I keep thinking about my ongoing negative relationship with the sun, how it burns me time and time again, how I keep trying to fine-tune my approach to dealing with this deadly force. Today, I have arrived at two new thoughts.

1. There was a time when I wanted a tan. I'd accept a burn even, in hopes it would turn to the slightest shade of brown on my pasty white skin. I would search high and low for the sun. I would drive in its direction, bask in its glory, give hours of my day to this crazy pursuit. Somehow, though, achieving a tan -- or burn -- wasn't easy. Sometimes, I'd see some color appear; sometimes my efforts seemed for nothing. It took work, effort, endless amounts of time and while my ventures in sunbathing did sometimes prove successful, there were many times I was left with, well, pasty white skin.

Fast forward to now. Not only do I seek shelter from the sun, but I use sunscreen, sit under umbrellas, and cover up whenever I can. Still, I get burned. It seems if I look in the direction of the sun, with my sunscreen-coated face, it will get burned. Long ago, my bare face only occasionally absorbed the sun. Why the change? Why when I worked not at all at protecting myself was it so hard to attract a golden glow? Why now do I protect myself in all ways possible and still sizzle? I'm wondering if it has anything to do with the chemotherapy drugs that poisoned my body for so long. A dermatologist once told me about a phenomenon called UV recall. The sun and the drugs can react, long after treatment has concluded, and can cause skin reactions. Maybe this is what's happening to me. Just in case, this gives me all the more reason to avoid all contact with the sun.

Last Tuesday night, I watched Greta Van Susteren of Fox News' On The Record as she interviewed Brittany Lietz, Miss Maryland 2006. Greta asked Brittany what her Miss Maryland job entails. Brittany told Greta her full-time job is to represent her platform -- skin cancer.

Brittany didn't choose just any topic for her platform. She chose one that is entirely personal.

Skin cancer has left more than 20 scars on Brittany's body. One, on her back, marks the site where a stage two melanoma was removed when she was just 19 years old. It presented as a mole, a little smaller than a nickel, she says. In all likelihood, the cancer was caused by two years of tanning bed use. Brittany says she probably tanned every day for two years. Her pursuit of bronzed skin began when she was 17 and wanted a tan for her prom. It ended after doctors told her she had cancer.

There's nothing like a little benign news to start the day, nothing like a voice on the other end of the phone saying, "the pathology on your biopsy came back and everything is benign. We'll see you in one year for your next appointment."

While my dermatologist was freezing the pre-cancerous actinic keratoses lesions on my nose last week, she decided to cut out a suspicious chunk of skin on my hand. It was much worse than the freezing. She gave me a shot and numbed the area and then literally dug a hole into the skin just below the pinkie finger on my right hand. For days now, I've been applying antibiotic ointment, bandaging the wound, and whining about the twinges of pain that shoot through my hand.

My hand is still sore today. But I don't have skin cancer. And that makes the pain a whole lot more tolerable.

A few days ago, my two little boys ended up with itchy, bumpy rashes on their necks, backs, and chests. "Mommy, I'm itchy," they'd declare while scratching at their tender skin in search of relief. I did all I could to soothe my bothered boys. I lightly scratched their skin, soaked them in cool tubs of water, offered them Benadryl, and taught them how to gently pat their skin and not dig at it. Eventually, the itches went away -- thanks to the passage of time. And eventually, I learned that sunscreen was likely to blame for their skin irritations.

My boys are four and six. Slowly over the years, I have abandoned baby sunscreens and have lathered them with the same sunscreens I use -- the potions made for adult skin. They didn't seem like babies anymore so it seemed an appropriate transition. Most times, their skin fared well. This time, it did not.

While at my skin cancer screening appointment the other day, my dermatologist gave me something to think about. She told me the primary ingredients in sunscreen for children should be zinc or titanium oxide -- found primarily in baby sunscreen products. So no more grown-up lotions for my boys. I am now the proud owner of New! Banana Boat Baby SPF 50 UVA & UVB sunblock lotion. It's tear-free, sting-free, as mild as water, and reportedly waterproof too -- although some experts maintain waterproof is not really possible in the world of sunscreen. Water resistant, maybe; waterproof, no. Most important, though, is one of the active ingredients in my new tube of protective lotion: Titanium Dioxide.

