WEBVTT - You might be doing Slip, Slop, Slap wrong 😅 0:00:03.680 --> 0:00:09.000 Get everyone Sam here. Who would have thought we're going 0:00:09.000 --> 0:00:12.920 to get in a guest today to talk about something 0:00:13.240 --> 0:00:18.360 that is important for absolutely every single one of us 0:00:18.440 --> 0:00:21.200 and it's only going to become more important as we 0:00:21.280 --> 0:00:25.080 head into summer. And that is doctor Adrianne Lee, who 0:00:25.880 --> 0:00:29.000 is going to blow our minds in a good way 0:00:29.560 --> 0:00:32.239 on the importance of taking care of ourselves in the 0:00:32.280 --> 0:00:34.440 hot Australian sun. We had a little bit of a 0:00:34.520 --> 0:00:37.120 chat before I knew she was coming on today and 0:00:37.200 --> 0:00:39.120 just some of the stats that she was sharing with 0:00:39.159 --> 0:00:43.879 me forgetting just the intensity of the UV rays in 0:00:43.960 --> 0:00:47.479 this country that we live in, and how many of 0:00:47.560 --> 0:00:50.199 us do the right thing, but still how many of 0:00:50.240 --> 0:00:53.840 us don't do the right thing and make ourselves susceptible 0:00:53.880 --> 0:00:55.920 to something that is so avoidable. And we're going to 0:00:55.920 --> 0:00:58.480 go through the whole a disease of how you take 0:00:59.040 --> 0:01:01.400 care of your skin and in turn take care of 0:01:01.480 --> 0:01:02.000 your health. 0:01:02.400 --> 0:01:04.759 So that's coming up next in the wood Life, and then. 0:01:04.880 --> 0:01:07.720 We're going to talk about cozy cardio. Sam, what is 0:01:07.760 --> 0:01:31.640 cozy cardio? Well, you better stick around to find out. Okay, 0:01:31.760 --> 0:01:34.640 we are joined in the studio today and we've just 0:01:34.680 --> 0:01:38.280 been having the very quickest chat before before coming on 0:01:38.360 --> 0:01:42.840 air with the President of the Australasian College of Dermatologists, 0:01:43.360 --> 0:01:46.039 thrilled to be joined by doctor Adrian Lee. Welcome to 0:01:46.040 --> 0:01:46.600 the WOODLFE. 0:01:47.000 --> 0:01:47.760 Oh thank you, Sam. 0:01:47.760 --> 0:01:49.840 It's actually a pleasure to be here and I'm grateful 0:01:49.840 --> 0:01:52.280 to be invited to speak about this topic because it's 0:01:52.320 --> 0:01:53.160 really important to us. 0:01:53.240 --> 0:01:54.040 It is really important. 0:01:54.040 --> 0:01:55.600 And the thing that we were just saying before we 0:01:55.640 --> 0:01:57.840 went on air is I almost feel like the fact 0:01:57.840 --> 0:02:00.680 that we haven't spoken to you or anyone in this 0:02:00.800 --> 0:02:06.400 area of skin cancer is almost a metaphor of the 0:02:06.440 --> 0:02:09.960 fact that we all just forget about it. And when 0:02:10.040 --> 0:02:12.680 I was doing some research about you coming in today 0:02:12.720 --> 0:02:15.680 and I read that eighty percent of new cancers in 0:02:15.720 --> 0:02:19.360 this country are actually diagnosed are actually skin cancer, I 0:02:19.400 --> 0:02:20.320 really fell off my chair. 0:02:20.360 --> 0:02:23.200 I really did. That was much much higher than I 0:02:23.200 --> 0:02:23.840 would have thought. 0:02:24.000 --> 0:02:24.800 Yeah, and it is. 0:02:24.840 --> 0:02:27.680 It's probably downplayed a lot, and we hear a lot 0:02:27.720 --> 0:02:31.000 about particular types of skin cancers or melanoma, but we 0:02:31.080 --> 0:02:33.600 forget there are much more common skin cancers out there. 0:02:33.639 --> 0:02:37.480 And if you add up every other cancer skin cancers 0:02:37.560 --> 0:02:40.320 in terms of numbers, at weighs all of those put together. 