The differential diagnosis
When it still had not gone away about 4 months later I realized something else was wrong. To give you some background, at the same time I had been using the cheapest shampoo available in a huge container from the dollar store, the cheap antibacterial soap from Wal-Mart, the cheap dollar store hand sanitizer, dental student budget, you get the idea. I was also wearing latex gloves all day at school and washing my hands a lot, and using gallons of hand sanitizer because I was covering the emergency oral surgery (extractions) clinic for people who came in off the street with toothaches. I was not sure if it was a latex allergy or just dried out and chronically irritated skin. I decided to try to see a dermatologist. It’s now nearly 10 months later and I still have not been able to get an appointment because of my hectic schedule and the lack of available dermatologists.
I started to realize that the soap, hand sanitizer, shampoo, lotion, cavicide used to clean the clinic, and other chemicals may have caused an allergic or other type of inflammatory reaction. The problem does not get worse when wearing latex and it is isolated to one spot on my right hand so I don’t think it is a latex allergy.
I stumbled upon this awesome website called Environmental Working Group which collects a lot of research about chemicals, the environment, and practical advice on how to protect your family from these harmful substances.
Check out there Every Day Pollution Solutions for basic ways to de-toxify your life. You can also look at the Skin Safety Database of cosmetic products and what they contain. The database ranks the products from the best (least amount of cancer causing and allergenic substances) to the worst and even gives you a level of evidence for being toxic in the form of a percent data gap. You can then choose to show 500 results and you can click control-F to “Find” your product. I discovered that I was dumping all kinds of cancer causing and allergenic chemicals on my skin every day without even knowing it. The government does a poor job regulating the safety of cosmetics while these companies make a lot of money poisoning the public.
One quick tangent: Are all chemicals bad?
Just to clarify, I am not an extremest or an alarmist when it comes to “toxins” that people blame for everything like vaccinations or amalgam fillings and Autism. Many good studies have shown no association of Autism with vaccinations or Amalgam fillings. Vaccinations serve a very useful purpose protecting you, your children, and society from lethal and debilitating diseases.
Amalgam fillings also do not pose any danger other than the danger of uglyness. Sometimes amalgam serves better as a restorative material in situations where composite would not work well. I personally would rather use composite (the tooth colored filling material) in most situations if the area where the filling is being done can be kept dry enough to make a suitable, long-lasting filling but my reason for using composite is because it looks better not because it is less toxic. Some studies have shown amalgam fillings to last longer than composite fillings and even composite has some minor toxicity concerns.
Fluoride in drinking water is one of the safest and most effective and economical ways to prevent tooth decay. Many activists would have no fluoride in drinking water or toothpaste which would then lead to a huge increase in tooth decay. Untreated tooth decay is the number one chronic illness in children. Parents who constantly feed their children soda or even juice place their kids at a high risk of developing cavities. Please give young children mostly water to drink with the occasional juice or milk at meal times. Children who then develop severe tooth decay do not gain weight like they should, may have social problems, pain, and sometimes require extensive treatment under general anesthesia which carries the risk of death. So in the name of safety, fluoride in the water is the safe alternative. And fluoride in toothpaste does not pose any problems and unless ingested in large quantities. Just keep the toothpaste locked up so your kids don't eat it. Fluoride serves the practical purpose of preventing cavities which people can actually die from or at the very least have to pay to have it restored or the tooth extracted. A cavity can be deadly if it develops into an abscess which infects their brain or closes off the airway due to swelling. I have seen someone in the hospital operating room who was near death because she started out with a simple cavity which was never treated leading to a deep space infection which nearly closed off her airway. There was also a young boy in
There are many chemicals that serve a genuine and useful purpose that should not be omitted from our daily lives just because they contain a small and often unfounded concern of toxicity that is not substantiated by any good science. While some substances do both good and bad, sometimes if the good outweighs the bad you have to take that chance. The antibacterial triclosan in Colgate Total toothpaste helps prevent gingivitis although I think it is unnecessary if you already have very good oral hygiene and is also unnecessary in hand soaps.
