A new Rotary year began on July 1st and our club welcomes Kayla Caruana as our newest president. It is sure to be an exciting and fun Rotary year with Kayla leading our club! 
 
Lobster Crawl is SOLD OUT and we are ready to serve 300 lobsters to the community on Friday July 9th at Beasley Park 5-7 pm. Proceeds will be directed towards our club's commitment to a new accessible pier on Pelmewash. 
 
Happy and Sad dollars today included honouring the memory of George Heiss founder of Gray Monk Wineries and Dave and Daphne celebrating 42 years of marriage this week. Our newest member Shaun Lesowski from DOLC was added to our Sunshine List with the celebration of his birthday on July 9th. Happy birthday and welcome to our club Shaun! 
 
Jean Marc was sad to see his Montreal Canadiens fall to Tampa Bay in the Stanley Cup final while a new sports rivalry is underway between Maria (Italy) and Nathan (England) in the EuroCup on Sunday. 
 
Guest Speaker at our Club Today
Dr Ben Wiese, Kelowna Skin Cancer Clinic
 
Ben is a primary care physician originally from South Africa; he has a Masters in Skin Cancer.  He has 2 sons (twins) and his wife is also a physician. His Clinic is in Kelowna; he showed a quick video which demonstrated how high-tech cancer diagnosis has become!
 
Ben touched on a number of areas in his talk:  what is the fuss over Skin cancer (SC), are there different types, who is at risk, how is it diagnosed? Will I die?  How can I Prevent?
 
He reported that one person dies from SC every hour, and 80K people are diagnosed every year in North America. 
 
There are variations – you can get more than one; melanoma is most dangerous type.  It is notorious for being on peoples backs, and therefore undiscovered.  It can hide under hair and be nodular or superficial.  Ben showed slides of a number of different types of SC tumours, basal cell carcinomas and nodular carcinomas.  Many of them looked quite obviously like something was wrong, but many looked just like a mole or small skin lesion or bump that many people have and that are harmless.
 
Actinic keratosis and squamous cell carcinomas are due to long-term UV exposures which has caused DNA damage; this damage may regress if you cover up and protect yourself, or it can persist with your own immune system trying to deal with it, or it may progress to squamous cell carcinoma. 
 
Patients need to know they have Actinic Keratosis so that they can keep it from progressing.  It may show up as redness and lesions may be pigmented. 
 
Squamous cell carcinoma is the 2nd most common type and is caused by cumulative sun or daylight exposure at a young age.  It can be well-differentiated, moderately- differentiated or invasive.  Organ transplant patients, specifically renal and cardiothoracic patients are particularly at risk and should be carefully observed for the development of Squamous cell carcinoma.
Squamous cell carcinoma can often be seen by keratin buildup and may need large skin grafts to repair after treatment. 
 
There are 8 different types of Melanomas. Melanomas can look like ‘something that is just not healing’.  Who is at risk?  Generally, people with:
  • Large number of moles (more than 100 total body)
  • A family history of it
  • Fair-pale skin that burns and does not tan
  • A tendency to freckle
  • Many large moles
  • Red hair or strawberry blonde personally or in their family history
  • Ginger redheads with more than 20 moles larger than 5 mm (head of a pencil)
Tanning beds are dangerous for melanoma and should be avoided.
 
How is melanoma diagnosed? 
  • 75% are detected by patients or someone close to them
  • Through dermoscopy in doctor’s office (which increases the accuracy of diagnosis by about 27% compared to naked eye)
  • Full-body photography – which maps out all spots and dots, important in finding cancer ‘earliest’ through AI – do it every 6 months
To help prevent melanoma: 
  • Avoid UV radiation when UV index above 3 (usually between 3-11 daily from April to Sept in Canada;)
  • Mind what you wear:  All t-shirts not equal – UPF 50+ shirt cuts out about 90% of rays wet or dry; the average t-shirt has a UPF rating of 5-7, and gets only a bit better when wet
  • Sunscreen is not a complete fix, and get one with UVA filters
  • Apply sunscreen liberally, apply 15-30 minutes before going outdoors, and reapply after swimming
  • Oral vitamin B3 and Polypodium leucotomos extract – (not niacin) – can help limit risk