welcome to in the 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. the sun is good for you it booth your immune system it makes you happy as a family doctor i would like to prescribe you suck but what are the dangers what is the right dosage 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 at specific times of the day he's a professor of dermatology and convinced that the sun is protective benefits also extent to our skin. when he's on a complex mind and if you avoid the sun completely and also use 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 where the risk of cancer increases as opposed to internally the skin or gone. under howard. 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. covering. that surely everybody tissue 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 forgotten 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 for to mindy 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 dialogue 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 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 to do in fairness monday holds especially to go out in the sun several times a week. and expose 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 at its most intense so i know what i should be taxed . just a moderate dose of sunlight can activate it to mindy production at the same time the skin builds up its own natural protection callus areas have a more resistant pigmentation but be careful because your skin. can be unforgiving

. first of 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. sensual 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 more 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 to all your patients again. why do you do that. i like it too and i like to be i'll try and give the advice to our patients to go i type f.

on 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 there are some spots on this screen and they may be dangerous so many of those spots are dangerous every night and 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 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. tof. younger luck skin shows visible signs of sun damage now $49.00 she's had several cancerous growths 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. like basal cell carcinomas a very common people tend to wait too long before they see a doctor and then they need relatively serious surgery course for the parts and. 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. sees can develop anywhere on the body but that most common on parts of the body the get most exposure to the sun the head neck ears 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. doubling 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. even

. when the lack of out for if 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 or the ear i live with or which is extremely unfortunate for the patient and. does it for 2 or 4 younger like makes an appointment straight away for her next regular checkup she sees a dermatologist here at least every 6 months behaved at a party to 50 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 and. 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 top. up the account at some point the skin cells can't take it anymore and skin cancer can result. in 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. yet or don't come in days and then the entire surface has been subjected to ultraviolet rays. on the patient can't undo it it's not doing come. 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 clips. a cell carcinoma develops in the square must i be feelin layer of the skin. first

there often pre-cancerous changes which can then become malignant. suspicious looking patches of skin should be checked by a dermatologist as soon as possible. treated square masel carcinoma can grow inward into the body and if it does metastasize it tends to affect the lymph nodes . 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 but 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. life that skin cancer is 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 passed skin red or long and like in your skin you have more at risk than you have when you have stock of skin what are the 1st warning signs you should go to see your doctor that you have only a little spots and they don't have a different color and sometimes think it's just a new little him that does not heal and so whenever you're not sure if it's ok or not after 234 weeks piece showed this to someone who can tell you that in such short time they 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 in black and the normal that you must be in cancer has different colors very often wide like the color of the kinect you have and when you think the growing of the snowman and the mud skin cancer usually the most of them don't grow that cost and they are not that aggressive but the 1000000 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 then come have injuries or death people on the streets but why is that what makes the 1000000 moments 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. that can be mew melanomas and that is worked in the end kills you not that spot on the skin

what kind of therapy is to offer in both kinds of cancer well for both kinds we have the golden rule the earlier you find that in the early and you feed them the better. bought over the last years you can treat them even when you're kind of late but still the best way for both types of skin cancer is that you have to protect them too to. find them and treat them so you 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 cannot tell you that exactly it depends how deep in your skin that melanoma ghost and the deep it goes the more risk is that the test is this in your

betty body somewhere and this method is that that is that what possibly can kill you so it's a very good idea to see your doctor into democratic just on a regular basis to get yourself checked. and to make that you not only the democrat or 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 thumping at your not sure piece shoulder is to someone who knows what it is so hot often should you go and see a doctor and regular basis well usually in germany we can see the patients every 2nd here but patients with higher risk like haskin and a lot of spots you see them on a yearly basis and even if you need the praxis now i would tell you please come again as soon as necessary. when you see. something.

you control in 3 months ago 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 or see through a u.v. camera. or a black layer of paste. but is it really is not in permeable is it looks. like. we've come to stuttgart swimming pool to count up to sunscreen test how much attention does it give us. dermatologists european power joins us here. guinea pigs guardian 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. and 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 use 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. silently 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 glassful of sunscreen over the course of the day. that's why no one does that if you apply that much sunscreen and one day you'd look like a breaded 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 are sun and 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. spots and how it's. 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 viewer questions and i will now have the most important ones and the most popular ones and you can get some protection in the form of cream was gray or lotion and there are a chemical physical food is so which one do you recommend. in the end it's not that important which one truth it's important that youth and youth one that you like. that. has enough sun protection and that to cover all the places of your skin that

you bring in the sun. how important is some protection for children even more important than 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 and sunburns 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. cease protect your skin that some men that nor was tom the non-melanoma skin cancer don't have a great chance to appear on your skin there's a german saying it's is 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 and this because you have to think even when you

let's say all of us 70 over 80 even over 90 piece protect him when you go out in the side when you go out in the garden it's better to have some protection because of the early forms of this non-melanoma skin cancer can even go back so peace use protection next question some protection doesn't only consist of creeds so what else is important whether 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 and use the head and. don't be in the direct sun and on myth of the day new please go inside if possible in other very interesting christian lycopene like in tomatoes. carrots and they supposed to protect your skin

from the inside so is this a very reliable method to protect a skin to be killed with that we don't have a very good database for this so we can not tell to the people and use one kilo off tomatoes and 2 carrots and then you are protected we don't have that and we can not give this as a good advice thanks so much for answer all my questions. yes this is how it works here at in good shape the presenter sits in the sun and it's relaxing and you have told me you have to do all the work and sent us all your questions. on an upcoming show we'll be looking at the personality disorders ranging from borderline to narcissistic how are they diagnosed what are the symptoms and how can they be treated send 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 tell. 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 sunglasses this is what i'm going to find out now. and i'm with left he has a bachelor of science in tama tree and he 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 univ of mall 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 same glasses you have to look for the right to protection against also sun rays and also very important against your ultraviolet rays so you can look.

and see on some of the frames a little decoder you can read you'll be 400 also you can check it so you can check this piece of course yeah you do it so he can take it to you. and you can see this little u.v. here and when we make a board like this you can see yes you got a nice all trial. well yes so it's good yes so what else do you have to look for and i think the size of the lenses is an important thing because you need the. lenses to help protect against the sun and also the colors are very important here they're different kind of colors like like yellow brownish or black so which is the best there are 3 colors gray brow and and green that use a best because you will see every scene was the 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 mine in the 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 alters as hind sight on the temples all a little bit sick and so you have more protect side oh hugh thinking yes this is bigger so just how is that getting directly into your eye and this is also one of the newest frames here feel so this is absolutely 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 my mates us was saying 40 years ok and it's good so it's timeless yeah perfect and then what about the glare of the lenses is it important that you try to get rid of the gap from this. yes you have to do bits

doc lenses you have to document this and you need also and on to flex and cold on the back side right why on the back side i mean the back said it's the one i'm looking through it yes so this is the new units under fiction called 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 an reflection coating you will have reflects on the back side of the lenses and you hold on he sees a fraction also the you erase will be reflected and got can go inside your eyes and there's a good under flexion called it 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.

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next d w. i cringe at the world as you live in america dancing where. whether your ideas are big or small and you do it all making them real is my forte. fast smoke and sustainable. live right. 60 minutes on t w. o. when the water rises cities will sink into the sea. entire stretches of land will be abandoned. and the water rises.

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