Revised Papers
Report
History of Tanning Beds, Health Disputes & the Political Atmosphere
Tanning has been around for over a
century, but only within the last three decades have the health risks associated
with tanning come to the attention of the public. Having become a multi-billion
dollar industry within the last 5 years, indoor tanning is now at the center of
a heated debate, one that will determine the future of the tanning industry.
Disputes include the health benefits that indoor tanning provides, and the contrasting
opinion held by medical organizations and agencies. They argue that tanning is
dangerous, and that these health benefits are false; promoted only for the
success of the industry. These conflicting arguments have led to legislative
intervention by the federal government that has everybody talking. Among all
this discourse only one thing can be decided for sure; neither side has any
intent of giving up ground to their opponent.
Tanning lamps were originally created by accident in 1903 by the German company Heraeus. As they researched innovative lighting techniques for houses and industrial buildings, they soon realized that the new bulbs they’d created also emitted Ultraviolet light; light that causes pigmentation, or coloring, of the skin (“History of Tanning…”). Soon it became a popular trend for people to use these new lamps to develop a bronzed look. Today, indoor tanning has surged its way to the forefront of the cosmetic industry with an average of 41 establishments per major city; that is significantly more than Starbucks (19) and even McDonalds (29) (Hoerster, K.D. et al.). Today there are nearly 30 million tanners annually in over 50,000 tanning salons in the U.S., catapulting the industry to a $5 billion per year profit (Kanopa).
Tanning lamps were originally created by accident in 1903 by the German company Heraeus. As they researched innovative lighting techniques for houses and industrial buildings, they soon realized that the new bulbs they’d created also emitted Ultraviolet light; light that causes pigmentation, or coloring, of the skin (“History of Tanning…”). Soon it became a popular trend for people to use these new lamps to develop a bronzed look. Today, indoor tanning has surged its way to the forefront of the cosmetic industry with an average of 41 establishments per major city; that is significantly more than Starbucks (19) and even McDonalds (29) (Hoerster, K.D. et al.). Today there are nearly 30 million tanners annually in over 50,000 tanning salons in the U.S., catapulting the industry to a $5 billion per year profit (Kanopa).
We can attribute the vast majority of success currently taking place in the industry to the health benefits that tanning providers suggest come from tanning. The most famous assertion used today states that UV light emitted from tanning bulbs can increase, or supplement, the production of Vitamin D in the body, which is a necessary component to Calcium production for strong bones. This declaration comes from research done in the 1920’s and 1930’s which found that those with Ricketts, a brittle bone disease caused by lack of Vitamin D, who had been exposed to UV light emissions, experienced an increase in Vitamin D and Calcium production (Kanopa). Friedrich Wolff, a German scientist reaffirmed these studies with his own research in the early 1970’s, prompting him to patent the idea of a tanning bed – multiple lamps assembled
in a dome like fashion – and sell it to his brother Jorg: owner and chief operator
of Cosmedico Limited, the largest cosmetic industry in the United States
(“About Wolff” & “History of Indoor…” & “History of Tanning…”). On the
back of this research rests the claim that tanning provides the body with
nutrients. Yet this isn’t the only health benefit that the industry proposes
their product offers.
Advertisements which promote the notion that indoor tanning has many health benefits include; those who tan indoors are less likely to experience significant sunburns, and those who tan will have an, “increased psychological sense of well-being” due to the satisfaction they receive from being perceived as beautiful (Kanopa). These claims serve as the key points of focus that have the tanning industry taking center stage on issues that are gaining social awareness. Tanning companies like CA Suntan, draw the spotlight on themselves when they make the bold assertion that, “…indoor tanning is safer and more effective to achieve that beautiful bronze glow” because exposure time is measured and therefore predictable (“History of Indoor…”). Today it is a universally accepted truth that image means everything in societal acceptance. With so many celebrities and athletes showcasing fashion trends, and having ‘followers’ in social media, the advertisements associated with indoor tanning become apparent: taking attention away from the health risks connected with this issue.
Advertisements which promote the notion that indoor tanning has many health benefits include; those who tan indoors are less likely to experience significant sunburns, and those who tan will have an, “increased psychological sense of well-being” due to the satisfaction they receive from being perceived as beautiful (Kanopa). These claims serve as the key points of focus that have the tanning industry taking center stage on issues that are gaining social awareness. Tanning companies like CA Suntan, draw the spotlight on themselves when they make the bold assertion that, “…indoor tanning is safer and more effective to achieve that beautiful bronze glow” because exposure time is measured and therefore predictable (“History of Indoor…”). Today it is a universally accepted truth that image means everything in societal acceptance. With so many celebrities and athletes showcasing fashion trends, and having ‘followers’ in social media, the advertisements associated with indoor tanning become apparent: taking attention away from the health risks connected with this issue.
Agencies concentrated on health and wellness are countering ads made by companies like CA Suntan. Evidence supported by medical agencies such as the World Health Organization (WHO), American Medical Association (AMA), American Cancer Association (ACA), American Academy of Dermatology (AAD) and the American Association of Pediatrics (AAP), points to the difference between the two main types of UV rays; UVA and UVB. UVA rays, which make up the overwhelming majority of UV rays emitted by tanning beds, penetrate deeper and cause severe mutation of skin cells that are positioned deep underneath the skin, leading to excessive growth, abnormalities, and the formation of a deadly skin cancer – melanoma. Meanwhile, UVB rays stay superficial to the skin, providing us with the ‘sunburnt’ look (Kanopa). These agencies argue that the tanning industry is leaving out the truth concerning the damage that UVA rays cause in order to validate the claim that indoor tanners won’t receive nearly the same number, or severity, of sunburns (“Tanning Beds…”). And so the punches continue to be thrown, yet fail to fatally strike the jutted chin of their determined opponent.
The FDA and WHO, prominent agencies with international recognition on formulating and influencing policy, have stepped into the ring in an attempt to referee the ongoing struggle. In 1979, the same year tanning beds were introduced to the U.S. population, the FDA regulated the use of tanning beds, and in 1986 and 1988 they further amended these restrictions to include “lamp compliance, warning labels, and eye protection” as well as “information about safety and exposure time”, and, “ensure that tanning salons and tanning bed manufacturers remain committed to a set of skin cancer prevention guidelines” (“Code of Federal…” & “History of Indoor…” & “History of Tanning…”). Despite discussion and subsequent implementation of restrictions on the tanning industry having taken place for the better part of 3 decades, this fight is still in the early rounds.
In 2010 the FDA, in conjunction with WHO, and supported by the AMA, ACA, AAD and the AAP, attempted to land the K.O. blow by advocating a complete ban on tanning for those under the age of 18 (“FDA…Tanning Beds…” & “Legislation and Regulation” & “Academy Position Statement…”). This motion was preceded by the WHO’s declaration in 2009 that placed tanning beds, because of their high UV emission, in the highest carcinogen classification category - considering them just as deadly as arsenic, alcohol, tobacco, and other cancer causing substances (“Tanning Beds; WHO Issues Official…”). These agencies and associations used this announcement as their reasoning for enlisting the involvement of the federal government.
