hair now. Watch closely and get everything checked. Early detection is the key.

    05.20.09 - 09:22 AM
  • 62. Kari S said:

    Thanks for posting this and spreading the word. Im one of those lucky ones who have pale white skin and have to wear sunblock everyday. I had one mole removed and it came back negative but I am always checking my other moles that I have. Anyone runs a chance of skin cancer so its good that you are promoting self checks!

    05.20.09 - 09:24 AM
  • 63. danielle said:

    I had two moles removed from my neck a little over a month ago. I agreed to see the dermatologist partly because of your previous posts about Fred and friends.

    They were moles I'd had all my life, and I felt sad when they were gone, mainly because of how long it took me to accept them. But I'm glad they were taken away and pronounced benign when I was 25 (I've since turned 26) rather than stay on my neck, continue to change size and color, and then become malignant in who knows how many years.

    I still have moles that I have to watch and get checked, because I spent every summer outdoors in Florida until I was 21 and rarely applied sunscreen. And even idiotically tried to use suntan oil last year instead of sunscreen.

    But here's at least one person who listened to what you wrote.

    05.20.09 - 09:27 AM
  • 64. Vanessa Wilson said:

    It's so nice to see that I am not the only one who gets crazy about moles and makrs on the body. I sent my husband last year to get 6 moles removed off his back. Thankfully they were not cancer. I also had two removed back in January. Thanks for sharing!

    05.20.09 - 09:27 AM
  • 65. Andrea said:

    As a 25 year old who was diagnosed with malignant melanoma on my lower abdomen (precisely where a bikini hits) at the age of 23 (which was surgically treated. My fiance and I now refer to my nether regions as "Franken-Crotch") I applaud you for bringing up this topic. I was a relentless sun-bather. We're talking hitting the pool after a trip to the tanning salon, because the sun just doesn't rise early enough in the day.

    EVERYONE needs to be checked.

    05.20.09 - 09:30 AM
  • 66. Anonymous said:

    Yep, and MY dermatologist told me if a spot bothers me, she'll take it off. We don't ignore anything.

    I drive my kids nuts with the sunscreen.

    05.20.09 - 09:30 AM
  • 67. momtrolfreak said:

    Oh man, I get at least two things cut off every year, I feel your pain. I am SO white and SO Irish that really, I'm doomed to eventually have something come back cancerous. For now, though, I've got that effing keratosis pilaris BS, as well as something the derm calls Barnacles of Old Age. No shit.

    05.20.09 - 09:31 AM
  • 68. KTab said:

    Having never visited a dermatologist, can you go in, strip down, and have them go over your entire body with a fine toothed comb? And do you like your dr.? I'm in the SLC area and have been thinking of going in and your post today just reminded me. If you like him/her, and it doesn't freak you out to give a referral, could you email the drs name? Thanks, Heather!! Oh, and I agree that your eyes look awesome in that shot!

    05.20.09 - 09:32 AM
  • 69. Serial said:

    OK, so I only have a year and a half left of my 20s, does that mean I get to continue tanning recklessly for the next 36 months? Please say yes! I look so much hotter with a tan!

    But gah. You're right. I do have creepy suspicious moles all over the damn place ....

    Gah. Bah. Meh.

    05.20.09 - 09:36 AM
  • 70. Alison @ Cluck and Tweet said:

    Although I applaud the PSA (really...my husband's dad died of melanoma after spending a lot of time in the South Seas during WWII), I tend to be a bit of a hypochondriac. A bit meaning that I google all symptoms (mine, my children's, my friend's children's...which is how I found out that salty sweat is a symptom of Cystic Fybrosis and you should lick your child to rule that out). Last time I was sick I thought I had hip cancer. Turned out it was strep throat.

    05.20.09 - 09:38 AM
  • 71. Megan said:

    I read this post before going for a jog. As a result, I remembered to put on sunscreen before I went out. Thanks, Heather!

    05.20.09 - 09:40 AM
  • 72. Leslie said:

    Thank you Heather. I've had a spot on my face for over a year now that is unsettling and haven't had it looked at because I don't want to go through the hassle of finding a dermatologist. I will make an appointment now. I know it's something I needed to do but I was really procrastinating. I promise I'll go now.

    05.20.09 - 09:40 AM
  • 73. PamD said:

    My husband was treated for AK last summer. He had many more spots than you, and it was something that got worse over time. He used Carac (which, I believe, is similar to Aldara). I would be extremely careful with any of these drugs while pregnant or breastfeeding - think you mentioned that you were going to wait until after having the baby. These creams are basically "chemo in a tube". The drug will bring to the surface all the AK's that you can't see right now, as well as, treat what you can see. My DH's face got very raw and red, and he was very uncomfortable for a while. He took a few days out of work because of the discomfort, and he didn't want to scare anyone! He stuck with the treatment though because he didn't want to mess around with skin cancer, or have stuff burned/cut off his face when he's older (like his mother currently goes through). I can't remember the website right now, but before he started treatment he followed someone else's experience on some blog - including pictures. It wasn't pretty, but almost everyone that I read about was glad that they had done it - side effects and all. If I can find the link I'll submit another comment. Best to you and your DH.

    05.20.09 - 09:40 AM
  • 74. Candice said:

    I don't think I'll ever look at my friend Roberta the same way again.

    05.20.09 - 09:41 AM
  • 75. Twenty Four At Heart said:

    thank you for writing this. I'm a melanoma survivor (5years). I've lost my aunt and uncle to melanoma. (Most people don't know melanoma is not only caused by sun exposure, but also can appear in gentic "clusters") I've talked about it on my site before but I don't have nearly the reach you do. thank you.

    A very important message ...!

    05.20.09 - 09:43 AM
  • 76. Belly Girl said:

    I'm going to categorize back-mole-checking under "killing bugs" and "getting stuff from high shelves" with the reason to have a husband. How in the world would he ever have known about a back mole if you didn't see it? I don't blame you for making him go in to get it checked, that does look suspect. Scary!

    Have you ever gotten those pregnancy skin tags? I did a search for them after I read this post and they are SO WEIRD LOOKING, it makes your teensy tiny forehead mark look like nothing.

    05.20.09 - 09:44 AM
  • 77. Erika said:

    I come from a long line of practically transparent people for whom sunscreen was invented. Thanks for bringing more attention and a pre-summer reminder about such an important and easily prevented disease.

    erika

    05.20.09 - 09:45 AM
  • 78. dooce said:

    #68. KTab, yes you can just go in and have them look over your entire body for anything suspicious. I would actually recommend everyone do this. I visit the University of Utah hospital (just Google the dermatology department), but since it is a teaching hospital you have to be comfortable with students looking at your naked bum. And know that they will giggle about it later.

    05.20.09 - 09:49 AM
  • 79. Michelle vs the Med Student said:

    Aldara? Heck, all the docs I've know just freeze AK's off, like with the freeze spray they use on warts. B/c thats what Aldara is, a wart treatment with other applications. But family practice docs tend to lean towards saving the patient some money. One spray? free vs. cream? $150 ... But I suppose you get $150 worth of peace of mind.

    05.20.09 - 09:50 AM
  • 80. Jamie said:

    Cool new sponsor. I've been trying to talk my husband into getting a funky mole on his shoulder checked out for years, maybe he'll listen to YOU.

    05.20.09 - 09:51 AM
  • 81. Vee said:

    Thank you so much for this, I am Hispanic, and for some reason my people think skin cancer will never touch their lives which is beyond stupid. Made even more stupid by the fact that we’re light skinned. I wear sunscreen all the time, but my boyfriend and sister brush off my suggestions for them to put it on. I’m forwarding this to both of those jack*sses right now.

    BTW-Good luck with your delivery! You’re glowing and beautiful.

    05.20.09 - 09:51 AM
  • 82. mrs.notouching said:

    I have my appointment next Thursday. Thank you.

    05.20.09 - 09:52 AM
  • 83. Lynn @ human, being said:

    Heather, as an 8-year survivor of malignant melanoma, thanks for bringing this topic up to your readers attention.

    I'm also the PR director for an NCI Comprehensive Cancer Center, and we recently had a free public skin screening. We had 148 people come through for cursory (read "not-naked") skin checks, and of those people 4 had basal cell carcinomas and 2 had melanomas.

    Most people think that skin cancer is no big deal. The truth is skin cancer is no big deal IF it's caught early. A melanoma that's just 1.5 milimeters thick can kill you. My melanoma was 3 mm thick. I am alive today (as is my daughter, because I was 22 wks pregnant when I was diagnosed) by the grace of god.

    Melanoma is one of the few cancer types that not only has NO CURE once it has metastasized, but has no effective treatment other than surgery. If you get melanoma and it is in your lymph nodes, that's bad news. Your only hope is highly experimental treatments(read not-FDA-approved because it only works in about 15% of people and it almost kills you in the process). I'm 8 years out and I still have a 50% chance of dying from melanoma in my lifetime. And I'm 39 years old.

    The only way to protect against skin cancer is to keep your skin out of the sun. The jury is still out about whether sunscreen use protects very much at all. Because even though sunscreen use is going up, so is the incidence of melanoma in the US among young women.

    From the NCI Cancer Bulletin, July 22, 2008:

    "The annual incidence of invasive cutaneous melanoma, the deadliest form of skin cancer, increased among Caucasian women in the United States aged 15 to 39 by 50 percent between 1980 and 2004."

    Your risk for any type of skin cancer, but specifically melanoma goes up exponentially if you:

    * have light colored eyes
    * have red hair
    * have pale skin
    * have a first or second-degree relative who has had a melanoma

    Our motto around here is if you have skin and it's been in the sun, get it checked by a dermatologist. Even my 8-year-old daughter gets skin checks every year.

    The most important thing to watch for is moles that change in any way: get crusty, get bigger, get darker, lose their border.

    You can also take digital photos of your moles every quarter or so to note changes, because they may happen slowly. Or quickly, as mine did. Bring the photos with you to your annual skin check if your dermatologist doesn't take photos like mine does.

    So if you feel something weird is going on on your skin, don't delay. It's better to have a microscopic scar on your calf, or your face, or your forearm and have had the lesion be benign then to be dead.

    This is my soapbox. At least I'm no longer putting notes in tanning beds around the city that say "Stop Committing Suicide! Get out of this tanning bed!"

    Lynn

    05.20.09 - 09:53 AM
  • 84. stefanie said:

    i didn't bother to read all 70 something comments before mine so if this has already been said, sorry. aldara. my doctor seems to be in love with it because he tries to prescribe it everytime he finds something new on my skin so it must be useful stuff. but two times i've tried to use it and never made it past a week. it left me feeling like i had the flu- muscle and joint aches so severe that i couldn't get out of bed the day after it was applied. i hurt so bad i literally couldn't move my fingers without feeling like i might vomit from the pain. i've known other people who have had the same problem with it and i've known people who have used it and had no problem at all. i'm not trying to scare you i just think that if i had known about the possible side effects in advance i would have stuck with it long enough for it to do some good.

    05.20.09 - 09:55 AM
  • 85. Kim said:

    After reading your initial cancer posts, I checked a mole I've had all of my life. Went to the dermatologist, who said it was probably nothing but should be removed within the next year. So, I scheduled the appointment for the next week and now am down one mole and up two stitches. Thank you for being so frank about this; I hope it helps more people realize how important sunscreen and regular monitoring of moles/spots/etc. are!

    05.20.09 - 09:57 AM
  • 86. JennyM said:

    You actually *are* the reason I scheduled a dermatologist appointment a few weeks ago when a strange place showed up on my arm. Turns out the strange thing on my arm is a dermatofibroma and so far, nothing to worry about. But now I know and now I have a dermatologist and we're keeping track of all of it.

    05.20.09 - 09:59 AM
  • 87. Cris said:

    Thank you, and I hope everything turns out fine.

    05.20.09 - 10:01 AM
  • 88. Jenn K. said:

    Thank you for being so diligent about this. I don't usually post comments but this post is deserving. I recently (summer of 2008) lost someone very close to me to Melanoma. So many people think that little moles are no harm. It was shocking how fast the disease will pass through your body (total 9 months). Catching things like this early is the only way to prevent further spread of cancer. Thank you for at least reminding people that going to the dermatologist once a year is just as critical as any other yearly physical!

    05.20.09 - 10:01 AM
  • 89. Jocey said:

    I totally credit you for the visit I made to the dermatologist last summer, and going forward I will credit you for reminding me that I need to go in again pretty soon here. I mean, I was going to go anyway, really, I swear I was. Honest.

    My first visit was pretty awesome, as check-ups go. The dermatologist had the most caterpillar-like eyebrows I've ever seen, and they held me transfixed for the duration of my exam, which was great because it totally distracted me from the fact that a sixtysomething dude was minutely examining my nearly naked body and asking me if I had any moles on my vulva. (I don't.)