0:02:40.720 --> 0:02:43.679 So it's a really high proportion of cancers diagnosed, or 0:02:43.680 --> 0:02:46.679 all skin cancers. In my everyday practice, I would see 0:02:47.120 --> 0:02:51.720 you know, five ten a day. 0:02:50.440 --> 0:02:51.280 And that's just one of me. 0:02:51.720 --> 0:02:58.040 So then my head went to guilt because and I 0:02:58.080 --> 0:03:01.079 don't know if my listens like Sam, that's horrific. 0:03:01.360 --> 0:03:03.200 Oh my god, I'm the same. I don't know. 0:03:03.280 --> 0:03:06.840 Actually, I think probably a bit of both. But I 0:03:06.840 --> 0:03:11.440 think I've been checked once in my adult life and 0:03:12.760 --> 0:03:16.280 I'm not totally blase wear my hat, I wear sunscreen, 0:03:17.480 --> 0:03:20.640 you know. But we do have this bronzed Aussie like 0:03:20.760 --> 0:03:23.280 having a tan is a sign of good health, and 0:03:23.560 --> 0:03:26.160 like even if I go away on holiday and get 0:03:26.200 --> 0:03:28.000 a bit of a tech like the amount of compliments 0:03:28.080 --> 0:03:30.440 you get when you're oh, you look fantastic, mate, the 0:03:30.480 --> 0:03:33.160 holiday was just the thing you needed, and I reckon 0:03:33.200 --> 0:03:34.680 the only thing different is a tan. 0:03:34.960 --> 0:03:36.040 Yeah. 0:03:36.160 --> 0:03:41.080 It's a dangerous image, isn't it, you know, for us 0:03:41.120 --> 0:03:42.480 to strive for it is. 0:03:42.440 --> 0:03:45.320 I mean, there's a real perception that if you look bronzed, 0:03:45.880 --> 0:03:48.840 you must be healthy, and I guess it associates without 0:03:48.880 --> 0:03:52.760 directivities and therefore being sporty, and so there's all that 0:03:52.880 --> 0:03:56.560 knock on effect of perception, but there's actually is a cliche, 0:03:56.600 --> 0:03:58.640 but there's no such thing as a healthy tan, and 0:03:58.680 --> 0:04:02.040 even some that causes and without sunburn can cause damage 0:04:02.080 --> 0:04:03.760 to the skin and the skin cells that come out 0:04:03.800 --> 0:04:06.880 later in life as skin cancer. And I think if 0:04:06.920 --> 0:04:09.320 you put it this way, if we have some of 0:04:09.320 --> 0:04:11.800 the highest levels of skin cancer in the world, and 0:04:11.840 --> 0:04:15.680 we have some of the UV in the world, yet 0:04:15.800 --> 0:04:19.080 a majority of our skin cancers are preventable with appropriate 0:04:19.080 --> 0:04:23.160 sun protection and also very treatable with early detection, then 0:04:23.200 --> 0:04:24.200 a lot can change. 0:04:24.440 --> 0:04:26.799 I don't want you to come in here and be 0:04:29.640 --> 0:04:33.640 go over the top, no, but I'd. 0:04:32.760 --> 0:04:33.800 Love you to scare me a bit. 0:04:33.920 --> 0:04:34.160 Yeah. 0:04:34.520 --> 0:04:36.120 I know, I know that sounds a bit weird, but 0:04:36.839 --> 0:04:39.520 I think I need a bit of a scare because 0:04:39.560 --> 0:04:42.440 I get a bit lax with it. So how bad 0:04:42.560 --> 0:04:45.080 is our UV compared to other countries and how can 0:04:45.120 --> 0:04:45.720 you spook us with? 0:04:45.960 --> 0:04:49.520 Yeah, well, if we put it this way, so there's 0:04:49.520 --> 0:04:53.400 three types of UV. There's UVC, UVB, and UVA, and 0:04:53.440 --> 0:04:56.200 so UVC is the stuff that is really bad and 0:04:56.360 --> 0:04:58.880 most of it is filtered out, but it's filtered by 0:04:58.880 --> 0:05:01.560 the ozone layer. So starting with that, there's a hole 0:05:01.600 --> 0:05:04.120 in the ozone layer, which sort of centers around Victoria 0:05:04.120 --> 0:05:08.080 and Tasmania. And then UVB, which is this uv that's 0:05:08.080 --> 0:05:12.000 out that causes sunburns and skin cancers. That's a very 0:05:12.080 --> 0:05:16.960 high index in Australia and in Australia for northern Australia 0:05:17.120 --> 0:05:19.719 and the middle of Australia, it's out all year round. 