RSS

The Truth about Sunshine

Here is my first official PSA. I have some young and impressionable readers. Or just young. Or just impressionable. Or not young. OK, I'll speak for myself: I'm not young, but I am impressionable. I went to the dermatologist a few months ago and she talked to me for two hours about my sun-damaged skin and the importance of prevention. Boring? Yes, but I sat up and paid attention and I hope that you do the same. If you don't click the red "x" in the upper right part of your screen, I promise, I'll say the word "boob," which I realize is very PG-13. If you want R-rated words, you'll have to visit Eden.

Most of us have read articles about sun safety. According to dermatologists, 'safe tanning' is an oxymoron like "healthy cigarettes." The sun is only safe if we avoid it (the vitamin D-connection being the gray area-more on that later). There is no such thing as a 'good tan' or a 'healthy tan' according to my dermatologist (and others).

Some facts from my dermatologist:
  • We should stay out of the sun in order to prevent skin cancer as well as wrinkles.
  • If in the sun, we should cover up: long-sleeve shirts, pants (moisture-wicking if necessary), hats, glasses. Avoid peak hours of 10am-4pm unless you are in Iceland in the summer - then just never leave the house (kidding). Wear UV-protective sunglasses as your eyes can become damaged as well.
  • If we MUST have our skin exposed (think: lunch date in cute sundress), we should use A WHOLE SHOT GLASS of sunscreen for our entire body. Or a whole Tablespoon for your face and neck. (This feels like a huge amount as you are rubbing it in and it takes For.Ever.) Reapply every two hours or more if sweating or wet.
  • Sun damage is cumulative, which means the more of it you have, the more damage. It's never too late to start preventative measures. Every day that you expose yourself, you increase your risks.
  • Sun damage occurs even inside, near windows. Put on sunscreen, even when indoors near windows.
  • Any tan is a bad tan unless it comes from a bottle. The actual darkness of the tan indicates the extent to which DNA has been damaged. This can lead to cancer. And wrinkles. And looking like Snooki. Nobody wants that.
So where did I go wrong?
  1. I worshipped the sun as a teenager. My cousin once mistook me at the beach for an African-American girl when meeting her at the beach. 100% true story.
  2. I was read the riot act by a dermatologist in my 20s and I began using sunscreen religiously. Problem: I was using a small fraction of the necessary dose. I figured 'a smear' was good enough. Not so.
  3. I was not covering up, believing falsely that my (smear of) sunscreen was going to protect me.
  4. I STILL proceeded to tan because I had applied my (smear of) sunscreen, which I did not realize was bad in and of itself. I thought that a tan was OK since I was wearing sunscreen, but it is NOT OK. During my appointment the dermatologist pointed to my bare boob (THERE IT IS!) with a pen and said "You do see how milky white you are? THAT is your natural color". She pointed at said boob again. And again. With her pen. Um, awkward, but she drove her point across. Not to mention that I had no idea that I am really milky white!
I was a teen who was always 'working on her tan.'

The result of my time in the sun?
  1. I have been getting suspicious areas removed and biopsied for years.
  2. Thankfully, all biopsies have been either negative or precancerous- so far.
  3. Some of the biopsies are leaving marks that are unaesthetic and I've been warned that this is 'just the beginning' if I do not change my habits regarding the sun.
  4. My eyes are showing signs of sun damage which can lead to cataracts and retinal problems. 

Band-aid covers my biopsy site. Ellie consoles me.

Janetha took this photo of me in June. But let's look a little closer...
Thank goodness for fillers, is all I'm saying.




How have my habits changed since learning all of this?

  1. I now slather myself with sunscreen first thing in the morning, and throughout the day (and I do mean 'slather')
  2. I find shade when possible.
  3. If I must be in the sun, I either wear long clothing, or a hat or I use an umbrella. Yes, an umbrella. Or I use a combination of all of the above.
Even while driving, I now wear long sleeves and often a hat. Not fun.

Thanks, Eden, for the sending me this photo, complete with label. I think.

I have a small umbrella that I keep in my purse and I use it ALL the time.

This is not me. It's a model wearing a western-version of a burka from Coolibar.

The vitamin D dilemma:

The only problem with avoiding the sun is that your body decreases its vitamin D production which is the new golden-child of vitamins. It is purported to prevent everything from diabetes to bone health, mood disorders, cancer, Multiple Sclerosis and other autoimmune diseases. Now listen to this: I was tested not long before my appointment and despite my sun-worshipping habits, and the fact that I live in Southern California, I was LOW! So now I supplement with D3 per the advice of my endocrinologist, and current tests are normal. You can read about the Vitamin D connection on WebMD, The Mayo Clinic and the Harvard newsletter. It is widely accepted that the current recommendations of 200IU are far too low to be effective and many doctors are recommending anywhere from 1000IU per day. Check with yours.
    There is a ton of information out there on skin cancer. I hope that you'll pay attention better than I did.