    I hope Jon's visit goes equally well, and that Roberta departs from your forehead in a timely fashion.

    05.20.09 - 10:02 AM
  • 90. Kendall said:

    Dooce, you are very, very wise.

    Sunscreen is one of my best friends. And why aren't tanning beds looked at with the same criticism as cigarettes? Makes no sense to me.

    05.20.09 - 10:03 AM
  • 91. Erin said:

    Thank you so much for this post, this is exactly what I needed to hear. I've had a mole growing on my leg for the past year and it started as only a small obnoxious little pink "zit" but has now grown into a larger and more obnoxious and painful pink mole right in that spot that no matter how much sunscreen I put on always gets burnt next to my knee. And I've been putting off going to the dermatologist because like your previous skin cancer posts I have to make sure there is funding for such a venture. But hearing your story really makes the possibility of cancer real and I need to get this damn thing checked out. So thanks again.

    05.20.09 - 10:04 AM
  • 92. Elizabeth said:

    OH MY GOSH I totally have one of those actinic keratoses thingamabobs! I noticed it a year or two ago and couldn't figure out why I had a scar-like thing growing in a spot where I know I didn't have a zit (my forehead, right near my hairline). I was going to use it as an excuse to see a dermatologist but then got sidetracked and never got around to it. As a blue-eyed blonde who has had more than her fair share of blistering sunburns, I know I'm retarded.

    Thanks for the 411 -- DERMATOLOGY: STAT!

    05.20.09 - 10:05 AM
  • 93. Leslie said:

    Thanks. Saw something weird the other day and as soon as I stop writing this, I'm making an appointment with my dermatologist. Really appreciate your honesty and the reminder.!

    05.20.09 - 10:05 AM
  • 94. Jack & Jill Put Up A Blog said:

    Thanks for the reminder to go get checked out. Glad to hear everything is alright with you. Peace & Love.

    05.20.09 - 10:09 AM
  • 95. lynn said:

    My sister and her husband both battled melanoma 5 years ago. Their 20 something daughter has started the White for Life club, meaning she will never get a tan from the sun or a tanning bed. My 20 something daughter lives in Hawaii - tempting to sit out and get that beautiful glow but she has also joined "the club" and has been able to enjoy herself for 2 years at the beach by lathering up and having an umbrella handy. Having a member of the family get cancer really increases your risks - good luck with the doctor appointment!

    05.20.09 - 10:09 AM
  • 96. Jess said:

    This post scares me considering that I just suffered an incredibly bad sunburn and am freaking out that I've now doomed myself to die of skin cancer after leading an otherwise ambitiously healthy life.

    05.20.09 - 10:10 AM
  • 97. Lindsay said:

    I had a conversation with my friend earlier today about how she should go see a dermatologist to check out her moles. But now after reading your post, I think I'll make an appointment as well. I have a sunspot that is growing. Thanks!

    05.20.09 - 10:12 AM
  • 98. Emily said:

    I first had a mole removed from my skin when I was 10 or 11, and in the past few years my arms have exploded with freckles I never knew were there. I like the freckles, and I like the idea of soaking up enough vitamin D to last me through a long northern winter (or trying), but I have never felt so motivated to put on sunscreen as I do right now.

    Thanks Heather. I hope Roberta is teaching salsa lessons in the afterlife soon.

    05.20.09 - 10:14 AM
  • 99. Elizabeth_K said:

    Congrats on the new sponsor, and on finding Roberta before she got a little TOO familiar with you, like she does with those salsa students.

    05.20.09 - 10:16 AM
  • 100. Roxie in Birmingham said:

    You win! I have an appointment at 1:40 today to have the spots on my face checked. Thanks Heather.

    05.20.09 - 10:16 AM
  • 101. Caren said:

    Had a visit with the derm on Monday after husband said: You've a funny looking zit by your ear. NOT a zit but mole that had changed. Derm said it looked OK but lopped it off & biopsied it to play it safe.

    Thanks for reminding us all about the importance of getting routine mole checks!!

    05.20.09 - 10:19 AM
  • 102. Anonymous said:

    Dooce,
    You probably will never know how many people's lives you may have saved by taking up this noble cause. Keep pushing people to protect themselves from the sun and get checked by their dermatologist. I am one to talk as I have never been checked, have umpteen "Robertas", have a family history of skin cancer. So, I am going to make me an appointment today and I thank you for giving me a much needed kick in the hiney!

    05.20.09 - 10:20 AM
  • 103. Lara said:

    I have one of those sandpapery spots on my face near my nose- skin cancer central thanks to my teenage years spent in the California sun. I'll now be sure to have it checked out.

    Thanks, Heather.

    05.20.09 - 10:20 AM
  • 104. Kism3t said:

    Thanks for the kick in the butt. I've made an appointment with my Dr. and will get a few Roberta's checked out myself. :)

    05.20.09 - 10:22 AM
  • 105. Laura said:

    THANK YOU HEATHER for writing this! I have witnessed the excruciating pain, heartache, and devastating effects of Melanoma and its toxic treatments including bio-chemo and IL-2 therapy, and drastic surgeries on my grandmother, husband and father- the latter two are my beloved Melanoma warriors and survivors. Be proactive people! Melanoma can be deadly when not caught early because it is one of the more difficult cancers to treat. Prevention is the key, wear sunscreen, stay in the shade, "pale" is the new tan ;)

    05.20.09 - 10:25 AM
  • 106. Ana said:

    May I ask a little question? If it's a sort of a mole, like a little lump, what exactly would the dermatologist do to check it out? ...Would it involve needles, like, right there and then?

    Because I have this thing on my leg. And I'm a pretty anxious person. I need to know what to expect before I can get myself to set up anything.

    Thanks.

    05.20.09 - 10:31 AM
  • 107. Rebecca from Memphis said:

    if only one person takes this to heart then your job is well done. I had a "spot" cut off of my back about 10 yrs ago and I was lucky it was not a cancerous spot however the cutting off hurt like hades!! Maybe the spot on your forehead will turn out to be nothing of importance at all.

    On another note....
    Look forward to reading your blog each day! Love you humor, wisdom and insight! Some days makes me laugh out loud!!

    05.20.09 - 10:31 AM
  • 108. Dee said:

    I put sunscreen on after reading this post... thank you!

    05.20.09 - 10:33 AM
  • 109. Jennifer said:

    I am right on board with you Heather. I have had several suspicious spots removed and now am a skin nazi for me and my family. They hate me. But I don't care.

    05.20.09 - 10:34 AM
  • 110. Lindsey said:

    Thank you. I have just made an appointment with my dermo to examine a patch near my hair line that is always darker in the winter and spotty in the summer. I know exactly what it is from- I missed it in an early morning sunscreen application 2 years ago in Key West. Only that spot burned and has been discolored ever since. I should have known better. I found 2 cancerous moles on my fiancee's back last year and saved his life. I always forget about myself though.

    05.20.09 - 10:36 AM
  • 111. Elizabeth said:

    Without stopping to read all the posts along the way to see if this question has been asked already, had John ever noticed the spot before you brought it to his attention? I just got a bit of a laugh out of "has it changed color?" 'Cause how could he possibly know? :-) Good for you, making your children's father take care of himself -- men are terrible at it!

    05.20.09 - 10:42 AM
  • 112. Heidi said:

    Thanks for bringing this up, Heather. i have needed to have my moles checked out for way too long - and i noticed one last week looks very weird now. i've been putting it off because i have other health issues AND my mom just had a stroke so all of our time has been spent taking care of her.

    i'll be making an appointment shortly.

    05.20.09 - 10:42 AM
  • 113. kara said:

    Oh my god, googling "skin cancer" yielded the most horrifying images known to man.

    05.20.09 - 10:43 AM
  • 114. Amy K said:

    I just had a Roberta cut out of me with Mohs surgery. Get my stitches out tomorrow. It was basal cell carcinoma and I hope no one ever gets one! Looks like a red blob that never goes away and sometimes even throbs and hurts. Mine was on my cleavage or where my cleavage SHOULD be :) I had noticed it and went in for a check and a full-body check too. Wear sunscreen please! it helps prevents wrinkles too :)

    05.20.09 - 10:44 AM
  • 115. Aspen said:

    Thanks for sharing your story Heather. I actually got my diagnosis YESTERDAY. I go in for surgery the first of June to have a spot removed from my leg. I too had to get my vanity in check. Because of my addiction to tanning, I am now going to have a hole in my leg. So thanks for sharing, like you...I will now constantly be checking every spot on my body for the rest of my life. Vanity is a bitch!

    05.20.09 - 10:47 AM
  • 116. zeghsy said:

    i got all excited about roberta teaching salsa, but she really kind of a slut. i'm afraid i can't hang out with her.

    05.20.09 - 10:52 AM
  • 117. Lissa said:

    Thanks for this post. I've been meaning to go to a dermatologist forever to get some spots checked out, but something always seems to come up and I think, "I'll do that next week." You have officially convinced me to make an appointment TODAY!

    If it turns out I catch any cancer early, I'll give you credit for saving my life. HERO!

    05.20.09 - 10:54 AM
  • 118. Holly said:

    While putting on sunscreen seems like a good idea (when the other option is full-blown sun exposure) many of the chemicals used in sunscreen are incredibly dangerous. There are dangerous compounds in chemical sunscreens. Benzophenone is one of the worst, and pops up in various forms in most sunscreen formulas. The main chemicals in sunscreen can promote the growth of cancer through free radical generation and parabens are endocrine disruptors that produce effects similar to that of estrogen, which can cause irregularities in sexual development and possibly cancer. Creams that are rubbed on the skin are more quickly absorbed into the bloodstream. May of these chemicals are already banned in the EU. The FDA has suggested limited usage of these chemicals, but like other cosmetic products there is no directive, only a suggestion. Yay for America!
    So, not to be a total downer: try to choose paraben-, PABA-, pthalate-free sunscreens, whose main ingredients are titanium dioxide, octocylene, and/or zinc oxide.
    They may not be as creamy and yummy smelling as others, but they are safer.
    That's it from the product police. I love you Dooce!

    05.20.09 - 10:55 AM
  • 119. Sadie said:

    Dooce, I called the dermatologist today and made an appointment! Here's to you, Roberta.

    05.20.09 - 11:02 AM
  • 120. GyrlPower said:

    I'm 36 and have around 15 scars from having various moles removed. So far, they have all been benign. I was told by my dermatologist that I need to revisit every year and have 3-5 taken off each year "just to be safe". Yippee for me. I'm sure there is nothing an aging woman wants more than additional scar tissue.

    Hang in there. It's a high price to pay for the tanning beds of our teens...but damn I had a nice tan :-)

    05.20.09 - 11:04 AM
  • 121. Kate said:

    thanks for posting this. I'm 38 weeks pregnant myself and have a bottle of 70 SPF baby sunscreen in the cabinet ready to go. My baby's daddy had a large section of his scalp removed due to melanoma right before we found out we were pregnant. At his 3 month check up they found out he had Hodgkins Lymphoma. Luckily because he had a nagging wife telling him to go get his mole checked out we were able to treat both early on. He'll be done with treatments 3 days before my due date, whew. I'll be so excited to celebrate his first father's day with him as a new dad and a 2x cancer survivor at 35.
    It never hurts to get it checked out. Roberta can't salsa her way out of this one.

    05.20.09 - 11:04 AM
  • 122. Mammakaze said:

    We were such the sun generation in our youth and we're all paying for it now. I mean, I remember at least 3 terrible sunburns I had as a kid. And remember the answer to the sunburns? No, it wasn't prevention. It was Noxema! AFTER the fact. AFTER that sensitive little baby skin was burned to a crisp, put on some Noxema! Like that did any good other than to boost Noxema sales. Nowadays a sunburn on a kid will get you a visit from Child Protective Services! All that sun damage is cumulative and it doesn't matter how good we're being now (although it's important to be). One member of my family has had several basal cell carcinomas removed. He ran around shirtless as a kid. Well, let me tell you, I'm like one of those monkeys at the zoo the way I pick and pore over his body now for any unsual discolorations. Check yourself AND your loved ones - FREQUENTLY!

