Saline County Citizen Inserts
Postal Customer
Aldi C&R Market Dollar General Health Coloring Book Menards Patriciaʼs Foods
Child Care
For Sale Misc.
Help Wanted
Real Estate
HOME CHILDCARE has immediate openings. Degree in childhood development. 14 years experience. State pay accepted. 229-0089.
MATTRESS SETS: Twin $89.99, Full $99.99, Queen $199.99, Queen Pillowtop $249.99. Dutch Kountry Market & Furniture, 10340 E. Hwy. 50, Knob Noster, MO 65336. 660-563-2941.
IMMEDIATE HELP wanted, FT or PT. Must have diploma/GED, license and reliable transportation. Swine confinement labor, 20 miles from Marshall. Hablamos espanol. 660-493-0237
LARGE LOT in Slater, with double car garage. For sale by owner, $12,500. 660-529-9795
Garage Sales
Moving & Storage
BACK-TO-SCHOOL SALE: 1112 Stonehaven, Friday 8:00am4:00pm, Saturday 8:00am12:00pm. Nice boy's and girl's clothing up to size 12, adult clothing, maternity clothes, toys, misc. household items & furniture. MANY $1 items.
BANKS MOVING And Storage Company. Storage units now available, easy access, low rates, video surveillance. 975 W. Jackson. 886-7471, 855-559-7471.
FOR RENT: Now taking applications Westport Gardens Apartments. One & two bedroom units. Call Kim at Action Management. 660-831-0030. TDD: 800-7352966. This institution is an equal housing opportunity provider. FOR RENT: Westport Terrace Senior Housing apartments is accepting applications. 915 S. Apache Dr. Rent based on income. Must be 62 yrs. old or handicapped or disabled. Call Kim at Action Management. 660831-0030. Relay 711. This institution is an equal housing opportunity provider. NICE CLEAN two-bedroom apartment, partially furnished, washer/dryer, covered parking. References/deposit, no pets. 886-7333 days, 631-1566 evenings. NICE STUDIO apartment, furnished with utilities. References, deposit, lease. No pets, no smoking. $350/month. 660-2022889 NOW ACCEPTING Applications for 1, 2 & 3 bedroom units. Range, refrigerator, water & sewer provided. Rental assistance is available. Apply at 275 S. Redman or call 660-886-9664. Equal Opportunity Housing. UTILITIES PAID, Rent based on income, 55 + or handicap/disabled. Small pet welcome w/deposit. Call 660-529-2862 or stop by Sullivan Hall Apartments, 218 E. Maple, Slater, MO 65349 Equal Housing Opportunity
For Rent Duplex NICE CLEAN one bedroom duplex, no pets, deposit required. Owner/agent. 631-5060.
For Rent Houses NICE CLEAN 2 bedroom, partially furnished house. References & deposit required. No pets. 8867333 days, 631-1566 evenings. THREE BEDROOM, 2.5 bath, full basement. $700/month, $700 deposit. 573-818-4925
For Rent Misc. COMMERCIAL PROPERTY For Lease. Excellent locations. Near new construction. Energy efficient. 886-8009. FOR RENT: Retail/Office Units, great Odell location. Commercial shop/storage, 4,000+ square feet, insulated/heated, 16' doors. 660-229-4700.
PRESORTED STANDARD U.S. POSTAGE PAID WAVERLY, MO 64096 PERMIT NO. 10 BOX HOLDER RURAL ROUTE CAR - RT - PRE - SORT
PRESORTED STANDARD U.S. POSTAGE PAID MARSHALL, MO 65340 PERMIT NO. 140 BOX HOLDER RURAL ROUTE CAR - RT - PRE - SORT
SATURDAY, 532 E LACY, 7:30am-? Boys' & girls' NB-11yr, adult clothing. Furniture & decorative items, toys & kitchen ware. WINNIE WARNOCK estate sale: 3 E. Mission, Thursday-Saturday 8:00am-? Bedroom sets, LaZBoy love seat, bedding, lamps, kitchen items, house wares, metal baskets, 1950 chrome table, sewing machine, lots misc.
