wonderful hello everyone and thank you for joining us today for the cancer conversations a community discussion on melanoma awareness and prevention I'm manala I'm a senior program coordinator here with Mayo Clinic and Minnesota along with me is Nicole Landa who is a community engagement coordinator with our Mayo Clinic Florida as well as Dr colen Castello who's a dermatologist at Mayo Clinic Arizona we are grateful for the chance to bring this information to you today and we'd like to thank Autumn kappus with the Rochester swim club and Lolita Thomas with the Family Life Center for collaborating with us thank you so much for being here and we will hear from all of our panelists here soon mail CL clinics cancer conversation series is designed to bring Physicians researchers and communities together to share and learn more about various types of cancer their signs and symptoms treatment and resources we will also hear directly from a melanoma cancer survivor Autumn capus who will share her unique Health Journey these conversations are designed to educate and Empower all of us to know health risks get screening as soon as we can and to take our health seriously all right so please take a moment to review our agenda for today and we'll get started here in a minute or so as you can see today we have an engaging program for you so please take notes and ask lots of questions we will have a Survivor story a present on melanoma by Dr Colin Castello and a panel discussion highlighting our upcoming pool cool interventions in Minnesota and Florida we have a survey to measure your knowledge before and after the presentation so please take time to complete the pre- survey now you can either scan the QR code that's up on screen or use the link that's going to be provided in the chat to take the survey e e again welcome to anyone joining us please take a moment to scan the QR code on screen to take the survey or you can use the link in the chat all right as we work through those um surveys we'll go head and get started our first speaker is Autumn kappus from the Rochester swim club and she'll be sharing her Survivor story with us today welcome Adam thank you for H thank you for having me um my name is Autumn kappus I am the executive director of the Rochester Swim Club I live in Rochester Minnesota currently um my journey began when I you know I grew up in Wisconsin a family of fair skinned redheads blondies um and my last dermat or my last pediatrician appointment before I went to college my pediatrician had noticed a scabby kind of a discolored um mole on the center of my back and of course that's a spot where um as a kid you can't reach um when you're outside and we had a pool growing up so we were outside a lot of times um we saw that dermat um went to the dermatologist and they took a sample and because I was 18 at the time I went to that appointment with um by myself I was 18 I didn't have to have my mom and dad go with me and I was told I had malignant melanoma I had no idea what that was went home called my parents my parents came home um back in that day we had to look it up in the encyclopedia to find out what it was and of course you see cancer and it's terrifying and scary um I had that mole removed and I had one surgery after that to remove a bigger margin um I was fortunate enough to have no um follow-up treatment just my Dermatology visits and that started my journey of going to the dermatologist every two to three months every now and then I get to a six-month point and I just have to go six months and it seems like something comes up again and so I have to very carefully watch all that I do um four years after that initial treatment I had a small um spot under one of my eyes um I had to have Mo surgery that was done at frer in Milwaukee and they took you right from Mo surgery to plastic surgery to get that all squared away way um I've had several small removals around my ears my neck um on my arms and then here in Rochester I had um one larger area on my forehead about the size of a quarter taken I think Adam you're needed yeah it went on there it goes um so I've had one surgery here in Rochester and that um went well again they had to have about a quarter of size move removed and I did not have to have any treatment just a wider incision and removal um and as fate would have it I ended up in Rochester here working at an outdoor pool in the sun all the time and so um I've am making my mess my message and helping to keep all the lifeguards safe all the patrons safe and that's where I met Manel thank you Adam for sharing your story it's been such a pleasure to work alongside you um in increasing awareness for melanoma I would thank you I would like to open it up to our audience for any questions if you do have a question please place it in our chat box and Autumn would be more than happy to answer your questions I'm not seeing any questions but if anything pops up um as you're going through the presentation please feel free to put that in the Q&A box and our online moderator will make sure that your questions get answered at this time we'd like to transition to our educational presentation on melanoma that will be presented by Dr Colin C um who is a dermatologist physician located in Mayo Clinic Arizona and I do see that there is a question so maybe before we transfer to that um Adam would you mind answering the question in the chat on how fast did the moles grow oh good question um I've always had you know freckles and moles um around so I'm constantly getting getting them checked but um this particular my original one um must have popped up at sometime during my childhood