0:05:19.880 --> 0:05:22.200 It does disappear in the winter in the southern States, 0:05:22.680 --> 0:05:25.000 which is where we can be a bit more relaxed 0:05:25.040 --> 0:05:28.480 with our sudden protection. But when it's out, it has 0:05:28.480 --> 0:05:30.400 the potential to sunburn if you're out in the sun 0:05:30.440 --> 0:05:32.520 for say more than ten minutes, and it has the 0:05:32.520 --> 0:05:34.840 potential to cause damage and that can lead on to 0:05:34.920 --> 0:05:37.440 skin cancers if you're out for that short period of time. 0:05:38.279 --> 0:05:40.360 And then the other UV's UVA, and it's the one 0:05:40.400 --> 0:05:43.200 we always forget about because UVB is blocked out by 0:05:43.279 --> 0:05:45.400 window glass, so we think we're safe if we're sitting 0:05:45.400 --> 0:05:48.000 in a car or sitting behind a window, but UVA 0:05:48.160 --> 0:05:52.040 can still penetrate throo and that can also cause us 0:05:52.040 --> 0:05:54.279 skin cancer. Also aging, I mean, we don't want to 0:05:54.279 --> 0:05:56.520 look older than we need to. And the thing about 0:05:56.560 --> 0:05:59.840 the whole bronze Dozzie is that actually they will look seventeen, 0:06:00.040 --> 0:06:02.560 they're actually fifty because of all that sun exposure. 0:06:02.600 --> 0:06:03.920 And that's another aspect to it. 0:06:04.400 --> 0:06:08.359 All right, spook me tell me, yeah, I'm I'm ready to. 0:06:08.880 --> 0:06:14.920 Not like you very m no, and I'll take that proudly. 0:06:15.000 --> 0:06:19.760 Yeah, listening, lady, Alright, this podcasting scared the life out 0:06:19.760 --> 0:06:20.840 of me. I think that's a good thing. 0:06:21.160 --> 0:06:22.240 Well, let's put it this way. 0:06:22.360 --> 0:06:25.880 So if we look at it skin cancers, two in 0:06:26.000 --> 0:06:29.520 three Australians by the age of seventy will have been 0:06:29.520 --> 0:06:30.800 diagnosed with a skin cancer. 0:06:32.440 --> 0:06:33.920 Of every Australian we'll. 0:06:33.760 --> 0:06:37.800 Get a skin cancer. So last year one point six 0:06:37.800 --> 0:06:40.280 billion dollars of the health budget was spent on skin 0:06:40.320 --> 0:06:44.080 cancer diagnosis, treatment and detection. And that's just a rough 0:06:44.560 --> 0:06:48.280 estimate on based on sort of Medicare figures because they 0:06:48.279 --> 0:06:51.680 don't collect datron most skin cancers. They only collected on melanoma, 0:06:52.240 --> 0:06:56.320 and so it's the most expensive cancer expenditure for our government. 0:06:56.880 --> 0:06:58.719 And if you add up all those. 0:06:58.560 --> 0:07:01.600 That can all the other cancers, and they're cost to 0:07:01.680 --> 0:07:05.159 treat skin cancer by far out weighs that. So that's 0:07:05.160 --> 0:07:07.320 how common it is, and that's how expensit it is. 0:07:07.680 --> 0:07:11.280 But the sad thing is most of them preventable, so 0:07:11.320 --> 0:07:14.480 we could actually reduce that reduce the numbers with good 0:07:14.480 --> 0:07:15.720 sun protection practices. 0:07:16.320 --> 0:07:18.600 So let's go to what we should be doing both. 0:07:18.800 --> 0:07:21.560 Let's let's start at the very source. So you know what, 0:07:21.800 --> 0:07:24.440 from a prevent I know, we all know slip stop slap. 0:07:24.480 --> 0:07:27.120 I don't think it hurts to refresh, No, it doesn't. 0:07:27.200 --> 0:07:31.840 That's one is that that'll be with us, you know, 0:07:31.960 --> 0:07:33.080 for a hundred years. 