we are working as hard as we can keep you informed on all of our platforms we're all in this together on together making sure you. stay safe everybody stacy stay safe stay safe increase in stay safe. welcome to in good shape coming up. how dangerous is basal cell carcinoma. of sunscreen really protect against the sun's harmful rays. and how much sun is actually good for us. hello and welcome to in good shape do you know those people who protect themselves from the sun regardless of

the weather because sun is bad it harms your body but on the other hand. time is good for growth you immune system with makes you happy as a family doctor i would like to prescribe you. but what are the dangers. and what are the side effects. when the weather's nice thomas folks prefer cycling to work he doesn't use u.v. protection happy to expose himself to the sun a specific times of the day he's a professor of dermatology and convinced that the sun is protective benefits also extent to ask him. when he's on the complex if you avoid the sun completely ignore so you sun blockers and don't take vitamin supplements you're risking a serious vitamin d. deficiency the immediate impact is on your bones with a higher risk of osteoporosis but it also affects our health in general the risk of cancer increases for both internal organs the skin are gone and.

professor falk has spent years examining the impact of the sun's rays on a well being the positive effects of vitamin d. for the most common forms of cancer a universally acknowledged and just recently thomas spoke to his team university made an astonishing discovery. virtually everybody is covered in vitamin d. receptors that can suppress tumors and that includes skin tissue which needs the betterment to protect itself from cancer. so if we want to keep our skin healthy vitamin d. deficiency should be avoided but in places like germany it's widespread professor forked and his fellow researchers are alarmed at figures showing that only 40 percent of the population have it in sufficient concentrations in these parts of the world the sun only rises high enough in the summer to stimulate vitamin d. production. only high fat salt water fish can supply

significant quantities of the vital substance and. even then not enough to cover our daily requirements as the doctors themselves no supplements a one way out of the dial but simply popping pills is not enough the skin has to play its own part which is why regular moderate sunshine is the best option. there are a growing number of indications that naturally forming vitamin d. is superior in certain areas to supplement for. longer in the blood for example is down there's another advantage perhaps you can't have an overdose. which is why thomas folks recommends reasonable exposure to the sun but what is reasonable. fear is monday holds its best to go out in the sun several times a week. for the exposed the skin on your face for arms and neck for just a few minutes within what's called your self protection time and preferably either

side of me day when the sun is it it's most intense so i know what i should be taxed. just a moderate dose of sunlight can activate determine the production at the same time the skin builds up it's not true protection callus areas have a more resistant pigmentation but be careful because your skin can be unforgiving. professor folks recommends checking the u.v. index on weather web sites the ultraviolet rays when the sun is highest around midday pose a particularly high risk to the skin. was essential if you find the right level depending on your skin type so that you can get enough sun to ensure an adequate supply of vitamin d. if you're not sure you can have your skin type a search. zone number one for my definitely avoid getting sunburn. routine will benefit your health and actually help to protect you from cancer. this

is true for many things we enjoy sunlight should certainly be relished but in moderation your body will thank you for it. i've never thought to have help man he's a dermatologist as a dermatologist you often want your patients against the sun why do you do that. i like it too and i like to be outside and give the advice to all patients to go outside the front outside but to use some protection not to get a sunburn as a democrat just many of your patients come to you because they think that there are some spots on this screen and they might be dangerous so many of those spots are dangerous every night. most of the spots as you said not dangerous but the few that are dangerous both you have to watch so the fear for cancer is rectified. bianca luck wouldn't dream of going out without 1st applying sunscreen to every

part of her body that's not covered up but she wasn't always so careful as a child she often played outside and back then no one bothered much with sunscreen minus all the gong on and we could go off to the beach on our bikes and when we came home in the evening we do usually have a bit of a sunburn on my me on my release days i'm much more careful my father has skin cancer on. top. bianco luck skin shows visible signs of sun damage now $49.00 she's had several cancerous growth removed including one on her temple. she 1st noticed a suspicious red saw 3 years ago. at 1st i thought it was a pimple i picked is a bit not quite some point but it got bigger. then i stopped formed and started to believe. that's when the alarm bells started ringing. alarm the.

light it hold basal cell carcinomas a very common people tend to wait too long before they see a doctor and then they need relatively serious surgery because for the party. what younger lot thought was a pimple was in fact a basal cell carcinoma all that's left of it today is a small scar. b.c.c. is can develop anywhere on the body but that most common on parts of the body that get most exposure to the sun the head neck hands and arms. basal cell cancer is the most common type of skin cancer. it grows slowly and is unlikely to metastasize. but a basal cell carcinoma can become quite big. in size within a year. the

bigger it is the more skin surrounding it will have to be removed to remove a one centimeter tumor the doctor will also have to remove at least half a centimeter of skin around it so a bit of scarring is inevitable. when the lack. of the cancer is already advanced the tumour can grow into cartilage sometimes into muscles nerves or even bones then we have to remove part of the nose of the ear which is extremely unfortunate for the patient. who does it for 2 full younger like makes an appointment straight away for her next regular checkup she sees a dermatologist here at least every 6 months behaved opportunity percent of patients with a basal cell carcinoma will get another one within 3 years in that respect it's like a chronic condition patients have to keep coming back. everybody has what might be