    So there you have it: A dry post about sun damage that I hope will help even one person out there. And you got read the word "boob." I hope it was worth it.

    On the up side, a small dose of chocolate daily just MIGHT help to protect us from the sun's damaging rays.

    Oh goodie.
     Q: Are you a sun worshipper? Avoider? Are you naturally olive-skinned? Or like a porcelain doll? Do these un-fun posts make you fall asleep or want to poke your eyes with a Slurpee straw?

    28 comments:

    Susan said...

    Thank you for posting this Deb! It's such an important issue, even to an East coaster like myself who sees sun 4 months out of the year.

    Both my mom and grandmother have had multiple biopsies (all benign) during my life time and it's made me so careful about my skin. I've inherited a lot of moles and freckles from both parents - another "warning sign" to be extra safe. I wear sunscreen in the winter!

    I sometimes feel a bit self-conscious around my gorgeously tanned friends, but I know what's more important to me. I think everyone just has to decide what their risk level is and what their priorities are!

    Susan said...

    Great post Deb!! I never thought of a tan that way before, but if you think about it, the colour shows the damage taking place. Sun damage doesn't begin with a burn! I'm naturally super pale and actually have worked to stay out of the sun my whole life. Mostly because I know it's the best way to look more aged than I am, and I feel like us pale people need to represent ;)

    Ameena said...

    I avoid the sun as much as I can because my mom has skin cancer (along with breast cancer) and I don't want to expedite my crappy genetics if I can help it.

    Well written. Glad that you can help some of the younger readers out there...I certainly wasn't as diligent when I was in my teens and twenties so hopefully someone will take notice thanks to your post!

    Deb (Smoothie Girl Eats Too) said...

    Somehow I figured that the two Susans & Ameena would have lots of sunsibility (ack, sorry for dumb word that popped into my head) :-)

    damnthefreshman15 said...

    Erm, I'm not a total sun hater. I do think back to my great grandparents who toiled on a farm and were perfectly fine. Albeit, they wore hats and took breaks in the shade. They weren't like marathon runners, who have startlingly high rates of skin cancer.

    I don't think anything is black or white. Getting too little sun isn't good either. Too little sun seems linked to myopia, even if too much can also be detrimental.

    I think people make a mistake by just waltzing around in direct sun for a long period of time. I can't 'cuz I'm Irish. But I've been able to make even my cracker skin stand up to sun better. It used to be I'd fry within minutes. So I gradually built up sun resistance by going outside, sans sunscreen, then returning indoors right when my skin started to pinken. I can stay out in the sun longer now and not burn.

    If I'm going to the beach or a gold course I smear the stuff on, but I don't bother if I'm just out for day-to-day activities. I'd wear a hat except I don't look good in them, teehee.

    Not trying to diss dermatologists at all. I just get the feeling they see so many people with sun-related skin problems that they forget we are very much diurnal creatures. I think if we were meant to stay indoors all the time, we'd have all been born sexy vampires.

    tam said...

    I went to a dermatologist a couple of months ago and she told me I have quite bad sun damage......I need to remember to put my screen on but it gives me spots! x x

    tam said...

    P.S Your posts never bore me x x

    Kristina @ spabettie said...

    sunsibility. I love it.

    when I was younger I LOVED the sun! I grew up spending summers in Hawaii, and recall my mom parting my hair in a different place every hour or so, to avoid a burn. I never thought too much about sunscreen, spent SO much time in the sun and skiing - and then I went to skin care school. I wear an spf daily, even here in Not Sunny Oregon, and while I still spend a lot of time in the sun (I'm an Island Girl at heart!) I am more careful now.

    Eden said...

    R rated? ME?! puh-lease! i'm NC 17 when i'm being modest.

    well, i feel like i was there with you when you wrote this post cause i've heard all this when we would go outside together. that being said, i never sat out in the sun very often. Hence i often sport this whole "Snow White" look but if it will keep skin cancer at bay (cause lets face it, cancer loves my genes too, ameena). I'll be Ms. White.

    But deb, ever since youve stopped sun worshipping you've looked radiant! You were always gorgeous, but now you look "glowing" (not in the pregnant way...and I dont feel pregnant women look "glowing" to begin with...most of the time they look a little constipated to me).

    Ok, back into blog reading hybernation...

    Deb (Smoothie Girl Eats Too) said...