Help Wanted Ag-Power, Inc., a growing company that offers competitive wages and room for advancement is currently hiring at all locations (Carrollton, Centerview, Higginsville, Marshall and Sedalia) for the following positions: Service Technicians; Service Manager; Field Technicians; Sales. If you are interested in joining the Ag-Power Team please send your resume and salary requirements to: smistler@ag-power.com. DIRECTOR TO oversee group homes in Marshall for the mentally handicapped, developmentally disabled adults. Bachelor's degree in human related field. Send resumes to Executive Director, 1353 Buchanan St., St. Joseph, MO 64501. HARVEST HELP through fall season. Contact Jeff at Weber Seed Farms, 660-631-7914 MANAGER/CUSTOMER SERVICE Representative needed, full-time and part-time: Consumer lending, collections a plus. No experience necessary. 401k, bonuses, vacations, health, dental, vision. Fax resume/salary requirements to 573-642-6559. The Santa Fe R-X School District is looking for full-time bus route drivers and part-time substitute drivers for the 13-14 school year. Rate based on experience. Starting pay $20/hour. Applications can be obtained at the Superintendent’s office. 108 N. Chiefs Ave., Alma. EOE.
MARSHALL CENTRAL Storage. South Odell and new location on Drake Road. Various sizes both locations. 886-4600. MARSHALL MINI-STORAGE. Hwy. 20 West. U-Store! U-Lock! Car-Boats-Furniture-Etc. 8869499 or 886-8268. SOUTH 65 STORAGE. Lowest prices in county. Various sizes. Lighted units. 886-8037.
Notice MHS CLASS OF 1983: 30th reunion September 20-21. Friday: reception after football game, Hustler's. Saturday: picnic, 12:00pm, Optimist Shelter House; reception 7:30pm (location TBD). RSVP by Sept. 4th marshall83reunion@gmail.com. Spread the word! NOW ACCEPTING YOUR Items for Consignment Auction: Please call 886-9341 from 8:00am4:00pm. 624 N Miami, Old North IGA building. NEXT SALE 8/14 5:30pm The Lady Legends 14u, 16u and 18u Competitive Softball Teams will be holding tryouts for the Fall 2013/Summer 2014 season on August 17, 2013 at 1:00pm at Centennial Park in Sedalia, MO. If you have a daughter between the ages of 12-18 that are interested in being part of a successful competitive softball team, this is a tryout you won't want to miss. We have a great group of players and families, and we're looking to fill our rosters with dedicated players that love the game as much as we do. If you have any questions about the tryouts and/or the Lady Legends Teams, feel free to contact Coach Dave Wehmeyer at 785220-8729.
Office Space 4100 sq. ft. OFFICE, 1445 W COLLEGE St. $1500 per month, will divide. Swinger Realtors, Broker/Owner. 886-3388
Classifieds • 886-2233 Join us for BINGO Every Thursday Starting August 15, 2013
Marshall Senior Center 14 E. Morgan • 886-9888
Come play a game of Bingo, 10:15am - 11:15am then stay and enjoy one of our delicious meals!
Prizes: Homemade Food Items FUN FUN FUN
August 10 sat 2:00pm 8:00pm 11 sun 2:00pm 14 wed 2:00pm 8:00pm 15 thurs 2:00pm 16 fri 8:00pm 17 sat 2:00pm 8:00pm
Professional Theatre in the heart of Missouri
Tickets On Sale Now! 114 High Street • Arrow Rock, MO 65320 Call (660)837-3311 • www.lyceumtheatre.org
099768
Service WANTED: DECKS to power wash & stain, yard work, trimming bushes & gutter cleaning. 660-631-2112, 660-202-2904
Wanted to Buy WANTED TO Buy: Paying top prices for vehicles: wrecked, non-running or unwanted. Seller(s) must have title in their name! Gilpin Auto Parts, Hwy. 240. 660-886-2217.
Work Wanted ROCK HAULING and spreading. Also haul DDGs and free compost. Call Ted, Triangle Trucking, 660-631-2538
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APARTMENTS FOR Rent in Slater. Recently remodeled. Sewer, water and trash included. One bedroom $350.00, 2 bedroom $425.00. 886-0182.
