As 4 MAIORES Dúvidas sobre Câncer de Pele (e Respostas que Vão te Surpreender!)
Dra. Vanessa Tanaka
[{'start': '0.560', 'end': '5.960', 'text': 'Monday, that alarm clock'}, {'start': '3.199', 'end': '9.080', 'text': 'waking you up with such a fright.  You jump out of'}, {'start': '5.960', 'end': '11.960', 'text': 'bed already late, knowing that your week'}, {'start': '9.080', 'end': '14.480', 'text': "is going to be hell, you won't have time"}, {'start': '11.960', 'end': '16.720', 'text': 'for anything.  And you, in that rush getting'}, {'start': '14.480', 'end': '18.720', 'text': 'ready in the mirror, notice a stain.'}, {'start': '16.720', 'end': '20.800', 'text': "Hey, that stain wasn't there yesterday."}, {'start': '18.720', 'end': '22.760', 'text': 'Where did that stain come from?  What are you'}, {'start': '20.800', 'end': '25.199', 'text': 'going to do, guys?  What does everyone'}, {'start': '22.760', 'end': '28.119', 'text': 'do?  It was on Google.  What does'}, {'start': '25.199', 'end': '31.400', 'text': "skin cancer look like?  I'm sure,"}, {'start': '28.119', 'end': '34.120', 'text': 'absolutely sure, that one of those'}, {'start': '31.400', 'end': '36.040', 'text': 'Google spots will be just like yours.  And then you feel'}, {'start': '34.120', 'end': '37.879', 'text': 'desperate, like, I have'}, {'start': '36.040', 'end': '39.520', 'text': "skin cancer, I don't have time to"}, {'start': '37.879', 'end': '41.920', 'text': 'treat skin cancer, what am I going to'}, {'start': '39.520', 'end': '43.879', 'text': 'do now?  And that patient arrives at the'}, {'start': '41.920', 'end': '46.079', 'text': 'office already crying, with her'}, {'start': '43.879', 'end': '49.079', 'text': 'will already made, having already divided the'}, {'start': '46.079', 'end': '51.120', 'text': 'inheritance, ready for the worst, because she'}, {'start': '49.079', 'end': '53.480', 'text': 'is sure that she has'}, {'start': '51.120', 'end': '56.520', 'text': 'skin cancer and the doctor always'}, {'start': '53.480', 'end': '59.079', 'text': "ignores it.  Oh, I can't believe it.  Another"}, {'start': '56.520', 'end': '62.039', 'text': 'patient who consulted Dr. Google'}, {'start': '59.079', 'end': '64.640', 'text': 'before coming.  Guys, for you, doctor,'}, {'start': '62.039', 'end': '67.080', 'text': "medical student, there's no point in"}, {'start': '64.640', 'end': '68.840', 'text': 'us judging people for'}, {'start': '67.080', 'end': '71.520', 'text': 'searching on Google.  Guys, this is'}, {'start': '68.840', 'end': '73.759', 'text': 'normal, everyone does it.  I go to'}, {'start': '71.520', 'end': '76.880', 'text': 'the supermarket, use Google and compare'}, {'start': '73.759', 'end': '79.240', 'text': 'the price.  And you, doctor,'}, {'start': '76.880', 'end': '81.520', 'text': 'medical student, you have to be much better'}, {'start': '79.240', 'end': '84.880', 'text': 'than Google.  You have to offer'}, {'start': '81.520', 'end': '88.439', 'text': 'much clearer answers.'}, {'start': '84.880', 'end': '90.960', 'text': 'objective, answers that will truly'}, {'start': '88.439', 'end': '94.320', 'text': 'be personalized for that patient,'}, {'start': '90.960', 'end': '97.759', 'text': 'will make all the difference.  So I,'}, {'start': '94.320', 'end': '100.759', 'text': 'Dr. Vanessa Tanaca, am here today'}, {'start': '97.759', 'end': '103.439', 'text': 'to share all my years of'}, {'start': '100.759', 'end': '106.680', 'text': 'experience and try to show you'}, {'start': '103.439', 'end': '108.640', 'text': 'that yes, we can give'}, {'start': '106.680', 'end': '111.719', 'text': 'simple and clear answers to our'}, {'start': '108.640', 'end': '114.759', 'text': 'patients, which is what makes all the difference.'}, {'start': '111.719', 'end': '118.039', 'text': 'My goal is this.  That is my'}, {'start': '114.759', 'end': '121.079', 'text': 'current life goal.  