    05.20.09 - 11:04 AM
  • 123. Denise said:

    Heather- thanks for the reminder to all of us. My mother died of melanoma when she was 55, I was 22. My mother was a beautiful, fair-skinned, light-eyed, red head. I got the fair skin and light eyes but not the great red hair! :( She had a mole on her back that (in retrospect) was the likely culprit. So many factors impacted the possibility of early detection - it was on her lower back so she didn't see it regularly, she was divorced (i.e. no partner to help her notice), I, the baby in the family, had left for college so i wasn't around as often either. We had noted the mole before but she wrote it off as 'just another mole' - but it was ugly...we should've known. During one visit home from college I was rubbing her back and noticed the mole was gone...there was a mark on her skin where it had once resided and i asked her if she had it removed but she said 'no, it must have fallen off.' Unfortunately that is not how skin cancer operates. it was only a year or so later when she began having other symptoms...digestive problems that were misdiagnosed as acid reflux and then a brain bleed but even then doctors didn't realize what was going on. It took nearly 2 months before she was diagnosed...once they realized she had a mass the size of a football in her abdomen and the biopsy revealed melanoma...then they realized it had metastisized to her brain, causing the bleed. Doctors told us there was no treatment, no hope. She died just 3 weeks after her diagnosis.
    My mom was not a sunbather, she did not frequent tanning beds, or refuse to use sunscreen. I am sure she had an occassional sunburn but never due to intentional exposure. Melanoma is not a punishment given to those who subject their skin to harsh elements of the sun...it is just another horrible type of cancer that can happen to anyone, but especially those of us who are fair-skinned, light-eyed, or who have a family history.
    I visit my dermatologist every year, I am an avid user of sunscreen for myself and my daughter, and I am on a personal campaign to make pale skin fashionable! :) I hope everyone reading your post will do the same!

    05.20.09 - 11:05 AM
  • 124. MiddleAgedWomanBlogging said:

    I am so glad you are writing about this because so many people are unaware of how dangerous skin cancer can be. My 86 yr old father has skin cancer and is having surgery next week. A 23 yr old girl who lived one block away with her parents died last week from skin cancer after battling the disease for over a year. Thank you for bringing this to everyone's attention.

    05.20.09 - 11:14 AM
  • 125. Sara said:

    I recently had two moles removed and biopsied, with one coming back with mildly atypical cells and the other clean. My husband had two taken last week, still waiting on biopsy results.
    Thank you for writing about this--so many people just don't take that bastard sun seriously.

    05.20.09 - 11:15 AM
  • 126. MsKTeacherLady said:

    I've had some concerning spots recently that I've agonized over getting looked at. Today your post lit the fire under me that I needed to go get checked. Thank you thank you thank you.

    05.20.09 - 11:16 AM
  • 127. Betsy said:

    Whew! I'm just glad you finally posted something a little more along the lines of the WE ARE ALL GOING TO DIE pathos. Who said wrinkly comforter and mismatched tiles?

    My mom had melanoma and that should've pushed me to the derm pronto, but it didn't.

    SIGH.

    Getting off duff...

    05.20.09 - 11:18 AM
  • 128. Parsing Nonsense said:

    I have a freckle on my arm that looks mischievous, but I've always called it Oskar. Yes, with a k. I'm glad you wrote about this, though sad that medical care is so expensive that it's more likely someone will wait out a suspicious skin bump rather than pay $100 to get it looked at.

    05.20.09 - 11:18 AM
  • 129. Erin said:

    It's not for not, Heather. When I was reading about your skin cancer detection/removal, last year?, it indeed prompted me to make an appointment with a dermatologist. Which meant finding one, for starters.
    I felt so much better for taking care of this...I have fair skin and have been sunburned too many times to count, incl. one particularly bad incident where my face had 2nd degree burns.
    I checked out OK. Thank you so much for sharing your story, as it definitely inspired me to be proactive about my health in this regard.

    05.20.09 - 11:20 AM
  • 130. the girL said:

    Way to be educational! I get teased for being a pale Mexican-American. People say I'm paranoid but you're proving me right! Thanks

    05.20.09 - 11:20 AM
  • 131. Anonymous said:

    I find it amusing that the cream you've been prescribed to treat Roberta is the same cream used to treat genital warts.

    05.20.09 - 11:22 AM
  • 132. ChrisV said:

    Coincidentally, I just had something frozen on my face last night at my regular D.O.'s office - hopefully that will take care of the little booger. I've had one removed from my forehead - approx. 7 years ago - by a dermo.

    You never know - sometimes I get all concerned about one of my bumps and it's nothing - but when you get that call that it's cancer, oy.

    Love a sunscreen that I don't think is available here but is in Canada: L'Oreal Ombrelle.

    05.20.09 - 11:28 AM
  • 133. katie said:

    my dermatologist is ADORABLE. i didn't know this when i called to make an appointment about 6months post-partum, i just knew the acne was getting out of control and i had a mole to remove, not b/c it was bad but b/c it was in an annoying place and i'd always wanted it removed. it was august, i was pale as a ghost, frumpy, leaking breastmilk, with a baby on my hip coming into the office, as this young, sexy, skinny chicklette was leaving, being chastized publicly in the waiting room by a hottie for having gotten too much sun and how she was going to die if she didn't start being more careful. how fun to discover this hottie was my doctor, i was his next patient, and he praised my milky white complexion as being excellent (apart from the acne, which he gave me cream for and all was better). vindication!

    05.20.09 - 11:30 AM
  • 134. Jess said:

    I am only 27 and have had three pre-cancerous actinic keratoses removed from my arms. The importance of sunscreen cannot be stressed enough! :) I am glowingly white, so I use 15 spf on my face everyday and go to the beach in long sleeves. With a tent.

    05.20.09 - 11:30 AM
  • 135. Melanie said:

    Thank you for spreading the news! I was diagnosed with melanoma after finding a dark mole on my back at the age of 24. People need to realize that the earlier you "catch" cancer, especially the fast-spreading melanoma, the higher your chances are of not having to go through the horrors of chemo and radiation (which I did not, thankfully! But I know many who have) or a slow painful death. Please, please, please everyone - if you see anything that makes you even slightly suspicious ... don't wait! Go see your dermatologist! Especially if you have a family history of skin cancer, like I do.

    05.20.09 - 11:31 AM
  • 136. Anonymous said:

    I hope all goes well for you and Jon. You're good to get everything checked out! Another caution on Aldara - in particular while you're pregnant. I had a very similar experience to commenter 84. Flu-like symptoms -- nausea, vomiting, low-grade fever. Not to mention the permanent reddening of my skin. Scary stuff. It's an immunomodulator, which works by stimulating your immune system to send cells to the site where it's applied. Knowing that it affects the immune system, and having experienced those side affects...personally, I will never use the stuff again. Changing my immune system? No thank you. If there's an alternative treatment option, I'd take it. Cryotherapy and laser treatment are just 2 of several options.

    05.20.09 - 11:34 AM
  • 137. Chrissy said:

    Thank You so much for writing this. I have been wanting to see a dermatologist for quite some time (i found TWO troubling spots on my back). I have called a few dermatologist around town and ALL of them want my primary doctor to refer me to them. Sigh. So I made an appointment with my primary doctor...and the earliest they can get me in - 3 months from now! So i wait 3 months for a doctors appt...so i can wait 3 more for the next doctors appointment. So frustrating.

    Your post reminds me though to keep pushing these doctors to take it seriously and get me in. So thank you. I fully plan to be a persistant little Bitch until they check out my spots.

    05.20.09 - 11:34 AM
  • 138. Sarah said:

    This is happening because your bathroom tiles are so uncoordinated. :-p

    05.20.09 - 11:41 AM
  • 139. Jenni said:

    Thanks for the cold shower. I've been putting this off for months, nay years. Time to call the doctor, get a referral to a dermatologist. My hands are starting to look like dragon skin.

    05.20.09 - 11:42 AM
  • 140. Andrea said:

    It made me so happy to see that the ACS is sponsoring your website. I thought it was admirable of you to write about your skin cancer scares over the years, since as a society, we only seem to glamorize tan bodies. At age 31, my friends have finally stopped laughing at my floppy hat and giant sunglasses and bucket of sunscreen during our trips to the lake, because I can now lovingly point out their crows feet and over-abundance of sun-freckles.

    My mother's first husband died from skin cancer when he was 19 years old, and they'd just had their first child together. He didn't even know he had it until it was too late, as the large skin lesion was on the back of his head, hidden by a mop of hair that can only be described as a "white man's 70's afro". My mother actually found the lesion when she was perming his hair. (Yes, she really did that.) Unfortunately, even youth was not on his side, as it was stage 4 by the time they got it looked at.

    My own father died at 40 years old from glioblastoma multiforme.

    Cancer sucks.

    I have another close relative that is battling Leukemia. For the first time, I'm doing something of value. I'm working with Team in Training to raise money for LLS. I'm actually running a marathon. A real one - not those pussy-5Ks. Every day that I run in the Texas heat, knowing that it's just going to keep getting hotter and hotter until I either spontaneously combust or melt, I have one motivational speech that I mentally give myself. And that is, this sucks a lot less than having cancer.

    I often wonder what it would be like if you trained for a marathon. Your writing is so colorful and entertaining that I'm quite sure you could make the mundane, monotonous running in circles on a hot track, while dodging the dog-crap that my ass-monkey neighbors don't seem to have a problem NOT PICKING UP, seem so much more humorous than it is. Because when I'm running, I'm not laughing.

    05.20.09 - 11:46 AM
  • 141. Tiffany said:

    Hey, check out the latest copy of Good Housekeeping. There is an article in there about a woman who used the Aldera. Pretty interesting...I just had a full body exam myself. And I thought the gyno was an awkward appointment. Eek.

    05.20.09 - 11:51 AM
  • 142. Jennifer McGuire said:

    I have fair skin, lots of moles (none suspicious, had them all my life) and "see a dermatologist, just in case" has been on my list for a while. I just made an appointment. Thanks!

    05.20.09 - 11:53 AM
  • 143. Ray said:

    Glad to hear that you caught that pre-cancerous spot in time. And I hope that Jon's mole is not cancerous.

    05.20.09 - 11:54 AM
  • 144. Carrie Russell said:

    I'm glad that you tell us these stories. For starters it has really made me look twice at my moles and really wonder about a few.

    But how do you know? How do you know a mole is a possibility for anything other than being a mole?

    I think that is where I am confused as I know I have a mole on my back that isn't circular but its flat to the touch and not raised on the skin.

    Any advice or places I can do to read more up on this?

    Thank you for being honest with people.

    05.20.09 - 11:57 AM
  • 145. Andrea said:

    Both my father and uncle have had melanoma. Sadly, my uncle lost his battle a few years back. My dad uses the same medication as you to treat the precancerous moles. Since having a baby, I am much concerned about everyone's skin, especially the baby's skin. When I went to the pharmacy to ask about sunscreen, the manager had the gall to say that he never used sunscreen on his children and they turned out fine. Yikes! Nonetheless, I purchased a tube of sunscreen for when Wes is a little older and spends some more time in the sun.

    05.20.09 - 11:58 AM
  • 146. Emily said:

    Thanks for the reminder that hubby and I both need to go and have full body checks.

    My dad has used that stuff you are talking about and I have to say, that he was miserable when he used it. He had to put it all over his face and it looked awful but it did the job.

    05.20.09 - 11:59 AM
  • 147. Lisa Guidarini said:

    My husband's had two or three sorts of skin cancer (not melanoma)so far, and he's due for a check by his dermatologist.

    As for me, I had one close call. My dermatologist took an irregularly-shaped mole off my foot a few years ago that turned out to be nothing. But I could tell by the look on his face he thought my days were SO numbered. He basically warned me not to even look at sunny photos or I could get melanoma. Next time he sees me I imagine him bursting into tears, silently wording my obituary to himself.

    Blondish/fair skin/freckled soul that I am, that puts me in the top category for skin cancer. Thank goodness I've never been a sun worshipper. I'm closer to a vampire, actually, minus the teeth. And the taste for blood.

    Ewww!

    05.20.09 - 12:00 PM
  • 148. Melissa said:

    As someone who donates pieces of herself to the dermatologist far too regularly (and burns through car windows), THANK YOU for being honest and candid about this. At least I know there is one person out there who wouldn't call me crazy(ier).

    05.20.09 - 12:00 PM
  • 149. Krista said:

    Hey, this is my first time commenting, though I've stalked your blog a long time. I grew up in Hawaii, where I had an awesome tan but never ever applied sunscreen. I'm in my mid-20s now, and I've been thinking for a while about going to a dermatologist to have him check out some moles. This post made me actually make an appointment. So, thank you!

    05.20.09 - 12:00 PM
  • 150. beyond said:

    when i was diagnosed with skin cancer (basal cell, thank goodness) a few months ago, some friends and family members finally got appointments to see a dermatologist. after being told for years that they should get regular check ups. sometimes reality has to hit close to home before people take action. make an appointment today, please! the sooner you catch abnormalities, the easier it is to treat them.