POSTAL CUSTOMERS LOCAL
Wednesday, August 14, 2013
Marshall, Missouri
For Rent Apartments
POSTAL CUSTOMERS LOCAL
aring
He Notice Of Public
Notice is hereby given that the Board of Directors of Saline County Ambulance District will hold a public hearing at 6:00 PM Wednesday, August 28, 2013 at the offices of Saline County Ambulance, 354 W Arrow, Marshall, Missouri. At that time citizens may be heard on the proposed property tax rate for 2013 to be set by the Board of Directors.
Assessed real estate Assessed personal property Assessed valuation new construction/ improvements Adjusted assessed valuation
163,525,604 53,569,349 1,025,570 217,094,953
Page 2 - Marshall, MO - The Saline County Citizen, Wed., August 14, 2013
Enjoy your
MARSHALL MUNICIPAL BAND On the east lawn of the Saline County Courthouse. Tomorrow evening
7:30 p.m. to 8:30 p.m Bring your own lawn chairs. Some bench seating available.
Multi-Skilled Maintenance Person Nordyne, a manufacturer of heating and air conditioning products located in Boonville, MO, is seeking a Multi-Skilled Maintenance Person. Preferred qualifications will include: • Skilled in all areas of multi-skilled maintenance, mechanical, electrical, pneumatics, hydraulics, forklift repair, and welding. Experience with Programmable Logic Controls is a plus. • Familiarization with sheet metal fabrication equipment, power distribution and general plant maintenance. Preventative maintenance experience is a plus. Nordyne offers a complete benefits program including competitive wages (up to $23.06 per hour), medical, dental, vision, life insurance, disability pay, vacation, and a 401(k) plan with company match. Our production schedule is 6:00am to 4:30pm, Monday throughThursday (four, ten hour days) unless overtime is required. Qualified applicants should send resume in confidence to:
To Buy, Sell, or Trade the classifieds is where you want to look. Call 886-2233 to place your ad today.
Nordyne 2501 Boonslick Drive Boonville, MO 65233 EOE/M/F/H/V
Marshall, MO - The Saline County Citizen, Wed., August 14, 2013 - Page 3
BIDS REQUESTED ACtion Management and Consulting Services LLC is accepting bids to modify the Westport Village Apartments, L. P., Marshall, Missouri, to comply with the Uniform Federal Accessibility Standards and the American Disabilities Act. Interested bidders should request bid documents by contacting ACtion Management and Consulting Services LLC at 660-535-4305 or at P.O. Box 339, King City MO 64463. All bids must be submitted no later than September 16, 2013. All bidders must be licensed and insured and are responsible for all necessary permits required.
Knowledge Is Power For Surviving The Cure For Childhood Cancer (NAPSA)—According to the American Cancer Society, there’s some good news about childhood cancer: The vast majority of children with cancer will survive for many years. While cancer remains the leading cause of death by disease for children under the age of 15, more kids are living, more families remain whole, and more days once filled with grief are spent celebrating life. The advancements in childhood cancer treatments are astounding. That said, there are challenges that become more pressing every day as a result of this positive trend. Treating cancer isn’t easy on the doctors, researchers and, especially, the patients. With cancer, the goal is survival and the methods are often harsh and come with long-term effects. The Problem For many children, survival is only half the battle. Certain health problems called late effects often arise, including heart, lung and kidney issues. Often, health care providers for adults who have survived childhood cancer are in the dark as to what treatments were used and what the effects may have been. This makes selecting the proper protocols for adulthood health care very difficult. A Resource Drs. Lillian Meacham and Ann Mertens at the Aflac Cancer Center in Atlanta understand these effects better than most and have dedicated their careers to helping young people survive the cure as well as the cancer itself. They also created SurvivorLink. Endowed in part by Aflac, it is the only statewide Web-based data source for childhood cancer survivors.
