"I'm definitely a tan-aholic," says Justine. "If they ever start a 12-step program, I'd be in trouble; someone would force me to go."
Justine also smokes half a pack of cigarettes a day, and has been for 30 years. "I'm a hedonist," she says. "I love smoking ... For me, it's a buy now/pay later plan. I mean, I might pay later,
Sheila, a nurse, tries to get Justine to change her lifestyle. "Because of her lifestyle with her tanning and her smoking, that could impede her longevity in life, and we wouldn't get time to be together," says Sheila, who turns to Dr. Phil for help.
"Bulletproof's a good word," says Justine. "I live in the moment. We're encouraged to live in the moment. I think that's the message we get from a lot of current literature."
"Do you worry that they also tell you that the things that will age you faster than anything skin-wise is sun and smoking? Does that bother you?" asks Dr. Phil
"No, it just doesn't," says Justine.
"But you said you do this because of the way it looks. You want to look good. I think you said, 'This is catnip for men.'"
"That's right," she responds, adding, "Well, you're a man ..."
"Well, I'm doing the best I can to stay back," jokes Dr. Phil.
Justine explains why it's like catnip: "It's because it makes me feel good. I glow, I feel healthier. I like to have a tan in the summertime when I'm wearing skirts and smaller clothing."
"Well, I've seen the effects of skin cancer," she says. "They're just devastating. So I think the idea that I just found my sister not too long ago, and because we lost the first 38 years of our lives, I want to pick that up in the end. So of course I'm disappointed, but she's quite an intelligent girl and she's strong willed ..."
Justine acknowledges Sheila's concern, and says she understands her viewpoint.
Justine says she's not concerned about her health, and people who are can become obsessive about it. "You have to ask yourself: Are you all just about how you look?" she says.
"OK, but yet you're willing to put your health on the line in order to look better," Dr. Phil points out.
"For now, until I see some evidence to the contrary," says Justine.
"Like a diagnosis?"
"Yes," she says. "My feeling about skin cancer is that it's one of the few cancers that gives you some warning. It's visual, unlike cancers that are interior."
Dr. Phil questions Justine about the fact that her mother passed away from skin cancer.
"From melanoma," Justine confirms, but clarifies that that was her adoptive mother.
"I'm not saying there's a genetic transmission of it to you, but I'm saying here's a significant person in your life that you're close to ... And since you did bury your mom from skin cancer, did that hit your radar screen? Did that give you pause at all?" Dr. Phil asks.
"Not for myself, no," replies Justine.
"And what's your theory on smoking?" Dr. Phil asks. "Because that just sounded like a complete load of crap to me." The audience applauds. "But, I mean, surely you don't extend that theory to smoking?"
"I can't defend smoking. I just really, really like it and I'm addicted, but I can't defend it," says Justine.
Sheila explains what worries her: "Particularly the lung cancer because quite often by the time there are any signs to it, you've reached probably Stage 2 or Stage 3, and you're not on the beach anymore and you're not catnip."
"Oh, that I understand. Yes, of course," says Justine.
"OK, so you acknowledge those risks and say, 'Hey, I'm willing to take that risk so I have this glow about me.'"
"In the case of skin cancer, I don't see that as a huge risk. Not everyone who has a tan is a candidate for skin cancer," she justifies.
"No, they are a candidate. They just don't all get elected," retorts Dr. Phil. "But a lot of them do."