termed a personal sun exposure account over the course of a lifetime that's a maximum safe amount of ultraviolet exposure how much depends on what kind of skin one has every minute in the sun every sunburn tops up the account at some point the skin cells can take it anymore and skin cancer can result. from good water also it can take 20 to 30 years for skin to turn cancerous and a large number of hits that is exposure to sun on this. yet on down home in these and then the entire surface has been subjected to ultraviolet rays. and the patient can't undo it in its orbital income. tonnage has a cell skin cancer it's more dangerous than basal cell. carcinoma because it can metastasize. she too has to go to her dermatologist for regular checkups.

to mention how many people run around for years with changes to their skin that are precursors to non-melanoma skin cancer or may even themselves be cancerous as loud clips square masel carcinoma develops in the square must be feeling on layer of the skin. first they're often pre-cancerous changes which can then become malignant. suspicious looking patches of skin should be checked but mythologised as soon as possible. treated square muscle carcinoma can grow inward into the body and if it does metastasize it tends to affect the lymph nodes. tonnage has had more than 20 carcinomas and suspicious patches of skin removed she's having another one removed today this time on her back. after the operation

the tissue removed will be sent to a lab to establish if the cells are cancerous or not. regular skin checks don't take long but they can be life saving. skin cancer is one of the most common types of cancer. skin cancer we have more and more over the last 10 years in germany up to 30 percent and who's particularly at risk well a little bit it depends on the color of your skin when you have haskin red like in your skin you have more at risk then you have when you have doc ask you what are the 1st warning signs you should go to see a doctor that you have a little spots and they don't have a different color and sometimes i think it's just a little him. that does not heal and so whenever you are not sure if it's ok or not

after 234 weeks at least show this to someone who can tell you that in such short time i don't have time to or 3 weeks you know when you know enough to get this little spot should have healed and it did not then he show it to someone who can tell you it's ok or it's not ok and what is the difference between this cancer and melanoma. well 1st the color of the melanoma is usually dark brown sometimes even a black and the number that you must get cancer has different colors very often wide like the color of the skin that you have and when you're in the growing of this moment on the mud skin cancer usually the most of them don't grow that past and they are not that aggressive at the mill and nobody's very aggressive yet it's very dangerous when you see on a regular day like today in germany more people died because of melanoma than

compared to injuries or death people on the street but why is that what makes the 1000000 omas so dangerous. because this tells they can go anywhere in your body they can go wherever they want to like in your brain in you're going to have came to mewe melanomas and that is worked in the end kills you not that spot on the skin what kind of federal piece do you offer in both kinds of cancer well for both kinds we have the golden rule that you find that in the early and you feed them at the better. bot over the last 2 years you can treat them even when you kind of late but still the best way for both types of skin cancer is that you have to protect. only to to. find them and treat them so he

said it's very dangerous if the detection of the 1000000 is very late so what is late skipping just 3 weeks before seeing a doctor or is it more like half a year well we can not tell you that exactly if the pens how deep in your skin that milano magos and the deep it goes the more risk is that the test is this in your body body somewhere and this metastasis and that that is that what possibly can kill you so it's a very good idea to see your doctor intradermal talers just on a regular basis to get yourself checked. and to make it to not only the down the toilet just have to have an eye on this any kind of doctor that ceased your skin should be careful and you yourself as a patient for decaf or when you see something you're not sure of peace told this to someone who knows what it is so how often should you go and see a doctor and regular basis well usually in germany we can see the patients every

2nd here about patients with high risk like fastin and a lot of spots you see them on the guinea base and even if you need the praxis now i would tell you please come again as soon as necessary when you see new spots and something is not clear you can show up in 3 months again many people think that they can protect their skin using sunscreen but when it comes to sunscreen it's not that easy. on the right sunscreen looks like on the skin see through you the camera. the block layer of paste. it is it really is not impermeable is it looks. like. we've come to a swimming pool to conduct a. sun screen test how much texan does it give us. dermatologist yogen power

joins us here. live guinea pigs and julian. our expert has some sunscreen with sun protection factor 50 ready for them it's supposed to be water resistant. s.p.f. 50 means that it takes 50 times longer to burn the skin when the sunscreen has been applied than it would without it but julian's made his 1st mistake. you can see that he hasn't applied the sunscreen very well around the lips the nose the ears eyes and forehead. and those are the places where we damage tala jests tend to find skin cancer most often out of. our expert also explains that in and julian haven't used enough sunscreen they've used a tablespoon each in fact the recommended amount is 3 tablespoons.