and just was in a weird space um I would say the one that I had the Moa surgery on I noticed it pretty quickly just a little bump but I really take a look at what everything you know on my body all the time just for any lumps bumps anything so I'm pretty I'm pretty good at spotting one that I think is strange any other questions for Adam and you will have to use the um question and answer box since this is a webinar we do have another question Autumn um how often do you get your skin checked now uh right now I'm in my six-month phase so every six months and I stay up the six months until um something were to come up but right now I'm on my six month I have gotten to a year a couple times but I'm at six months right now and Adam has it always been six months I think you heard I heard you reference that at certain points it's been sooner yeah um at some points usually right after I've had a surgery I come back every three months and then if that goes well then we go to the six months and then possibly a year but um I've most of the 20 years now it's been um actually 30 years now it's been really just um either three months or six months most of the time six months but there have been some times where it's three months perfect thank you for sharing that Autumn if you have any other questions oh I see another one um where what are your at home preventative um measures or treatments now uh s uh sunscreen every day um all winter long and um in the summer more sunscreen than um typical quite often throughout the day um lots of hats um my children um always have to have sunscreen and hats whether they like it or not um but it's just part of our family history and we do a lot with the sunscreen um more than anything I do also have shirts if I know I'm going to be out an extended period of time that are the UV a proof shirts so those work really nice as well all right thank you so much Adam if any other questions pop up we'll make sure to turn it over to you to answer those um again we'll go ahead and trans um transfer to Dr Colin Costello's presentation on melanoma at this time welcome Dr Costello thanks man all so much for the opportunity to present here today and AUM thanks so much for taking the time to present your your story let me go ahead and swap displays here manal does this display look appropriate now yes it looks perfect thank you perfect and to to start things off I just wanted to get some disclosures out of the way I I do have research support from work as well as deepex health and all photographs in this presentation are Clinic patient who permitted the use of these photos for educational purposes while we'll discuss melanoma the majority of this talk since May is skin cancer month I figured we'd touch for a short period of time on basil cell and Squam cell carcinoma as well so three common types of skin cancer basil cell carcinoma it's the most common type of skin cancer in non-hispanic whites Latino Hispanics and Asian patients uh second most common in Black patients squis cell carcinoma it's the second most common type of skin cancer in non-hispanic whites Latino Hispanics and Asians but the most common type of skin cancer in Blacks as well as our transplant patients and Transplant patients are generally taking immunosuppressive medications so they don't reject their transplant which makes them higher risk for for this particular type of skin cancer and melanoma luckily while more rare than basil cell and Squam cell carcinoma is the one that's more likely to be dangerous and that's what we'll spend the most time talking about I wanted to briefly show some photos of what basil cell carcinoma can look like so here's a photograph of a basil cell carcinoma on the nose you can see it's kind of a a shiny pink bump with some little uh erosions in it these can be tender and can bleed here's one kind of hiding in a Sideburn but you can still see a little bit of that that shiny pink they don't always have to be pink so sometimes they can have more um Browns and blacks in them so you know but still a kind of a shiny papule for patients that are a little darker in skin color it's actually much less likely to be pink and it can be you know again shiny bump but but more Brown to Black throughout the the whole area so so that's what you'd be want to be keep an eye out for and then again you know patient with even darker skin uh you can see really more dark brown to Black basil Sal carcinoma the most common risk factor for it is ultraviolet light well you can see here I listed other more rare causes of Basil cell carcinoma I think the biggest one to highlight here is transplant patient so a lot of our patients that end up getting uh basil cell and squamous cell uh can be transplant patients as well the distribution or or where basil cell occurs is really on the head and neck both in non-hispanic whites as well as in our Latino Asian and black communities as well moving on to squel carcinoma these often look more like yellow kind of crusty bumps that can be tender and sometimes bleed as well another sisol carcinoma here they can also appear on a lip this was a Latino patient of ours who had a transplant with a little squal carcinoma on the lip there again for squal carcinoma most common risk factor is ultraviolet light exposure but as we were hinting at being immunosuppressed such as having an organ transplant really does increase your risk of these type of skin cancers interestingly where these skin cancers occur can really differ based on the population so in non-hispanic whites most likely to occur on the head and neck in uh patients particularly Asian and black descent more