    05.20.09 - 12:01 PM
  • 151. Pamela said:

    Why thank you Heather for the timely reminder! My doc just told me last week to make an appointment with a dermo for a mole check. For me it wasn't very urgent so I needed a little nudge I guess! Also people don't forget sunscreen on our part in your hair, and your scalp if you are balding! Very very easy to burn there!

    05.20.09 - 12:11 PM
  • 152. Terri Sinclair said:

    THAT EXACT CANCER is why my mother had half her face taken off last year. She went to several Dr.s who brushed it off as an "age" spot.

    It wouldn't go away with treatment so,biopsy. CANCER.

    Yes she is now cancer free but the word to get out is CANCER DOES NOT ALWAYS START WITH A WEIRD SHAPPED OR DISCOLORED MOLE.

    It can be something as simple as the photo you posted! This is a great message to get out. With several people with melenoma in our family this looked NOTHING like anything we'd previously been shown This just looked like a little "brown" age or "liver" spot.

    GREAT MESSAGE

    05.20.09 - 12:12 PM
  • 153. LCRado said:

    I read your blog every day but have never commented. Thank you for bringing up such an important topic. I work for the American Cancer Society and am due to give a talk about melanoma in just a couple of minutes. We can do all the research in the world to find cures for cancer, but the best way to treat cancer is to catch it early. Knowing your body and checking out any abnormalities is the most vital step in decreasing your risk of dying from cancer. Thank you for the reminders!

    05.20.09 - 12:14 PM
  • 154. Anonymous said:

    Just to lighten the mood:

    RE: naming invasive substances: When I was nursing, my breasts were gigantic and I felt they had lives of their own. So I named them, Rita and Lenore for right and left.

    05.20.09 - 12:14 PM
  • 155. Alice said:

    Let me warn you as half of a couple where both parties have had to use Aldara for other issues, you can get a nasty immune-like reaction to the cream which feels like flu and is fairly miserable. You may want to consider this in the timing of your use.

    05.20.09 - 12:17 PM
  • 156. Nicole said:

    Thank you for sharing this, Heather. I lost a dear friend to melanoma a year and half ago. She was only 35 and left behind three young children. (Her story can be found here: http://www.lyonsfamily.org/ ) I am now the Sun Nazi. I go a little crazy when I hear my friends talking about getting burnt, or even worse, hearing them talk about their children getting sun burnt.

    05.20.09 - 12:19 PM
  • 157. Katherine SOLOdot MOM said:

    Thanks for sharing this about skin cancer. My cousin went through a similar experience and I do try to be aware of any unusual moles on my skin as well. I had a cyst removed a few years ago that came back fine, and now have my own personal dermatologist but this reminded I haven't been for an annual exam in over 3 years!

    Great insight for those of us who loved to "bake" in the sun in our younger years!

    05.20.09 - 12:23 PM
  • 158. SANDRA said:

    CANCER--RUN now GET A PAP SMEAR. I'm 46--I've had PAP smears yearly since age 16..no ABNORMAL paps EVER. Last year (April 08)--my gyno calls and says pap is abnormal.WHO? Me--a colposcopy was done. ZERo health problems.

    I HAD STAGE 1B CERVICAL CANCER.I had a radical hysterectomy, ovary & lymph node removal within 2 weeks.

    RUN GET A PAP SMEAR. now--I mean NOW.

    05.20.09 - 12:23 PM
  • 159. Amanda said:

    My husband has has a weird little dry patch of skin on his cheek for a couple of months. I think your post may actually get him to go to the doctor.

    Thank you!

    05.20.09 - 12:27 PM
  • 160. Dana said:

    Hey Heather! Thanks for bringing this up. I have been having icky stuff cut off since I was about 23 (40 now) by the dermie and I'm a nut about mole checks and sunscreen. I'm a fair skinned readhead so I go about every six months. My most recent visit involved a 2 inch incision, internal stitches and skin glue. Better that than the alternative.

    I had a weird thing happen the other day: another mom I barely know at my son's preschool had on a shirt that showed her back and she had a mole that would have made me blaze a trail to see the doc. I didn't say anything to her about it then, but I wish I had. I may go find her number and totally impose on her. It's a weird situation to be in. "Hey, we barely know each other and I'm not a doctor, but I don't like the look of that mole."

    Listen, people who THINK they maybe, might need to go see the dermatologist: suck it up and GO! Seriously. Melanoma is only curable in the early stages. Do not wait the three months.

    05.20.09 - 12:28 PM
  • 161. Kelly @ Parenting Princesses said:

    Thanks for the reminder

    05.20.09 - 12:30 PM
  • 162. Dana said:

    And another thing, I love your honesty. I always appreciate anyone who has the guts the lay it on the line and not tap dance around what is really on her mind. Congrats on the baby!

    05.20.09 - 12:33 PM
  • 163. R. Wallis @ TrueBeauty said:

    Running a Plastic Surgery Center, I see skin cancer all the time. It is much more prevalent in youg women than most people realize, so get that thing taken care of and get John's too! I am only 26, but I have sworn off the sun. I want to be old and pretty not old and look like an old leather boot! Tell Roberta to pack her bags! Oh, and get a good plastic surgeon to remove the one on your forehead, you don’t want an ugly scar right there for everyone to see!

    05.20.09 - 12:38 PM
  • 164. Anonymous said:

    Thanks for posting this! I have one such spot on my forehead and have wondered for about a year what it is. I live out of the country, which makes going to the dermatologist a fairly difficult thing. But I'm going to make an appointment and hopefully get some of that cream!

    05.20.09 - 12:39 PM
  • 165. Andra said:

    Damn, cancer is such a rancid bitch.

    I've been SUPER lucky that, instead of cancer running in my family, it's only obesity, depression and coronary arty disease (this is not sarcasm- I make it a point to eat right and exercise regularly to thwart my genetic ancestry).

    I fit in with the group of people labeled "White as you can be without having a pigmentation deficiency". I do not tan, I burn. And when I put forth all of the effort and tanning lotion to BE tan, it just looks fake and uneven. I also have massive amounts of freckles on my face, arms and various other sun-exposed parts of my body (luckily they have started to fade with age). All of my face moisturizers and lotions have some degree of SPF in them, and I try to be foundation and concealer that contain some, too.

    What's Jon's mole's name? I vote for Dick Cheney. You could call it "Tricky" as a nickname.

    05.20.09 - 12:41 PM
  • 166. MedStudent 201 said:

    Jon's Lesion looks like a Seborrheic Keratosis, but should be diagnosed by your dermatologist. Here's a bit of info:
    Noncancerous growths that may develop with age, seborrheic keratoses can appear on the chest or back, alone, or in groups. They may be dark or multicolored, and usually have a grainy surface that easily crumbles, though they can be smooth and waxy. No treatment is necessary unless irritation develops or their appearance is a concern. Because seborrheic keratoses may be mistaken for moles or skin cancer, see a dermatologist for proper diagnosis.

    By far the easiest treatment (and cheapest and safest during pregnancy) is cryotherapy (freezing or burning it off). Mayo clinic is a reliable resource for many medical topics: http://www.mayoclinic.com/health/actinic-keratosis/DS00568/DSECTION=trea...
    Best of luck

    05.20.09 - 12:44 PM
  • 167. Anonymous said:

    My cousin died of melanoma at the age of 32...he had found a mole on his back, and a few years later, we buried him. There is no such thing as being too paranoid about this. Thanks for informing the public about the risks and signs that can lead to cancer.

    05.20.09 - 12:46 PM
  • 168. Abigail Joy said:

    Wow. I am a believer. Dooce, you've got a way with words that sends chills down my spine. No. Really. I now feel the need to inspect my body for skin abnormalities. Oh God, the hypochondriacs are going to love this post.

    But seriously. Thanks for the prompts and prods and words of advise.

    05.20.09 - 12:57 PM
  • 169. Lula said:

    I would love to be able to call my mother, but she died two years ago from-you guessed it-skin cancer. Please, always wear sunscreen and a hat, and don't forget your children.

    05.20.09 - 12:58 PM
  • 170. MikeWJ said:

    I recently wrote a story about the dangers of overexposure to the sun for a local magazine, and it's no joking matter. One woman found the worst sort of cancerous lesion on her back, but it was too late. It spread to the rest of her body and she died within months.

    We all need to get back to the turn of the last century, when pale skin was considered beautiful and only common peasants and laborers had tans. Fashion maven Coco Chanel sparked the suntan craze in the 30s when she stepped off a yacht with an accidental sunburn that had turned into a tan. Photographers were wowed by her new look, and they shot photos of Coco's new cocoa look around the world, prompting future generations of admiring women and men to bake themselves into a pre-cancerous state under the sun or at tanning salons.

    That said, I think I could live without the disgusting photos of the offending mole, Heather! I was eating lunch when I saw those, and I assure you I'm not hungry anymore....(just kidding, you're doing everybody a service by dragging us into reality).

    05.20.09 - 01:05 PM
  • 171. Sally said:

    I'm so happy you share this sort of information to make people more aware. I have lots of skin issues, partly because I'm 41 and there was NO SUCH THING as SUNSCREEN when I was a child. I had dark hair but fair skin with freckles. I get my skin checked yearly! Thanks for sharing Heather!

    05.20.09 - 01:12 PM
  • 172. Tam said:

    My grandpa is 91 and currently dying from skin cancer. I've named all my spots after the Duggar children with the assurance that there will be more of both.

    05.20.09 - 01:15 PM
  • 173. Tam said:

    Also, Aldera is most commonly used to treat genital warts so guests might judge you when they go through your medicine cabinet.

    05.20.09 - 01:19 PM
  • 174. Sarah said:

    I used Aldara for my warts back in the day and it cleared all of them up (except for this one on my hand. But IDK if its actually a wart). I should probably go back to the dermatologist.

    05.20.09 - 01:23 PM
  • 175. Abi said:

    At least you aren't a bald man. My father-in-law had to use that topical medication (a similar one, at least) on his entire head. ONE HALF AT A TIME. So, he was teaching classes while half of his bald head was peeling off.

    Woo for having hair!

    05.20.09 - 01:25 PM
  • 176. kate said:

    "so it looked less like an episode of "Law and Order" and more like a cartoon where a maniacal hen who's been left in charge of an egg accidentally pecks it into a thousand tiny pieces."

    I don't ever comment because really? What needs to be said that hasn't been said 6,482 times before...but I just have to tell you, Heather, that that line up there? Made my day. I love the way your mind works.

    Thanks, too, for the public-service announcement. I'm off to make an appointment to have a spot on my face checked that's been a concern for a few months now...

    05.20.09 - 01:26 PM
  • 177. mj said:

    sometimes, they may not even look like a mole, but be aware of anything that changes. I had a doo-hicky on my hand (looked like a very, very tiny wart) that started to grow, just a little. I really thought it was nothing, but my inner voice said otherwise. The dr. didn't even think it was anything, but removed it anyway. It turned out to be something with spitz cells, which carry the same dna as cancer. I'd never heard of it, and neither had the hand surgeon who needed to take a small chunk out of my hand.

    05.20.09 - 01:28 PM
  • 178. Emily said:

    OH HEATHER!!!! i just went to the mole doc yesterday. two moles were removed and sent for a biopsy. one week they tell me. the ones i went in for were healthy, and the two they took off and sent in i mentioned as a last minute thought. SHEESH! so now i wait. and wait. and wait. and am glad to read about your moles. it's right up my alley today;-)

    05.20.09 - 01:32 PM
  • 179. Frectis said:

    I recently had a giant basal cell carcinoma removed from my decolletage. It's still healing, bruised, and ugly. I have sutures under the skin that won't dissolve for another 2 months. It makes for a very sexy neckline. I also have two large chunks of skin missing from my left back and right hip from moles closer to melanoma then they are to suspicious moles.

    Blech. Where do I sign up for American Cancer Society ads? ;)

    05.20.09 - 01:37 PM
  • 180. Lindsey said:

    If anyone is still reading this far down into the comments...
    May is Melanoma/Skin Cancer Detection Month and many doctors do free screenings. Yes, it's late in the month, but I've found several in my state that are yet to happen (some in early June). Check out the link in my name for the American Academy of Dermatology to find a FREE screening in your state. I'm attending one June 6.

    05.20.09 - 01:46 PM
  • 181. Amie said:

    It's a bit cosmic that you posted this today. I just went to the dermo this morning to check on a suspicious mole. Turns out I am going to have to have it biopsied. Am I worried? Um, yeah! Actually, FREAKED out is a little more like it. But I am trying to put it out of my mind until I get the results.

    05.20.09 - 01:48 PM
  • 182. Natalie said:

    I turned 30 a few months ago and suddenly changed directions completely regarding my skin care. I recently went to the dermatologist (for the first time)to have some rough sun spots on my nose looked at. He took two seconds and said I had a Roberta. He then proceeded to "freeze" it off. It worked, I think. It turned dark brown for about 6 days then peeled off. It's still red though (after 2 weeks).