In 2010 the FDA, in conjunction with WHO, and supported by the AMA, ACA, AAD and the AAP, attempted to land the K.O. blow by advocating a complete ban on tanning for those under the age of 18 (“FDA…Tanning Beds…” & “Legislation and Regulation” & “Academy Position Statement…”). This motion was preceded by the WHO’s declaration in 2009 that placed tanning beds, because of their high UV emission, in the highest carcinogen classification category - considering them just as deadly as arsenic, alcohol, tobacco, and other cancer causing substances (“Tanning Beds; WHO Issues Official…”). These agencies and associations used this announcement as their reasoning for enlisting the involvement of the federal government.
Legislation has recently intervened in this ongoing debate, prompted by research which has led to the enactment of restrictions in 33 of the 50 states. 6 of those 33 states have entirely banned indoor tanning to minors, with absolutely no exceptions. The other 27? They vary in their regulations from parental permission, physician prescription, and signed waivers with parent present at time of use (“Tanning Restrictions” & “Indoor….Restrictions…”). Proponents of these legislative measures say that out of moral responsibility they must protect minors against those acts or behaviors, like smoking and drinking, of which they haven’t been educated could be detrimental to their health.
Of course there are those who argue that such legislation and actions are infringements upon their freedom. Mitch Coffman, leader of an anti-government intervention group called the Idaho Freedom Foundation, published an article for the Idaho Reporter that addressed the reasoning for Idaho being one of the 17 states that refused to regulate tanning bed use to minors. In his words, candidates shot the bill down, stating that such decisions should be left up to parents and legal guardians, not the government (“Candidates Against…”). A tanning salon owner in Illinois reiterated those same remarks when he said, “… I'm not in favor of parents losing control to the state or local governments. You're telling me that a parent cannot make a decision for their…teenager? We can't trust a parent to do that? It's beyond me” (Skaggs). One more examination of the constitutionality of the government weighing in on the issue was addressed in a scholarly article, “Risk to Health vs. Risk to Freedom”, at Arizona State University. Addressed were many valid points that supported both sides, primarily: the opinions that tanning is beneficial and preferred vs. differing points of view that suggest tanning is as deadly as carcinogens like tobacco and alcohol (“Tanning Beds…WHO Issues Official…”).
Outbursts of passionate opinion and past evidence will continue to support both sides, as questions will be raised that challenge the convictions of either party. Lack of energy certainly will not hinder or impede the efforts of these opponents. They’ll filibuster for as long as one will lend an ear. However, the question that cannot afford to remain silenced, is: what does the future hold? Approaching what must inevitably be the climax of this conflict, law – with its absolute and final word – will decide the outcome. The decision, though, has yet to be finalized. Do we reward the industry with freedom for their perseverance to succeed in the global economy? Or do we honor the resolve of those dedicated to protecting the health of youth?
Works Cited:
“About Wolff.” Wolffsystem.com. Web. 30 Oct. 2013.
“Academy Position Statement About Indoor Tanning.” Aad.org. American Dermatology Academy. ND. Web. 30 Oct. 2013.
“Before and After.” ND. Photo. Australian Kiss Tanning of Las Vegas. Web. 6 Nov. 2013.
“Code of Federal Regulations Title 21.” Accessdata.fda.gov. United States Food and Drug Association. 1 Apr. 2013. Web. 23 Oct. 2013.
Coffman, Mitch. “Candidates Against Banning Minors From Tanning Beds; Cite Parental Control.” Idahoreporter.com. Idaho Reporter. 8 May 2012.
Web. 24 Oct. 2013.
“FDA Against Tanning Beds.” ND. Image. Food and Drug Association. Web. 31 Oct. 2013.
“FDA mulls tanning bed ban for teens under 18.” Abc.local.com. ABC News. 25 Mar. 2010. Web. 31 Oct. 2013.
“History of Indoor Tanning.” Suntan.com. Sun Tan. ND. Web. 27 Oct. 2013.
“History of Tanning Beds; History, Regulation & Warning.” ND. EHow.com. Web. 29 Oct. 2013.
Hoerster, KD et al. “Density of indoor tanning facilities in 116 large U.S. cities.” Am J Prev Med 2009, 36:243-246. Web. 30 Oct. 2013.
“Indoor Tanning Restrictions for Minors: State-by-state comparison.” Ncsl.org. National Conference of State Legislature, Sept. 2013. Web. 6
Oct. 2013.
“Indoor Tanning: Risk to Health vs. Risk to Freedom.” The Science in Society Review, International Journal of Science, Society, and Law.
Arizona State University. 2010. Web. 30 Oct. 2013.
Kanopa, Jacqueline. “The Naked Truth About the Validity of Health Benefit Claims by the Tanning Industry.” Health Psychology Homepage.
Vanderbilt University. ND. Web. 25 Oct. 2013.
“Legislation and Regulation.” Aad.org. American Dermatology Academy. ND. Web. 30 Oct. 2013.
“Modern Day Tanning Bed.” ND. Photo. Today’s Advantage. Web. 31 Oct. 2013.
Rotmil, Adam and Maggie Clark. “Tan Ban for Teens; Restrictions for Tanning by State.” 4 Apr. 2013. Satellite Infographic. National
Conference State Legislature, Web. 31 Oct. 2013.
Skaggs, Paula. "Local Tanning Salon Owner Responds to New Law." Winnetka-Glencoe Patch. 20 Aug. 2013. Web. 15 Oct. 2013.
“Tanning Beds and Teens; Frequently Asked Questions.” Preventingskincancernc.org. ND. Web. 7 Oct. 2013.
“Tanning Beds: WHO Issues Official Warning.” Sun and Skin News 26.3 (2009). Skin Cancer Foundation. Web. 29 Oct. 2013.
“Tanning Restrictions for Minors.” Aimatmelanoma.org. National Conference of State Legislature, 2013. Web. 15 Oct. 2013.
“UV rays penetration of skin.” ND. Chart (Figure 3). Web. 31 Oct. 2013.
Of course there are those who argue that such legislation and actions are infringements upon their freedom. Mitch Coffman, leader of an anti-government intervention group called the Idaho Freedom Foundation, published an article for the Idaho Reporter that addressed the reasoning for Idaho being one of the 17 states that refused to regulate tanning bed use to minors. In his words, candidates shot the bill down, stating that such decisions should be left up to parents and legal guardians, not the government (“Candidates Against…”). A tanning salon owner in Illinois reiterated those same remarks when he said, “… I'm not in favor of parents losing control to the state or local governments. You're telling me that a parent cannot make a decision for their…teenager? We can't trust a parent to do that? It's beyond me” (Skaggs). One more examination of the constitutionality of the government weighing in on the issue was addressed in a scholarly article, “Risk to Health vs. Risk to Freedom”, at Arizona State University. Addressed were many valid points that supported both sides, primarily: the opinions that tanning is beneficial and preferred vs. differing points of view that suggest tanning is as deadly as carcinogens like tobacco and alcohol (“Tanning Beds…WHO Issues Official…”).