likely it occur on the lower legs and pelvis area and that's because sometimes sell carcinomas can occur in area of of chronic inflammation such as kind of non-healing wounds or or ulcers and uh just because they're much less likely to have UV induce squal carcinoma there's a higher proportion of these that occur on the lower leg so so based on um you know the individual where this is located can can vary so let's move into talking about melanoma so how common is melanoma luckily as we talked about it's more rare and the majority of melanomas are induced or kind of caused by the sun you can see in non-hispanic Whits about 33 per 100,000 individuals will be diagnosed with a melanoma per year in American Indians uh just about 12 per 100,000 Hispanic Latinos 5 per 100,000 and then close to one per 100,000 for asia-pacific Highlanders as well as black patients and so what does that translate to non-hispanic whites are about seven times more likely to get melanoma than Hispanic and Latinos and about 33 more times likely to get melanoma than than uh black patients however when you think about outcomes or how well people do if they do have melanoma this graph over here shows survival a and for ease lower on this chart is bad so that that's bad outcome and you can see for our non-hispanic white patients they actually have some of the best outcomes for melanoma and then really when you look at our Hispanic Latinos our asian-pacific Islanders and American Indians as well as our black patients the outcomes are not as good when you look at the total individuals who die from melanoma per year you can see that because melanoma is so much more common in our non-hispanic white population that that really the vast majority of deaths are in our non-hispanic white population so although outcomes or or the chance of having you know bad things happen if your Hispanic Latino black Asian-American Pacific Islander is higher luckily the overall likelihood of that event happening is very very low so so while we're we're really gauged at helping melanom and all communities you know good to know that it's really the non-hispanic whites that are primarily having bad outcomes so let's go over types of melanoma next so really the way I like to break down melanoma is into two large categories the vast majority of melanomas as we were talking about are caused by the Sun and to prevent these type of melanomas that's where sun protection comes in however there's a subset of melanomas that really are not caused by the Sun at all and we'll also talk about these these are often called acral melanomas so let's first dive into the melanomas not caused by the sun AKA acral melanoma and because they're not caused by the sun they're not not NE necessarily found in areas that you'd expect to have lots of sun exposure and again because they're not caused by the sun really these melanomas are about just as likely to occur in non-hispanic whites as Hispanic Latinos as in blacks and in Asian Pacific Islanders so really anyone is at risk of these melanomas luckily they're much more rare than the sun-induced melanomas but they can occur in between the toes on the bottom of the toes on the heel and you can see often you know a a larger Brown to Black multicolored multiple different shades of colors in these spots and they're often fairly large definitely bigger than a pencil eraser in size and here's a few more on the heel and InStep just to give you an idea what these can look like so multiple different shades of of brown and black another one here on the the InStep as well so these are the the acral melanoma variant not caused by sun exposure they can also Ur underneath the fingernails and underneath the toenails as well so other places to keep a lookout for particularly a straight band of black or brown is something to keep your eye out for and you can see for this melanoma here underneath the toenail it's actually started to grow out onto the skin underneath the toenail as well and this one a a little bit more subtle you can see there's starting to be a little bit of pigment on the cuticle and so it's starting to grow out onto the cuticle over here here as well so let's shift gears and let's now talk about melanoma caused by the Sun so these type of melanomas really the people at risk for these are people that are going to Sunburn and let's talk about risk factors and drivers really the the biggest risk factor is ultraviolet light so whether that's natural light out at the the beach or other Sunny climates as well as tanning beds are are really some of the big risk factors for sun induced melanomas that you'll find kind of on the the face the neck uh the trunk and the arms and legs and when you think about risk factors for melanoma there's several subtypes there's ones that you can change and there's ones you can't change so the ones that you can change and help decrease your risk of getting a sun-induced melanoma is how much sun exposure you have avoiding blistering sunburns making sure to really protect your yourself when you're at high altitude climates particularly sunny high altitude climates and avoiding using tanning beds things that you can't necessarily change that are risk factors for sun-induced melanomas is light hair color such as Blonde or red light skin color a family history of melanoma and natural light eye color such as blue so so really the people at highest risk for these sun-induced melanomas have lighter colored skin blonde or red hair and light colored eyes another risk factor is just how many moles you have and and how odd your moles look so this individual has lots of what we would call atypical