I want to be able to'}, {'start': '118.039', 'end': '124.240', 'text': 'teach as much as possible in a'}, {'start': '121.079', 'end': '126.799', 'text': 'very simple and clear way.  And I hope to be'}, {'start': '124.240', 'end': '129.520', 'text': 'able to do that in this video'}, {'start': '126.799', 'end': '132.280', 'text': 'called: What are the top four'}, {'start': '129.520', 'end': '135.360', 'text': 'questions people ask about'}, {'start': '132.280', 'end': '137.800', 'text': 'skin cancer on Google?  And those four'}, {'start': '135.360', 'end': '140.599', 'text': 'questions are: one, what does'}, {'start': '137.800', 'end': '144.560', 'text': 'skin cancer look like?  Two, who can get'}, {'start': '140.599', 'end': '146.879', 'text': 'skin cancer?  And why?  Three, how to treat this'}, {'start': '144.560', 'end': '149.680', 'text': 'skin cancer?  This will leave a'}, {'start': '146.879', 'end': '151.239', 'text': 'scar.  And fourth, how to prevent'}, {'start': '149.680', 'end': '153.040', 'text': "skin cancer.  Now I'm going to have to"}, {'start': '151.239', 'end': '155.760', 'text': 'pause and talk to you.   Do'}, {'start': '153.040', 'end': '157.840', 'text': 'you know the paradox of'}, {'start': '155.760', 'end': '160.480', 'text': 'variability?  Guys, this was a'}, {'start': '157.840', 'end': '162.239', 'text': 'fantastic study that psychologists did'}, {'start': '160.480', 'end': '163.959', 'text': 'in the United States, where they went to a'}, {'start': '162.239', 'end': '166.280', 'text': 'supermarket and set up two'}, {'start': '163.959', 'end': '168.519', 'text': 'stands.  A stand with six'}, {'start': '166.280', 'end': '171.000', 'text': 'jelly options and a stand with'}, {'start': '168.519', 'end': '173.200', 'text': '24 jelly options.  The person could'}, {'start': '171.000', 'end': '175.760', 'text': 'try it and the flavor they liked,'}, {'start': '173.200', 'end': '179.000', 'text': 'they could buy it or not, it would be'}, {'start': '175.760', 'end': '181.800', 'text': 'up to them, right?  The stall with 24'}, {'start': '179.000', 'end': '183.959', 'text': 'options attracted a lot of attention.  Everyone'}, {'start': '181.800', 'end': '187.519', 'text': 'wanted to go there and try as many'}, {'start': '183.959', 'end': '190.400', 'text': 'options as possible.  So, it attracted a lot of'}, {'start': '187.519', 'end': '192.640', 'text': "people, but incredibly it didn't sell"}, {'start': '190.400', 'end': '195.400', 'text': 'much, it sold very little.  The stand'}, {'start': '192.640', 'end': '197.879', 'text': 'with six options that attracted less'}, {'start': '195.400', 'end': '200.400', 'text': 'attention increased'}, {'start': '197.879', 'end': '203.640', 'text': 'sales by 30%.   What'}, {'start': '200.400', 'end': '206.480', 'text': "does that mean?  There's no point in"}, {'start': '203.640', 'end': '210.040', 'text': 'us putting a lot of information,'}, {'start': '206.480', 'end': '211.879', 'text': 'neither on the internet nor here in this video,'}, {'start': '210.040', 'end': '215.120', 'text': "because it won't stick, people"}, {'start': '211.879', 'end': '217.120', 'text': "won't remember it, it will be so confusing that"}, {'start': '215.120', 'end': '219.720', 'text': 'you or anyone else will even leave this'}, {'start': '217.120', 'end': '221.000', 'text': "video.  So I'll simplify it.  Why am"}, {'start': '219.720', 'end': '223.360', 'text': 'I saying this?  First'}, {'start': '221.000', 'end': '225.239', 'text': 'question: What does skin cancer look like?'}, {'start': '223.360', 'end': '227.879', 'text': "Guys, this is a lesson.  I've given"}, {'start': '225.239', 'end': '231.000', 'text': 'hundreds of classes like this that last 1'}, {'start': '227.879', 'end': '233.560', 'text': "hour, 2 hours of class.  I'm not going to"}, {'start': '231.000', 'end': '235.799', 'text': 'talk about all types of skin cancer here'}, {'start': '233.560', 'end': '238.120', 'text': '.  