Know Your Spots

Protect yourself by knowing the warning signs of skin cancer

Many people are familiar with melanoma, one of the most deadly forms of skin cancer, but are you aware that there are other, more common types of skin cancer that you should be watching for? As we prepare for warmer weather, it is important to know how to prevent and detect skin cancer.

An ounce of prevention

Sun avoidance is key to preventing the development of skin cancer. Ultraviolet (UV) light exposure, such as from the sun or indoor tanning beds, is a known risk factor for the development of melanoma and non-melanoma skin cancers, especially in fair-skinned individuals.

Avoiding tanning beds, staying out of peak sun exposure (during the mid-day), seeking shade, and wearing long sleeves, pants, and a wide-brimmed hat are your best bets to keep your skin looking younger for longer and for the prevention of skin cancer.

If must expose your skin to the sun, using a sunscreen is helpful. Daily use of a broad-spectrum (UVA and UVB blocking) sunscreen is recommended. In the summer months, a minimum SPF (sun protection factor) of 30 is suggested, but the higher the SPF number, the better. If you use moisturizer or make-up, look for products that contain a sunscreen, and you can skip daily application of a second product to your face. Application of an adequate amount of sunscreen is also important to achieve the desired effect. Approximately one ounce (two tablespoons) is the amount of sunscreen required for one full body application. A thin coat of sunscreen can provide one half or less of the labeled SPF. Check to make sure that your sunscreen is not expired. Even if your sunscreen is labeled as water-resistant, be sure to reapply frequently, especially if you are perspiring or swimming.

Get to know your skin

I recommend a full body self skin examination once per month. Pick a day of the month that is easy to remember, such as the first of the month, or another number of personal significance. If you “know your spots,” it is easier to recognize and treat potential skin cancers at an earlier stage.

Know the warning signs of skin cancer

The most common type of skin cancer is basal cell carcinoma. This is a slow growing skin cancer, but can be locally destructive if left untreated. This presents most commonly as a fragile, pimple-like bump that bleeds easily. This cancer fails to heal like a normal pimple would. Scaly, pink or red patches of skin that do not respond to moisturizer may also be a warning sign basal cell carcinoma.

The next most common type is skin cancer is squamous cell carcinoma. This can present as a scaly, sandpapery, rough patch of skin that fails to respond to moisturizer. It may also present as a new or rapidly growing lump on the skin, sometimes with a crusty center.

A less common, but more dangerous form of skin cancer is melanoma. An easy to remember mnemonic device highlights the warning signs of melanoma – look for the “ABCDEs.”

IHA ABCDEs for checking moles

It is also helpful to look for the “ugly duckling” or “black sheep” of your moles or spots. If you have a mole that stands out from the rest of your moles, a professional should examine it.

Other rare forms of non-melanoma skin cancer also occur, such as merkel cell carcinoma or tumors of sweat glands and oil glands.

A baseline visit with a board-certified dermatologist is recommended to screen for any potentially concerning lesions. Your dermatologist can provide further education about how to perform a self-skin examination, will discuss your individual risk factors for skin cancer, and can help you to design a plan for sun protection.

To schedule an appointment with an IHA Dermatologist, please call 734.677.DERM (3376) or make an appointment.


How to Select a Sunscreen

How to Perform a Self Exam

What to Look For

IHA Physicians Named Best Doctors for 2015-2016

IHA is pleased to announce 53 of our physicians were named Best Doctors in America® for 2015-2016. The highly regarded Best Doctors in America® List, assembled by Best Doctors, Inc. and audited and certified by Gallup, results from exhaustive polling of over 45,000 physicians in the U.S. Only those doctors recognized as the top 5 percent of their respective specialty earn the honor of being named one of the Best Doctors in America. Click here to see the entire list.

IHA Partners with Zipnosis to Launch a New Game-Changing Virtual Care Service

IHA Partners with Zipnosis to Launch a New Game-Changing Virtual Care Service
Safe, Fast and Affordable Online Diagnosis Coming to Michigan

10/5/2015 – IHA, one of Michigan’s most recognized multi-specialty physician groups, will soon launch a profoundly simple online diagnosis and treatment service for people with straightforward health problems in the Michigan area. This service will connect patients to IHA clinicians online to receive prompt, high-quality virtual care for common medical conditions, such as sinus infections, female bladder infections, pink eye, colds and flu—all for a flat fee payable online.