moles or or just plastic moles and and so if you're an individual has lots of moles particularly lots of moles different shapes and sizes that would also increase your risk for these type of melanomas so we'll we'll quickly go over how to protect yourself from the Sun and really there's multiple different things you can do to protect yourself from the Sun first is avoiding sun exposure between those peak hours that the sun is highest overhead that's between 10:00 a.m. and 400 p.m. wearing a wide brim hat wearing W sunscreen that's at least 30 SPF in broad spectrum which means protects both against ultraviolet a and UltraViolet B so UVA and UVB wearing sunglasses that block UVA andb as well of course being in the shade is better than being in direct sunlight and then we always advocate for using Sun protective clothing with UPF in it uh sunscreen works well but Sun protective clothing always always seems to work just a little better when you think about sunscreen there's there's two major types of sunscreen screen there's physical or mineral based sunscreen and there's chemical based sunscreen there's really pros and cons to each of them and I I listed them below so I don't need to go through them Point by point but really what we recommend is whichever sunscreen works for you better um at least 30 SPF and you know if it's broad spectrum against both UVA and UVB then from our sampoint that's the right sunscreen for you let's next go through the ab CDE e these are different criteria you can use to help see if a mole looks atypical and maybe a melanoma a stands for asymmetry so how does a mole look side to side or into quarters if you split into quarters and you can see on the right side of the screen here these are just benign harmless moles and on the left side these are melanomas and so you can see those moles look pretty symmetric side to side while the melanomas there's all kinds of asymmetry both in the shape and in the color next is irregular borders so normal moles often have pretty regular borders whether it's more of a circle or more of an oval for those harmless moles on the right on the left here we got these melanomas and you can see when you draw a border around them how irregular it is and how many nooks and crannies they have so those are things to to be on the lookout for C is color so how many different colors or shades of colors are in a spot you're looking at you can see the moles are often either one color or this upper mole here really has maybe two colors in it you know more of a brown and a light tan around the outside but you can see the melanomas really have several different shades of brown and dark brown to to Blacken them and and so that's what you're looking for next is diameter for D and really 6 millimeters here in the US we don't really think about millimeters that much but 6 millimeters is about the size of a pencil eraser also about the size of diameter of an apple pencil uh in case we don't use too many pencils anymore so that's about the size you're looking at is it going to be bigger than that you can see the moles they're although zoomed up they're they're relatively small in size but those melanomas they are quite large quite quite a bit bigger than the size of a pencil eraser and then lastly e is evolution over time so is the spot changing over time this would often be over a period of months to maybe six months to maybe a year so uh you that's a timeline You' be looking for changes over another way to think about instead of thinking about a b CDE e and having to remember each one of those points is just think about the ugly duckling so you know here is a a patient and when you look at their their back they have multiple moles but that one the arrow is going to you can see kind of stands out it's a it's a little bit bigger than the rest of their moles and even from this further away look you can tell that there's some irregular borders and multiple different colors in it and so really just kind of that Galt View From Afar which one just really doesn't look like the others that might be a spot to get checked out and have looked a little bit more closely so next let's talk about self skin exam how to look at yourself and and prevent uh or or find skin cancer early so generally best to derobe in front of a fulllength mirror and while facing the mirror you can look at your face your neck your ears your chest your belly under your arms then facing away from the mirror with a handheld mirror you can look at kind of the back of your scalp the back of your ears the back of your neck your your back your but ocks if you have a partner this is a great time to let them look at these areas because it might be a little bit easier than having you look at them through two mirrors then when you sit down you can look at your your thighs your knees your shins the top of your feet and then again with a handheld mirror you can look at the back of your legs your calves and the bottom of your feet as well so what do you do if you find something suspicious we always recommend taking a photograph of it then making an appointment with your primary care doctor or your dermatologist and remember catching a melanoma early can be life-saving and so the last question I wanted to uh discuss before turning it over here is is do I need to get skin cancer screening and and really i' say it depends on who you are so if you're you know part of the general population without any of those risk factors that we talked about for melanoma likely you're low risk and just taking a look at your skin yourself every 3 months or so would be a good way to kind of just monitor things if