The big question is when'}, {'start': '235.799', 'end': '240.159', 'text': 'someone goes there and asks Google this question'}, {'start': '238.120', 'end': '243.040', 'text': ', they will receive 1 million pieces of'}, {'start': '240.159', 'end': '245.239', 'text': 'information and you, as a doctor, will'}, {'start': '243.040', 'end': '247.120', 'text': 'say: "No, don\'t worry. Not all the'}, {'start': '245.239', 'end': '248.959', 'text': 'information on Google will be useful to'}, {'start': '247.120', 'end': '251.239', 'text': 'you."  So here we go.  How long has'}, {'start': '248.959', 'end': '253.439', 'text': 'this stain been there?  Oh, this is an'}, {'start': '251.239', 'end': '256.320', 'text': 'essential question, folks, for two'}, {'start': '253.439', 'end': '258.600', 'text': 'reasons.  One, the spots can go away'}, {'start': '256.320', 'end': '260.639', 'text': 'quickly, sometimes in a week,'}, {'start': '258.600', 'end': '262.720', 'text': 'sometimes in less, sometimes in two'}, {'start': '260.639', 'end': '265.000', 'text': "weeks.  So maybe the person didn't even"}, {'start': '262.720', 'end': '266.440', 'text': 'need to worry.  So, the'}, {'start': '265.000', 'end': '268.840', 'text': 'first question will be this.'}, {'start': '266.440', 'end': '271.280', 'text': 'How long has this stain been there?  Another'}, {'start': '268.840', 'end': '274.240', 'text': 'essential question.  What color is this'}, {'start': '271.280', 'end': '276.360', 'text': 'stain?  Because there are two types of'}, {'start': '274.240', 'end': '279.160', 'text': 'skin canter.  There are actually several, but'}, {'start': '276.360', 'end': '282.320', 'text': 'they are divided into two main ones.'}, {'start': '279.160', 'end': '285.199', 'text': 'one that are the brown ones, the black ones that are'}, {'start': '282.320', 'end': '287.560', 'text': 'the melanomas and the other that will be all'}, {'start': '285.199', 'end': '289.520', 'text': 'the erythematous ones, the pink ones, which are the'}, {'start': '287.560', 'end': '291.440', 'text': 'carcinomas.  And there are'}, {'start': '289.520', 'end': '293.800', 'text': 'several types of carcinomas, the'}, {'start': '291.440', 'end': '296.360', 'text': 'main ones being basic and squamous cell.  But'}, {'start': '293.800', 'end': '298.600', 'text': "I don't need to give the patient all the"}, {'start': '296.360', 'end': '301.000', 'text': 'information.  But why is it'}, {'start': '298.600', 'end': '303.400', 'text': 'still essential for me to ask what color'}, {'start': '301.000', 'end': '307.240', 'text': 'that stain is?  Because if it is a'}, {'start': '303.400', 'end': '309.840', 'text': 'dark, brown, black spot, and we'}, {'start': '307.240', 'end': '312.360', 'text': 'think about melanoma, melanoma is'}, {'start': '309.840', 'end': '315.160', 'text': 'the cancer that kills the most.  So there is a'}, {'start': '312.360', 'end': '317.080', 'text': 'chance of it spreading, there is a'}, {'start': '315.160', 'end': '318.840', 'text': 'chance of it leading to death.  Does this'}, {'start': '317.080', 'end': '320.919', 'text': 'mean that we have to treat'}, {'start': '318.840', 'end': '324.039', 'text': 'everyone like this from the first day the injury'}, {'start': '320.919', 'end': '326.160', 'text': 'appeared?  No, even with melanoma'}, {'start': '324.039', 'end': '329.360', 'text': 'we can be calm, because there are'}, {'start': '326.160', 'end': '332.520', 'text': 'studies proving that if the melanoma'}, {'start': '329.360', 'end': '334.600', 'text': 'is still just a small spot, just superficial'}, {'start': '332.520', 'end': '338.759', 'text': 'and you are still in doubt as to whether it is a'}, {'start': '334.600', 'end': '341.759', 'text': 'melanoma or not, you can keep an'}, {'start': '338.759', 'end': '343.639', 'text': 'eye on it for 3 months, during which time,'}, {'start': '341.759', 'end': '345.720', 'text': 'if it is a melanoma, it will'}, {'start': '343.639', 'end': '347.800', 'text': 'change, new colors will appear,'}, {'start': '345.720', 'end': '351.080', 'text': 'new structures will appear, it will'}, {'start': '347.800', 'end': '354.360', 'text': 'grow and even so, you will not'}, {'start': '351.080', 'end': '356.120', 'text': 'harm the patient in any way.  