    Good luck with Roberta.

    05.20.09 - 01:49 PM
  • 183. nikki said:

    I am freckly and careless and love the sun. Thanks for the reminder to stop being a dope and take better care of my skin! I have all these dark moles on my arms and shoulders that I have deemed harmless, but what do I know! Going to get them checked out... I'm so spotted though I'm afraid I'm going to come back looking like swiss cheese.

    05.20.09 - 01:50 PM
  • 184. geegee said:

    Thanks for keeping skin cancer in the public eye, Heather. I'd just like to add that as a very light-skinned, light-eyed woman who leads a very active life, I've always been quite cautious about my sun exposure, have long worn hats and sunscreen (for 30 years!), never used a tanning bed, and I'm *still* having pre-cancerous moles removed. I started having suspicious-looking moles removed in my 20s, and while all those biopsies came back benign, these days they don't. So don't think that if you've been careful of your exposure to the sun, you are immune. Everyone needs to be vigilant about changes to their skin.

    05.20.09 - 01:52 PM
  • 185. Gretchen said:

    My husband just had a keratosis removed from his head. He shaves his head anyway, and now he's sporting a little round bandaid in the spot the tore out the nasty business. This is his second or third round with this stuff. He'll deal with it the rest of his life.

    The same week that my husband's dermatologist found this, my father told me that his urologist detected an infinitesimally small amount of cancer in his prostate. They caught it *miraculously* early, so he'll be okay after some radiation treatment.

    I hope.

    Good luck, Heather. Skin checks every 6 months are a part of your life from now on. :) It will save your life.

    05.20.09 - 01:57 PM
  • 186. Kendra said:

    Thanks for the reminder! My daughter was born with a fairly sizable mole on her shin, and people regularly ask what it is. (I usually want to answer that it's a tick I've neglected to remove for the last 14 months!) I've asked the pediatrician about it in the past, and he's said it looks okay, but she's due for her next check-up soon, and I need to remember to have it looked at it again. It's a small thing to do to stay safe!

    05.20.09 - 01:58 PM
  • 187. bonzai said:

    Thank you, Heather, for revisiting this on a regular basis. I've had 6 precancerous spots removed for the same reason - loved that Hawaiian Tropic SPF2 Tanning Oil. Bright for someone who is so pale they absorb light rays like a sponge.

    I'm sure there are smug trolls out there thinking "What's the big deal? What a hypochondriac!" Well, the older sister of my equally pale friend from HS died last year when her skin cancer came back after 2 years and metastasized to her lungs. She was gone in two weeks.

    Keep naming the invaders and keep reminding people - you make us laugh, you make us cry and maybe you'll save a life. Not a bad day's work.

    05.20.09 - 01:58 PM
  • 188. Curl said:

    I had a 1.5 cm brown bump show up on my back several years ago that my MD cut out. The biopsy then said it was a WART! Ewww! Then I went to the dermatologist a year ago for a small flat rough area on my cheek and they scraped it and it came back as: A WART. Ewww! They looked NOTHING alike.
    I am 49 and I have so many yucky spots I wouldn't even know I had something new (well, EVENTUALLY I would). My dermatologist is like "oh, that's just a LENTIGO," no big deal. Except my arms look like a 70 year old's. I religiously wear SPF 50+, but when I was younger I ran and cycled all the time with minimal sunscreen.
    I'm an RN, and I see lots of 70+ year old skin, so I know of which I speak. People get lots of benign lesions: brown bumps, seborrheic keratoses (totally benign waxy bumps), lentigos, etc. It can make it hard to see anything new that is a bad guy.
    So full body mapping and yearly dermatologist checks are imperative for us old(!) folks who might not even notice lesion number 11,286.

    05.20.09 - 02:04 PM
  • 189. Robb said:

    As a dermatologist I remove lots of skin cancers. I always amazed at how young my patients are becoming, and its not only because I'm getting older. The youngest patient I've had with a basal cell carcinoma is 16 - no underlying genetic disorders, just lots of sun. I for one never mind seeing patients with spots that turn out to be nothing, so don't put off the check. As far as sunscreen: SPF 30 EVERY day, spf 45 for the beach. Zinc oxide or titanium dioxide of 9% or more will give you better protection than anything chemical and put on lots. Most SPF ratings are based on a full body application of more than an ounce, so a bottle of sunscreen should last one person about 3 days at the beach - less if you reapply like you should.

    PS - Jon's spot is a seborrheic keratosis, so don't worry too much. This does not mean he shouldn't see your dermatologist. Families that play together get similar amounts of sun together. Many times I'll see a patient who has found a new SK but not noticed the actual skin cancer elsewhere.

    05.20.09 - 02:04 PM
  • 190. Natalie said:

    Thank you for your enlightening post, Heather. This is a lot of comments to pick through, so I am sorry if anyone has already asked (or answered) this question.... I have always been careless with getting sunburned and in the past routinely went to tanning beds. I have very pale skin, blonde hair, and light eyes. I have always had moles on my back, but my question is: what should I be looking for? How do whether or not to get these moles checked? Thanks!

    05.20.09 - 02:05 PM
  • 191. Erica said:

    Thanks for writing this. I just went for a check-up yesterday and I have to have 4 spots removed. I asked if I could wait until fall and she practically took my head off w/ her NO. So I'm starting to really work myself up and this calmed me down a bit.

    05.20.09 - 02:09 PM
  • 192. Cheri said:

    Like you, I have Casper-white skin and know I had pretty bad sun exposure in my youth. I've been meaning to make an appointment with a dermatologist for YEARS, and now I finally just made one. Thanks for lighting a fire under my @$$!

    05.20.09 - 02:19 PM
  • 193. Lauren said:

    I hate to say it... I hardly ever use sunscreen. In fact, the few times that i have used it (and reapplied liberally every couple of hours), I have ended up with the most awful sunburns. When I go without, my skin tans and is fine. I am convinced that at least in my case, sunscreen is a conspiracy.

    05.20.09 - 02:20 PM
  • 194. Robb said:

    Natalie - If you have more than 100 moles of any type, especially if you are fair skinned (easy sunburn, little tan) you should probably have a yearly exam after your twenties. For any mole think ABCD:

    Asymetry
    Border irregularity
    Color changes
    Diameter changes

    That said, I don't take off every asymetric or smudgy mole. It also important to remember that removing moles does not change cancer risk. Most melanomas (70% +/-) start on previously normal skin.

    05.20.09 - 02:24 PM
  • 195. Tricia said:

    Thank you for the reminder... and I'd like to add, Ladies, please don't wait longer for an appointment with a female dermatologist if you have any concerning spots! I just called U of U, and there's a 2-month wait for a female doc, but I made an appointment elsewhere with a male doctor for next Wednesday. One week vs. two months? Don't put it off!

    05.20.09 - 02:30 PM
  • 196. amandagibson said:

    I am SO with you on getting the moles checked out. We are big mole-checker-outers at my house. My son is one of those people who get a full-on end of summer tan on the first day of spring and he was born with tons of moles. So, even though most people don't get their kid's checked for skin cancer - we get the moles checked out once a year just to be safe. Hopefully it will become enough of a routine for him that he'll always do that. I personally am an albino and can somehow get a sunburn while sitting at my desk at work - so I'm also a big sun screen advocate. I think it's cool that you share your skin cancer stories (and all your other stories, for that matter) with us - if you can help ONE PERSON avoid skin cancer then you've accomplished so much. Congrats on the baby, by the way!

    05.20.09 - 02:40 PM
  • 197. Bella-Sweet said:

    It doesn't even matter if you were irresponsible as a teen. I am 26, have never had a burn, have always worn at least SPF 30 every day(more when I'm beaching) and I had 2 pre-cancerous moles removed. I am very fair w/ dark hair so even as a child, I was covered in SPF.

    Ladies, you do monthly breast exams..why not a full body scan? Ask your sig other to look(it could turn into fun)

    And of course, a yearly check by a doc is important.

    05.20.09 - 02:42 PM
  • 198. Jenn said:

    Thanks for reminding me that I need to nag my husband about getting his mole checked out!

    05.20.09 - 02:46 PM
  • 199. ecobabe said:

    Aren't the keratosis just 'lovely'! I have a few on my forehead that are currently being treated by a dermatologist. I've had a malignant melanoma removed from my leg (at 36 years of age) and have a few BCCs that will be dealt with once I cease breastfeeding.

    My GP failed to identify my melanoma. I asked him for a referral to a dermatologist to treat the solar keratosis on my forehead and for the cosmetic removal of the weird mole on my leg. The Dermatologist was shocked at the size, discolouration, change in texture etc of the mole and whipped it out straight away fearing that it was a significantly bad melanoma. Fortunately for me, although it was malignant, it was confined within the epidermis and could be removed 'in situ' and didn't require further exploration of lymph nodes and Chemo/Radiation therapy. Try digesting that concept when you're 5 months pregnant.

    Moral to story, get a referral to a dermatologist for a proper skin cancer screen at least once in your early adult life. GPs and 'skin cancer clinics' are not trained professionals.

    05.20.09 - 02:54 PM
  • 200. Anonymous said:

    Mole-checking is one of my wifely duties (love, honor, obey, mole inspect). You've already got lots of positive reinforcement for sharing your adventures in dermatology, but just to pile on, thank you for putting this out there. and thanks for helping the ACS.

    05.20.09 - 03:03 PM
  • 201. bonzai said:

    #106 - Dermatologists first do a visual scan, using one of those bright lights. If anything looks suspicious to them, they usually get a magnifying glass with a light and take a closer look. If they are concerned, they'll remove it for biopsy. In a lot of cases, this involves a 'punch' removal. With very small needles (and if you are like me, you don't look) they inject the area with lidocaine or something similar. They wait until they are sure it's taken effect, and then use a small tool that is round with sharp edges which punches a small hole around the suspicious tissue and removes it. They then apply a few stitches and close the hole. Since the area is deadened, you don't feel it. I've had 6 of these done with no problems, and I REALLY don't like needles.

    #144 - Don't try to self-diagnose - make an appointment. As many of the commenters have said, it's hard to tell what is or isn't bad - even the doctors can't be sure visually, and thus the biopsies.

    To cut the squeamish feeling of someone looking over every inch of my body, I hunted until I found a female dermatologist. Much less humiliating!

    05.20.09 - 03:06 PM
  • 202. Lauren said:

    I know exactly what you mean about all of this skin cancer business... I had my first bit found and removed at age 27 in 2004...right about in the same spot as "Ed," actually. Looks like you had a better surgeon doing the cutting because my scar makes me look like I've been in a knife fight! But, I'm glad I caught it, and am all over the sunscreen and regular visits to the dermatologist's office now. I'm so glad that in this day and age, people are now promoting sunscreen, and for those who have to be tan, spray tans. I look heinous when I turn orange from fake bake stuff, so I prefer to be the whitest white girl on the planet. I tell anyone who calls me "Casper" or "Snow White" they can kiss my ass!!

    05.20.09 - 03:07 PM
  • 203. Anonymous said:

    I have used Aldara before for skin cancer! I had a derm prescribe it a few years ago. At the time, it was used as a trial med for skin cancer and usually only prescribed for GENITAL WARTS! Hello? Like I want to walk into a pharmacy and ask for that stuff? I did and it worked! Roberta will scab up like you have a sore, and then heal herself up within a week or two. Make-up may not cover it.

    I have a Roberta I need checked - it sounds exactly how you have described yours - on my forehead, too. Fun fun! I have had two skin cancers removed - welcome to California!

    05.20.09 - 03:10 PM
  • 204. Sybann said:

    Good on you Heather - I had a Roberta frozen off right before a beach vacation - it was a good reminder to stay off the beach between 10a-3p and to wear sunscreen!

    05.20.09 - 03:12 PM
  • 205. Jenn (dish) said:

    Ah, the skin cancer survivor's club--what a place. Where you can never relax because the one you had removed has friends who vow revenge.

    I've been through melanoma twice and find at least one scary mole a year. Fun.

    05.20.09 - 03:15 PM
  • 206. Ninabi said:

    Last week, we said goodbye to a friend whose melanoma traveled to the brain. My husband sat in the pew beside me with a fresh 4" incision on his stomach to clean up a not-so-great biopsied area.

    Our daughter went to prom with a massive scar down her back for the same reason. And no, she never used a tanning bed.

    I cannot thank you enough for bringing attention to this nastiest of cancers.

