The Penalty of Too Much Sun

And Mostly When a Child

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is what the Dermatologist says about the cause of skin cancer. But he also says if I continue to get too much sun it will make it worse, so my two wide-brim hats and 60 SPF Sunscreen, called El Protector Solar here or informally  protección de sol.  I dislike it but when I know I will be in the sun much, I use the sunscreen now and wear my big hat everytime I go out!

SKIN CANCER SURGERY ON MY FACE THIS TIME

The only other skin cancer removed was from my arm a month or two ago and it was comparatively easy with a lot more skin on the arm. Sorry if the photo below grosses you out, but I was really surprised at how much this facial growth had grown with this big of a scar or “more than 15 stitches” said the doctor, though I counted more like 20 or 21 in the photo. My eye is partially swollen and partially closed but it will get back to normal soon. I went back to the doctor the day after surgery (Wed) and he changed the bandage which I will permanently remove Thursday. Air helps healing. And he prescribed a cream I put on it twice a day for at least two weeks when I see him again for a checkup, after my next photography trip of course!   🙂   I have to keep my priorities straight you know!

MOHS SURGERY

It was Mohs surgery Tuesday which the link describes or basically it is a pathologist there with the surgeon doing biopsies on every bit removed until there is no sign of cancer. With this he is now more certain he got all the cancer and didn’t remove too much “good skin” which is more limited on the face. He was prepared to graft a piece of skin from my cheek if necessary, but thankfully it was not. And in two weeks or so I will be back to normal with a noticeable scar on my face. No problem! Just call me “Scarface.”   🙂

That’s Life!     –    ¡Así es la vida!

¡Pura Vida!

 

And tomorrow I will go back to sharing more from my great trip to Maquenque Eco Lodge!    (Link is to the Gallery)

And oh yeah, that sunset photo above is one I made at Arenal Volcano National Park. After all, this article is mostly about the sun!   🙂

Old Man Hat Required Now

My dermatologist (after 2 skin cancers) says I have to wear a wide-brim hat everytime I go out along with sunscreen. Bummer – but here’s my first one (a Dorfman Pacific Safari Hat) which is like what a neighbor wears everyday, so I won’t be alone!   🙂   Then with a Christmas gift certificate I ordered a Panama Jack Safari Hat which might be more stylish. The price you pay living close to the equator!   ¡Pura Vida!

Biopsy Report: Common Old Man Skin Cancer

You have to click the image at least 2 times to get an enlargement.

Yesterday afternoon I saw my Dermatologist who presented me the lab’s very detailed report with color microscope photos and the diagnosis en español:

“Carcinoma epidermoide bien diferenciado, invasor, de al menos 4 milímetros de diámetro mayor, que alcanza los márgenes de resección.”  Or in English according to SpanishDict.com translation:

“A well-differentiated, invasive epidermoid Carcinoma of at least 4 mm greater diameter, reaching the margins of resection.”

The Doc assures me he can cut it all out by going a prescribed mm distance all the way around it (a big chunk of flesh!) and with several stitches will heal that part of my right forearm back to normal. That’s a $600 surgery or for $4,000 he can do a much tinier section removed while a separate pathologist is testing (continuous biopsy) every little bit of skin to make sure they get all the cancer without taking as much of a chunk! He recommends this for a growth on the nose, etc. where removing more is more obvious. Of course I’m doing the cheaper one which he assures me has always been successful for him and what he recommends. Just a little scar on my right forearm. It is scheduled for 19 November after my next trip which is to Palo Verde National Park 10-15 November. My doctors work around my trips and not vice-a-versa.   🙂

It is interesting that Dermatologists here say the same thing they told me in the states, that these growths that keep popping on my body in old age are caused by getting too much sunshine when I was a little boy. No one told us that back then!  Or maybe I was not paying attention when Mom wanted me to use sunscreen?      🙂     The young are invincible and us old ones just smile at our little problems.   🙂

Since this is a retirement blog, I guess this kind of gory medical report is appropriate. Anywhere you live in retirement you must deal with these things and the medical services in Costa Rica are simply great and so much more affordable that I’m just using a private doctor again instead of the free public ones, which are slower but just as good and free!  🙂  I still use a public doctor to monitor my heart arrhythmia, but other things I’ve been happy with the quick responses of private doctors, like this Dermatologist, Dr. Gamboa.

¡Pura Vida Medico!