Outbursts of passionate opinion and past evidence will continue to support both sides, as questions will be raised that challenge the convictions of either party. Lack of energy certainly will not hinder or impede the efforts of these opponents. They’ll filibuster for as long as one will lend an ear. However, the question that cannot afford to remain silenced, is: what does the future hold? Approaching what must inevitably be the climax of this conflict, law – with its absolute and final word – will decide the outcome. The decision, though, has yet to be finalized. Do we reward the industry with freedom for their perseverance to succeed in the global economy? Or do we honor the resolve of those dedicated to protecting the health of youth?
Works Cited:
“About Wolff.” Wolffsystem.com. Web. 30 Oct. 2013.
“Academy Position Statement About Indoor Tanning.” Aad.org. American Dermatology Academy. ND. Web. 30 Oct. 2013.
“Before and After.” ND. Photo. Australian Kiss Tanning of Las Vegas. Web. 6 Nov. 2013.
“Code of Federal Regulations Title 21.” Accessdata.fda.gov. United States Food and Drug Association. 1 Apr. 2013. Web. 23 Oct. 2013.
Coffman, Mitch. “Candidates Against Banning Minors From Tanning Beds; Cite Parental Control.” Idahoreporter.com. Idaho Reporter. 8 May 2012.
Web. 24 Oct. 2013.
“FDA Against Tanning Beds.” ND. Image. Food and Drug Association. Web. 31 Oct. 2013.
“FDA mulls tanning bed ban for teens under 18.” Abc.local.com. ABC News. 25 Mar. 2010. Web. 31 Oct. 2013.
“History of Indoor Tanning.” Suntan.com. Sun Tan. ND. Web. 27 Oct. 2013.
“History of Tanning Beds; History, Regulation & Warning.” ND. EHow.com. Web. 29 Oct. 2013.
Hoerster, KD et al. “Density of indoor tanning facilities in 116 large U.S. cities.” Am J Prev Med 2009, 36:243-246. Web. 30 Oct. 2013.
“Indoor Tanning Restrictions for Minors: State-by-state comparison.” Ncsl.org. National Conference of State Legislature, Sept. 2013. Web. 6
Oct. 2013.
“Indoor Tanning: Risk to Health vs. Risk to Freedom.” The Science in Society Review, International Journal of Science, Society, and Law.
Arizona State University. 2010. Web. 30 Oct. 2013.
Kanopa, Jacqueline. “The Naked Truth About the Validity of Health Benefit Claims by the Tanning Industry.” Health Psychology Homepage.
Vanderbilt University. ND. Web. 25 Oct. 2013.
“Legislation and Regulation.” Aad.org. American Dermatology Academy. ND. Web. 30 Oct. 2013.
“Modern Day Tanning Bed.” ND. Photo. Today’s Advantage. Web. 31 Oct. 2013.
Rotmil, Adam and Maggie Clark. “Tan Ban for Teens; Restrictions for Tanning by State.” 4 Apr. 2013. Satellite Infographic. National
Conference State Legislature, Web. 31 Oct. 2013.
Skaggs, Paula. "Local Tanning Salon Owner Responds to New Law." Winnetka-Glencoe Patch. 20 Aug. 2013. Web. 15 Oct. 2013.
“Tanning Beds and Teens; Frequently Asked Questions.” Preventingskincancernc.org. ND. Web. 7 Oct. 2013.
“Tanning Beds: WHO Issues Official Warning.” Sun and Skin News 26.3 (2009). Skin Cancer Foundation. Web. 29 Oct. 2013.
“Tanning Restrictions for Minors.” Aimatmelanoma.org. National Conference of State Legislature, 2013. Web. 15 Oct. 2013.
“UV rays penetration of skin.” ND. Chart (Figure 3). Web. 31 Oct. 2013.
Position Argument
Show Me Some Skin...Absent of Cancer
We all love that warm, cozy, toasty feeling of sleeping in our beds right? But what if that feeling was coming from a cancer bed? A feeling that is supposed to be unsettling, not comfortable. A bed where cancer creeps, crawls, and seeps into your body, threatening to take your life. One would think that with such a stark image they’d be more careful about which beds they climb into. Yet tanning beds are considered fashionable, trendy, and the place to go to get the desired look by those who prefer to get 'some color'. So many teenagers and young adults believe that by tanning they’ll become prettier, skinnier, and more socially accepted. They also believe that tanning is a great alternative to getting Vitamin D. But what I know is that few of them realize what they’re doing to themselves. Tanning is a slow, painful, and methodical suicide, of which few are aware they’re committing. People won’t admit that they’re harming themselves by tanning because nearly all of them believe that what they’re doing is healthy, not potentially cancerous.
Ask people at tanning salons what they think of their experience there. The majority of them will say its great, claiming they get to lay there feeling warm while doing nothing, and as a result come out looking more attractive. Many of them will even claim that tanning provides vitamin D to the body much like the sun. However the sun and tanning beds are extremely different. Tanning beds emit UV-A rays that do not provide vitamin D. Vitamin D is provided by UV-B rays that come from the sun, healthy food, and vitamin supplements (“Tanning Beds…”). In addition, the UV-A rays emitted by tanning beds absorb into your skin at a rate 15 times faster than that of the UV-B rays of the sun. UV-A rays penetrate faster and much deeper into the skin, bypassing the nerve layer where the ‘burning sensation’ experienced by laying out in the sun would occur (“Tanning Beds…”). Significant damage is done with no noticeable marks apparent to the customer.
Ask people at tanning salons what they think of their experience there. The majority of them will say its great, claiming they get to lay there feeling warm while doing nothing, and as a result come out looking more attractive. Many of them will even claim that tanning provides vitamin D to the body much like the sun. However the sun and tanning beds are extremely different. Tanning beds emit UV-A rays that do not provide vitamin D. Vitamin D is provided by UV-B rays that come from the sun, healthy food, and vitamin supplements (“Tanning Beds…”). In addition, the UV-A rays emitted by tanning beds absorb into your skin at a rate 15 times faster than that of the UV-B rays of the sun. UV-A rays penetrate faster and much deeper into the skin, bypassing the nerve layer where the ‘burning sensation’ experienced by laying out in the sun would occur (“Tanning Beds…”). Significant damage is done with no noticeable marks apparent to the customer.
Lets start with the infamous rebuttal by tanners; but I’m just going just this once before prom to look darker, or, I’m just going twice to get a base tan so I won’t burn at the beach. They must realize that significant damage occurs in just one visit. Tanning in an indoor bed, even once, is severely detrimental to the DNA in your skin, accelerating premature aging. After just one appointment, your chances of contracting skin cancer, especially melanoma, a very aggressive and deadly skin cancer, increases by twenty percent! Just one use! And each subsequent use increases an additional two percent per use (“Reducing Indoor Tanning…”). I know tanners love the warm feeling and the darker skin color that results, but its not worth the risk. These facts must be respected, as they do dispel notions that tanning is healthy.