    Mimi- myopia, wow I didn't know! Yes you're right about not being black & white. I guess I'm just scurred because I know that I'm in for a lot more meetings with the doctor's scalpel and that's just from the damage I've already done :-0

    Tam- thank you- that's sweet. And I'm surprised about the doc saying that to you- I always remember your skin seeming flawless!

    Kristina- oh yes, the skiing! True story (and embarrassing: my cousin (same one who thought I was black at the beach) and I used to go skiing in jeans and a bikini top. egads what was I thinking. Always the multitasker. (it was in So California and warm [and therefore slushy])

    Eden, thank you for the 'glowing' remark- I think it's just that I'm not forming new dark spots and hopefully the ones I have are fading. My doc wants my goal to be to lose the tan entirely so I'm milky white like my boob. I'll post photos when that happens. Kidding.

    Anonymous said...

    I just found your blog today because I googled "low calorie fudge" and found your post, which is AWESOME by the way.

    I am pale and secretly proud of it. I tell people that I stay out of the sun because there is skin cancer in my family (which there is), but the truth is that I just think tans look leathery and I am secretly more vain than I care to admit.

    I feel like I need to lie about my true reasons because all my friends are so obsessed with tanning. I don't get that about them...and I am SO glad I don't have their moles and freckles. Maybe that makes me a horribly shallow person, but for what it's worth, there are plenty of people who will think you are GORGEOUS without a tan. Seriously! Not everyone thinks tans look better than natural skin tone. Anyhow, your photos look beautiful, plus I had to thank you for saving my day with your recipe from last year...yummmm!

    Pure2raw twins said...

    growing up in south Florida I grew up in the SUN !!! I have sun spots and I know I have some sun damage. when I know I will be in the sun for a long time I will put sunscreen on but if it is under 15 minutes I usually don't because I need the vitamin D, my levels are low, very low.

    Anonymous said...

    OK, as you know, I see and find cancer every darn day. It is very scary to see SO many breast cancers in women in their 20's and 30's. We see skin cancer daily as well, mostly older people but sadly more and more young poeple with these "pre-cancer" lesions that have to be watched. But the whole sun situation is up in the air. We DO need it for our bodies to process the Vitamin D (which I take 5000 IU's daily) but we can't OD on it either. I have been sunburned and used tanning beds so my chances are higher of developing a skin cancer. But another "monkey wrench" in this is genetics. Genetic are so important. Some people have genes that are triggered by things (some we know, like cigarettes, others we don't)while some people seem unscathed, even though they smoke. Naturally you don't want to take the risk of doing damaging things and "hope" you have good genes. So EVERYONE needs to be aware of all they can do to help themselves.
    I have wondered about all of these runners on all of these blogs. When they show pictures of races or them running, it is in full sun and they have on tank tops and shorts. I doubt few if any are wearing sunscreen. Some don't even have on sunglasses or caps to protect their eyes and scalp. One of the worst melanomas Ive seen was on the scalp, so it was very hard to see and find until it was too late.
    Great public awareness post!
    I once tanned a lot, but not anymore like I used to.
    I love posts like this - it's my job and I could talk about this all night. More poeple need to know how prevalent cancer is. I have commented on 2 blogs that I have never commented on before simply because the topic was on HPV and pap smears - the core of my work. So no eye stabbing today!

    Missy

    Amanda said...

    I've had moles removed and skin cancer in my family so I can't tell you how important this post and subject is to me.

    Ellie looks like a good consoler.

    I'm full-blooded Irish but relatively tan considering. I need to stay out of the sun. I had a little too much this summer.

    The Fit Flosser said...

    This is an interesting post. I also supplement with vitamin D since my mom has MS and lack of the "sunshine" vitamin is one of the causes.

    jenn (GH) said...

    I didn't find this boring at all. I've been pretty diligent about protecting my skin from the sun since I was about 18. I think it's has really helped my skin. I LOVE pale skin and if I could safely lighten my skin I would and I'm already pretty dang white! Unless someone is naturally dark tans just look cheesy to me. Although I didn't always feel this way. As a cheerleader in hs (shhhh..that's a secret) I felt the need to be tan and even went to a tanning bed a few times.

    Anyway it's a good thing I love fair skin b/c my mom had melanoma a few years ago. I'm also diligent about going to the derm. and go at least every six months.

    BTW - I would have never guess you had sun damage. Your skin looks amazing! Seriously.

    Deb (Smoothie Girl Eats Too) said...

    Anonymous- welcome and thank you! I hope that the peer pressure doesn't get to you- you seem to be able to handle it! ;-)

    Pure- not sure which of you is commenting but you might want to talk to your doc about Vit D supplementation- I forgot you're in Florida- LOVE!