    05.20.09 - 03:18 PM
  • 207. tracy said:

    Heather ~ living in Juneau, where we have something like, 300 days of precipitation a year, it's easy to take skin cancer for granted as something that will never happen to you. You have made me re-think my visits to the tanning salon, and I used to LIVE for my 15 minutes of sun a few times a week come summer time. Now I actually look at all those little moles & bumps on my body & wonder...what did that thing used to look like?? And you can bet I will always, always put sunscreen on Ellis.

    05.20.09 - 03:22 PM
  • 208. tracy said:

    and PS, this is ironic given the subject of your post, but you have really gorgeous skin!

    05.20.09 - 03:23 PM
  • 209. Laurie said:

    I think it's fabulous that you are writing about this but also that the American Cancer Society is a sponsor. I know two people who have died because of melanoma and even I need the reminder to slap the sunscreen on me and my kids. Gone are the days of slathering on the baby oil!

    05.20.09 - 03:26 PM
  • 210. fleuris.ca said:

    ...and cool eyes too!

    My dad died of skin cancer when I was 6, so I'm pretty vigilant too. Consider yourself lucky that you can get your husband to the dr on-demand. I have to beg my boyfriend for a year to get an appointment before he agrees to go!

    05.20.09 - 03:29 PM
  • 211. bobbiboe said:

    Just like #42 I am also a Roberta but I don't mind too much if you choose the name for your mole.
    I have been called an alien but never a mole!

    I do have to get the courage to check some of my not so beauty spots, specially one that is getting a bit rough on my forehead.

    Thanks for the incentive.
    I do like the title of the post!

    PS: Your book is GREAT.
    I just finished it two days ago, and even if I was never able to have kids I still think the book is a great gift you gave women in general. Keep writing, here, there and everywhere, you do have a gift.

    05.20.09 - 03:50 PM
  • 212. Hope said:

    Thank you so much for sharing your experience. My daughter has had skin cancer already at age 29 (weren't we told that tanning beds were healthier?), and I've had three biopsies so far.

    05.20.09 - 03:53 PM
  • 213. skndeep said:

    Heather, I'm a dermatologist in Richmond, Va.
    Relax about your husband. From your picture, it looks like a BENIGN seborrheic keratosis. These are harmless warty growths that occur universally in humans...it's more a sign of advancing decrepitude than incipient death.

    Of course you should have a local derm look at it (my legal disclaimer). They're 100% benign, he will get more, if he hates it, it can be easily peeled off with liquid nitrogen freezing, but insurance doesn't cover cosmetic procedures.
    If it's symptomatic, your derm may be sympathetic and take it off for 'biopsy' (wink-wink).

    RELAX.

    Feel free to email me privately if you have any other skin related questions. I'm a pretty damned great dermatologist!

    PS- I saw you on Oprah and spent 2 weeks of my life reading 8 years of your blog beginning at timeline zero. It made me very grateful to be entering the shriveled ovary stage of my life.

    05.20.09 - 03:54 PM
  • 214. Kristen said:

    I couldn't have said it better myself. I was 22 (I'm 23 now) when I was diagnosed with melanoma (non-invasive but still melanoma) and now I am all the time worrying about any little spot on my body...

    Glad you caught your new friend in time!

    Like you I hope anything I say on my blog about skin cancer will lead someone to a dermatologist if they are concerned about a lesion... We both are proof (and everyone else too) that it can happen to anyone, at any age!

    Have a great day@

    05.20.09 - 04:02 PM
  • 215. Felicia said:

    I had a pre-cancerous mole removed about four years ago and just had another checked. It actually turned out to be something called a dermatofibroma, not cancerous. But now I have another suspicious marking on the back of my hand. It sounds terrible, but the reason I don't go in is because my insurance is incredibly terrible and I'm your typical poor working-class person. I know it sounds so dumb but if it turns out to be nothing, like it did last time, I'm out the $$ for the appointment. I also guess I'm not sure if I should seek out a dermatologist or stick with my regular doctor. It seems like the insurance companies make it extra difficult for people to seek treatment for anything.

    05.20.09 - 04:02 PM
  • 216. Anna said:

    You managed to even make a post like this funny.

    I have a mole on my chin that started off in my teen years as a beauty mark. Now it has a life of it's own.

    05.20.09 - 04:13 PM
  • 217. Dana said:

    Question for the Dermatologists here. I have many, many moles which always change and itch and act weird. Is there a good reason my Dr. backed waaay of on what he is willing to remove? We actually had a little "discussion" regarding a strange changing mole that I felt he should take off. He declined and brushed me off. He previously would take off 3-5 moles on an annual visit. Some are mild to moderate. Should I be searching for a new guy?

    05.20.09 - 04:14 PM
  • 218. Jen said:

    i NEVER comment.... but my dad died of melanoma almost 2 years ago and if this post saves even one life, you are a hero. no one should have to go through that.

    05.20.09 - 04:19 PM
  • 219. Jodi Anderson :: so NOT cool said:

    Aw, shit.

    I mean ... thank you.

    I have really fair skin and although I wear a lot of SPF (this decade), so much so that it looks like I am wearing head-to-toe Spanx, I have noticed various spots on my skin over the last few years. I looked at the colored ones and they seem *round*, so I haven't been concerned.

    More importantly, I have totally ignored THE SANDPAPER ONES that have been appearing more and more frequently. While I am cautiously optimistic, I will definitely be getting those suckers checked out. Thanks for the info on actinic keratosis.

    05.20.09 - 04:24 PM
  • 220. Barb said:

    Thanks for the reminder. I'm calling the dermatologist tomorrow! (It's so easy to put it off, but this time I mean it!)

    p.s. I love your blog - thank you for writing it! and sharing it with the rest of us!

    05.20.09 - 04:35 PM
  • 221. Dana said:

    http://images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.sear...

    check out the image i linked:

    yeah, it looks like a melanoma to my associate and i but the biopsy will be able to confirm the stage and prognosis.

    get it checked out so it can be removed ASAP (it may take a few cuttings to remove the entire cancer) and speak with the oncologist about chemo (to ensure that if it spread, it wont attack a vital organ)

    05.20.09 - 04:36 PM
  • 222. Megan said:

    Just thought you'd wanna know that Aldara cream was originally put on the market to get rid of genital herpes. Sorry, I'm a pharmacy tech and I think that kinda stuff is funny in a weird way....

    05.20.09 - 04:45 PM
  • 223. Carol said:

    I have nowhere near your readership but like you, I have been yelling it from the rooftops for a while now -- especially since my brother-in-law started Interferon treatments last year. I've blogged about the numerous moles I've had removed (just search "melanoma" on my blog) and believe me, the untrained eye can NOT distinguish cancerous moles from non-cancerous moles most of the time.

    Glad Jon is being checked out.

    Carol

    05.20.09 - 04:58 PM
  • 224. Felicia said:

    By the way, has anyone ever told you that you look a lot like Emily Haines from Metric?

    05.20.09 - 04:58 PM
  • 225. Amy@UWM said:

    I work for the American Cancer Society and want to thank you for bringing attention to such an important issue. This is a great post and so timely because May is Skin Cancer Awareness Month!

    Here's some ACS info that might be helpful to your readers about skin checks http://tinyurl.com/qd4cmb and another page about protecting yourself from UV rays http://tinyurl.com/plda4f.

    We're so thrilled to be sponsoring your site. It's clear from reading your post and your readers' comments that so many of us have been deeply affected by cancer. Speaking of sponsors, the Society's new "Official Sponsor of Birthdays" campaign is all about creating a world with less cancer and more birthdays. We hope you all will join the movement for more birthdays by declaring ACS the official sponsor of your bday at http://www.morebirthdays.com.

    05.20.09 - 05:05 PM
  • 226. Jen up north said:

    Red hair, skim milk white skin, and tanned like it was a job during my teen years. (I live in Utah too)
    The derm says more than five sunburns in your lifetime substantially increases your risk. I thought, "I get more than five sunburns a YEAR, not even on purpose!"
    I am 36 now and am getting three basal cell carcinomas removed from my back next week. My understanding is that they remove a "cube" in order to get clear margins and then do layers of stitches.
    Did they even HAVE real sunblock in the seventies/eighties?
    This sucks.
    Good luck to you and Jon!

    05.20.09 - 05:25 PM
  • 227. Anonymous said:

    My friend lost her 18 year old brother to melanoma. Thanks for spreading the awareness.

    05.20.09 - 05:42 PM
  • 228. Lori said:

    I think we are long lost identical brain twins.

    05.20.09 - 05:45 PM
  • 229. Brittany Fowler said:

    I don't know if yo read the comments or not, but I just want to warn you about using Aldara. I was put on it for a type of HPV that could be cured with the cream. I had a very bad reaction to the cream, and while I was using it I also noticed that I had a very hard time swallowing, almost like my throat was closing up. Since stopping it, the skin that had become really irritated to the point of it bleeding and becoming pussy, has since grown back, but for about three weeks I couldn't use the bathroom without it burning and fighting the urge to cry. I suggest you google Aldara before you start using it, because most of the time a doctor will prescribe something but will overlook the side effects, and believe me when I say this because my parents are both in the drug industry. Plus, I have great insurance through my work, and after it all, the cream cost me $45 to fill. I don't know if you have insurance, but it's a pretty expensive drug.

    05.20.09 - 05:47 PM
  • 230. Katie said:

    I've recently given up pretending I'm olive skinned and supposed to be tan. Thanks to my brother's lovely EX girlfriend who told me I was going to get skin cancer and die (on my birthday!), I've made spf 70 part of my daily routine. I'm only 19, but I've already have had friends with skin cancer.

    05.20.09 - 05:49 PM
  • 231. Jenn said:

    Well, I've never commented before but now I feel compelled to.

    Why? I spent 2 months exactly a year ago afraid that I had skin cancer. I had a nasty (DISGUSTING) scabby, ooozy mess on my face that no amount of biopsies and scrapings could diagnose. Turned out to be a bacterial infection, thanks to the spa that gave me a facial with some contaminated cream or something. Ugh. I walked around Italy for 2 weeks with bandaids on my face feeling like a leper. Now I have a scar to remind me of the whole crappy experience and I too, am a reformed sun worshipper who does her best not to lecture those who refuse to wear sunscreen.

    Anyhow... you get a billion comments and I'm just another stranger telling you her story, but my fingers and toes are crossed for ya cuz cancer can bite my ass. Good luck :)

    05.20.09 - 05:54 PM
  • 232. Amber said:

    I noticed the American Cancer Society logo earlier this week. It was just a little sign of the universe coming together for me...my husband is a cancer survivor and we're gearing up for our community's Relay for Life this weekend. I've been fighting nerves about my impending speech as part of the opening ceremony (see, I turn a bit flaming red when I speak in front of more than 10 people). But, I keep seeing the logo and it is a confirmation that we are fighting cancer *together* - and it gives me courage. Thank you, Heather, for sharing your story.

    05.20.09 - 06:00 PM
  • 233. Lori said:

    I had a 10 month old daughter when I got the call that the mole I had removed for cosmetic reasons (sounds funny to me now) was melanoma. Hello? Wha?

    3 years later, following a billion biopsies, another daughter, and facing the realization that I am "uninsurable", I am grateful to be alive. Every single blessed messy day.

    Good for you Heather. Had I let it go 6 months, I may not even be here to raise my gorgeous children. Scream it non-stop: catch it before it catches you.

    In Indianapolis and Chicago we have "Outrun the Sun"...a great Race for the Cure-style walk to raise money and awareness for Melanoma. Honestly? I don't like walking as a survivor; there just aren't many of us. It's like walking with a spotlight on you. But I'll walk again if it means someone goes to the dermatologist.

    Indiana Lori

    05.20.09 - 06:27 PM
  • 234. Nomad said:

    as long as you've got insurance, you've got nothing to lose, best to check it out

    05.20.09 - 06:31 PM
  • 235. Tina said:

    I have also had too many moles to count removed in the past 20 years. That's a lot of biopsies. I always think that "this time" it will be melanoma and I am not a happy person the entire time I wait for the call. So far, all of mine have been "atypical" yet benign. I have hundreds of moles. It's hard to spot changes, and new ones show up all the time. So my dermatologist and I are VERY well acquainted. Thanks for the post and hopefully all the people who are really in denial about the sun and the risks may get checked.

    05.20.09 - 06:36 PM
  • 236. Marcie said:

    Has someone already said that your eyes are gorgeous?

    05.20.09 - 06:39 PM
  • 237. Mandy said:

    Thank you for the post. Just this week I noticed a new spot on my nose, scaley like the description and everything. I'll get it checked out now. Melanoma runs in my family, but I was all "it can't happen to me." Better safe than sorry.