Until recently, many childhood cancer survivors were unaware of the effect their treatments could have on their long-term health. The site provides a cache of information for doctors and nurses who treat cancer survivors. These medical professionals can access health records online and understand the diagnosis and treatments that were used to fight the cancer and better approach future health care decisions armed with knowledge that in the past was either forgotten or not recorded in an accessible format. Researchers also use the source to study the long-term effect of chemotherapy and radiation on children and develop new protocols. David R. Freyer, Director of the LIFE Cancer Survivorship & Transition Program at Children’s Hospital Los Angeles, and Member of the Survivorship & Outcomes Steering Committee of the Children’s Oncology Group, agrees that SurvivorLink helps researchers and providers who treat patients after the cancer is cured. “Many young patients are unaware of the details around their cancer treatments,” Dr. Freyer says. “SurvivorLink at the Aflac Cancer Center helps gather and coordinate treatment information that can be used to make decisions that benefit childhood cancer survivors throughout their lives.” Learn More To find out more about SurvivorLink, go to www.cancersur vivorlink.org. To find out more about Aflac’s $80 million comA new online resource can help mitment to children’s cancer people who survived childhood treatment and research, go to cancer lead healthier adult lives. www.Aflac.com.
We are recruiting individuals to deliver phone books in the following communities:
Sedalia, Marshall, Clinton, Knob Noster Warrensburg, Holden, Appleton City Slater, Lincoln, Sweet Springs & Windsor Must be 18 years of age Must have valid driver’s license Insured dependable auto
NOTICE
Marshall Municipal Utilities is accepting sealed bids until 1:30 p.m., August 22, 2013, at its Business Office, 75 East Morgan, Marshall, MO 65340 for a
mini skid steer with attachments. Bid specifications are available at the Business Office. Ken Gieringer at 660/886-6966
Help Children Learn To Love Reading (NAPSA)—It’s never too early to get children to enjoy reading. Reading Is Fundamental (RIF) and Macy’s teamed up to find out just how early—and often—parents are reading with their children. The results may surprise you. Study Results Few parents with kids age 8 and younger are engaged in nightly reading, according to the new survey. The survey found only one in three parents read bedtime stories with their children every night and 50 percent of parents say their children spend more time with TV or video games than with books. The study also found: •While 87 percent of parents say they currently read bedtime stories with their children, only one in three do so daily. •Children of families with an annual household income below $35,000 are more likely to watch TV (40 percent) than read books (35 percent). •Twice as many children prefer a printed book (20 percent) over an e-book (9 percent), say parents who read both types of books to their children. Why Reading Is Important According to the Annie E. Casey Foundation, children who don’t read well by the end of third grade are four times more likely to drop out of high school than proficient readers. Yet the 2011 National Assessment of Educational Progress reveals that two-thirds of U.S. fourth graders—and more than four-fifths of those from lowincome families—are not reading proficiently. In RIF’s review of major literacy studies, researchers found a direct correlation between income level and the number of books in the household, creating even more obstacles to developing children’s literacy. What’s Being Done Fortunately, that’s where Reading Is Fundamental and Macy’s come in. As the nation’s largest children’s literacy nonprofit, RIF has placed 410 million books in
Giving children their own books can inspire them to become lifelong readers and achieve their full potential. the hands of more than 39 million children, mostly in underserved communities. And Macy’s has been a longtime supporter of RIF, helping to raise more than $25 million for the organization in the last 10 years. What You Can Do RIF offers these tips for parents who want to make the most of reading with their children: •Try to establish a regular time for reading aloud. •Find a quiet, comfortable place; snuggling together while reading is important. •Remove background distractions. •Select a book both you and your child can enjoy. •Point out the cover illustration as well as the author’s and illustrator’s names. •Read with expression; have fun bringing the characters and events to life. •Read slowly so your child can take in the words and look at the pictures. •Encourage questions. •Watch the child’s body language to see if you need to take a break. •Talk about the book afterward. Be sure to elicit the child’s reaction. •If the book is a frequently read one, ask the child to retell the story in his or her own words. Learn More To find out more about how you can help provide books to kids who need them most, visit www.RIF.org.
the classifieds is where you want to look. Call 886-2233 to place your ad today.