In other words,'}, {'start': '354.360', 'end': '358.639', 'text': 'if it is a benign lesion and it will not'}, {'start': '356.120', 'end': '361.080', 'text': 'change, great, you have saved him from having to undergo'}, {'start': '358.639', 'end': '363.919', 'text': 'a procedure.  If this spot'}, {'start': '361.080', 'end': '366.360', 'text': 'is melanoma and you took 3 months'}, {'start': '363.919', 'end': '368.560', 'text': "to treat it, you haven't changed"}, {'start': '366.360', 'end': '370.880', 'text': 'his prognosis at all.  So, the chance of'}, {'start': '368.560', 'end': '373.840', 'text': 'cure is the same, the chance of metastasis,'}, {'start': '370.880', 'end': '377.560', 'text': "of recurrence is all the same.  So, we don't"}, {'start': '373.840', 'end': '379.680', 'text': "need to despair.  If he's"}, {'start': '377.560', 'end': '382.000', 'text': "superficial, be careful, okay?  There's this"}, {'start': '379.680', 'end': '385.000', 'text': 'catch.  If it is already a papule, if'}, {'start': '382.000', 'end': '387.120', 'text': 'it is already at home and you suspect it, it does'}, {'start': '385.000', 'end': '389.240', 'text': 'make a difference if you treat it'}, {'start': '387.120', 'end': '391.479', 'text': "quickly.  That's why I'm saying that"}, {'start': '389.240', 'end': '394.720', 'text': "Google doesn't solve everything.  We"}, {'start': '391.479', 'end': '397.080', 'text': 'need to personalize the responses,'}, {'start': '394.720', 'end': '400.120', 'text': 'injuries that are there or wounds that have been'}, {'start': '397.080', 'end': '403.000', 'text': 'there for more than three weeks, that are'}, {'start': '400.120', 'end': '405.479', 'text': 'changing over time.  All of this'}, {'start': '403.000', 'end': '408.520', 'text': 'allows us to guide and ask the'}, {'start': '405.479', 'end': '411.720', 'text': 'patient questions to show how it is'}, {'start': '408.520', 'end': '413.960', 'text': 'different from Dr. Google.  Another very'}, {'start': '411.720', 'end': '416.479', 'text': 'important thing is, has the person ever had'}, {'start': '413.960', 'end': '419.120', 'text': 'cancer, has any of their relatives ever had'}, {'start': '416.479', 'end': '421.800', 'text': "cancer?  And then we're already jumping to"}, {'start': '419.120', 'end': '425.280', 'text': 'question two.  Who can get'}, {'start': '421.800', 'end': '427.599', 'text': 'skin cancer?  And because the people most at risk'}, {'start': '425.280', 'end': '429.000', 'text': 'of getting skin cancer are those who have already had one.'}, {'start': '427.599', 'end': '431.319', 'text': 'These are the people most at risk.'}, {'start': '429.000', 'end': '433.319', 'text': 'This applies to both carcinomas and'}, {'start': '431.319', 'end': '435.639', 'text': 'melanomas.  So, if a person has already had'}, {'start': '433.319', 'end': '438.199', 'text': 'one, the risk of having another is much'}, {'start': '435.639', 'end': '440.840', 'text': 'greater.  So, we will'}, {'start': '438.199', 'end': '443.039', 'text': 'pay more attention to these people, we will summon them, we will'}, {'start': '440.840', 'end': '444.919', 'text': 'look at them more carefully, we will look at their'}, {'start': '443.039', 'end': '446.680', 'text': 'entire skin.  Anyone who has had a'}, {'start': '444.919', 'end': '449.240', 'text': 'first-degree relative who has had'}, {'start': '446.680', 'end': '451.360', 'text': 'skin cancer also has a higher risk.  Now'}, {'start': '449.240', 'end': '453.039', 'text': 'we get into why people get'}, {'start': '451.360', 'end': '456.240', 'text': 'skin cancer.  