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A rare, deadly form of skin cancer is on the rise in the US, and dermatologists are warning people to take extra care of their skin as we head into the summer months.Merkel Cell Carcinoma is found mostly among older patients, but the American Cancer Society says that there are around 1500 cases reported each year."It's devastating because it's usually not picked up until later stages," says Dr. Melanie Palm. She works at Art of Skin in Solana Beach and has treated one case of MCC. "It's more lethal than melanoma. It often has lymph node involvement. It very quickly metastasizes."Research from the ACS says the disease is often associated with a virus. But it seems to affect older people because they have more, prolonged exposure to the sun.Doctors are calling attention to MCC and other forms of skin cancer all throughout May during Skin Cancer Awareness Month. They say it's much easier to prevent Merkel Cell and other cancers than it is to treat them."We live in San Diego. I don't want people to hide from the sun," says Dr. Palm. "But I think being responsible about it is reasonable."That includes wearing sunscreen, protective clothing and regular visits to a dermatologist."It's something I tell all my friends," says Jen Massara, a skin cancer survivor. "Best case scenario is you're fine, you check that box, you're good to go. Worst case scenario, they find something, and you get it taken care of."Self-inspections are also helpful. Dr. Palm tells her patients to keep the "ABCDE's" in mind when looking at moles."A is asymmetery, if it has an odd shape," she says. "B is Border, is the border irregular on the spot. C is color. Is it dark, pink or have several colors. D is diameter. We don't like anything bigger than a pencil head. And E is evolution, has it grown or changed over time."As for sunscreen, Dr. Palm says you want to make sure zinc oxide or titanium dioxide have the highest percentage of all the active ingredients. She says those minerals offer the best protection against the sun's rays.For more information about Merkel Cell Carcinoma, or to see a picture of what it looks like, visit the Mayo Clinic's Website here. 2172

A sergeant involved in the search for a missing hiker in Zion National Park says there are several discrepancies he sees in the case of her 12-day survival in the park.Holly Courtier went missing while hiking in the park on October 6. A rescue effort involving the national park’s team and others, including K-9 teams and trained investigators, found Courtier on October 18 after a credible tip of a possible sighting.Her family said Courtier hit her head, became disoriented, and was able to stay near a “water source” in the park.In an interview with ABC4 in Salt Lake City, Sgt. Darrell Cashin says he finds some “discrepancies and questions that do not add up.”Cashin is a liaison with Washington County Sheriff’s Search and Rescue, a job he’s had for about nine years, in addition he says he has 25 years experience on search and rescue teams.One thing he says didn’t add up was the water source. Park officials say Courtier was found along the Virgin River, but Cashin says that river was likely not drinkable or at least would have caused her to get sick.In August, Zion National Park officials sent out a warning to all visitors to avoid contact with the Virgin River “until further notice” because of levels of cyanobacteria from a toxic algal bloom.“If she had been drinking that water, unless she had some really high immune system, she would’ve been very, very ill and probably unable to come out on her own,” Cashin told ABC4. “She either took a lot of water with her or had another clean water source that was near here, but the Virgin River is not that source.”CNN reports the family told them Courtier was only able to take a few steps before collapsing. However, Zion National Park officials report she was able to walk out of the park on her own with minimal assistance. She was taken to a nearby hospital to be checked out and stayed the night.In the interview with CNN, Courtier’s family does not clarify if the water source was potable, but they did say Courtier was without food while she was lost in the park.Cashin alleges there are also questions about her decision to go on the hike. Courtier allegedly left her California home in the middle of the night and did not tell her family where she was going, according to Cashin. 2258

A New Jersey man who won a 8 million Powerball jackpot in 2013 has been charged with sexually assaulting a child.According to NJ.com, Pedro Quezada of Wayne, was charged with two counts of first-degree sexual assault and one count of second-degree endangering the welfare of a child.Prosecutors say Quezada assaulted the victim for three years when the child was between the ages of 11 and 14 when he lived in nearby Passaic.Quezada won a 8 million jackpot in March 2013 when he purchased the winning ticket at a Passaic liquor store. He took his winnings in a lump sum, meaning he took home 1 million after taxes.At the time of his win, Quezada told CNN the money would not “change his heart.”At the time of his Powerball victory, CNN reported that Quezada was married with five children. However, it was later revealed that Quezada was not actually married — though the woman who he claimed was his wife sued him, saying the lottery ticket was purchased with the couple’s shared assets. That lawsuit was later dropped. 1042

A pedestrian photographs the White House through a fence covered in protest signs, Monday, Nov. 2, 2020, on a section of 16th Street renamed Black Lives Matter Plaza in Washington, on the day before the U.S. election. (AP Photo/John Minchillo) 251

A principal at Education Alternatives in Bedford, Ohio is accused of having a sexual relationship with a student at the school, who was 17 at the time."He says the relationship started when they were upstairs in the gym alone, that she kissed him on the mouth," said Bedford Police Deputy Chief Rick Suts. "Since then, there had been numerous encounters in her van."The teenager told police that his relationship with Courtney Alfred continued for months.Police said the former student came to them last week. Suts said the school knew about the alleged relationship but after their own investigation said the allegations were not credible. Bedford police disagree."He's saying that he took video of them having sex and in that encounter, you see a tattoo. We got a search warrant to see her tattoo, that tattoo matches the one on the video," added Suts.Police said there were also text messages and that money was transferred from Alfred to the teenager. Police said the teen told them it was to keep him from telling her husband.Scripps station WEWS in Cleveland tried to contact Alfred at her home, but there was no answer. WEWS also called the central office for Education Alternatives, but the call was not returned. WEWS also left two messages for her attorney, Vince Ruffa, but Ruffa also did not return messages.Alfred was arrested. She was in court last week facing a sexual battery charge. Alfred is due back in court later this month. 1503

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