He did it on a whim. It may have saved his life.

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Thursday, February 3, 2022

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He did it on a whim. It may have saved his life.

Mike Scott, mscott@stph.org

Al and Charlene Templet, pictured during a five-day, 150-mile bike ride on the Great Allegheny Passageway bike trail in Pennsylvania, are used to spending time outdoors. On a whim, the Templets participated in a free skin cancer screening last spring sponsored by St. Tammany Health System. That screening very well might have saved their lives. (Photo provided by Al Templet)

Al Templet knew it was there. His daughters made sure of that, teasing him about it when they went to the beach or the pool.

But that weird freckle on his chest was merely that, right? A weird freckle. Nothing to worry about.

“Didn’t bother me. It wasn’t raised or anything. Just a dark, weird-shaped freckle,” the 61-year-old Metairie resident said. “I guess I’ve been having it for years.”

And that made a certain amount of sense. After all, he and his wife have enjoyed the outdoors together for years. Freckles happen.

The thing is, not all freckles are created equal. That’s a lesson Mr. Templet learned in March 2021 when – after participating in the Tour De Lis charity bike ride – he and wife Charlene decided to take advantage of a free skin cancer screening sponsored by St. Tammany Health System and its partner Ochsner Health for race participants at Fontainebleau State Park in Mandeville.

“I went in the little tent they set up,” he remembered. “They had the nurses and doctors there, and the nurse right away saw the freckle on my chest and said, ‘Oh, let me get the doctor.’”

That doctor was Covington dermatologist Dr. Brianna McDaniel, who, at a subsequent office visit, removed the suspect freckle and sent it off to be tested.

It was melanoma, one of the deadliest forms of skin cancer.

“Early detection of melanoma is so important because if it goes untreated, it will metastasize,” Dr. McDaniel said. “But if it’s detected early, it has a very high cure rate.”

I went in the little tent they set up. They had the nurses and doctors there, and the nurse right away saw the freckle on my chest and said, ‘Oh, let me get the doctor.’”

-- Skin cancer patient Al Templet

During a follow-up visit, Dr. McDaniel spotted another, smaller suspicious area on Mr. Templet’s forearm that she also tested. That one turned out to be basal cell carcinoma, another type of skin cancer.

She safely removed both, as well as skin cancer detected on Mrs. Templet.

With February being National Cancer Prevention Awareness Month, the Templets’ story is a particularly timely cautionary tale, illustrating how skin cancer screenings can save lives.

When it comes to skin cancer, Dr. McDaniel said, patients should remember to look for areas on their skin that fit the “A-B-C-D-E” rule, which represent the five chief warning signs of melanoma.

“A” stands for asymmetrical. If a spot is asymmetrical, consider it suspicious.

Same goes for spots with irregular borders – that’s “B” – that might be jagged or scalloped.

“C” is for color, and refers to spots that are multicolored or changing colors.

“D” is for diameter. Beware spots that are bigger than a pencil eraser.

And “E” is for evolving. “Really, you need to watch for anything that’s not healing up after a few weeks or is changing,” Dr. McDaniel said. “If I had to pick one of the five, that’s the most important.”

If you detect a suspicious spot that fits any of the above rules, Dr. McDaniel recommends making an appointment to see a board-certified dermatologist. (Find a list of board-certified dermatologists in your area at the American Academy of Dermatology website, www.aad.org.)

Even if you don’t have what you think is a suspicious spot, Mr. Templet encourages people to get screened anyway – perhaps at this March’s Tour De Lis, where Dr. McDaniel will again be teaming with St. Tammany Health System to provide on-site screenings.

After all, he thought his weird freckle was of little concern. It turned out to be a big deal.

“You should always get a screening,” he said. “For me it was painless and free – a free screening they were offering. The spot on my chest which was melanoma? You can die from that.”

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