0:07:33.120 --> 0:07:36.560 Absolutely, But so yeah, tell us what we do. 0:07:36.680 --> 0:07:39.840 Tell us that maybe the one thing that you frustrates 0:07:39.880 --> 0:07:42.520 you that you don't see estrangers this absolute no brainer, 0:07:42.560 --> 0:07:44.640 and it drives you mare that not enough of us 0:07:44.640 --> 0:07:45.080 are doing it. 0:07:45.320 --> 0:07:45.560 Yeah. 0:07:45.800 --> 0:07:48.000 And also I think there's some misconceptions and myths that 0:07:48.040 --> 0:07:52.720 I think you bust them. Yeah, yeah, Look, and slip 0:07:52.760 --> 0:07:56.360 stop slap is still the sort of gold standard. So 0:07:56.400 --> 0:07:59.280 we still slip on a shirt and I think the 0:07:59.320 --> 0:08:01.720 thing about that is just clothing that covers up your skin, 0:08:01.760 --> 0:08:04.480 because that's better than sunscreen. And the thing is that 0:08:04.680 --> 0:08:06.920 it should be tightly woven, so if you hold it 0:08:07.000 --> 0:08:08.840 up to the sun, you shouldn't be able to see 0:08:08.840 --> 0:08:10.720 through it. And then you know, it's tightly woven and 0:08:10.760 --> 0:08:14.080 that way that you'll get your best sun protection. So 0:08:14.200 --> 0:08:18.720 slip on a shirt, slop on sunscreen. So with sunscreens, basically, 0:08:18.760 --> 0:08:20.600 I think the two factors are is that A we 0:08:20.640 --> 0:08:23.360 don't put enough on and B we need to be 0:08:23.400 --> 0:08:24.840 able to choose the right sunscreen. 0:08:25.000 --> 0:08:27.840 The we don't we don't put it on frequently enough, 0:08:27.920 --> 0:08:29.200 or when we do put it on, we put it 0:08:29.200 --> 0:08:29.880 on too thinly. 0:08:30.000 --> 0:08:30.600 Probably both. 0:08:30.960 --> 0:08:34.240 Yeah, So strictly speaking, if you're putting enough sunscreen on, 0:08:34.320 --> 0:08:36.600 you should be putting the equivalent of a tea spin 0:08:36.840 --> 0:08:40.520 or every single body part. So a tea spoon on 0:08:40.559 --> 0:08:42.200 your arm, a tea spoon on your other arm, a 0:08:42.200 --> 0:08:44.240 tea spoon on your face and neck, one on your 0:08:44.280 --> 0:08:46.080 front of your body, one on the back, one on 0:08:46.120 --> 0:08:48.880 each leg. That's thirty five meals of sunscreen. So it's 0:08:48.920 --> 0:08:52.080 actually quite a lot up. Yeah, it does. And so 0:08:52.480 --> 0:08:55.640 the sprays you can never get enough on the aerosol 0:08:55.720 --> 0:08:58.000 sunscreens because I know they use a friendly, but it's 0:08:58.360 --> 0:09:00.800 hard to get good coverage with that. The other thing 0:09:00.800 --> 0:09:02.839 about sunscreen I want to mention is that we always 0:09:02.840 --> 0:09:05.880 talk about that sun protection factor, and we do recommend 0:09:05.920 --> 0:09:08.960 sun protection SB fifty and above. But the other trick 0:09:09.040 --> 0:09:12.360 is that only measures UVB protection and u v A 0:09:12.360 --> 0:09:15.040 also causes skin cancers. So it's important you get a 0:09:15.040 --> 0:09:17.840 broad spectrum one because the broad spectrum one will also. 0:09:17.640 --> 0:09:20.360 Protection from you v You never know what broad spectrum that's. 0:09:20.200 --> 0:09:20.720 What it means. 0:09:20.760 --> 0:09:26.040 I see it on the sure sounds good. 0:09:24.840 --> 0:09:26.679 But I mean I look for the highest number. 0:09:26.880 --> 0:09:28.400 Yes, yes, okay. 0:09:28.160 --> 0:09:33.160 So broad spectrum fifty plus and they said on every four. 0:09:32.960 --> 0:09:35.080 Hours, really every trio. 0:09:37.440 --> 0:09:38.880 More as soon as you come out of the water, 0:09:38.880 --> 0:09:40.800 if you're swimming and going to be outdoors, that's right. 0:09:40.880 --> 0:09:43.079 What are these ones that are water resistant? You did 0:09:43.160 --> 0:09:45.880 buy that or is it there is evidence to suggest 0:09:45.920 --> 0:09:46.520 that they're better, that. 0:09:46.920 --> 0:09:50.320 They will stick a bit better while you're in sort of, 0:09:50.679 --> 0:09:53.280 And that includes water resistance important is not only important 0:09:53.280 --> 0:09:56.240 for water sports, but also if you get sweaty, and 0:09:56.360 --> 0:09:59.319 that's where water resistance also plays a role in your sunscreen. 