“Through our partnership with Zipnosis, we are excited to give more patients what they want—fast, affordable access to mainstream medicine in minutes,” said Jason Harris, IHA’s Vice President for Planning and Development. “Starting in early 2016, the Zipnosis platform will allow us to make high quality care from our own clinicians available to patients where and when they want to receive it, at an affordable price.”

“This is an exciting collaboration for Zipnosis,” says Jon Pearce, CEO and co-founder of Zipnosis. “Zipnosis is grateful to have the opportunity to support IHA’s in delivering convenient, affordable healthcare in Michigan. By using our advanced virtual care platform, IHA’s clinicians will be more efficient in providing care while simultaneously delighting patients with the most accessible healthcare in the country.”

Designed on the premise of quality care above all else, Zipnosis is continuing to improve patient care one click at a time – beating urgent care compliance to CDC’s clinical guidelines for many of the conditions it treats. In fact, adherence to evidence-based guidelines via the Zipnosis platform is 98.4 percent for sinusitis and nearly 100 percent for UTI, while the average for urgent care centers is 70 percent.

IHA is one of the best and largest multi-specialty groups in Michigan. IHA employs more than 1,600 staff members, which includes 450 providers consisting of: physicians, nurse practitioners, physician assistants and midwives across nearly 60 practices in southeast Michigan. IHA provides high-quality medical care and excellent service to more than 355,000 active patients. Recognized as one of Michigan’s top performing medical groups, IHA also ranks in the top quartile for patient satisfaction nationally. Offering extended office hours, Urgent Care, and access to clinical research studies, IHA demonstrates that it cares by bringing safe, high-quality, comprehensive and affordable care to its patients. For more information about IHA, visit

Founded in 2008, privately-held Zipnosis is the first virtual care solution to empower health care systems with the technology and methodology to launch their own virtual care service line in a profoundly fast and simple way. The proven-in-use, best practice-based methodology ensures health system-wide engagement, while the asynchronous, adaptive assessment software offers patients modern-day access and convenience, while significantly reducing the clinical time required to safely diagnose, treat or triage more than 90 minor medical conditions.

The unique health system brand extension approach enables a branded, digital access point to attract more patients to the care they need and ensures in-system care quality and continuity from the health system’s clinicians and triage points. Visit, LinkedIn, Facebook and Twitter to learn more.








Women’s Health Symposium

SUNDAY, OCTOBER 18, 2015 | 2:00-5:00 PM
Check-in begins at 1:30 pm

4800 E. Huron River Dr., Ann Arbor, MI 48105

  • Breakout sessions on important health topics including: breast health, heart health, pelvic floor disorders and menopausal health
  • “Speed dating” where you can ask questions one-on-one with a provider
  • Nationally recognized keynote speaker Zonya Foco, RD, CHFI will give us simple strategies and lifestyle changes on how we can “stay healthy in a culture that’s anything but”
  • Vendor tables, giveaway items, light refreshments and more!



Registration is closed! We appreciate your interest, and can send you information about future health events.


Keynote Speaker Sponsor





Table Vendors
Arbonne International Independent Consultant, Paula Palmer Burns

Ariosa Diagnostics

Blood Pressure Body Mass Index – St.Joseph Mercy Ann Arbor Cardivascular Services

Breast Cancer Awareness – St. Joseph Mercy All Arbor

Breast Friends = Life Program – St. Joseph Mercy Ann Arbor

Center for Plastic & Reconstructive Surgery

dōTERRA Wellness Advocate

Food Addict in Recovery Anonymous

Grounded Here LLC


IHA Nutritionists 


Pure Barre Ann Arbor

Sapphire Therapeutic Spa


Zonya Health International, Inc.


















Thank you from IHA

Dear Patients:

IHA recently registered a significant milestone in the history of our physician group practice. We reached our 10 millionth patient visit since our founding on February 1, 1994.

What a legacy of service to our community! And, what a commitment by the people in the communities we serve to support IHA. It goes hand in hand. The more we give (access – quality – patient satisfaction – value), it seems the more we get back. We get the message! You can expect that we will continue to look for ways to grow and expand to meet your needs.

Ten million is an impressive number and accomplishment. We pledge to continue our commitment to providing each and every IHA patient with outstanding care, because we understand that patients have many options for their health care needs. We greatly value the lasting relationships that we have developed and are humbled by the trust you have placed in each and every member of the IHA team for your health care.

We have shaped IHA to become one of the best groups in America and have done so along the way with your support.

Many thanks,


  Bill Fileti
  President & CEO