I wrote on May 29 about my worry regarding a dry, flaky patch of skin on my nose. Unsure of the status of this unusual spot, I immediately called my dermatologist and made an appointment -- which did not end up being all that immediate. The earliest slot available for addressing my personal crisis was June 12 at 11 AM. I took it. And then the stars aligned and I got a call on this very same day.

"We have a cancellation tomorrow. Do you want to come in then?" said the voice on the other end of the phone. Yes, yes, yes, I wanted it. And so I took this slot instead.

Yesterday I met with my dermatologist. The good news is: what I found on the bridge of my nose is not cancer. The bad news is: it was trying really hard to become cancer.

I have a rough patch of skin on the bridge of my nose. It's been there for some time -- how much time, I really don't know -- and I am aware of it every day when I look in the mirror. I wash it, coat make-up on top of it, and sometimes pick at it and watch the flaky skin disappear. It always comes back, and then I study it, wash it, cover it all over again.

It's Skin Cancer Awareness Month and so I've been thinking more about this spot than usual, wondering if it could be more than just a spot. I even went so far as mentioning it to a medical student I saw a week ago during a breast cancer follow-up visit. But the inquiry never made it to my doctor and I've since let it drop.

I'm never sure just how to handle medical issues like these. Typically, I'm hyper-sensitive and worry about all that could be going wrong with my body. Sometimes, I am able to cope normally, realizing most everything is probably nothing. That' the route I took this time. Yet now, now that I've talked to my mom who had a basal cell skin cancer removed from her face years ago -- the kind that flakes away and then comes back -- I'm becoming convinced, pretty sure anyway, that this could be worse than I've imagined it to be.

An Oxford skin cancer expert is weighing in on the recent advice that we would all be wise to sport our denim, polyester, and wool when we head into the sun's harmful rays.

It's an extreme approach, says dermatologist Dr. Robert Turner who believes this skin cancer prevention guidance could push sun seekers to do just the opposite.

Think about this:

"I just don't think this is practical," says Dr. Turner. "People will think it's ridiculous and just go out anyway. If you advise people to do something that is extreme, they're more likely to go the other way completely."

Dr. Turner agrees that clothing is better protection than sunscreen -- especially for children -- but he thinks expecting people to take such drastic cover is unrealistic. He'd much rather urge people to stay out of the sun completely during the middle of the day, when the sun's rays are scorching hot.

This comment just arrived in response to yesterday's post Headed for melanoma, and it's just too raw and powerful to leave buried in the comment section of the site.

So here it is, word for word -- a chilling and empowering message from a 37-year-old mom of two living with a disease that is downright deadly.

I have melanoma. I was diagnosed last August and have had 6 surgeries in 6 months.

I have lost 4 members in my melanoma support group. I go to Jaime's funeral tomorrow afternoon. She was 29 years old. Heather was 37 when she died on March 2, 2007. The midwife noticed a suspicious mole on her leg during the birth of her 4th child. She died 23 months later. Jan was a mother of 5 ages 9 to 19, she passed away on February 8, 2007. Ceri was only 20 years old when melanoma claimed her life on January 14, 2007.

I always thought skin cancer had to be HUGE, ugly, and hard to ignore. I didn't know it could be small, have no symptoms, and KILL you.

Melanoma incidence is increasing faster than any other cancer. According to statistics found on the American Cancer Society's website (www.cancer.org), the prognosis for someone diagnosed with melanoma is worse, stage for stage, than someone with breast cancer.

Getting more than 3 blistering sunburns during childhood doubles your risk. Sunbed use increases ones risk. Having fair skin and light eyes also puts you at a higher than average risk, but having dark skin does not make you immune. Bob Marley died from Melanoma in 1981.

Everyone at higher risk should get screened by a dermatologist every year. And all of us should be checking our own skin each month.

Melanoma is a virulent and aggressive cancer. It begins in the melanocytes, or the pigment in the skin. It presents itself as a change in an existing mole or skin pigment, or in the formation of a new one. It is easily treated in its most early stages. Once it spreads, though, it is often fatal.