    Missy- Oy the smears- I am amidst a story on that too- too early to write about and no 'lesson' to learn from it anyway except GO for your paps regularly. Re. shorts/tank tops: I was heart broken when my doc kibboshed that for me- she even showed me photos of herself at her beach vacations wearing rash guards and long biker type leggings WHILE SWIMMING!!

    Amanda- Ellie makes everything better :-)

    Fit Flosser- yes, my mom had it too- I think we've compared notes on our similar lives before :-)

    Jenn- You have that gorgeous porcelain doll look. One day I'll catch up with you :-) I didn't know about your mom's melanoma. And your cheerleading secret is safe with me as long as you'll keep mine under wraps too. haha

    Errign said...

    Thanks for this reminder Deb. I am admittedly HORRIBLE about putting on suncreen or covering up, though I do tend to avoid direct sunlight. Need to change my habits!

    Andrea@WellnessNotes said...

    One of the things I would do differently if I could go back in time is being more diligent about protecting my skin from the sun. Now, I wear sunscreen every day and have been for years. I also cover up.

    Sun damage is not pretty and will show sooner or later... And it can be deadly! Something I just ignored at one point...

    Both my parents had melanoma, and now my dad is fighting melanoma in his eye. I worry about the damage I have done to myself years ago... But you are right, it's never too late to protect you skin. And very good points about Vitamin D.

    Christine said...

    I'm supposed to be the same color as my boob? Ugh, I'm in trouble. Actually, my GYN got on me about seeing a dermatologist this year. I got the "at our age..." speech...I'm kind of sick of hearing "at our age..." lol!

    Thanks for the post - it is really helpful and you are really brave to show your scar. That hit home for me.

    McIntosh said...

    Hmmm...I'll probably get skewered for saying this but I think this "fear of sun" thing has gotten blown way out of proportion. Sunshine is healing in so many ways not to mention the vitamin D thing. Yes, I agree, don't bake and if you're genetically prone to skin issues be careful but NOT paranoid!

    It seems like people are increasingly not enjoying the outdoors and parents are making their kids hibernate.

    Granted I have naturally good skin and never really burn. Thanks Mom (who at 75 has beautiful skin despite countless chemo for breast/bone cancer).

    I pretty much believe that I am solar-powered (; and without sun I am one depressed human.

    Moderation? I'll take my chances since basically cancer-causing stuff is impossible to avoid.

    Okay...bring on the reprimanding!

    Nothern Destinations said...

    To keep the brilliant sun at bay you suggest a shotglass of sunscreen, Deb ?
    Wouldn't it be o.k. to pour a shot glass of wheatgrass into your internal skin as well?

    Deb (Smoothie Girl Eats Too) said...

    Errign- we will do it together :-)

    Andrea- both parents? I'm so sorry. I knew about dad but not mom.

    Christine-- "at our age" ah yes... I know that one.

    McIntosh- no reprimanding from me! You are an adult who can make your own informed choices!

    Northern- it's not my suggestion, but the professionals'. And I'm all for a shot of wheatgrass as long as it's followed by a shot of vodka ;-)

    olyasingh said...

    That is very informative! Thank you very much

    Julie said...

    i wish my grammy would read this post! she's a total sun whore and she really shouldn't be at her age but she's been since like she was a wee teenie bopper and she's just from that era of let's get TAN. silly rabbit.

    i like the sun and the heat alottt but i do lather up and thanks to my irish side i never really get THAT tan :(

    Betty said...

    I'm a sun worshiper, I should be a porcelain doll but I try to stay Mexican looking as possible.. Well until 2 months ago when I decided I could spend $60 a month on much better things.. So I'm tan free and the lightest shade bare minerals has to offer :( idk if it will last because I hate being white but I really am trying. I'm 23 and started tanning when I was 14.. My mom has started to get spots removed and it's slowly making me realize, maybe it's not worth it..

    Deb (Smoothie Girl Eats Too) said...

    olyasingh- thank you for saying this :-)

    Julie- well, let's hope that your grammy is genetically resistant to sun damage!

    Betty- honestly, I gave up on the 'tan is beautiful' mentality a while ago and see how beautiful women can be when they are fair skinned. You are still so young- now is a fabulous time to protect your skin!

    Paige @ Running Around Normal said...

    I am just now wearing sunscreen every day and I can already tell a difference in how my skin is aging. It's so so so important. I also switched to a physical sunscreen from a chemical (doing a post on this soon, actually!!)

    Blog Widget by LinkWithin
     
    Copyright 2009 SmoothieGirlEatsToo All rights reserved.
    Blogger Templates created by Deluxe Templates
    Wordpress Theme by EZwpthemes