0:10:00.120 --> 0:10:02.200 But they do play a role, So you're better off 0:10:02.280 --> 0:10:04.760 using a water resistant one than a non water resistant 0:10:04.760 --> 0:10:07.320 one if you're going to be getting wet in any manner. 0:10:08.000 --> 0:10:12.160 But once you've actually gotten out of water, they're probably 0:10:12.160 --> 0:10:14.200 no longer effective. So that's why you want to reapply 0:10:14.200 --> 0:10:16.000 as soon as you come out of the water anyway, 0:10:16.480 --> 0:10:18.760 independent of how long you've been in there too. And 0:10:18.920 --> 0:10:20.400 one more trick is you do need to put your 0:10:20.400 --> 0:10:23.000 sun's screen on, say about twenty minutes before you head. 0:10:22.800 --> 0:10:23.800 Out, so it works. 0:10:23.960 --> 0:10:26.959 I'm really bad. Yeah, I put it on. Then the 0:10:27.040 --> 0:10:29.560 kids go go, let's go swimming. It's probably all washed 0:10:29.600 --> 0:10:31.600 off in that eight seconds of putting it on. Yeah, 0:10:31.600 --> 0:10:35.280 but that okay, that's really good. So we've got our sunscreen, 0:10:35.360 --> 0:10:36.160 We've got our shirt. 0:10:36.280 --> 0:10:39.200 Yep. So we've slip slopped, and we're going to slap 0:10:39.200 --> 0:10:39.640 on a hat. 0:10:40.080 --> 0:10:43.240 And I think the key is, especially because of our ears, 0:10:43.280 --> 0:10:44.599 because of the back of our neck, has to be 0:10:44.720 --> 0:10:45.679 nice and broad brimmed. 0:10:45.960 --> 0:10:47.959 I've got my nice Happy Year. 0:10:47.800 --> 0:10:50.120 As well, two which I love, and that gives you 0:10:50.160 --> 0:10:52.880 good protection. Now, the other two things that have been 0:10:52.920 --> 0:10:56.960 added to the slip stop slap campaign are so slide 0:10:56.960 --> 0:11:02.000 on some sunglasses. Yeah, And the reason is that not 0:11:02.040 --> 0:11:04.959 only does sun cause skin cancers, but it actually can 0:11:05.000 --> 0:11:07.320 cause some gross on your eyes and cataracts and things 0:11:07.320 --> 0:11:10.720 like that. And so traditional sunglasses also will just be 0:11:10.800 --> 0:11:13.360 square and the UV can get in through here. So 0:11:13.400 --> 0:11:15.960 you can still get some skin damage but also some 0:11:16.040 --> 0:11:19.440 damage to the eyes. So sliding on sunglasses that are 0:11:19.480 --> 0:11:23.319 preferably tight and wrap around would be better. And then 0:11:23.360 --> 0:11:26.960 seek shade, So slip, stop, slap, slide, seek And so 0:11:27.000 --> 0:11:29.679 it's seeking shade. So if you're out ideally you stand 0:11:29.760 --> 0:11:32.240 in the shade. Although that's not a subsidity. You still 0:11:32.240 --> 0:11:34.320 need your sunscreen, you still need your hat, but you're 0:11:34.320 --> 0:11:36.560 standing in the shade rather than in the direct sun. 0:11:36.840 --> 0:11:40.960 All right, So slip, slop, slap, slide shade. And so 0:11:41.120 --> 0:11:44.880 then what about proactively going to the doctor? 0:11:45.640 --> 0:11:46.920 How often should be going? 0:11:46.960 --> 0:11:48.880 Is there a particular age that you say from this 0:11:48.960 --> 0:11:52.080 age onwards, this is when you should starts absolutely. 0:11:52.280 --> 0:11:55.000 I think the first thing to say is that everyone 0:11:55.040 --> 0:11:58.600 should be checking themselves, and that's the place to start. 