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EARN MORE BY LEARNING FROM THE PROS. Take the H&R Block Income Tax Course to learn how to prepare taxes like a pro. Class times and locations are flexible to fit your current job, school and family schedules. Bilingual courses are available. Not only will you learn a new skill, you could earn extra income as a tax professional.*
Enroll now! For class times and locations, visit hrblock.com/class 800-HRBLOCK (800-472-5625) Bilingual classes are taught in English and the instructor or assistant will be able to answer questions in Spanish as needed. Textbooks will be provided in both English and Spanish and course exams will be offered in a bilingual format. *Enrollment in, or completion of, the H&R Block Income Tax Course is neither an offer nor a guarantee of employment. Additional qualifications may be required. Enrollment restrictions apply. State restrictions may apply. Additional training may be required in MD and other states. Valid at participating locations only. Void where prohibited. H&R Block is an equal opportunity employer. This course is not intended for, nor open to any persons who are either currently employed by or seeking employment with any professional tax preparation company or organization other than H&R Block. OBTP# B13696 ©2013 HRB Tax Group, Inc.
Classes begin in Boonville, Moberly and Marshall on September 9th.
520 Ryan Street, Ste. I, Boonville, MO 65233 660-882-6381 779 S. Odell, Ste. 1, Marshall, MO 65340 660-831-1040 815 N Morley, Moberly, MO 65270 660-263-0824
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Page 4 - Marshall, MO - The Saline County Citizen, Wed., August 14, 2013
Vegetables Become Star Of The Plate (NAPSA)—As interest in locally grown produce and fresh ingredients rises across the country, a new star is making its way to the center of the plate—vegetables. In recent years, chefs and home cooks alike have taken notice of the rich vegetables that are locally available and the versatility they bring to a meal as the main dish. Farmers’ markets make it easy to find fresh produce worthy of the starring role in any meal. As vegetables become the focus, chefs are finding new ways to prepare and serve up these gems. Edward Leonard, certified Master Chef and Le Cordon Bleu Executive Chef, offers insight on the trend of seasonal specialties. “Diners have long been in the mind-set that vegetables belong on the side of the plate, next to a protein,” said Chef Leonard. “That’s shifting as people become more conscious of what they eat and where it comes from. Whether it’s rediscovering cauliflower to tasting a wide variety of heirloom tomatoes, we’re seeing delicious new dishes that showcase the versatility of vegetables.” According to the chef instructors of Le Cordon Bleu, farmers’ markets offer the best options for local produce. Before heading out to the market, they suggest researching which vegetables are in season and potential recipes. Having this information ahead of time will help shoppers make better choices when perusing the produce. When it comes time to prepare the veggies, consider cooking methods that go beyond steaming and sautéing. Try charring leeks, fresh peppers or aubergine eggplants on the grill. Charring vegetables gives them a boost in flavor, eliminates bitterness and brings out a sweeter flavor. While vegetables can be the feature of the meal, that doesn’t mean the dish has to be completely vegetarian. Consider incorporating proteins or meats to elevate the taste and creativity of the dish. For example, stuff tomatoes with ground beef and rice or top a portobello mushroom with crabmeat.