One of the factors is'}, {'start': '453.039', 'end': '459.000', 'text': 'genetics.  Yes, everyone who has had a'}, {'start': '456.240', 'end': '462.160', 'text': 'relative has a higher risk.  These'}, {'start': '459.000', 'end': '465.599', 'text': 'people have to be more careful.  Yes,'}, {'start': '462.160', 'end': '468.560', 'text': 'that is the only factor.  No. For the skin,'}, {'start': '465.599', 'end': '471.120', 'text': 'sun exposure is essential.'}, {'start': '468.560', 'end': '473.159', 'text': '80% of skin cancers are'}, {'start': '471.120', 'end': '476.919', 'text': 'related to sun exposure.'}, {'start': '473.159', 'end': '479.080', 'text': 'Both those who spend more than 2 or 3 hours'}, {'start': '476.919', 'end': '481.840', 'text': 'in the sun every day throughout their lives,'}, {'start': '479.080', 'end': '484.080', 'text': 'generally those who work exposed to the sun'}, {'start': '481.840', 'end': '485.879', 'text': 'or who have to go out in the sun a lot, or'}, {'start': '484.080', 'end': '487.479', 'text': 'people who have had a lot of'}, {'start': '485.879', 'end': '489.599', 'text': 'sunburn.  And remembering a little about'}, {'start': '487.479', 'end': '491.319', 'text': 'genetics, everyone who has'}, {'start': '489.599', 'end': '493.080', 'text': "very light skin, this is a person's genetics"}, {'start': '491.319', 'end': '495.520', 'text': ', skin that burns very easily'}, {'start': '493.080', 'end': '497.680', 'text': 'in the sun, light hair, light eyes, these'}, {'start': '495.520', 'end': '500.479', 'text': 'people are also at greater risk.  But the'}, {'start': '497.680', 'end': '502.639', 'text': 'greatest risk of all is for those who have already had'}, {'start': '500.479', 'end': '504.800', 'text': "skin cancer.  Don't forget that."}, {'start': '502.639', 'end': '506.599', 'text': 'This is more important than the other'}, {'start': '504.800', 'end': '509.800', 'text': 'risk factors.  Do you see how we'}, {'start': '506.599', 'end': '512.320', 'text': 'can differentiate each case?  It'}, {'start': '509.800', 'end': '515.760', 'text': 'really is a case.  We need to'}, {'start': '512.320', 'end': '517.839', 'text': 'treat the patient differently.'}, {'start': '515.760', 'end': '519.120', 'text': "These are the only factors.  If you don't"}, {'start': '517.839', 'end': '521.240', 'text': "have any of these, I can't have"}, {'start': '519.120', 'end': '523.080', 'text': 'skin cancer.  Unfortunately not.'}, {'start': '521.240', 'end': '526.040', 'text': "There are factors that we still don't"}, {'start': '523.080', 'end': '528.279', 'text': 'know about, but there are very'}, {'start': '526.040', 'end': '530.519', 'text': 'young patients who have not been exposed to any'}, {'start': '528.279', 'end': '532.200', 'text': 'risk factors, who do not have a'}, {'start': '530.519', 'end': '534.360', 'text': 'family history of skin cancer, who have already'}, {'start': '532.200', 'end': '537.160', 'text': 'had skin cancer.  I myself have'}, {'start': '534.360', 'end': '540.440', 'text': 'treated several patients from around 20'}, {'start': '537.160', 'end': '542.160', 'text': 'years old, to people aged 16, 14 years old'}, {'start': '540.440', 'end': '544.360', 'text': 'who have already had skin cancer.  What'}, {'start': '542.160', 'end': '547.200', 'text': 'justifies this?  Why?  We still'}, {'start': '544.360', 'end': '549.279', 'text': "don't know why.  Unfortunately,"}, {'start': '547.200', 'end': '551.279', 'text': 'there are still many things about cancer that need to'}, {'start': '549.279', 'end': '554.040', 'text': "be studied and that we still don't"}, {'start': '551.279', 'end': '556.320', 'text': 'know.  So basically everyone is at'}, {'start': '554.040', 'end': '558.720', 'text': 'risk of getting skin cancer?  Basically'}, {'start': '556.320', 'end': '560.600', 'text': 'yes.  So, we have to be careful.'}, {'start': '558.720', 'end': '563.200', 'text': 'Everyone has to be careful.  