To state that tanning beds are harmful is a complete understatement. Tanning beds are completely hazardous and life-threateningly dangerous. They’re giant George Foreman grills designed for humans. They grill you alive like you’re a big slab of raw meat. This is not some outrageous exaggeration. In 2009, the International Agency for Research on Cancer (IARC), a subsidiary of the World Health Organization (WHO), classified tanning beds as the “highest classification of radiation admitting devices that cause cancer” and subsequent death – equivalent to that of carcinogens like tobacco, and even nuclear materials like plutonium and radium poisoning (“Tanning Beds: WHO issues…”). Nobody in their right mind would walk willingly into a room they knew posed an immediate threat to their life. Why then, I ask, do so many people flock to tanning salons when the truths surrounding the danger of tanning are evident? Why ignore such deadly facts? I view them as cancer beds - lay there long enough, and you'll get cancer and possibly die of melanoma! If this does not paint a stark enough image, consider this. In a separate statement, the WHO provided proof that these human grills are frying over 2 million Americans per day. And that of those who tan, those who do it before the age of 35 increase their chances of contracting melanoma by 75% (“Indoor Tanning Beds”). With such horrendous outcomes and detrimental effects on your health, it is a wonder that tanning salons open there arms so widely with the knowledge of the danger their products pose.
To state that tanning beds are harmful is a complete understatement. Tanning beds are completely hazardous and life-threateningly dangerous. They’re giant George Foreman grills designed for humans. They grill you alive like you’re a big slab of raw meat. This is not some outrageous exaggeration. In 2009, the International Agency for Research on Cancer (IARC), a subsidiary of the World Health Organization (WHO), classified tanning beds as the “highest classification of radiation admitting devices that cause cancer” and subsequent death – equivalent to that of carcinogens like tobacco, and even nuclear materials like plutonium and radium poisoning (“Tanning Beds: WHO issues…”). Nobody in their right mind would walk willingly into a room they knew posed an immediate threat to their life. Why then, I ask, do so many people flock to tanning salons when the truths surrounding the danger of tanning are evident? Why ignore such deadly facts? I view them as cancer beds - lay there long enough, and you'll get cancer and possibly die of melanoma! If this does not paint a stark enough image, consider this. In a separate statement, the WHO provided proof that these human grills are frying over 2 million Americans per day. And that of those who tan, those who do it before the age of 35 increase their chances of contracting melanoma by 75% (“Indoor Tanning Beds”). With such horrendous outcomes and detrimental effects on your health, it is a wonder that tanning salons open there arms so widely with the knowledge of the danger their products pose.
Efforts in legislation are being made and implemented to hinder these companies from gnawing at our skin like hungry, savage beasts. Legislation to countermand the tanning business is both logical and ethical. We see restrictions against underage drinking and smoking, and I’m grateful the same case is being made for tanning. The FDA has strongly insisted that stricter regulations be imposed on tanning bed manufacturers. Suggested regulations would include labeling all beds in multiple languages of the hazard they pose to health, and higher expectations for safety – meaning reduced radiation emitted from tanning bed bulbs (“FDA Proposes…”). These measures would be an improvement in the educating of customers about the risks to which they are exposing themselves. Although this is a small step, it is still beneficial.
Greater steps are in place, as well as ongoing. Legislation that restricts the use of tanning beds to minors (those of 18 years of age or younger) is in effect in 33 states. Restrictions include no tanning under the age of 18 without either a parent present, a prescription by a physician AND parental consent, or both (“Tanning Restrictions…”). These measures are in place to protect those who do not have as much knowledge about the health risks which tanning beds pose. By delaying the age at which one can access tanning beds, we’re providing them with the extended opportunity to learn more about the hazards associated with indoor tanning. Much like alcohol or tobacco, teens must be educated about the danger of tanning. To withhold harmful substances from minors has proven to be both safe physically, and effective psychologically, in teaching them to be responsible for their own health. Thus the restrictions associated with the legislation in place in these 33 states serves as a protection for minors.
Other states are stricter when it comes to tanning. Currently there are 4 states that have banned, without exception, the use of tanning beds to those 18 years of age and younger. Those states are California, Texas, Wisconsin, and Vermont. Nevada and Illinois have legislation in the process of being approved and implemented that would entirely ban tanning for minors (“Indoor…Restrictions…”). These legislative actions are very encouraging. Such steps show initiative among law and policy makers that truly care about the health and well-being of their citizens. What is even more encouraging is that currently 31 states have legislation in their agenda for upcoming voting cycles to further restrict, or entirely ban, the use of tanning beds to those 18 years of age and under (“2013…Legislation”). Interactive dialogue and worthy endeavors, like legislation, will serve to the benefit of our future generation’s health.
Of course, there are always those who disagree with legislation being enacted that prohibit tanning to minors. A tanning salon owner, who remained anonymous, had this to say about the ban soon to be placed on his home state of Illinois, "On many different grounds, I can say that I'm not in favor of parents losing control to the state or local governments. You're telling me that a parent cannot make a decision for their 17-year-old teenager? We can't trust a parent to do that? It's beyond me." He furthered his argument on the false notion that tanning indoors is safer than outdoors in the sun. "Where do you think 17-year-olds are going to go if they can't get a quick, safe, limited-minute tan? They're going to go to the beach, with no protection under the harsh sun... all you're doing is forcing those kids to absolutely go to the beach now" ("Local Tanning Salon Owner..."). First of all, parents should be in support of legislation that is aimed at protecting their children's health. It is common knowledge that parents, in overwhelming numbers, support laws that make underage drinking or smoking illegal. Shouldn't they also then support these laws? And secondly, the owner implements false data. As aforementioned, tanning indoors is much more dangerous than the sun. Exposure rates are 15 times higher, radiation increases due to UV-A rays, and health risks are significantly enhanced ("Tanning Beds..."). Legislation regarding tanning beds must have the support of parents, and encourage them to protect their posterity. If this support is lacking, skin cancer will continue to spread unhindered.
Greater steps are in place, as well as ongoing. Legislation that restricts the use of tanning beds to minors (those of 18 years of age or younger) is in effect in 33 states. Restrictions include no tanning under the age of 18 without either a parent present, a prescription by a physician AND parental consent, or both (“Tanning Restrictions…”). These measures are in place to protect those who do not have as much knowledge about the health risks which tanning beds pose. By delaying the age at which one can access tanning beds, we’re providing them with the extended opportunity to learn more about the hazards associated with indoor tanning. Much like alcohol or tobacco, teens must be educated about the danger of tanning. To withhold harmful substances from minors has proven to be both safe physically, and effective psychologically, in teaching them to be responsible for their own health. Thus the restrictions associated with the legislation in place in these 33 states serves as a protection for minors.