Spot It Early: Lifesaving Lesson About Skin Cancer
Eggplant rolls with ricotta and Parmesan cheese can be an easy, elegant, vegetable main dish. “When it comes to seasonal dining, using vegetables as the main dish expands the range of possibilities and takes advantage of the beautiful produce we have available,” said Chef Leonard. “At Le Cordon Bleu, we teach our students the importance of using fresh ingredients and encourage them to think creatively when it comes to developing new dishes.” Students at Le Cordon Bleu learn the foundational techniques necessary to use their skills and passion to create exceptional dishes. Exploring farmers’ markets provides a great opportunity to learn about different kinds of produce and ways to feature them in seasonal meals, such as this one: Eggplant Rolls With Ricotta And Parmesan Cheese Ingredients: 1 pound eggplant 11⁄2 cups ricotta cheese 1 ⁄2 cup grated Parmesan cheese 1 ⁄4 cup shredded fresh basil leaves 3 tablespoons olive oil 1 ⁄2 cup chopped spinach (fresh is best) 2 cups of tomato sauce Fresh basil leaves for garnish Directions: Cut the eggplant lengthwise into 1⁄4-inch slices. Sprinkle the slices on both sides with salt and let them sit in a colander for 30 minutes to remove some
of the bitterness. In medium bowl, combine the ricotta cheese, Parmesan cheese, chopped spinach, shredded basil and olive oil. Pat the eggplant dry, arrange on a baking pan and bake at 350 degrees for about 15 minutes until the eggplant is soft enough to roll. Set aside to cool. Spread a heaping teaspoon of the cheese mixture lengthwise down the middle of each eggplant slice, leaving a 1-inch border at the wide end, and, beginning at the narrow end, roll up the eggplant jelly-roll fashion. Pour a small amount of tomato sauce in the bottom of a shallow baking dish and arrange the rolls, seam sides down, in one layer. Pour the tomato sauce over the rolls and cook for another 20–30 minutes, until heated through. Transfer the eggplant rolls with a spatula to serving plates and garnish with basil and additional Parmesan to taste. Serves 4. “If you’re looking for more tips or want to bring your cooking skills to the next level, check out the enthusiast cooking classes we offer at Le Cordon Bleu,” said Chef Leonard. “Our 16 campuses around the country host a variety of hands-on classes where foodies can learn from our professional chef instructors.” To learn more about Le Cordon Bleu, visit www.chefs.edu.
Spend Quality Time With Your Kids—Creating Quality Treats (NAPSA)—Whether in school or on summer break, kids are nearly always on the go—and bite-sized, sweet snacks are the perfect treats to keep them going on long summer days. Fortunately, portable treats to take along on car rides, enjoy poolside or put into the school lunchbox can be easy to whip up. You can even have the kids help you make them for some quality family time. The sweetest part about these no-bake treats is they’re made with Karo Syrup, the only widely distributed brand of corn syrup that contains 0 grams of highfructose corn syrup. Here are two for you to try: Cookies & Cream Cereal Bar Treats Prep Time: 10 minutes Cook Time: 5 minutes Yield: 2 dozen bars
6 2 1 1
Mazola No-Stick Cooking Spray cups chocolate crispy rice cereal cups crumbled chocolate sandwich cookies cup Karo Light Corn Syrup package (12 ounces) semisweet chocolate chips Optional toppings: chocolate cookie crumbs, mini chocolate chips, mini candy-coated milk chocolate pieces
Spray 13x9-inch pan with cooking spray; set aside. Combine cereal and cookies in a large bowl. Combine corn syrup and chocolate chips in a large saucepan over medium heat. Cook until mixture just begins to boil. Remove from heat. Pour over cereal, stirring to coat completely. Pour into prepared pan; press firmly to level. Top with any of
²⁄3 cup salted peanuts, coarsely chopped
Sweet, no-bake treats such as these Peanut Butter & Jelly Bars... the optional toppings, if desired; pat into place. Cool and cut into bars. Store in airtight container for up to 2 days. Peanut Butter & Jelly Bars Prep Time: 20 minutes Cook Time: 40 to 45 minutes Yield: 24 bars 1 cup butter OR margarine, room temperature cups sugar cup Karo Light Corn Syrup eggs cups creamy peanut butter 3 cups all-purpose flour 1½ teaspoons salt 1 teaspoon Argo Baking Powder 1¹⁄3 cups strawberry jam 1¼ ¼ 2 2
Preheat oven to 350°F. Cream butter, sugar and corn syrup in a large bowl with mixer at medium speed 1 to 2 minutes. Beat in eggs and peanut butter until combined. Combine flour, salt and baking powder in a small bowl. Add to peanut butter mixture; mix on low speed until dough forms. Divide dough into thirds. Press ²⁄ ³ of the dough in the bottom of a greased 13x9-inch pan (OR for easy removal, line pan with greased foil, leaving 2 inches foil extending over pan at ends). Spread strawberry jam over dough. Drop small pieces of remaining dough over the jam. (Dough will spread during baking and cover jam.) Sprinkle top with peanuts. Bake 40 to 45 minutes until light golden brown. Cool in pan on wire rack at least 30 minutes. If pan is lined with foil, use foil to lift bars from pan. Cut into bars. Delicious with a glass of cold milk! Learn More You can find more easy, familyfriendly recipes and baking tips at www.karosyrup.com and (866) 3732300.