you're moderate risk say you're an individual with red hair light colored skin you've had a lot of sun exposure in your life or maybe a family history melanoma that's an individual that should be taking a look at their skin every 3 months or so but also consider either seeing your primary care physician or maybe a dermatologist uh for skin checks periodically if you're a higher risk population this is an individual with a personal history of melanoma or maybe they have lots of atypical moles like that photograph we showed earlier today then taking a look at your skin every three months plus seeing a dermatologist is likely the best move and then those individuals that are really high risk say they have multiple previous melanomas or there's some different genetic syndroms that make you more likely to get melanoma those are the individuals that should probably be checking their own skin but also seeing a melanoma specialist so is that I wanted to go ahead and thank manol again for the opportunity to present today and if there's any questions I'd be happy to take those thank you so much Dr Castello for providing this valuable information to our community um as you said the um the Q&A is open for Dr Castello to answer some questions so I see we already have one so are there any skin cancer risks associated with gel manicures gel manicures use UV light yes that's a great question the short answer is there is not great research data linking the UV light to skin cancers particularly on the nails if a skin cancer was to occur it'd be more likely a squel carcinoma not a melanoma because the melanomas that occur underneath the the fingernails actually are not thought to be induced by Sun related mutations that being said the aad the American Academy of Dermatology does recommend to be on the extra safe side before getting gel manicures to consider putting sunscreen just on the back your fingers in the back of your hand if you do that about 15 minutes before having the UV exposure you should ensure that that Sasol carcinoma risk is very very low thank you so much Dr Castello of course and I'll give us a little bit more time just in case someone else is typing something okay thank you so much Dr Castell and if we don't have any more question oh I think dtin it okay so how can people of color prevent skin cancer yeah it's a a really good question so if you have a darker skin and you're less likely to burn rule your risk of sun induced melanoma is is very low we're still doing a research on acral melanoma it's it's more rare so it's been taking more time but as of now we don't know of any that particularly is the cause of it and therefore we don't necessarily know of anything we can do to prevent it right now the best thing we know to do is to know what it looks like and try to discover it early before it has time to to grow too big uh so probably the biggest thing is not necessarily you know it's necessarily sunscreen or anything like that but really just uh making sure you find it early and looks like we have another one the sunscreen recommendations yeah yeah so if you have darker skin doesn't make sense to use sunscreen it's another good question so there's been several different studies looking at using sunscreen to prevent me particularly melanoma and people that don't really burn and the data has not shown that it decreases their melanoma risk and that's PR predominantly because the melanoma risk is already so low um there is some thought that using frequent sunscreen might just decrease essentially skin aging so cosmetically there might be benefit to using sunscreen just making yourself look young for longer but for skin cancer prevention unless you have like say a transplant or immunosuppression or some other risk factors you might not get large returns by wearing sunscreen on a daily basis particularly if you're just trying to prevent skin cancer and melanoma just because that risk is already so low and I'm not sure if you touched on this Dr Castell we had a question about um types of sunscreen recommendations for people of color um sometimes we've noticed that the sunscreen will streak on darker skin tones and may not work as effectively yes yes yes so there there are starting to be some companies that are creating different sunscreens with multiple different Shades so they blend in a little bit easier um you know I don't want to um say I'm particularly endorsing any company but I think uh super group has been making a few of these different ones I want to say Neutrogena is planning on bringing out a line and so I think using these sunscreens that um that help blend into your skin tone a little bit better would be advantageous and then difference between SPF say 1530 or higher so the difference between 15 and 30 is actually pretty large uh 15 does not protect your skin anywhere near as much as 30 does but the difference between 30 and 50 or say 30 and 100 is actually not that big um so generally recommend at least doing 30 or higher but there's not a huge recommendation to say do 50 or 100 instead of 30 SPF but 15 does not seem to give you the same type of response as at least 30 does wonderful thank you so much Dr castella yeah of course there are some great questions okay so we'll go ahead and move on unless something else pops up um so now we're going to um go ahead and uh begin our panel with our po cool evidence-based initiative so we'd like to welcome Autumn capus and which who is the executive director of the Rochester Swim Club in Minnesota and Miss Lita Thomas who is the VP Board of Directors for Calvary Life Center in Florida hello hello thank you so much for joining