0:11:58.760 --> 0:12:02.200 So a really every change of season. It sounds like 0:12:02.240 --> 0:12:04.960 a lot, but you know, you change your toothbrush, you 0:12:05.040 --> 0:12:07.280 just do a quick check of your skin and so 0:12:07.320 --> 0:12:08.960 you get to know your skin. You get to know 0:12:09.000 --> 0:12:11.640 your spots really well. And a skin check on yourself 0:12:11.720 --> 0:12:13.680 is really quick and it doesn't take much because you 0:12:13.760 --> 0:12:16.400 just use a mirror and use a handheld mirror. You 0:12:16.480 --> 0:12:19.200 check your front you put your back to the well 0:12:19.240 --> 0:12:21.920 mirror and then you look over your handheld and you 0:12:21.960 --> 0:12:24.199 can do a check of most of your body parts 0:12:24.640 --> 0:12:26.840 and you don't forget to check the things we don't 0:12:26.840 --> 0:12:28.959 think to check, so even the soles of your feet, 0:12:29.120 --> 0:12:32.600 sometimes between your toes, the ears, and then the bits 0:12:32.720 --> 0:12:35.040 you can't see. Hopefully you've got a partner who can 0:12:35.080 --> 0:12:38.439 help you. Hairdressers are invaluable for your scalp on top 0:12:38.480 --> 0:12:40.320 of the head as well, and they will often comment 0:12:40.360 --> 0:12:42.120 on a spot that they see and say, get that 0:12:42.240 --> 0:12:48.360 checked so and then if you notice anything. So what 0:12:48.400 --> 0:12:53.920 you're looking for is as firstly a new spot. 0:12:53.679 --> 0:12:55.319 That looks different, because a lot. 0:12:55.120 --> 0:12:58.040 Of people think that most melanomas come from pre existing 0:12:58.120 --> 0:13:00.800 moles that change, but in fact three quarter of melanomas 0:13:00.840 --> 0:13:03.640 come from your normal skin. And we often talk about 0:13:03.640 --> 0:13:06.479 the ABC, D, E R all so A being asymmetry, 0:13:07.080 --> 0:13:11.200 B being a border that's irregular or funny shaped or smudgy. 0:13:11.840 --> 0:13:14.640 C being colors, so lots of colors, so dark brown, 0:13:14.720 --> 0:13:19.320 light brown, black, red, gray, blue, D being diameter meaning 0:13:19.520 --> 0:13:23.240 it's growing, and E being evolution. So other changes, you know, 0:13:23.480 --> 0:13:26.920 getting lumpy, getting scabby, getting crusty, so they're the things 0:13:26.960 --> 0:13:29.719 you would be looking for in your own own moles, 0:13:30.080 --> 0:13:31.679 and as is it anything that looks different And we 0:13:31.679 --> 0:13:33.880 always say ugly duckling. So when you look at your 0:13:33.880 --> 0:13:35.920 skin and your eyes go straight to a spot and 0:13:35.960 --> 0:13:38.480 you just can't ignore it, that's an ugly duckley and 0:13:38.520 --> 0:13:40.880 then you know, I better get that checked. So if 0:13:40.920 --> 0:13:43.560 you see something like that, straight to your GP. 0:13:43.960 --> 0:13:47.920 And what is once you get that diagnosis from your GP, 0:13:48.200 --> 0:13:52.400 what's then the process? What typically do people have to 0:13:52.440 --> 0:13:55.840 have done and what percentage? I mean, are there some 0:13:55.880 --> 0:13:58.959 stats on how many of them are serious, how many 0:13:59.040 --> 0:14:00.760 of them are fatal? Yeah? 0:14:00.880 --> 0:14:03.680 Yeah, So basically, if they're worried about a spot, they'll 0:14:03.720 --> 0:14:07.400 send you on to a dermatologist, and if we get 0:14:07.440 --> 0:14:09.720 the message that there's a concerning spot, we'll try and 0:14:09.760 --> 0:14:12.360 fast track seeing them because some of us do have 0:14:12.440 --> 0:14:15.200 waiting lists, so we're aware that are certain things that 0:14:15.240 --> 0:14:18.000 we need to see quickly. Then when we see the 0:14:18.040 --> 0:14:21.000 patient and we feel if it is a concern, it 0:14:21.040 --> 0:14:23.000 will depend on what we see and what we think 0:14:23.040 --> 0:14:25.280 it might be. Sometimes we'll just take a sample of 0:14:25.280 --> 0:14:27.320 it and do a biop see other times we'll cut 0:14:27.360 --> 0:14:29.960 the whole thing out and then based on the result, 0:14:30.040 --> 0:14:33.600 will recommend the appropriate treatment in terms of what we 0:14:33.680 --> 0:14:36.040 might find. So the commoner skin cancers that's sort of 0:14:36.160 --> 0:14:39.600 two in three people data, is more commonly what we 0:14:39.680 --> 0:14:44.160 call keratinocyte skin cancers as opposed to melanomas. They used 0:14:44.200 --> 0:14:46.600 to be called non melanoma skin cancers. So there's something 0:14:46.640 --> 0:14:49.200 called a basal cell skin cancer that comes from the 0:14:49.240 --> 0:14:52.240 bottom layer of the skin cells, and they're sort of 0:14:52.280 --> 0:14:56.080 slow growing. They eat away the local skin, but they're 0:14:56.200 --> 0:14:59.360 very treatable and they really rarely spread through the body 0:14:59.400 --> 0:15:02.080 of metastas eyes, and they're the ones that I would 0:15:02.120 --> 0:15:04.840 see five or ten times a day. And some of 0:15:04.880 --> 0:15:07.240 those are just in the surface of the skin, like 0:15:07.440 --> 0:15:11.520 red shiny spots or pearly lumps, and those we just 0:15:11.560 --> 0:15:14.640 cut out all. Some are amenable to a cream or freezing, 0:15:15.720 --> 0:15:19.240 and so they don't always lead to surgery. The next 0:15:19.360 --> 0:15:21.480 level of cancer is something called a squam of sell 0:15:21.520 --> 0:15:24.280 skin cancer, and they start from the top layers of skin. 0:15:24.320 --> 0:15:26.960 They grow a bit more quickly. They can be painful, 0:15:27.400 --> 0:15:31.200 and those ones, if we neglect them, have a small 0:15:31.280 --> 0:15:33.960 risk of starting to spread through the body, But again 0:15:34.080 --> 0:15:36.720 by and large are just amenable to cutting them out. 0:15:36.760 --> 0:15:38.160 So we just cut them out and that's the end 0:15:38.160 --> 0:15:40.840 of it and they won't cause any trouble. It's the 0:15:40.880 --> 0:15:44.760 melanomas that are the serious ones. And while they're less common. 0:15:45.280 --> 0:15:47.720 So I think the stats are one in fourteen men 0:15:48.280 --> 0:15:50.880 and one in twenty one women. So that's important to 0:15:50.920 --> 0:15:53.160 remember because unfortunately, I think men are maybe a bit 0:15:53.200 --> 0:15:57.200 less diligent about sun protection and their health checks as well, 0:15:57.240 --> 0:15:59.120 but the rates of melanoma are higher. So one in 0:15:59.160 --> 0:16:02.400 fourteen men twenty one women will get a melanoma in 0:16:02.440 --> 0:16:03.800 their lifetime in Australia. 0:16:03.920 --> 0:16:06.560 That still scares me a lot. To me, that still 0:16:06.560 --> 0:16:10.880 feels very high. I don't go only one in fourtee. 0:16:11.720 --> 0:16:16.040 It's the third commonest cancer that is in Australia because 0:16:16.440 --> 0:16:19.840 we have to take out the correct skin cancers because 0:16:19.840 --> 0:16:21.960 we don't click data on those, but of the big 0:16:22.040 --> 0:16:24.360 cancers they click data on, it's the third commonest. 0:16:24.800 --> 0:16:27.960 And what about what about from what age? 0:16:28.200 --> 0:16:30.520 I mean, what age should I start doing my quarterly 0:16:30.560 --> 0:16:32.720 self checks and what age should I be insisting my 0:16:32.840 --> 0:16:35.200 GP doing it once over once a year. 0:16:35.320 --> 0:16:38.960 I often think about school age is the time to 0:16:39.000 --> 0:16:40.920 do just your first check to work out where you're 0:16:40.960 --> 0:16:45.920 at it, we'll starting to know yours and then with 0:16:46.040 --> 0:16:48.360 your annual checks. Often we're a bit older when we 0:16:48.360 --> 0:16:50.680 start to get annual checks from our GP, so that 0:16:50.760 --> 0:16:51.600 might be in your. 0:16:51.600 --> 0:16:52.640 I've only started doing it. 0:16:52.880 --> 0:16:54.520 I think I was forty, that's it, So I don't 0:16:54.520 --> 0:16:54.920 know it's. 0:16:54.920 --> 0:16:56.240 My fortieth birthday, is alarmer? 