    05.20.09 - 06:39 PM
  • 238. Marcie said:

    And can skndeep #213 please come to Georgia and remove some moles for me? I have not been able to find a dermatologist that will *wink, wink* take them off for biopsy. Guess I'm just going to have to save up...

    05.20.09 - 06:42 PM
  • 239. Leah said:

    That's really scary because your description of actinic keratosis sounds a lot like what my patches of eczema feel like. How would I tell the difference???

    05.20.09 - 06:47 PM
  • 240. Anonymous said:

    So, did you have to go run and put makeup on before you took this pic?

    05.20.09 - 06:48 PM
  • 241. Beth said:

    My best friend died of melanoma at age 32. (20 years ago) We used to lie out on black tar roofs, spraying ourselves with baby oil at noon to get a great tan. Many regrets about that. And now my skin is ugly. USE SUNSCREEN!

    05.20.09 - 06:52 PM
  • 242. Susan said:

    My mother had (and survived) malignant melanoma years ago. I put off getting my skin checked over and over and over again. Because of your blog, I finally did get it done, and had two suspicious moles removed. They were, this time, benign.

    Thank you, thank you, thank you. You may well be the person who saves my life every six months.

    05.20.09 - 06:54 PM
  • 243. Lucy said:

    Heather thank you for this post. I had no idea that May was Cancer Awareness month. Heather as many of us I learned from you on Oprah and fell in love with your oh so smart & witty posts about your life. I don't know how you do it. I'm Latina and I use a dictionary to read your posts. :o)

    I fell in love with it so much that I decided to make one as well. I'm alone a lot with 3 girls under 7 plus a stinky male lab because of my husbands deployments. I'm not nearly as close to writing like you but I'm trying A LOT. Thank you! for being so honest and to the point! Gracias & Mahalo!

    05.20.09 - 06:54 PM
  • 244. shannon said:

    An annual "mole check" should be on everyone's agenda. I grew up in Seattle for Christ's sake, not exactly the sunbathing capital of the world, and just had my 2nd basal cell removed from my face. My mother is blonde and blue just like me, and tanned for years with no ill effects- the ozone is different now folks, so don't be fooled if your parents never had any skin cancers. Thank you Heather for continuing to talk about this issue.

    05.20.09 - 06:55 PM
  • 245. Christy Wood said:

    Thanks for the reminder....I really need to get on this. I have finally gotten around to going back to my OB/GYN...2 years after my 2nd daughter... :-o, I'll make the dermatologist appointment next.

    And you're eyes are so beautiful. Ugh...I'm the only one in my house with brown eyes in a family of 5. Well, me and the dog. :-(

    05.20.09 - 07:12 PM
  • 246. Meg said:

    Well your third wish came true. I've had a number of moles and other spots that my husband has bugged me about for years that I've happily ignored. Recently a new spot showed up on my forehead (much like yours actually) and I was all prepared to ignore it too, but since I'm only 26 and I now have a 1 yr old son, I've made an appointment with a dermatologist to get the new spot and all the old spots checked out. So thanks for scaring me into getting checked out. Although now my husband is miffed that I listened to a stranger over the internet and now him!

    05.20.09 - 07:12 PM
  • 247. Anonymous said:

    Skin cancer is a horrible type of cancer if not caught early, with most fatal results. Please be like Dooce, layer on the sunscreen and protect your kids!!! Having a blistering sun burn in childhood increases one's risk of developing skin cancer. Remember to check your moles for any changes and go to a doctor immediately. Rest in Peace Sarah http://que-sarah-sarah.blogspot.com/ and John http://overcode.yak.net/3, just two of the bloggers I found have documented their fights against skin cancer. Thank you Dooce for reminding people!

    05.20.09 - 07:20 PM
  • 248. kimca said:

    Good post. I know I should be better sunscreening even though it makes me feel claustrophobic. All sticky and icky and oppressed- especially when its hot out. I wish there was a great lotion that already had the sunscreen in it. Or that there was a good sunscreen that didn't feel oily and goopy and/or didn't turn to a chalky powder when I put it on. But still, I know I need to use it. I had a mole checked once years ago that turned out to be a warning to take care and I still don't use sunscreen daily because it makes my skin feel all crawly. Anyone have a great suggestion for a fabulous screen? Like I said before, good post. Thank you. I'll start using regularly.

    05.20.09 - 07:43 PM
  • 249. Mango Girl said:

    DON'T MESS WITH THIS...GO TO A DOC IMMEDIATELY!

    I ended up with Stage IVB Malignant Melanoma with no fore warning...think I am paranoid? DAMN right I am!

    Don't mess with this...the hell I went through for three years (52 weeks of chemo and then the recovery...I would not go through it again!!!!!!!!!!!!!)

    GO TO DOC!!!!!!!!!!!!!!!!!!!!!!!!!!

    Peace and Blessings...

    05.20.09 - 07:44 PM
  • 250. Deb said:

    Fabulous post, Heather! Thanks for bringing this up! Next month, I celebrate 19 years as a melanoma survivor (I was 24 when diagnosed). Miraculously, the 3-year-old spot on my foot was only between a Stage I and II when I had it removed. I kept telling myself it was a blood blister that "stuck around," until I saw an article in Woman's Day magazine, and the melanoma photo looked just like my "spot." Two surgeries by a wonderful plastic surgeon not only saved my life (praise God!), but I still have all my toes. A year ago, I learned that melanoma survivors cannot donate blood (or bone marrow) for life, even if they have been pronounced "cured." And because I have avoided sun exposure for so long, I have to take vitamin D supplements to protect my bones. No, the great tan I had growing up wasn't worth it.

    05.20.09 - 07:46 PM
  • 251. Sara said:

    Thank you for this, cause I clearly fall into the #3 category. I think I'll be finding a dermatologist in my area to re-look at a mole I've had for years (I remember freaking out about it in high school), plus one I remember developed during the summer between my sophomore and junior years of college. I hope they're nothing (considering the older one's been around for over a decade, and the newer one's been around for at least 6 years), but it's always good to check these things out.

    Seriously, thanks!

    05.20.09 - 07:48 PM
  • 252. Liesel said:

    Thanks for that post, Heather. I too have recently found a suspicious mole on my husband's back. I have been putting off making him an appointment because we currently have no health insurance. (Scary.) Your post has convinced me that it is time to make the appointment. No amount of money is worth risking losing him. Thank you.

    05.20.09 - 08:06 PM
  • 253. Meg said:

    At the age of 26 I've had five friends under the age of 30 that have had the same thing you have...I think a freak out of any nature at the slightest deformed freckle is warranted.

    05.20.09 - 08:15 PM
  • 254. Meg said:

    P.S.
    Note to self, go back to school to become a dermatologist.

    05.20.09 - 08:17 PM
  • 255. Clayjack said:

    12 weeks of treatment?

    Why not have the spot frozen off? That's what I've done with my actinic keratoses. Sure, it looks like your face was exposed to radiation for a couple days, but then you're done.

    05.20.09 - 08:38 PM
  • 256. Carly said:

    You just kicked me in the ass to make a long overdue appointment with a dermatologist. Thank you.

    05.20.09 - 08:45 PM
  • 257. firecat said:

    Forget about what if you go on a book tour with a big red hickey on your forehead. Think about how stupid you'll look on your book tour with no hair because you had to have chemo because you didn't treat something when you could have.

    GOOD GOD WOMAN.

    And I'm saying this out of love. You know that. We've had this conversation before, you and I, and I know how much cancer sucks.

    My goodness, how did I get on this soapbox?

    SAYONARA ROBERTA. YOU ARE NOT WELCOME HERE. Buh-bye.

    05.20.09 - 09:07 PM
  • 258. Bran said:

    Hi,

    Really watch your spot after using the Aldara. I just turned 40 and had my first skin cancer (BCC) at 25. I have had a total of 13 cancers removed, many on my face. I have used Aldara twice and both times it failed. The BCC will look as if it has healed then a few months later it is back and I've had to have MOHS surgery on them. So just really watch them. A note to EVERYONE - check your skin and get annaul skin checks. It does not matter your age or even skin tone. I do have light skin, red hair and green eyes (green eyed people have the highest occurance of skin cancer)but that does not mean that someone with brown hair/eyes and olive skin is immune to it. I pretty much have standing appointments at the University of Utah for head-to-toe skin checks every 90 days. Trust me, it is not fun. So everyone - get checked, use sunscreen, wear hats and seek shade!

    05.20.09 - 09:21 PM
  • 259. Tina said:

    Thank you so much for the reminders. It's so important. My doctor just saved my life by removing a supicious mole that turned out to be melanoma. Would've never suspected a thing. I'm going to be fine because we got it early enough (although I have a nasty 6 inch scar from the removal of a Texas size of skin around the mole site). Get those spots checked out!

    05.20.09 - 10:07 PM
  • 260. Kristi said:

    Hi, Heather. I am a blogger myself, dealing with my own health issues, which I know I will one day "write about my feelings" when the time is right. Do not live regretting what you could have done differently, and continue to live your life to the fullest following your heart, instincts, and gut. You and Jon will continue to remain healthy as you will continue to be the watcher for the both of you and you will remove these unwelcomed visitors as they arrive! Stay positive. MIND, BODY, and SOUL, My Dear.

    05.20.09 - 10:21 PM
  • 261. Terri said:

    Just be careful with the Aldera. It literally ate the skin off my teenage daughters cheeks, it was awful. This may not happen to most people, I don't know, and I hope it doesn't happen to you. Just keep a close eye how it affects your skin.

    05.20.09 - 10:28 PM
  • 262. Delta Sierra said:

    So far (57) I have nothing cancerous, but I have a really unnecessary number of seborrheic keratoses. They are harmless, but look gross. Usually about 1/4 inch across, brown, rough surface. Could be so much worse, so not really complaining, I just wish the derm. would stop calling them BARNACLES, that kinda took my breath away first time I heard it. Makes me feel like I should go down to the harbour and have my bottom scraped.

    05.20.09 - 10:54 PM
  • 264. Amanda Brumfield said:

    I am in no way making fun of Roberta. Nor am I making light of skin cancer, my grandfather died from it.

    What kills me is that your skin is so flawless that you actually notice that tiny spot on your forehead.

    Meanwhile Keith Richards visits both my cheeks from time to time and sometimes naps on my chin.

    Hope all is well with Jon's mole and Roberta. Cancer is an asshole.

    05.21.09 - 12:17 AM
  • 265. Popular Baby Pushchairs said:

    Oh my this Roberta chap sounds pretty nasty, we're obviously glad your doctor believes you shouldn't have much more trouble with her. Although you did note some worrying things about that cream your doc gave you, I might add that it's been documented that this same stuff has been causing dreadful health problems for thousands and thousands who are told to apply it to their skin- so please be Very weary of this cream Heather!

    05.21.09 - 12:36 AM
  • 266. sunny said:

    Thanks for the post, I think I have one on my forehead.

    05.21.09 - 12:40 AM
  • 267. sunny said:

    Thanks for the post, I think I have one on my forehead.

    05.21.09 - 12:58 AM
  • 268. Missy said:

    Thanks Heather. Your earlier posts actually did prompt me to make an appointment with the dermatologist. When he looked at me, he practically rolled his eyes -- I live in Tucson, so gross skin damage from the sun is pretty common -- and said my moles were all fine. I was totally relieved, though, and I got a cool "how strong is the sun" thing to put in my car. So to everyone reading this -- get it checked out! If it's cancer, you need treatment; if it isn't, it's a massive relief to know that too.

    05.21.09 - 02:12 AM
  • 269. Missy said:

    @Delta Sierra: Barnacles! I love it! Sorry it makes you feel like getting scraped though.

    05.21.09 - 02:15 AM
  • 270. mike press said:

    I have some in my family who are prone and live in South Africa. We have found out the hard way that these things should never be ignored. Get it checked folks.

    05.21.09 - 03:15 AM
  • 271. Natalie said:

    Sending good vibes your way that Roberta and Jon's Roberta (Bob) are just harmless old coots.

    Lovely post BTW - different to your usual, but thoughtful.

    05.21.09 - 03:25 AM
  • 272. Pinklu said:

    Moles rule. I have a huge hairy one on my elbow. HOW FUCKING SEXY IS THAT?

    05.21.09 - 03:29 AM
  • 273. Roaming Penguin Mama said:

    Funny you should mention it....I just noticed a mama mole with her little baby mole on my left forearm. All the members of my mole family have checked out ok in the past, but I will get out to see my skin lady just to make sure mom and baby aren't up to no good!

    05.21.09 - 03:38 AM
  • 274. Brooke said:

    Just told my fiance, His Moliness, to get an appointment. I am covered in freckles, and he, moles. Our future kids are already doomed.