but are they at least protected as long as they're supposed to be. even after splashing around in the water for 20 minutes. sunscreen is sold as water resistant what exactly does that mean. over the expert. sun and sunscreen is allowed to be sold as water resistant if it retains at least half of its sun protection factor after you've been in water although of course it depends how much you've been in the water if you showered afterwards and how vigorously you dried yourself with a towel so you shouldn't assume your sunscreen is waterproof you should always reapply it. so in order to ensure sun protection factor 50 all day long you need to apply a glass full of sunscreen over the course of the day. as well. no one does that if you apply that much sunscreen and one day you'd look like

a braided schnitzel. sunscreens can only provide a degree of protection against skin cancer that's due to the different wavelengths of the ultraviolet radiation of sunlight which is divided into uva and u.v.b. . they also known if you use sunscreen you'll have less sunburn because sunscreen protects pretty well against ultraviolet b. but relatively poorly against ultraviolet a and it's usually a that increases the risk of malignant melanoma this least equal parts and how to use. sunscreen alone doesn't offer 100 percent protection against skin damage and skin cancer it's best not to spend too long in the sun whether you're wearing sunscreen or not. our topic today has attracted a lot of your questions and i will now ask the most important ones and the most

popular ones and you can get some protection in the form of cream or spray or lotion and there are calico filters are physical filters so which one do you recommend. in the end it's not that important which one you truth it's important that you use one and youth one that you like and one that has enough sun protection and that you cover all the places of your skin that you bring in the sun. how important is some protection for to them even more important then for the grown ups we know this from databases from australia we have to protect the children and we do it now around the world son boys that you have in your childhood that make skin cancer later on and when you grow up with that piece keep with it and even if you. police protect your skin and that some men that norm was

the non-melanoma skin cancer don't have a great chance to appear on your skin there's a german saying that says just skin never forgets so what's that about well we said this to our patients in the past and the more sunlight you get over your lifetime the high is your risk but this does because you have to think even when you are let's say over 70 over 80 even over 90 please protect your skin when you go out in the sun when you go out in the garden it's better to have some protection because of early forms of this non-melanoma skin cancer can even go back so peace use protection next christian some protection does not only consist of creeds so what else is important. for example we sit here in the sun all day long this is not a good idea so we if you sit here longer go in the shade and use

long sleeves use the head and. don't be in the direct sun and on myth of the day new please go inside if possible another very interesting christian lycopene like in tomatoes and carrots and they supposed to protect your skin from the inside so this is a very reliable method to protect the skin and to be clear with that we don't have a very good database for this so we can not tell to the people please and use one kilo off tomatoes and 2 carrots and then you are protected we don't have that and 2 we can not give this as a good advice thanks so much for answer all my questions yes this is how it works here it in good shape the presenter sits in the sun and is relaxing and you have to do all the words. and sent us all your questions. on an upcoming show we'll be

looking at personality disorders ranging from borderline to narcissistic how are they diagnosed what are the symptoms and how can they be treated and your questions to in good shape it did help you dot com the key word just personality disorders we look forward to hearing from you. you can protect your body using sunscreen except in one place your eyes but there's something that could help. shades and you should really use them because they can protect your eyes from serious diseases caused by ultraviolet rays from noma from cataracts and even macular degeneration but how to find the right time glasses this is what i'm going to find out now. and i'm with live on t. has a better off signs in tama tree and she works at a brilliant in berlin thanks for having me so what about this year's fashion trends of sunglasses and i the top of the list i think you'll have more next year.

but you have to know everything is nice what you like but it's not all about fashion it's more about function and sort of what we have to look out for the some of us you have to look for the right protection against the glare of source sun rays and also very important against your ultraviolet rays so you can look on some of it and see on some of our friends a little decoder you can read you the 400 also you can check it so you can check this piece of course yeah you do so he can take it here. and you can see this little you read here and when we make a board like this you can see yes you got a nice altro violet protection oh yes so it's good yes so what else to have to look out for and i think. size of the lenses an important thing because you need the.

lenses to help protect against the sun and also the colors are very important here there are different kind of colors like like yellow brownish or black so which is the best there are 3 colors gray brow and and green which is a best because you will see everything was a most clear and i think color some like yellow a little bit different but orders so you've got different models and which is the best. next to my new heart i think this could be a very nice one if you ask me it's a little better but it depends on what this is about twice this one a good one because it's a little bit larger also you have more lands in front of your eyes and as a side on the temples a little bit sick and so you have more protect side a huge b.c.b.s. if he's bigger so just how is that getting directly into your eye and this is also one of the newest frames here if you saw this is absolutely i today ok and the other one so it's

a nice one it's what most people called and classic and john ok it's a classic model yes mates as was saying 40 years ok and it's good so it's time to you know perfect and then what about the glare of the lenses is it important that tried to get rid of the gap from this. yes it's you have to do a bit of doc lenses you have to dock lenses and you need also to flex and cold on the back side right why on the back side i mean the big that is the one i'm looking through it yes so this is only you need to under flex and call it on this one because you look through the lenses and then you've got a light and you're back on the sun and you do not have sees other fiction coating you will have reflects on the back side of the lenses and you will only see the friction also the u.e. race will be reflected and got can go inside your eyes and there's a good under flex and cold. that wouldn't happen so it's would be much nicer for us

thanks so much for this talk he says it not only for the talk but also for the show so see you next time and until then let's all be in good shape. going. to.

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