We cannot'}, {'start': '560.600', 'end': '565.120', 'text': "ignore people's complaints.  We have to"}, {'start': '563.200', 'end': '567.399', 'text': 'take a look and, if possible, do'}, {'start': '565.120', 'end': '569.160', 'text': 'a dermatoscopy, which is even better, as there is a greater'}, {'start': '567.399', 'end': '571.640', 'text': 'chance of diagnosing'}, {'start': '569.160', 'end': '573.480', 'text': 'skin cancer at an early stage.  And why does this initial'}, {'start': '571.640', 'end': '576.240', 'text': "make a difference?  So let's go to the third"}, {'start': '573.480', 'end': '578.519', 'text': 'question.  What is the treatment like and does'}, {'start': '576.240', 'end': '580.920', 'text': 'it leave a scar?  Whenever'}, {'start': '578.519', 'end': '583.920', 'text': 'possible, the best treatment for cancer'}, {'start': '580.920', 'end': '586.440', 'text': 'is surgery.  Point.  All'}, {'start': '583.920', 'end': '588.240', 'text': 'international guidelines agree that'}, {'start': '586.440', 'end': '590.240', 'text': 'whenever possible the best treatment'}, {'start': '588.240', 'end': '591.839', 'text': 'is surgery.  If possible with'}, {'start': '590.240', 'end': '594.720', 'text': 'micrographic surgery of'}, {'start': '591.839', 'end': '597.000', 'text': 'mole of the margins, you are sure'}, {'start': '594.720', 'end': '599.200', 'text': 'guarantee.  No, nothing is guaranteed in this'}, {'start': '597.000', 'end': '602.800', 'text': 'life, right?  Another great chance of a cure'}, {'start': '599.200', 'end': '605.120', 'text': 'that is close to 100%.  The earlier the'}, {'start': '602.800', 'end': '608.000', 'text': 'injury, the smaller the scar.  So this is'}, {'start': '605.120', 'end': '611.360', 'text': 'a big advantage, since 80% of'}, {'start': '608.000', 'end': '614.240', 'text': 'injuries are to the skull, face, neck, in'}, {'start': '611.360', 'end': '617.320', 'text': 'areas that are really exposed.  So'}, {'start': '614.240', 'end': '620.120', 'text': 'the smaller the scar, the better for the'}, {'start': '617.320', 'end': '623.040', 'text': 'patient.  Are there other treatments?   There'}, {'start': '620.120', 'end': '624.920', 'text': 'are other treatments, yes.'}, {'start': '623.040', 'end': '627.600', 'text': 'Whenever possible, we operate.  The'}, {'start': '624.920', 'end': '629.519', 'text': 'others, we reserve for when it is not'}, {'start': '627.600', 'end': '632.240', 'text': 'possible to operate, for when the person'}, {'start': '629.519', 'end': '634.600', 'text': 'refuses to operate, for some'}, {'start': '632.240', 'end': '638.160', 'text': 'special situations that I will not go into in depth'}, {'start': '634.600', 'end': '640.279', 'text': 'here, but when treatment is initial,'}, {'start': '638.160', 'end': '641.920', 'text': 'there is a great chance of cure.'}, {'start': '640.279', 'end': '644.440', 'text': 'We need to make this'}, {'start': '641.920', 'end': '646.600', 'text': 'initial diagnosis, we need to give importance to'}, {'start': '644.440', 'end': '648.839', 'text': 'what the patient is telling us.  And now'}, {'start': '646.600', 'end': '651.760', 'text': 'the fourth and final question, how to'}, {'start': '648.839', 'end': '653.360', 'text': 'prevent it, guys, this is the most'}, {'start': '651.760', 'end': '655.720', 'text': 'important factor in relation to'}, {'start': '653.360', 'end': '657.880', 'text': "skin sagging.  Why?  I didn't say that 80%"}, {'start': '655.720', 'end': '660.920', 'text': 'of them are related to'}, {'start': '657.880', 'end': '663.680', 'text': 'sun exposure.  What does that mean?  We can prevent 80% of them'}, {'start': '660.920', 'end': '666.120', 'text': ".  That's a lot more"}, {'start': '663.680', 'end': '668.240', 'text': 'than most cancers that could be'}, {'start': '666.120', 'end': '670.680', 'text': 'prevented if we used'}, {'start': '668.240', 'end': '672.680', 'text': 'sunscreen.  