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Wednesday 30 OctOber 2019 heAlth
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                                                                                                               Hats Off



                                                                                    their early stages. The larger the tu-  like Growth Factor-1 (IFG-1) to de-
                                                                                    mor has grown, however, the more  termine your level of pre- diabetes,
                                                                                    extensive  the  treatment  needed.  insulin resistance.
                                                                                    While BCCs seldom spread to vital  People  with  increasing  levels  of
                                                                                    organs, they can cause major dis-   pre-diabetes will develop skin tags
                                                                                    figurement and occasionally result  around  the  neck,  armpits  and
                                                                                    in  nerve  or  muscle  injury.  Certain  groin. A skin tag is a narrow stalk of
                                                                                    rare,  aggressive  forms  can  be  le-  skin that bulges at the end. Most of
                                                                                    thal if not treated promptly.       the time, skin tags are just unsight-
                                                                                    Squamous  cell  carcinoma  is  the  ly. However, when they appear, it
                                                                                    second  most  common  form  of  means you are on the road to de-
                                                                                    skin cancer. More than one million  veloping  diabetes  and  when  skin
                                                                                    cases  are  diagnosed  in  the  U.S.  tags are twisted, irritated, or bleed-
                                                                                    each year. Squamous cell carcino-   ing, this might be a good reason to
                                                                                    mas typically appear as persistent,  seek medical attention.
                                                                                    thick,  rough,  scaly  patches  that  Darkening  skin  on  your  sides  of
                                                                                    can bleed if bumped, scratched or  your  face  and  neck  or  spots  on
                                                                                    scraped. They often look like warts  exposed areas are often sun dam-
                                                                                    and  sometimes  appear  as  open  age  that  may  not  be  cancer.
                                                                                    sores  with  a  raised  border  and  a  However, it may be acanthosis ni-
                                                                                    crusted surface. People who have  gricans, which is not a skin disease,
                                 Dr. Carlos Viana                                   fair skin, light hair, and blue, green,  but  a  skin  sign  of  an  underlying
                                                                                    or gray eyes are at highest risk of  condition  or  disease.  Besides  the
            ‘Hats off’ an expression used to ex-  at risk.                          developing  the  disease.  Chronic  development  of  diabetes,  it  can
            press admiration for someone who  Melanoma,  the  most  dangerous  infections  and  skin  inflammation  reflect  kidney  problems  or  colon,
            has done something praiseworthy.  form  of  skin  cancer,  accounts  for  can also increase the risk to devel-  or breast cancer. When a patient
            So, let us take our hats off to thank  up to three percent of all pediatric  oping  squamous  cell  carcinoma.  presents with darkening and thick-
            our local dermatologists who con-   cancers.  The  treatment  of  child-  Furthermore,  immune  deficiency  ening of the skin, occurring mainly
            ducted a free skin cancer screen-   hood  melanoma  is  delayed  40%  diseases,     chemotherapy,     and  in the folds of the skin, I make sure
            ing for the public. The dermatolo-  of the time due to misdiagnosis of  there  are  dozens  of  medications  not to run a blood test to find any
            gists donated their time and mon-   dark  growth  that  look  like  moles.  and  over-the-counter  drugs  that  underlying cause.
            ey to provide this valuable service.  Most  melanomas  are  black  or  can cause sun sensitivity. Some of  Get  The  Point!  We  have  tipped
            No  medical  government  agency  brown, but they can also be skin-      the  most  common  include:  Anti-  our  hat  with  thanks  to  those  that
            provided  any  financial  support,  colored, pink, red, purple, blue or  biotics:  doxycycline,  tetracycline,  took the time and effort to screen
            additional sponsorship was by the  white. Melanoma is caused mainly  ciprofloxacin,       antidepressants:  our community. Now let us put our
            local media and print companies.    by  intense,  occasional  sun  expo-  doxepin (Sinequan); and a herbal  hats back to protect a little more
                                                sure. So, cover baby’s head when  supplement  that  I  never  recom-    from the damaging sunlight. Cov-
            Being  older  than  sixty-  five  I  was  out in the sun. Among adults Mel-  mend,  St.  John’s  wort  can  cause  ering up and avoiding the hottest
            excited  to  be  screened  and  was  anoma  kills  an  estimated  10,130  sun sensitivity.                  part  of  the  day,  may  be  smarter
            happy to see how many people at-    people  in  the  US  annually.  Coun-  In  our  clinic,  I  diagnose  medical  than  chemical  sunscreens.    And,
            tended.  Over the past thirty years  tries closer to the equator will have  conditions that put people at high-  be careful of the reflection of our
            more people have had skin cancer  greater numbers.                      er risk. Most doctors do not ask for  beautiful  sea  even  in  the  shade,
            than all other cancers combined.  Basal cell carcinoma (BCC) is the  a comprehensive blood test to see  when  sitting  on  our  white  beach-
            That  means  that  each  year  there  most common form of skin cancer.   how  close  you  are  to  developing  es.  Prevention is much better than
            are  more  new  cases  of  skin  can-  More  than  4  million  cases  are  di-  diabetes. Certain types of cancers  having  to  be  treated  for  cancer
            cer than the combined incidence  agnosed in the U.S. each year. The  are more common in people with  and goes a long way.  Come in for
            of cancers of the breast, prostate,  warning  signs  include:  open  sore  diabetes.  The  frequency  and  risk  a blood test to ensure you are not
            lung and colon. And as we baby-  that  bleeds,  a  red  irritated  area,  of developing overall skin cancer,  developing an environment where
            boomers get older more than 50%  a  shiny  bump,  a  slightly  elevated  including melanoma, is higher with  cancer can grow.  Let us help you
            who live to age 65 will have either  pink  growth,  a  scar-like  area  that  people with insulin resistance (pre-  by  identifying  chronic  inflamma-
            basal cell carcinoma or squamous  is white, yellow or waxy. These five  diabetes).  Many  doctors  check  tion and reducing risk for develop-
            cell carcinoma at least once. But  warning  signs  should  not  be  ig-  fasting blood glucose, not learning  ing diabetes.q
            do not think only older people are  nored.  BCCs  are  easily  treated  in  how to connect insulin and Insulin-
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