us so our first question today is going to be um how did you get involved as a community partner for the pool cool program um we got involved when um we were reached out to about the outdoor pools that we run um by all and then that's kind of how our journey started okay for me um with the Cavalry Family Life Center I got involved um I serve right now as one of the board members on our community research Advisory Board um and had several of the male clinic representatives to visit our Family Life Center and saw the indoor pool um with the program and then they offered up the opportunity for us to share um and educate people about the P program so I thought it was very exciting wonderful thank you both so much um our next question is what motiv motivated you to participate in the pool cool evidence-based intervention Anna you can go first um my motivation was just my story and so it was something that I had been on the lifeguards about all the time as the sun safety and I felt like this was a great program to get out to more people in the community Mita yeah my sentiments are pretty much the same as Autumn um I thought it was very helpful to be able to educate and bring awareness and promote um the sun protection um I also reached out to our County who has an outdoor pool uh for the community and offer swim lessons and got them engaged as well um so that we could definitely make sure our community gets the understanding and the knowledge to make sure we're protecting our skin because here in Florida we have a lot of sun we have a lot of beaches we have a lot of pools um around so I thought it would be very helpful to educate thank you so much um our next question would be if you could please um in your own words describe what the pool cool program encompasses basically a little overview of um what this is so we can explain to our um audience here today Autumn would you mind going first sure um for us we have um we have a social media presence and so we have statistics and kind of little fun canva things um going out on all of our social media and then we also incorporate it into our swim lessons instruction so they take a few minutes at the beginning of the classes and talk to the kids about you know how important these things are um we also have the events right at the pool and we do a um the city does a passport thing where kids usually are on a scavenger hunt kind of throughout the city they do it to answer questions around the pool and it's based on the literature that we have around so we have banners we have signs in all the locker rooms and restrooms that the kids can find the answers to and then they get these sun safety prizes it's pretty great thank you Autumn and Lita if you could share next awesome I'm I'm glad to hear what Autumn so we're in the very beginning stages of implementing the program we have a training session coming up May 23rd um with both directors of both the pool at the Family Life Center as well as the pool at the county so we're looking to implement and have those same type of activities um for the Youth in the community perfect thank you so much and that kind of flows into our next question I'll let you go first Lita um what do you have planned for the 20 24 session though for the 2024 as I stated the kickoff definitely implementing all of the um activities um starting out with the training um we have a big summer camp program that's coming up that will run from June to July where we're looking to um Implement those activities um the camp will be held at the Family Life Center so that that's very helpful um so that we can um do the activities as well as the county pool will be hosting um swim lessons and open pool time um during the summer as well so we're looking to implement the activities there so we'll be very busy over the next few months in engaging the community um with pool cool program perfect thank you so much and Autumn what do you have in store for 2024 um well we have a new waterp Park opening on June 1 that is pretty big and so we're going to have more availability of more space to put more more um of the literature out and more of the things out um especially with we run a lot of free community lessons that's been new in the last couple years and so we're targeting times that those lessons are going on so that we can educate them then as well as during open p uh public pool time we're also adding um wall dispensers to make it more convenient so as they exit into the pool area area instead of you know having to slap it on all over just with your hand they have a dispensers that they can use kind of like you know soap dispensers but they're right on the wall and it just makes it a little easier and they literally have to walk past it to go out the door so that way they're more likely to use it hopefully wonderful thank you so much and so our um last question will be what is the key takeaway you would like for your community to take from the pool cool intervention and I'll let you go first Miss Alita I would like for and I see I do have a few people on on the zoom with me today from the community but what I would like for the community take back is skin protection um let's make sure that we're doing everything that we need to do to apply that sunscreen as we're out um enjoying the sun here in Florida again uh you know sun is always beaming um and we like outdoor activity so definitely protect yourself from the Sun wonderful thank you and Autumn um yeah the same thing mostly getting people to be more aware of what they're doing and having that sun protection all year round we in Minnesota have very few months that we can be outside