0:16:56.320 --> 0:16:56.640 What else? 0:16:56.760 --> 0:16:59.920 But Yeah, the skin's one thing. So would you advise 0:17:00.080 --> 0:17:01.160 from forty or earlier? 0:17:01.360 --> 0:17:03.200 Or it depends a bit on respectors. 0:17:03.320 --> 0:17:06.160 Sure, So for someone who's never had a skin cancer, 0:17:07.000 --> 0:17:10.320 who has not got many risk factors, so they are 0:17:10.320 --> 0:17:13.960 actually not like yourself. So you're probably intermediate in terms 0:17:14.000 --> 0:17:16.359 of your skin type, but you might have had some 0:17:16.520 --> 0:17:20.399 UV exposure over the years and then probably about twenty 0:17:20.400 --> 0:17:23.720 five thirty as well. Yeah, if you've got a really 0:17:23.760 --> 0:17:26.600 strong family history of skin cancer, are you're covered in moles, 0:17:26.640 --> 0:17:28.560 that's probably an earlier age that you should be getting 0:17:28.560 --> 0:17:29.280 those skin checks. 0:17:29.520 --> 0:17:33.520 Look, I'm not saying I guess. My thought is you 0:17:33.560 --> 0:17:35.840 can't really do this to it again. Your I agree 0:17:35.880 --> 0:17:39.800 for what you have to lose to the correct the inconvenience, 0:17:40.800 --> 0:17:42.160 let's get the balance right here. 0:17:42.240 --> 0:17:46.280 Absolutely, I agree, and I think that it's also part 0:17:46.280 --> 0:17:48.359 of just that general looking after your general health. It 0:17:48.400 --> 0:17:50.560 gets even good ractices and it makes you think about 0:17:50.560 --> 0:17:51.960 what you're doing every day and. 0:17:51.920 --> 0:17:55.040 Are there any other symptoms that you would experience beyond 0:17:55.400 --> 0:17:58.840 a look like would you if you had a melanoma? 0:17:58.920 --> 0:18:01.680 Would you be fear in any way? Or it's purely 0:18:01.760 --> 0:18:04.040 a visual identity and identification. 0:18:04.160 --> 0:18:07.680 The spot itself might get itchy, it might scabble crust, 0:18:07.960 --> 0:18:10.440 or it might be a bit sore or tender, so 0:18:10.920 --> 0:18:13.200 it might draw your attention not just by how it looks, 0:18:13.200 --> 0:18:14.280 but how it feels. 0:18:14.359 --> 0:18:16.639 Okay, that's good to know. I've learned. 0:18:17.560 --> 0:18:20.399 Literally, I've just been a sponge to soaking all of 0:18:20.400 --> 0:18:20.800 this up. 0:18:20.840 --> 0:18:22.360 It's been absolutely fantasy. 0:18:23.520 --> 0:18:26.119 Last question I've got, because we've sort of spoken about 0:18:26.119 --> 0:18:27.440 how far we've come. 0:18:27.800 --> 0:18:28.600 Are there still? 0:18:29.440 --> 0:18:33.240 Are there any trends or anything still here in twenty 0:18:33.280 --> 0:18:36.520 twenty three that really worries you that if you've got 0:18:36.520 --> 0:18:39.240 this as a mouthpiece to the younger people or whatever, 0:18:39.480 --> 0:18:42.040 Australians everywhere, is there anything you. 0:18:41.920 --> 0:18:43.399 Just go You've got to listen to this. 0:18:43.560 --> 0:18:45.320 You're mad to not hear this information. 0:18:46.400 --> 0:18:50.480 I think there's a few things, but in particular I 0:18:50.480 --> 0:18:54.800 think it's just still the whole tanning trend, wanting to 0:18:54.800 --> 0:18:59.080 get tanned, wanting to get sort of that healthy glow, 0:18:59.480 --> 0:19:02.320 and that health the glow naturally, is there real concern too? 0:19:02.880 --> 0:19:03.040 Now? 0:19:03.080 --> 0:19:06.359 Look, I've just thought of another trend that's really right 0:19:06.440 --> 0:19:08.760 bad and it's on TikTok, and it's called the TikTok 0:19:08.800 --> 0:19:09.520 tanning trend. 0:19:10.160 --> 0:19:12.840