Other states are stricter when it comes to tanning. Currently there are 4 states that have banned, without exception, the use of tanning beds to those 18 years of age and younger. Those states are California, Texas, Wisconsin, and Vermont. Nevada and Illinois have legislation in the process of being approved and implemented that would entirely ban tanning for minors (“Indoor…Restrictions…”). These legislative actions are very encouraging. Such steps show initiative among law and policy makers that truly care about the health and well-being of their citizens. What is even more encouraging is that currently 31 states have legislation in their agenda for upcoming voting cycles to further restrict, or entirely ban, the use of tanning beds to those 18 years of age and under (“2013…Legislation”). Interactive dialogue and worthy endeavors, like legislation, will serve to the benefit of our future generation’s health.
Of course, there are always those who disagree with legislation being enacted that prohibit tanning to minors. A tanning salon owner, who remained anonymous, had this to say about the ban soon to be placed on his home state of Illinois, "On many different grounds, I can say that I'm not in favor of parents losing control to the state or local governments. You're telling me that a parent cannot make a decision for their 17-year-old teenager? We can't trust a parent to do that? It's beyond me." He furthered his argument on the false notion that tanning indoors is safer than outdoors in the sun. "Where do you think 17-year-olds are going to go if they can't get a quick, safe, limited-minute tan? They're going to go to the beach, with no protection under the harsh sun... all you're doing is forcing those kids to absolutely go to the beach now" ("Local Tanning Salon Owner..."). First of all, parents should be in support of legislation that is aimed at protecting their children's health. It is common knowledge that parents, in overwhelming numbers, support laws that make underage drinking or smoking illegal. Shouldn't they also then support these laws? And secondly, the owner implements false data. As aforementioned, tanning indoors is much more dangerous than the sun. Exposure rates are 15 times higher, radiation increases due to UV-A rays, and health risks are significantly enhanced ("Tanning Beds..."). Legislation regarding tanning beds must have the support of parents, and encourage them to protect their posterity. If this support is lacking, skin cancer will continue to spread unhindered.
What is most encouraging is the specific legislation that is taking place in my home state of Utah. The reason that melanoma, and the uninvited contribution tanning beds make to it has such an impact here at home is that Utah’s citizens are at a higher risk for contracting melanoma. The EPA uses a satellite supported image to measure the amount of UV exposure that each state experiences on a regular basis. The scale works on a rating of 1-15, with 15 being the most severe exposure. Utah experiences an average of 4-6 on the UV index (“UV Forecast Index”). Although this seems low on the scale, we experience higher diagnoses of melanoma because of our higher altitude, and skin tone. This direct correlation is due to the Utah populace being predominantly of European and Scandinavian descent, both of which are representative of a fairer skin tone. Those with fair skin are more prone to burning and DNA mutation caused by UV exposure – which leads to cancer (Dr. Tawnya Bowles). As if this couldn’t strike any closer to home, melanoma has recently advanced its march against us by taking over as the most common cancer for adults ages 25-29, and the second leading cancer for adolescents ages 15-19 (“Tanning Beds and Teens”). Such staggering and heartbreaking facts makes legislation that exists in Utah more appreciable. Currently bill 26-15-13 in the Utah State Legislature and Constitution bans the use of indoor tanning facilities for minors 18 years of age and younger with the exception of the presence of a parent at time of use AND a parental consent, or physician order (“Utah State…”). The justification, or need, for a physician order stems from an ongoing controversy among doctors. Some doctors believe that by prescribing tanning sessions to patients who burn in the sun too easily, would increase their stamina, or ability to resist sun burns. However, many doctors oppose this action, citing that the risks far outweigh the benefits (Dr. Tawnya Bowles). With this being an issue that is not unanimous in favor of either measure, it is better to have restrictions in place for those who don't have parental support or physician referral.
Although I am sure that such legislation in Utah, and elsewhere in the nation, will be divisive and meet heavy opposition by those avid tanners of a younger generation, I hope they’ll understand that these precautions undoubtedly have their best interests at heart. Teenagers will be more likely to understand these precautions if their parents support it and enforce it out of love. Parents must take it upon themselves, with the hitherto mentioned statistics and evidence, to protect their children against any and all things that threaten their children's health. This protection is embodied in legislation. This legislation has one sole purpose; to serve as a guardian against exposure to deadly radiation that could cause fatal cancer ("Tanning Beds; Who Issues..."). The necessity for legislation to be understood by teenagers and supported by parents is paramount if we are ever stop the spread of melanoma in its tracts.
Works Cited:
“2013 Indoor Tanning Legislation.” Aimatmelanoma.org. National Conference of State Legislature, 2013. Web. 6 Oct. 2013.
Bowles, Tawnya, M.D. Personal Interview. 4 Oct. 2013.
Dennis, Brady. “FDA Proposes Stricter Regulations for Tanning Beds.” Washington Post. Health and Science, 6 May 2013. Web. 8 Oct. 2013.
“EPA UV Index.” 8 Oct. 2013. Satellite Image. Environmental Protection Agency, Web.
Houston, Rick. “UV-A emitting Tanning Bed.” ND. Photograph. Tropical Rayz Tanning Beds, Web.
“Indoor Tanning Beds.” Skincancerprevention.org. National Council on Skin Cancer Prevention, 2010. Web. 7 Oct. 2013.
“Indoor Tanning Restrictions for Minors: State-by-state comparison.” Ncsl.org. National Conference of State Legislature, Sept. 2013. Web. 6 Oct. 2013.
“Malignant Melanoma of Back.” 29 May 2011. Photograph. Biology of Skin Cancer, Web.
“Reducing Indoor Tanning Use Among Minors; Indoor Tanning.” Acscan.org. American Cancer Society Cancer Action Network, 2012. Web. 7 Oct. 2013.
Rotmil, Adam and Maggie Clark. “Tan Ban for Teens; Restrictions for Tanning by State.” 4 Apr. 2013. Satellite Infographic. National Conference State Legislature, Web.
Skaggs, Paula. "Local Tanning Salon Owner Responds to New Law." Winnetka-Glencoe Patch. 20 Aug. 2013. Web. 15 Oct. 2013.
“Tanning Beds and Teens; Frequently Asked Questions.” Preventingskincancernc.org. ND. Web. 7 Oct. 2013.
“Tanning Beds: WHO Issues Official Warning.” Sun and Skin News 26.3 (2009). Skin Cancer Foundation. Web. 8 Oct. 2013.
“Tanning Restrictions for Minors.” Aimatmelanoma.org. National Conference of State Legislature, 2013. Web. 6 Oct. 2013.
Utah. State Legislature. Utah Constitution Code 26-15-13. Utah: State Legislature, 2012. Print.
“UV Forecast Index.” Epa.gov. United States Environmental Protection Agency, 2013. Web. 8 Oct. 2013.