in the sun and so when we do it seems like a lot of people go for the burn to get you know past it and then have their tan for the few weeks um we're trying to incorporate that that not a good thing um especially as my own children become teenagers it is a topic that comes up all the time now and so especially learning you know these kids learning at such a young age is such a good thing because then they're just in the habit as adults that thank you so much Autumn so this concludes our panel discussion thank you so much Lolita and Autumn for your time and your contributions to this discussion um we would like to now open it up to um questions so please utilize that Q&A chat feature and um we'll get to your questions okay looks like we have a question so what is the most effective way to treat a blistering sunburn maybe we'll have Dr Castello answer that since he's still on the call yeah good question um so you know ideally trying to uh use sunscreen and sub protective clothing to avoid that blistering sunburn in the first place however if it does occur you know if you're not allergic you know some people use aloe vera kind of creams um you could use probably over-the-counter hydrocortisone to help calm things down as well hydrocortisone cream um it'll just more than anything just take time for the the skin to kind of recover and and grow out a new layer thank you so much Dr Castello give us a little bit more time just in case any other questions pop up and while we are waiting I'll just go ahead and um talk about what we have here on our screen so on the screen you'll find a resource that you can screenshot for your future reference and um this um right here on our screen is going to help us select the right sunscreen kind of um what Dr Costello described earlier um one in five Americans will develop skin cancer in their lifetime so protecting our skin from the Sun is extremely important and this document will help us um choose the right sunscreen for us great again thank you so much Autumn and Lolita for sharing about the P cool initiative um we're so excited to be working alongside you to continue to raise awareness on how um to reduce the skin cancer burden and increase um prevention measures in our communities by now hopefully you have started to think about other ways to get involved um in our Mayo Clinic initiatives and so on screen you'll find the flyer for our upcoming pool cool Outreach events here in Minnesota we encourage you to screenshot this and to join us at these events if you're in the Midwest and we'll leave this up here for a couple of minutes as we answer some of these questions um I see that there is a question about the slides if you're specifically referencing to the slides provided by Dr Castello um I believe we could send a PDF form of those slides would that be okay Dr Costello we may have to run it past our um Team just because they have patient images in them uh so I I imagine you know I don't know about the patient images if they can be shared more widely but at minimum we could probably take out the patient images and share the text we'd have to check on that thank you Dr Castello and um we can also share some of the like resources in our slides with the community we'll work on that offline and get back to you um on that question so if you've registered for the zoom webinar we do have your contact information and can follow up from there and I see there's a question too about sunscreen and being acne prone and at least I think it's regarding sunscreen and for teenagers or anyone really prone to acne you would recommend using a sunscreen that either says non-comedogenic which means doesn't create pimples on the on the face or a sunscreen that says like oilfree or like low oil those generally are less likely to cause breakouts than uh than other sunscreens um one thing just to be aware a lot of times those non-comedogenic or or no oil sunscreens might not be sweat and water resistant so they might not be the right choice if you're going to be in the pool or or doing a physical activity but they might be a good choice to use on a daily basis as part of your your daily Sun routine thank you so much Dr Castello for that clarification and again we would like to say thank you to Our Community Partners um Lolita Thomas with Family Life Center and Autumn capus with the Rochester Swim Club thank you so much for your time today as we wrap up this conversation please take a few minutes to complete the post survey um to help evaluate how much you've learned today about skin cancer and melanoma so we'll keep this up here for a few minutes you can either use your phone to scan the QR code or Nicole has placed the survey link here in the chat as well e and just to um answer that previous question about the slides one thing we do with this um presentation is we do put it on YouTube and So within a couple of weeks there will be a YouTube link available to this presentation um we will always share that here with all of our participants and then um you can always find that on the Mayo Clinic um uh YouTube page if you're interested in viewing any of this material again as well again thank you to all of our speakers today for sharing your stories thank you to the audience for for sharing your time with us today and thank thank you to our Mayo Clinic team who helped make this cancer conversation happen we'd like to remind you you have to be your own Advocate be your family's health Advocate recognize the symptoms and the signs and get screened be well and continue to thrive thank you all again for joining us today enjoy the rest of the day everyone and take care