Then they\'ll say: "No,'}, {'start': '670.680', 'end': '675.360', 'text': 'dermatologists are crazy, they want everyone to'}, {'start': '672.680', 'end': '677.519', 'text': 'use sunscreen."  You guys are, not'}, {'start': '675.360', 'end': '679.880', 'text': 'everyone will need it.  But remember those'}, {'start': '677.519', 'end': '682.600', 'text': 'people who have already had skin cancer?'}, {'start': '679.880', 'end': '684.639', 'text': 'These people really need to use sunscreen'}, {'start': '682.600', 'end': '686.720', 'text': "every day.  If you've ever had a"}, {'start': '684.639', 'end': '689.360', 'text': 'first-degree relative who had skin cancer, you'}, {'start': '686.720', 'end': '691.399', 'text': "'ll also use sunscreen every"}, {'start': '689.360', 'end': '694.720', 'text': 'day.  If your skin is very fair, you'}, {'start': '691.399', 'end': '696.720', 'text': 'burn very easily in the sun.  In these cases,'}, {'start': '694.720', 'end': '698.839', 'text': 'especially if the person is exposed'}, {'start': '696.720', 'end': '700.279', 'text': 'to the sun a lot, if they work in the sun,'}, {'start': '698.839', 'end': '703.120', 'text': 'every time you do an'}, {'start': '700.279', 'end': '705.120', 'text': 'activity in the sun, at these times, you'}, {'start': '703.120', 'end': '707.480', 'text': 'cannot forget the sunscreen.  But'}, {'start': '705.120', 'end': '710.200', 'text': 'those who really need to go through it every'}, {'start': '707.480', 'end': '711.920', 'text': 'day are those who have already had skin cancer.  And'}, {'start': '710.200', 'end': '713.560', 'text': 'preferably if you have had a'}, {'start': '711.920', 'end': '715.839', 'text': 'relative with skin cancer, you'}, {'start': '713.560', 'end': '718.480', 'text': 'should also use it every day.  But if you'}, {'start': '715.839', 'end': '720.160', 'text': "don't get exposed to the sun, that's fine.  But be"}, {'start': '718.480', 'end': '722.200', 'text': "careful, sometimes we think we won't go out"}, {'start': '720.160', 'end': '724.399', 'text': 'in the sun and we end up going out and staying out'}, {'start': '722.200', 'end': '726.959', 'text': 'longer than we imagined.  And all that'}, {'start': '724.399', 'end': '729.079', 'text': 'sun accumulated throughout our lives,'}, {'start': '726.959', 'end': '730.760', 'text': 'when we are older,'}, {'start': '729.079', 'end': '733.480', 'text': 'skin cancer will appear.  So'}, {'start': '730.760', 'end': '735.120', 'text': 'prevention starts very young.  What is the'}, {'start': '733.480', 'end': '736.560', 'text': 'best factor?  Everyone asks me:'}, {'start': '735.120', 'end': '739.839', 'text': '"What is the best sunscreen?"  What is the best'}, {'start': '736.560', 'end': '741.959', 'text': 'protector?  It depends.  They are all good,'}, {'start': '739.839', 'end': '743.959', 'text': 'they work.  It will depend on the'}, {'start': '741.959', 'end': '746.399', 'text': "person's skin type.  If it is oily, if it"}, {'start': '743.959', 'end': '748.079', 'text': 'is dry, if the person sweats a lot, if'}, {'start': '746.399', 'end': '749.800', 'text': "they work in the sun, if they don't"}, {'start': '748.079', 'end': '752.279', 'text': 'work in the sun, if they have spots,'}, {'start': '749.800', 'end': '755.800', 'text': 'melasma or not.  But overall, factor'}, {'start': '752.279', 'end': '757.680', 'text': 'above 50. Why above 50?  30'}, {'start': '755.800', 'end': '759.480', 'text': 'works great if you apply a'}, {'start': '757.680', 'end': '761.360', 'text': 'very thick layer.  No one applies a'}, {'start': '759.480', 'end': '764.199', 'text': 'very thick layer, so buy a'}, {'start': '761.360', 'end': '766.079', 'text': '50, 60. Can it be bigger?  Of course it can'}, {'start': '764.199', 'end': '768.279', 'text': "be bigger.  The bigger the better.  