Although I am sure that such legislation in Utah, and elsewhere in the nation, will be divisive and meet heavy opposition by those avid tanners of a younger generation, I hope they’ll understand that these precautions undoubtedly have their best interests at heart. Teenagers will be more likely to understand these precautions if their parents support it and enforce it out of love. Parents must take it upon themselves, with the hitherto mentioned statistics and evidence, to protect their children against any and all things that threaten their children's health. This protection is embodied in legislation. This legislation has one sole purpose; to serve as a guardian against exposure to deadly radiation that could cause fatal cancer ("Tanning Beds; Who Issues..."). The necessity for legislation to be understood by teenagers and supported by parents is paramount if we are ever stop the spread of melanoma in its tracts.
Works Cited:
“2013 Indoor Tanning Legislation.” Aimatmelanoma.org. National Conference of State Legislature, 2013. Web. 6 Oct. 2013.
Bowles, Tawnya, M.D. Personal Interview. 4 Oct. 2013.
Dennis, Brady. “FDA Proposes Stricter Regulations for Tanning Beds.” Washington Post. Health and Science, 6 May 2013. Web. 8 Oct. 2013.
“EPA UV Index.” 8 Oct. 2013. Satellite Image. Environmental Protection Agency, Web.
Houston, Rick. “UV-A emitting Tanning Bed.” ND. Photograph. Tropical Rayz Tanning Beds, Web.
“Indoor Tanning Beds.” Skincancerprevention.org. National Council on Skin Cancer Prevention, 2010. Web. 7 Oct. 2013.
“Indoor Tanning Restrictions for Minors: State-by-state comparison.” Ncsl.org. National Conference of State Legislature, Sept. 2013. Web. 6 Oct. 2013.
“Malignant Melanoma of Back.” 29 May 2011. Photograph. Biology of Skin Cancer, Web.
“Reducing Indoor Tanning Use Among Minors; Indoor Tanning.” Acscan.org. American Cancer Society Cancer Action Network, 2012. Web. 7 Oct. 2013.
Rotmil, Adam and Maggie Clark. “Tan Ban for Teens; Restrictions for Tanning by State.” 4 Apr. 2013. Satellite Infographic. National Conference State Legislature, Web.
Skaggs, Paula. "Local Tanning Salon Owner Responds to New Law." Winnetka-Glencoe Patch. 20 Aug. 2013. Web. 15 Oct. 2013.
“Tanning Beds and Teens; Frequently Asked Questions.” Preventingskincancernc.org. ND. Web. 7 Oct. 2013.
“Tanning Beds: WHO Issues Official Warning.” Sun and Skin News 26.3 (2009). Skin Cancer Foundation. Web. 8 Oct. 2013.
“Tanning Restrictions for Minors.” Aimatmelanoma.org. National Conference of State Legislature, 2013. Web. 6 Oct. 2013.
Utah. State Legislature. Utah Constitution Code 26-15-13. Utah: State Legislature, 2012. Print.
“UV Forecast Index.” Epa.gov. United States Environmental Protection Agency, 2013. Web. 8 Oct. 2013.
Profile of Dr. Tawnya Bowles, M.D. "Scratching the Surface"
Dr. Tawnya Bowles, M.D.
I had no idea that I'd become so fascinated and passionate about skin cancer - melanoma in particular. The credit belongs Dr.
Tawnya Bowles for having ignited that spark. From hearing about her
lectures, to seeing her teach first hand, to witnessing her work magic in
surgery and interact with patients, she is unparalleled in her knowledge and
treatment of melanoma. All those who know her - patients, medical
students, other physicians - will vouch for her incredible talent.
Upon graduating from Dartmouth Medical School in New Hampshire in 2001, Dr. Bowles entered her residency in Sacramento at the University of California Davis Medical Center. There she discovered her passion for surgery, where she could interact more intricately with patients. She enjoyed educating them in their personal health issues, what treatment options were available, and how they could better their circumstance. It was throughout this experience that she realized where she belonged, oncologic surgery, or specializing in the treatment of cancer through surgical intervention. She professed this passion in her personal bio, "My passion is taking care of cancer patients. I strongly believe in tailoring cancer treatment to the individual patient, as each patient is unique".
Upon graduating from Dartmouth Medical School in New Hampshire in 2001, Dr. Bowles entered her residency in Sacramento at the University of California Davis Medical Center. There she discovered her passion for surgery, where she could interact more intricately with patients. She enjoyed educating them in their personal health issues, what treatment options were available, and how they could better their circumstance. It was throughout this experience that she realized where she belonged, oncologic surgery, or specializing in the treatment of cancer through surgical intervention. She professed this passion in her personal bio, "My passion is taking care of cancer patients. I strongly believe in tailoring cancer treatment to the individual patient, as each patient is unique".
Intermountain Medical Center
After finishing her stint at Davis Medical Center in 2008, Dr. Bowles furthered her education by attending the University of Texas MD Anderson Cancer Center; one of the nation's prestige cancer research and treatment hospitals. There she performed research regarding a variety of cancers - with a particular emphasis on melanoma - and how to treat them surgically. Finishing her rigorous and thorough training in 2010, Dr. Bowles moved to Utah to teach at the University of Utah Medical School as an Assistant Clinical Instructor, and practice surgery at Intermountain Medical Center, where she also presides as Vice Chair of Surgery Graduation for Medical Education (Personal Bio). These achievements and positions serve as accolades to underline how highly regarded and respected Dr. Bowles is when it comes to surgery.
On Monday and Friday, Dr. Bowles is to be found, along with myself assisting her, in the O.R. at Intermountain Medical Center. You can find us in either room 6, or room 8; both to be found straight down the hall from the surgery front desk, and to the right at your first turn. It is here where she performs surgery, removing threatening cancers of all types. However, her main area of expertise, as mentioned before, is melanoma. This particular skin cancer comprises the majority of her surgical case load.
In helping her perform the necessary procedures to cure, enhance, or prolong the patient's health, it is awe-inspiring to see her ability, compassion, and attention to detail on display. She takes her time with each and every patient. In all my years of surgery, 6 to be exact, I've never come across any other surgeon or physician in any capacity that exceeds her standard of care. Nobody cares for their patients and treats them on an individual basis with such concern and passion at a high level then Dr. Bowles. Providing this unique treatment to each patient, serves as her motivation for providing excellent healthcare.
I've come across 2 patients in my field research that had nothing but praise for Dr. Bowles. In compliance with HIPPA regulations to which I'm bound, as well as the patients' requests for anonymity, their names will be omitted. The first patient I encountered recalled that Dr. Bowles was bright, attentive, and skilled, as well as genuinely sincere about my health. The patient highlighted how comfortable they felt being in her care, and would refer Dr. Bowles to anyone and everyone. The second patient commended Dr. Bowles in this manner, "I don't have one bad thing to say about Tawnya. She is the single most intelligent, compassionate and skilled Doctor and person, I've ever met". With experiences like this from interviews I had with her patients, it becomes extremely apparent how much respect, gratitude, and admiration - professionally and personally - Dr. Bowles has garnered.