Unfortunately, there is no cure for melanoma. Melanoma is one of the cancers that won't respond to conventional chemotherapy. There have been no significant advances in the medical treatment or survival rate in the last 30 years.

More awareness is needed. Most think "it's only skin cancer" and consider it nothing serious. But I can tell you with absolute certainty, they are DEAD wrong.

Skin cancer awareness month doesn't arrive until May, but Olay and the American Society for Dermatologic Surgery have already chosen their spokesperson for the 2007 Skin Cancer Takes Friends campaign.

Emmy-nominated Desperate Housewives actress Marcia Cross will kick off a nationwide free skin cancer screening and education initiative to alert Americans about the importance of early detection and prevention in the fight against a disease that has affected her personally.

"I'm proud to be part of a cause that is near and dear to my heart," says Cross. "Having had two family members suffer from melanoma, I've come to understand the importance of skin cancer detection and prevention. Knowing what I know about the dangers of sun exposure, I take extra care to protect myself with a large hat, sunglasses, daily UV protection, and of course, an annual screening."

Cross has become an partner in the crusade against skin cancer so she can encourage people to protect not only themselves but their family members and friends too.

Beginning on April 1, log onto skincancertakesfriends.org to find a dermatologist offering free screenings in your area. Take a friend with you to your screening during the months of May, June, and July and each of you will pay not a penny.

Many people don't know just how dangerous skin cancer can be. Yet it's the most common form of cancer in the United States and the incidence of melanoma -- the deadliest form of the disease -- is rising faster than any other cancer. Right now, one in five Americans will develop skin cancer during their lifetimes. And every 67 minutes, someone dies of melanoma.

Screening is a must for everyone -- regardless of skin color, ethnicity, age, or geography. So mark your calendar for April 1 if you'd like a free screening. If money is not an issue, make an appointment today.

In the past year, I have had three severe skin reactions characterized by red, itchy, burning bumps that start on my chest and without fail climb over my shoulders and onto my back. They last for a few weeks, are irritated by the Florida heat, and have had no known cause -- until today when I visited my dermatologist for a skin cancer screening and briefed her on this bizarre condition that has kept me away from sunscreen and out of the swimming pool and in hiding from the sun. I have suspected that sunscreen, chlorine, the sun -- or some combination of the three -- have been my potential irritants. So I've been avoiding them altogether. But I learned today that the sunscreen and the chlorine are not to blame. That leaves the sun, which is the most likely culprit -- and only because I have received chemotherapy with one very toxic drug. Adriamycin.

My dermatologist told me about a phenomenon called UV Recall that is associated with Adriamycin. Apparently the toxicity of this drug, even though administered long ago, can be recalled, causing a reaction when the UV rays of the sun soak into my skin. Sunscreen may help, my doctor told me, but she cautioned me that it is just a screen -- it does not offer full protection. And she said the best suncreen option would include zinc oxide. I think for me, though, staying out of the sun is my best bet. It's not ideal -- it means I will remain on the fringe of the swimming pool, hiding in the shade, while my boys swim their little hearts out. And tropical vacations will be off my wish list. And I will seek outdoor fun mostly after the sun goes down. But this is okay -- I knew there were long-term side effects of chemotherapy drugs. I am just thankful for now that my heart has not been compromised -- a side effect of both Adriamycin and the drug Herceptin that I have also received. And it's also not a bad thing that the steps I must now take to prevent skin reactions are also the steps that protect me from skin cancer. So in some sort of round-about way, my inconvenient skin issues may just help me stay healthy. And that's just fine with me.

I confess. I was once a sun worshiper. I grew up in Ohio where a really sunny day was rare -- so on the occasion when the sun was bright and hot, I was in my back yard or at a swimming pool or at a lake soaking up the warmth and comfort of the rays that mostly burned my skin but gave me a glow that eventually turned the slightest shade of tan and made me feel healthy. It's ironic really -- that I felt healthy when the act of sunbathing is so completely damaging. And I knew this at the time and for the many years that followed -- and I still basked in the sun and vacationed in Florida and sometimes actually drove in the direction of the sun on a overcast day, in search of a tan that was never fully achieved because my skin is pale and fair and was never meant for any amount of sun exposure.