…and Cookies & Cream Cereal Bars are easy to make for—and with— your kids.
(NAPSA)—Whenever you’re under the sun, whether it’s summer or winter, it’s important to guard against sun damage. Ultraviolet radiation from the sun is the No. 1 cause of skin cancer, and it often doesn’t develop until later in life. Take, for example, retiree Adelbert “Mac” McIntyre, who now lives in Hawaii. Between his day job laying gas pipelines in San Diego and his free time spent on the beach, Mac found both his life’s work and his relaxation in the sunshine. All that sunlight took a toll. When he had a routine physical, Kaiser Permanente doctors found a small spot on McIntyre’s chest that caused some suspicion. “They said it looked rather peculiar,” he remembered. Test results confirmed that suspicion—McIntyre had melanoma. Melanoma is the third most common type of skin cancer, but it’s by far the most deadly because it can spread to a person’s lymph nodes and organs. The National Cancer Institute estimates that one in 50 men and women will be diagnosed with melanoma during their lifetimes. More than 9,000 people in the United States will die from the disease this year. “When caught early, melanoma is highly treatable,” said Amy Reisenauer, M.D., a Kaiser Permanente dermatologist. Although doctors removed McIntyre’s skin cancer twice in one year, he forgot to follow up with his dermatologist. The cancer developed for a third time. “I think it’s probably human nature to feel like, well, I had something on my skin, it was a skin cancer, but they cut it out, so it’s done,” said Dr. Reisenauer. “But in fact— especially with melanoma—there is a risk for it to spread to other parts
It’s a healthy idea to check yourself regularly for signs of skin cancer. A dermatologist can tell you how. of the body, and you really do need to be seen on a regular basis.” Fortunately, a newly created melanoma patient registry flagged McIntyre’s missed visit. Kaiser Permanente scheduled another appointment, and just in time. Dr. Reisenauer discovered melanoma on his back early enough to remove it successfully. While some people may not be so lucky, the good news is that many types of skin cancer are easy to prevent and most can be cured if caught early. You can see a video about McIntyre’s story at http://bit.ly/19Rumc0. These lifesaving tips can help you protect yourself against skin cancer all year long. Who’s At Risk For Melanoma Though men over 50 are most at risk for developing melanoma, there is a rise in young women developing melanoma as well. But these demographics are not exclusive, and often, men and women who develop melanoma are dealing with fallout from sun damage that began when they were children. How To Spot Melanoma Melanoma can be found with
a simple self-examination using a full-length mirror. At its earliest stage, melanoma is usually identifiable by oddly shaped moles or marks that appear on the body. Know the “ABCDs” of melanoma: •A is for Asymmetry. One half of the mole looks different from the other half. •B is for Border Irregularity. The edges are ragged, notched or blurred. •C is for Color. Watch for shades of red and black, or a red, white and blue mottled appearance. •D is for Diameter. The mole is larger than a pencil eraser. (Harmless moles are usually smaller than this.) A self-exam for any of these symptoms should be done once a month. How To Prevent Skin Cancer •Avoid the sun when its rays are the strongest—between 10 a.m. and 3 p.m. •Wear clothing to protect exposed skin—a wide-brimmed hat, long pants, sunglasses and a long-sleeved shirt. •Apply sunscreen that protects against both UVA and UVB rays with a sun protective factor (SPF) of 15 or higher. Look for all these terms (UVA, UVB and SPF) on the label. •Reapply sunscreen every two hours for maximum protection from UVA and UVB rays. •Avoid indoor tanning. Where To Learn More Visit kp.org for more information and sfy.co/jLf3 to see a transcript of a recent #kphealthychat on Twitter with Kaiser Permanente dermatologist Jeffrey Benabio, M.D. For questions or advice about a specific condition, always consult with your physician.