And yet, she is such a humble and intriguing person to talk to, and I was fortunate enough to spend some time interviewing her and asking her some questions. When I made her aware of the comments issued by previous patients, she acknowledged her efforts by simply saying that, "it’s just the right thing to do". This is a cliche' statement that we medical gurus refer to as 'best practice'. As a testament to her humility, when I brought up that she's providing 'best practice', she said without hesitation, "that should be the expectation, not some natural phenomena that's deserves attention". It is of little wonder, therefore, why she holds herself to such a high standard in healthcare.
Superficial, Preliminary Melanoma
Turning more specifically to the healthcare specialty she provides, I asked her, 'Why Melanoma?' Her response was immediate. The need for patients to be educated on something of which they're not sufficiently aware. Referring to exposure to the sun being a daily, universal certainty, with few exceptions, she stated that people don't understand the threat that sun poses. Over 76,000 people every year require surgery due to skin cancer stemming from over-exposure to that deceivingly beautiful, bright yellow orb. And that is ONLY those who require surgery (cancer.org). As devastating and scary as other forms of cancer may be - like breast cancer, colon cancer, or brain cancer - the public doesn't realize that illnesses like these are significantly smaller strictly in terms of probability. The public needs to understand that they are ALL extremely capable of acquiring melanoma, and it is for this reason that she feels the need to educate everyone. A rather frightening statistic that she brought to my attention; over 9,000 people lose their lives to the battle of melanoma every year, despite having received medical intervention ("What is Melanoma Skin Cancer?").
I mentioned to her my observation of the disregard for applying sunscreen at a public pool between different nationalities, genders, and ages. She told me she wasn't at all surprised with my findings. This caused me to kind of....recline away from her in shock. She elaborated that few are aware of the necessity to apply sunscreen and utilize shade because they've all been raised to accept sunburns as a form of 'temporary payment' to receive a lasting, socially acceptable skin color. The awareness that they can receive skin cancer is remarkably low, if not entirely absent. I then mentioned tanning beds to which she became vehemently aggressive. She's labeled them 'cancer beds', saying that the amount of UV radiation that one absorbs from those 'cancer beds' in a span of 10 minutes is equivalent to hours in the sun without proper protection.
I mentioned to her my observation of the disregard for applying sunscreen at a public pool between different nationalities, genders, and ages. She told me she wasn't at all surprised with my findings. This caused me to kind of....recline away from her in shock. She elaborated that few are aware of the necessity to apply sunscreen and utilize shade because they've all been raised to accept sunburns as a form of 'temporary payment' to receive a lasting, socially acceptable skin color. The awareness that they can receive skin cancer is remarkably low, if not entirely absent. I then mentioned tanning beds to which she became vehemently aggressive. She's labeled them 'cancer beds', saying that the amount of UV radiation that one absorbs from those 'cancer beds' in a span of 10 minutes is equivalent to hours in the sun without proper protection.
Invasive, Malignant Melanoma
Dr. Bowles then shifted the focus of the conversation to a topic which I intended to address. She gave examples of how important it is that incoming physicians realize the need for educating the public on skin cancer awareness. Dr. Bowles is pioneering this idea as she educates medical students and other physicians how vital it is that the general population understand melanoma and the imminent threat it poses. Dr. Bowles pointed out that while at MD Anderson Cancer Center she discovered that over 120,000 new cases of melanoma are diagnosed within the U.S. each year ("What is Melanoma?"), with more than 70,000 of those diagnoses classified as invasive, or potentially life threatening ("Melanoma Facts"). And with melanoma being a type of cancer that spreads easily, it is usually necessary to have multiple operations throughout a patient's life span; thus the 76,000 + operations that occur annually ("What is Melanoma Skin Cancer?"). It is quite touching to see how emotional she becomes when addressing these statistics. "It's a SERIOUS issue that MUST be resolved", she insists. Unfortunately, too few are willing to take the stand and fight for the cause of melanoma awareness. Therefore we see the relentless dedication with which Dr. Tawnya Bowles applies herself to teaching medical students, physicians, and especially patients, the danger of melanoma and the need to shield and protect ourselves from it.
This profile, and the interview above, was only an introduction to the issue that is melanoma. I hope this profile provides an insight into not just the shear horror that melanoma is wreaking upon the health community in the U.S., but also as an authoritative witness of the knowledge that Dr. Tawnya Bowles commands on the subject. We've only scratched the surface of what truly lies beneath. The old term, 'beauty is only skin deep', doesn't take into consideration that melanoma spreads beyond the surface of the skin, going deeper and deeper into the patient’s body. Melanoma can ultimately demand a patient's life IF sufficient intervention AND changes to lifestyle are not immediately implemented. It is for this reason that Dr. Bowles leads the crusade against melanoma, and it is also the same reason with which I will follow her. And laugh if you will at how 'white' people are, but Dr. Bowles never fails to remind me that if I'm going out hiking, or anything outdoors over the weekend, to wear sunscreen. And she is no hypocrite. Tawnya has the whitest arms and legs you'll ever see, and she is damn proud of it. She's protecting herself from the tyrant of misunderstood cancer; melanoma.
Works cited;
Atwood, Diane. Image of Superficial, Preliminary Melanoma. http://www.dianeatwood.com/catchinghealth/wp-content/uploads/2012/04/nci-vol-9186-150-melanoma-2-e1334341427137.jpg Web. 17 September 2013.
Bowels, Tawnya. Personal Bio. www.intermoutainhealthcare.org/providers/profile. 2010. Web. 17 September 2013.
Houston, Ryan. Intermountain Medical Center Image http://farm5.staticflickr.com/4037/4465755216_611d6cf8e9_z.jpg Web. 12 September 2013.
"How Many People Get Skin Cancer?" & "What is Melanoma Skin Cancer?" www.cancer.org. 25 March 2013. Web. 17 September 2013.
Image Dr. Tawnya Bowles, MD. www.intermountainhealthcare.org. 17 September 2013.
Image of invasive malignant melanoma of leg. http://hastane.deu.edu.tr/merkezlab/dokuman/ismia/web/www.pathguy.com/lectures/nejm_melanoma_mets.gif Web. 17 September 2013.
"Melanoma Facts" www.mdanderson.org/patient-and-cancer-information/melanoma. ND. Web. 16 September 2013.
"What is Melanoma?" www.skincancer.org. ND. Web. 13 September 2013.
Zenger, Enoch. Field Research Case Notes. 14 September 2013.
Zenger, Enoch. Personal Interviews with patients of Dr. Bowles. September 14, 2013
Zenger, Enoch. Personal Interview Dr. Tawnya Bowles, MD. September 14, 2013.
