I have to admit that I never was able to stick to the rigorous cleaning routine that I outlined for myself and committed to in the previous post. I tried for a couple of weeks, but eventually gave up for two reasons:
1) I realized that being so vigilant wasn't a very realistic goal for my already quite busy life that includes three children and the many daily obligations that come with raising them, including homeschooling in my case. I was having to give up things that I consider precious priorities to make the crazy cleaning happen (like quality time with my children in the evening) and I wasn't happy with the trade-off.
2) When I was running myself ragged hyper-cleaning, it just wasn't making enough of a difference in Sam's areas of exposed skin to make the time and effort worth it. Vacuuming every other day and having the kids change clothing every time we come in from an outing just wasn't yielding dramatic enough results to justify the trouble. (Did I just say the same thing twice? Yes I think I did.)
What I have settled on is to vacuum once or twice a week, and wipe down surfaces every other week. I no longer have everyone change clothing when we come and go. Depending on where we've been and how blotchy red Sam's hands and face look after an outing, I sometimes will change only his clothing. If I don't change his clothing then at the very least I always wash his face and hands with soap.
Over the past 6 months that we've been detergent free and using all traditional pure soap products, our results have been pretty consistent. Sam's new normal is largely eczema free skin the majority time. This picture was taken a couple of weeks ago before a nap:
I disrobed him briefly for the above photo. But his skin actually only stays clear like that because in addition to eliminating all detergents in our home, we keep him covered 24 hours a day in all cotton clothing from neck to wrist to foot. This would not be necessary if we had alternative flooring, but despite all of the other changes the carpet remains too large of an influence to overcome with any amount of cleaning. The detergents of 10 years are just too embedded. They constantly irritate.
Clothing pictured comes from Cotton Comfort eczema clothing in Europe (very quality but very expensive) and the footed pants and opening mitten shirts in solid colors are the Kumfy Cotton brand which I think might be made in Canada but they do ship out of the US via The Eczema Company (linked above.) We love the Kumfy Cotton brand and have about 8 each of tops and bottoms that Sam lives in.
What I really like about the specially made clothing and what makes them worth the expense in my mind is the double thickness in the hands and feet where it is needed, the absence of irritating seams or tags, and the fact that Sam cannot undo the mittens on his own at night to scratch. I also prefer the footed pants because while he will take socks off if he is wearing them, he can't remove the footed part from the pant!
Just one more thing regarding clothing. Sam only wears mittens at night. During the day, he needs his hands for development. For a while he was pushing his sleeves up and having his arms exposed to the carpet and having eczema on his arms every day. We solved that problem by placing velcro straps or clear tape around his sleeves at the wrist so he would not be able to push them up, but can still use his hands:
You may have noticed I said that Sam is majority eczema free most of the time. Since we can't keep his hands or faced completely protected, we do see daily dustings of eczema in those places. His face is the easier of the two to manage. He is at the age where he doesn't lay on others so much or roll around on the floor. He walks upright and plays upright and only contacts the carpet if he is being wrestled by a sibling. Still, if he rubs or touches his face too much with hands or mittens that are contacting the carpet more frequently, we get some blotchy redness. I am able to manage this by washing Sam's face with soap twice a day. We do this in the early afternoon just before his nap and again at night before bed. (Basically any time they are going to be down and out is a good time to wash and barrier so that sleeping time can double as healing time.)
I want to clarify here that carpet is not the only thing that causes Sam's eczema. It's just the only remaining and most prominent influence in our home. That's why I'm always bringing it up and griping about it. (Sorry!) But when we go out there are countless sources that can cause outbreaks. An interesting example is when I took the kids shopping at Kroger the day before Thanksgiving. Sam always gets a little red when we go to any store because the detergent levels are so high. But on this day, I was shocked by how blotchy and red his face got as I pushed him through the store in the cart, and how quickly too! I realized that on this day there were so many people doing last minute Thanksgiving grocery shopping, so many bodies bustling around and pushing past each other through small spaces, that the detergents and dusts coming off all those bodies from clothing, hair and skin just created one big invisible detergent dust flurry in the air all around us. That is how sensitive Sam is, and how sensitive a lot of these kids are.
Sam's hands suffer the most from daily exposure. More often than not, Sam's face is clear even without midday washing. In contrast, his hands are nearly always a shade of red. See the very distinct line where his sleeves begin? And yet this is still better than what they were before we found solveeczema.org! They are basically very red and dry, but they don't seem to be very itchy (at least I don't see him scratching very often) and as long as I am washing them several times a day this little bit of remaining eczema never gets out of control. I am so happy that we can manage this without drugs. And I am currently experimenting with washing frequency to see if that will make a difference in these hands.