    05.21.09 - 03:41 AM
  • 275. The Furry Godmother said:

    Twice this year I have had surgery to remove skin cancers (malignant melanoma type 2). It's scarey stuff. Needless to say, my husband and I have invested in the gallon jugs of 70 sunblock at Costco. I put it on before I get dressed and reapply all day.

    I haven't even opened my pool this year.

    The other day, someone saw my icy white legs and pretended to be blinded by them. I told them they would stay that way because white is the new tan and showed them the six inch scar on my neck.

    Who's a funny girl, now?

    05.21.09 - 04:22 AM
  • 276. Carol from SA said:

    That mark on his back doesn't look like a mole to me. Its gone beyond that. Good on you for making an appointment pronto.

    05.21.09 - 04:32 AM
  • 277. Anonymous said:

    Thank you for this post.

    05.21.09 - 05:28 AM
  • 278. Pines Lake Redhead said:

    I'm in the same club as you. Only I haven't started naming my cancerous spots. Interesting idea though.

    I'm a redhead currently living in Florida. A family history of melanoma. I grew up in NJ but vacationed in FL and the Caribbean. I was even a lifeguard for 6 summers. All without a lick of sunscreen.

    My dad was in his 60's when his first spot appeared. I was in my 30's. I can't go to the dermatologist without getting SOMETHING scraped, cut, excised, or cauterized.

    When my kids were younger and screamed about putting sunscreen on I reminded them to think of Grandfather's face. He had to have reconstructive surgery on his nose due to melanoma. That gets the kids lathered up real quick.

    Thank you for discussing this. The people that make me want to scream are the ones who tell me that sunscreen causes skin cancer!

    05.21.09 - 05:45 AM
  • 279. Pines Lake Redhead said:

    PS - Did you know that Aldara's primary use is to treat genitals herpes? I had no clue when I picked up my script the first time and the pharmacy tech was eyeing me funny.

    05.21.09 - 05:50 AM
  • 280. cd said:

    If you think your moles are bad now, wait'll you hit 50. At that point they start popping up all over the place like mushrooms after a rainstorm.

    Lubriderm and Aveeno both make daily moisturizers that are 15spf. Not the thing for a day at the beach, but I slather them on any exposed skin no matter what time of day or year.

    05.21.09 - 05:54 AM
  • 281. kim at allconsuming said:

    You know, your very first post about your very first basal cell carcinoma?

    I sat there reading it and went, oh my GOD, that's what's on MY arm.

    My mum's dermatologist (who's now my dermatologist) initially prescribed Aldara, but you MUST apply it at the same time every day, five days a week for six weeks (well, that's the dosage etc in Australia) and well, I decided to do this at the same time as going back to work after having our FOURTH child, my husband being scheduled for SKIN GRAFT surgery and my mum having just had a HIP REPLACEMENT.

    Yeah, I got me some good crazies back then. Needless to say, as I spiralled into a pit of anxiety and depression I kept forgetting to apply it each night so it wasn't successful.

    Needless to say she dug it out with a scalpel for me and now I have quite the scar to warn my children every time they fight me about putting on sunscreen.

    So yeah, that was a very convoluted way of saying thank you.

    05.21.09 - 06:14 AM
  • 282. Heidi said:

    Thanks for writing more about this, Heather. I understand your paranoia. My 76 year old father had some skin cancer removed from his ear in December. They told him to be diligent in checking his skin, since what they removed was a "traveller." Scary!

    05.21.09 - 06:22 AM
  • 283. Kristi said:

    Thank you for sharing!

    I'm 26, and was diagnosed with melanoma in situ (stage 0, basically) in August. (The day before I started law school, actually...talk about stressful!) THANK GOD I had it biopsied so early, because even though it was real-deal melanoma it was so small that it didn't spread, and after surgery (and a nasty FOUR INCH scar) it's considered 100% cured.

    But this is an excellent reminder that I need to go back to the doctor and get a couple more spots looked at.

    AND as a good reminder that I need to be more consistent wearing sunscreen EVERYDAY. I have to admit that I've gotten lazy about it lately, and living in AZ, just my regular daily exposure is doing tons of unseen damage. :(

    Thank you, again, and good luck with Roberta!

    05.21.09 - 06:29 AM
  • 284. Stacy said:

    I think it is so awesome that you posted a picture of Jon's mole and your suspicious spot. So many people don't take sun-protection as seriously as they should and you posting these photos will definitely make some people think about their own skin issues.

    I, too, have had skin cancer. At the ripe age of 26 I had a basal cell. That was several years ago and now I have a small barely noticable scar on my right cheek. I'm super careful in the sun. But I could stand to be even more careful.

    Thanks for the reminder. You have brought some reality to this issue that so many feel invincible about.

    05.21.09 - 06:38 AM
  • 285. Anonymous said:

    Yikes! How scary. I've always been one of those people who are stupidly reluctant to go and get them checked out. At least you noticed it early and can take care of it before it progresses.

    05.21.09 - 06:41 AM
  • 286. houpley said:

    thanks! after i read a few of your skin-related entries, it did occur to me how simple it would be to just get checked out. i went for a whole body scan. awkward but needed, considering my fair, freckleness, age and sunburn history (we're talking spring-break-at-gulf-shores-burns). turns out i had three areas of conern. i have removed two moles and am waiting on the other. thanks for spreading the word.

    05.21.09 - 06:47 AM
  • 287. Meg said:

    I had to laugh when I started reading this because I've heard so many people bitch about when you blog about your skin cancer. They seem to think you're glorifying something that isn't a big deal. But...um...hello? CANCER! That's a huge deal.

    I'm so glad you posted this. I was always one to soak up the sun. My daughter is the most fair-skinned little thing, so we've become sunscreen Nazis around here and I hope I didn't do damage to myself in the past that will cause future problems.

    Good luck to Jon with his appointment!

    05.21.09 - 07:01 AM
  • 288. Jessi said:

    This is so timely because my husband went back for his followup visit yesterday. And they removed two more moles (3 were removed and deemed cancerous 4 months ago). So now he's on a 4-6 month follow-up with the dermatologist from now until who knows. And I'm sure each time, they'll remove more and more.

    I'm glad I finally suggested his dermatologist MOM look at him!

    05.21.09 - 07:18 AM
  • 289. Michelle BB said:

    Heather, thanks for the reminder. I actually scheduled my own appointment with the dermatologist after reading your post. I'd been meaning to get a spot checked for a while....

    05.21.09 - 07:20 AM
  • 290. birdie said:

    Thank you for this! Great post and you've definitely reminded me that I need to get a couple of moles checked out by a dermatologist. No time like the present :)

    05.21.09 - 07:33 AM
  • 291. QoB said:

    another anecdotal data point re: Aldara. i had to use it for warts on my hands (and one on my face), and had no problems with it at all, over the 4-month treatment period. freezing them off didn't work - multiple times - which my dermatologist speculated was due to a slightly dodgy immune reaction to the virus. in any case, all the warts disappeared, no side effects whatsoever, and i no longer resemble the Wicked Warty Witch of the West.

    best of luck with the treatment.

    05.21.09 - 07:36 AM
  • 292. Christina said:

    I'm as neurotic as you at checking every change in moles. Unfortunately, I'm covered in them, so it's a lot of checking.

    I've had seven moles removed, four of which turned out to be the very early stages of skin cancer. I need to go back for a follow-up, especially since I've seen changes in other moles. Unfortunately, my husband lost his job last year, and we've had no insurance, and well, dermatologists aren't cheap and are about the least likely doctors to work out a deal with you. (I've tried.)

    I finish nursing school next month, and hope to get a job in a hurry just so I have insurance to get to the dermatologist again. I hate playing with my life by waiting for insurance. (Hear that, Obama? We need health care reform!)

    I'd encourage everyone to get their skin checked at least once a year by a dermatologist. Even more than that if you're Whitey McPale like me and didn't listen to your mother about wearing sunscreen as a kid.

    05.21.09 - 07:42 AM
  • 293. Katherine said:

    Dammit Heather - you have made it impossible for me to go another second without making the call to my dermatologist for the annual skin-scan - thank you :)

    05.21.09 - 07:44 AM
  • 294. Amber Star said:

    It is a very good thing about getting Jon to the dermatologist, and I do understand the careful way you inspect each and every strange growth. Thanks also about the "feels sort of like sandpaper..." part. I do have a place like that on the back of my leg and forgot to have it looked at last year during my physical and skin check with the dermatologist. I've had an actinic keratosis removed from my lip.

    05.21.09 - 08:27 AM
  • 295. Couponwhore said:

    I liked your face better with the hexagonal tile. Just sayin'.

    05.21.09 - 08:39 AM
  • 296. Savannah said:

    I just had a huge chunk taken out of my leg for melanoma. Knowing family members had spots removed in the past, I called my mom to see if any were cancerous. Her response was as follows "No, we don't have any cancer that runs in the family. You have a Great Aunt that died of breast cancer, but no one else has had any cancers that are genetic." (note, mom knew mine was melanoma) "oh yeah, your great uncle on my side did have melanoma, he died from it." That is my mom's optimistic maternal instinct. Thankfully my doctor thinks she caught it in time. We are just waiting on the second pathology report.

    Good luck with yours and thank you for bringing this to the attention of others.

    05.21.09 - 08:44 AM
  • 297. Anita said:

    I have a mole that looks a lot like Jon's. Went to the doc and he said it was fine - i guess all the different colors of the mole were actually all the in the same hue (or shade? whateva) so even though it looks different colors it's really all the same color but some of it has more pigment than other parts of it?

    I don't really understand it all -but he cleared the funky mole.
    Hope Jon's is the same.

    05.21.09 - 08:47 AM
  • 298. Elaine said:

    Oh you HAD to remind this California girl why we need to wear sunscreen! Yes, yes, yes I will, but not happily.

    05.21.09 - 08:49 AM
  • 299. Courtney said:

    A year ago, I went in for my yearly skin cancer screening, and saw a new doctor. The first thing he says to me, "You sure got your share of moles!" Thanks, doctor, like I hadn't noticed. You can thank my parents for giving me these freakish genes."

    I have so many scars on my body from having things removed, but I don't mind them so much because none of them turned out to be cancerous. I'd rather have a small scar here and there than cancer. Plus, if someone asks, you can tell them about the bar fight you were in.

    My dad had skin cancer surgery recently which required the doctor to peel back his scalp at the hairline...this is where I start to pass out. If this isn't a reason for me to wear a hat in the summer, I don't know what is.

    05.21.09 - 08:56 AM
  • 300. Laura said:

    Fourthing (or fifthing?) the warning about Aldara's side effects. I used it for warts and it made me feel like shit for about a day and a half every time I applied the stuff. I experienced flu-like symptoms similar to those described by others above. My discomfort was severe enough to make me seriously consider staying home from work, which is not something I do. Just sayin'

    05.21.09 - 09:09 AM
  • 301. Michele said:

    I have a two inch scar on the left cheek on my face. A scab that kept coming back that I believe would heal on its own and I continued to ignore came back to bite me. After almost a year I finally went to a dermatologist and was told it was basal cell carcinoma.

    After the diagnosis I was instructed to see a Mohs Surgeon (see http://en.wikipedia.org/wiki/Mohs_surgery) to have it removed. Usually if you catch these things early the surgeon will have to only go down "one level", but in my case he had to go down "three levels" to clear all the margins. I'm in my 40's and I also spent enormous amounts of time in the sun...sun bathing, swimming in the ocean, and going so far as to put butter and oil on my skin day after day as a teenager to get sun burn and tan. It was the thing to do in the 70's ....get tan.

    I do believe though that my cancer came early. My Dad had basal cell carcinoma starting in his 50's. I believe the use of a cell phone while it didn't cause the basal cell, helped accelerate the process - every doctor I've ever told this laughed - said that the left side of the face is a normal place for cancer to grow because we're all driving with that side of the face exposed. So tell me this..I lived in NYC for 20 years and did not drive for about 15 of those...I'm not sure I agree.

    Needless to say I, like you, am always looking at the moles on my skin, discolorations and any change that is abnormal. At the moment I have small tiny bumps on my chest (the bone in the middle) and I remember having sun poisoning there as a teenager. I am a bit panicked about it - although it is itchy and so perhaps it is not cancer. I have an appointment next week to find out what it is and hopefully it will just turn out to be a skin irritation of some sort.

    Anyway my thoughts about sun exposure are stay out of the sun in the middle of the day, WEAR A HAT if you must be out in the sun. I live in Arizona these days so being out during midday has no appeal for me....I go out in the morning and the evening and pay little or no attention to the idea of coloring my skin anymore.

    I'm sure the sun's rays have strengthened..but that is another story all together. Love the sun..but know its boundaries!!

    05.21.09 - 09:12 AM
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