Don't"}, {'start': '766.079', 'end': '770.560', 'text': 'forget that after 4 or 5 hours,'}, {'start': '768.279', 'end': '772.560', 'text': 'its effect has already diminished a lot.'}, {'start': '770.560', 'end': '775.199', 'text': 'Then you need to pass it on.  And when you'}, {'start': '772.560', 'end': '777.839', 'text': "pass it on, you don't need to take it off.  It's even bad to"}, {'start': '775.199', 'end': '782.040', 'text': "take the previous one out to pass this one on.  Don't"}, {'start': '777.839', 'end': '784.639', 'text': 'go over it right away as it has a'}, {'start': '782.040', 'end': '786.440', 'text': "much better effect.  So don't forget to"}, {'start': '784.639', 'end': '788.440', 'text': "reapply sunscreen.  If you're going to be in"}, {'start': '786.440', 'end': '789.959', 'text': "the sun all the time, whether it's on the beach or in the"}, {'start': '788.440', 'end': '791.680', 'text': 'pool, you need to apply a lot more,'}, {'start': '789.959', 'end': '793.959', 'text': 'people.  There is no way.  We sound,'}, {'start': '791.680', 'end': '796.600', 'text': 'we enter the water, he comes out.'}, {'start': '793.959', 'end': '798.560', 'text': 'So, every 2 hours you have to reapply'}, {'start': '796.600', 'end': '800.839', 'text': "this sunscreen.  The more it's at"}, {'start': '798.560', 'end': '803.959', 'text': 'peak times, you know, around'}, {'start': '800.839', 'end': '805.880', 'text': '11 am, noon, the faster it leaves'}, {'start': '803.959', 'end': '808.760', 'text': '.  So at these times you have to'}, {'start': '805.880', 'end': '811.240', 'text': "go over it more often, there's no way around it.  Is it"}, {'start': '808.760', 'end': '813.120', 'text': 'worth preventing skin cancer?  Of course,'}, {'start': '811.240', 'end': '814.839', 'text': 'most people will only be left with a scar,'}, {'start': '813.120', 'end': '817.199', 'text': 'but hey, who wants to undergo a'}, {'start': '814.839', 'end': '819.399', 'text': 'procedure, who wants to get cancer,'}, {'start': '817.199', 'end': '821.639', 'text': 'no, people, you have to prevent'}, {'start': '819.399', 'end': '824.480', 'text': 'skin cancer.  Not just skin cancer, but'}, {'start': '821.639', 'end': '826.440', 'text': 'go ahead and get the HPV vaccine, prevent'}, {'start': '826.440', 'end': '831.079', 'text': 'cervical cancer, lung cancer, bladder cancer, mouth cancer,'}, {'start': '829.360', 'end': '832.680', 'text': 'esophagus cancer, all the things we'}, {'start': '831.079', 'end': '834.920', 'text': 'can do to prevent getting cancer, we'}, {'start': '832.680', 'end': '837.360', 'text': "have to do it, people.  There's no conversation."}, {'start': '834.920', 'end': '840.399', 'text': 'And we have to guide all patients'}, {'start': '837.360', 'end': '842.199', 'text': 'to prevent cancer.  Yes. So, I think'}, {'start': '840.399', 'end': '844.639', 'text': 'I said too much, right?  I thought I was'}, {'start': '842.199', 'end': '846.720', 'text': 'more simplistic, more objective than'}, {'start': '844.639', 'end': '848.279', 'text': 'Google.  I hope I was'}, {'start': '846.720', 'end': '849.720', 'text': "clear and didn't give out a bunch of"}, {'start': '848.279', 'end': '852.519', 'text': 'information that everyone will'}, {'start': '849.720', 'end': '855.279', 'text': 'forget.  If you really think it worked and you'}, {'start': '852.519', 'end': '856.920', 'text': 'managed to explain it in a way'}, {'start': '855.279', 'end': '859.320', 'text': 'that everyone understands, that everyone'}, {'start': '856.920', 'end': '860.880', 'text': "remembers, don't forget to like it.  If"}, {'start': '859.320', 'end': '862.680', 'text': 'you remembered someone, be sure to'}, {'start': '860.880', 'end': '864.360', 'text': "share.  And if you think we're"}, {'start': '862.680', 'end': '866.800', 'text': "doing a good job here, don't"}, {'start': '864.360', 'end': '870.160', 'text': 'forget to follow us, of course.  See you in the'}, {'start': '866.800', 'end': '870.160', 'text': 'next video.'}]