This profile, and the interview above, was only an introduction to the issue that is melanoma. I hope this profile provides an insight into not just the shear horror that melanoma is wreaking upon the health community in the U.S., but also as an authoritative witness of the knowledge that Dr. Tawnya Bowles commands on the subject. We've only scratched the surface of what truly lies beneath. The old term, 'beauty is only skin deep', doesn't take into consideration that melanoma spreads beyond the surface of the skin, going deeper and deeper into the patient’s body. Melanoma can ultimately demand a patient's life IF sufficient intervention AND changes to lifestyle are not immediately implemented. It is for this reason that Dr. Bowles leads the crusade against melanoma, and it is also the same reason with which I will follow her. And laugh if you will at how 'white' people are, but Dr. Bowles never fails to remind me that if I'm going out hiking, or anything outdoors over the weekend, to wear sunscreen. And she is no hypocrite. Tawnya has the whitest arms and legs you'll ever see, and she is damn proud of it. She's protecting herself from the tyrant of misunderstood cancer; melanoma.
Works cited;
Atwood, Diane. Image of Superficial, Preliminary Melanoma. http://www.dianeatwood.com/catchinghealth/wp-content/uploads/2012/04/nci-vol-9186-150-melanoma-2-e1334341427137.jpg Web. 17 September 2013.
Bowels, Tawnya. Personal Bio. www.intermoutainhealthcare.org/providers/profile. 2010. Web. 17 September 2013.
Houston, Ryan. Intermountain Medical Center Image http://farm5.staticflickr.com/4037/4465755216_611d6cf8e9_z.jpg Web. 12 September 2013.
"How Many People Get Skin Cancer?" & "What is Melanoma Skin Cancer?" www.cancer.org. 25 March 2013. Web. 17 September 2013.
Image Dr. Tawnya Bowles, MD. www.intermountainhealthcare.org. 17 September 2013.
Image of invasive malignant melanoma of leg. http://hastane.deu.edu.tr/merkezlab/dokuman/ismia/web/www.pathguy.com/lectures/nejm_melanoma_mets.gif Web. 17 September 2013.
"Melanoma Facts" www.mdanderson.org/patient-and-cancer-information/melanoma. ND. Web. 16 September 2013.
"What is Melanoma?" www.skincancer.org. ND. Web. 13 September 2013.
Zenger, Enoch. Field Research Case Notes. 14 September 2013.
Zenger, Enoch. Personal Interviews with patients of Dr. Bowles. September 14, 2013
Zenger, Enoch. Personal Interview Dr. Tawnya Bowles, MD. September 14, 2013.
Flash Memoir Revised Draft The Blinding, Burning Truth
Picture of invasive Melanoma of the skin.
Peeling skin off. Not a savory topic. And I’m not referring to the type of peeling caused by a mere sunburn. I’m referring to the kind of peeling where I’m helping cut off dead, cancerous skin, or melanoma, in surgery. This skin is posing a serious risk to the patient’s health, health for which, I feel, they care little. They love their beaches, their hot, sunny days with sunglasses donned, and their tanning beds for the resulting caramelizing color. But they’re not seeing what I see. I’m the one standing here, assisting the surgeon in peeling and tearing away portions of skin, and removing cancerous lesions. I heed their instructions in order to save your life. And the whole time I’m asking myself, “How do they not see what they’re doing to themselves? How are they so uneducated to that fact that their so called ‘hobbies’, could cost them their life?”. I suppose that in this moment of reflection the responsibility becomes mine, as I stand there covered in your bloody naivety, not only to sympathize, but, more importantly, to educate you about the blinding truth of the burning sun, and its evil accomplice - melanoma.
In this, my desire to convey the truth, I want to grab and shake you while screaming, Congratulations on the leather skin! You, and 68,000 others this year are fighting for your lives because, apparently, you haven’t heard of sunscreen, shade, or covering up! But then I realize that wouldn’t be the most kind or effective education. Perhaps if you could smell the burning flesh, and hold the decaying skin as I do, maybe then you’d realize the need for change. However, I know I’m not alone in the pursuit of educating you about the danger of melanoma. Your surgeon, Dr. Tawnya Bowles - arguably the leading and foremost authority on skin cancer research and treatment in Utah - stands beside me. It is her whose instructions I follow in surgery to help cut out your cancer. It is her who strives ceaselessly to save people from their ignorance. And It is her who has inspired and instilled within me the passion to shield you from harm.
Ideally, my desire is for all to take responsibility and cover up, seek out and utilize shade, and wear sunscreen; because I don't want them to become 1 of the 68,000. Am I doing enough to convince everyone that these are cold hard facts concerning a hot and life-threateningly sensitive issue? I must answer that for myself. I must continue to advocate the cause of preventing melanoma. I must teach you the importance of shielding yourself from the blinding, burning sun. Because I want to stop watching you wheel into my operating room. I want to stop watching your flesh be torn off. I want it to stop. Because, now, it’s all I see. Peeling.
In this, my desire to convey the truth, I want to grab and shake you while screaming, Congratulations on the leather skin! You, and 68,000 others this year are fighting for your lives because, apparently, you haven’t heard of sunscreen, shade, or covering up! But then I realize that wouldn’t be the most kind or effective education. Perhaps if you could smell the burning flesh, and hold the decaying skin as I do, maybe then you’d realize the need for change. However, I know I’m not alone in the pursuit of educating you about the danger of melanoma. Your surgeon, Dr. Tawnya Bowles - arguably the leading and foremost authority on skin cancer research and treatment in Utah - stands beside me. It is her whose instructions I follow in surgery to help cut out your cancer. It is her who strives ceaselessly to save people from their ignorance. And It is her who has inspired and instilled within me the passion to shield you from harm.
Ideally, my desire is for all to take responsibility and cover up, seek out and utilize shade, and wear sunscreen; because I don't want them to become 1 of the 68,000. Am I doing enough to convince everyone that these are cold hard facts concerning a hot and life-threateningly sensitive issue? I must answer that for myself. I must continue to advocate the cause of preventing melanoma. I must teach you the importance of shielding yourself from the blinding, burning sun. Because I want to stop watching you wheel into my operating room. I want to stop watching your flesh be torn off. I want it to stop. Because, now, it’s all I see. Peeling.
Sources:
1) "What is Melanoma?" skincancer.org 2013 Edition. n.d. Web. 2 September 2013
2)"Prevention and Sun Safety, Melanoma Prevention" melanoma.org First Edition. n.d. Web. 2 September 2013
3) Picture; http://a57.foxnews.com/global.fncstatic.com/static/managed/img/fn2/video/660/371/edge_melanoma_040312.jpg?ve=1
1) "What is Melanoma?" skincancer.org 2013 Edition. n.d. Web. 2 September 2013
2)"Prevention and Sun Safety, Melanoma Prevention" melanoma.org First Edition. n.d. Web. 2 September 2013
3) Picture; http://a57.foxnews.com/global.fncstatic.com/static/managed/img/fn2/video/660/371/edge_melanoma_040312.jpg?ve=1