Along this same line of thinking is the whole concept of “antibacterial” soap. My good friend’s dad is a microbiologist who laughs at the idea of an “antibacterial” soap. He says it is completely unnecessarily except in hospitals or in the homes of people who are immunocompromized because soap without the triclosan antibacterial will wash away all of the bacteria without the need for any “antibacterial” substances which are nothing more than a sales gimmick and an extra irritant to your skin. Here is a good article on antibacterial soap. Some chemicals are fine to use even if there is some slight toxicity concern but if you can get something that works equally well with less harsh chemicals than why not do it.
Another important concept to understand it that fetuses and young children are more susceptible to toxins than adults are which is my whole reason for doing all of this research; to protect my son.
How to eliminate hazardous chemicals from your daily life
The EWG cosmetic safety website also has a tips section and suggestions of specific chemicals to avoid such as “fragrance” when you are at the store but in my experience it is impossible to remember the complex chemical names while shopping on a busy Saturday with a stressed out wife and a one year old son screaming to be able to accomplish anything this way. I would do your research ahead of time and buy online even if it means paying a shipping fee. However some of these things are readily available as you will see below.
The skin safety database has thousands of products which work as good or better than the cheap ones you can buy at Wal-Mart or the dollar store or it can help you know which products at Wal-Mart are less toxic. I have found that these safer products are usually more expensive with a few exceptions. I have a few recommendations of products I have tried. Again, I am not being paid by any of these companies although they should pay me for telling you about these things on my blog.
Mother always knows best
After doing hours and hours of searching the database on the environmental working group website and then checking the prices and availability of the products nearly every product that had a very good (low toxin) score was made of pure saponified olive oil or something to that affect and was very expensive. Then I realized that my mother has had the solution all worked out for years without doing any Internet research or getting a doctorate level degree in biochemistry. She had been using pure olive oil as a lotion and even told me about it but I had never tried it. Now I only use two skin "lotions" olive oil and 100% pure petroleum jelly. I guess I need to listen to her more; some things it takes years to learn. In short, using pure olive oil accomplishes two goals:
1) a safe, effective, and inexpensive lotion or makeup remover
2) a good way to stick it to the
So here is a list of products that are not too expensive but are also safe and effective alternatives to the toxic cosmetics we usually use: If you have a whole household of bad chemicals you want to replace with “healthy alternatives” start with the chemicals your children are exposed too. Babies are much more sensitive to chemicals than adults are. I would also start with what you use the most of. Here are a few suggestions:
A few suggestions of safe alternatives
Lotion:
Use 100% pure olive oil (Much cheaper and much safer than the normal lotions; use it for my one year old after he takes a bath; dermatologists recommend moisturizing your skin within 3 minutes after bathing)
OR
Use 100% pure petroleum jelly with no fragrance (equate at Wal-Mart or Vaseline; also very safe and effective; more viscous than olive oil too) Also works well for chap stick.
Makeup remover:
Use pure olive oil (according to my wife and my mom this is the best way to do it) (very inexpensive and moisturizes your skin at the same time)
Bar hand soap:
Try Kiss My Face 100% pure saponified olive oil fragrance free. (It’s a green bar of olive oil soap; works great; I bought it on Amazon.com)
Shampoo:
I am still working on finding a good, inexpensive alternative for me. For my 1 year old son I use California Baby brand shampoo and body wash which you can purchase at Target, healthfood stores or online.Liquid Soap:
I have tried a few alternatives but most of them are very watery and can work fine but you have a compromise as to ease of use. I am still working on this one too.
Deodorant:This is a tricky one because you will likely want to use something that actually works. I have found the Tom's of Maine fragrance free deodorant to work well.
Baby wipes:
I had to make a compromise as to what was affordable and what actually worked while factoring in the chemicals also. I would just see what you have at your local stores and buy the least toxic one according to the database.
Hand sanitizer:
Nexcare 3M Moisturizing Hand Sanitizer or any of the other least toxic sanitizers on the list at ewg.org.
Sunscreen:
Plain old Rite Aid Zinc Oxide Ointment can be used as a very effective sunscreen! The active ingredient in one of the most effective broad spectrum sunscreens is Zinc Oxide. There are some good "natural" sunscreens that are safe and effective but they are also very expensive! The top ones on the list on the EWG website will cost about $16 for 2 oz. or you can buy the Rite Aid Zinc Oxide Ointment for $5.
The sunscreen section is an excellent part of the database because it not only rates its effectiveness against blocking UVA and UVB rays but also its chemical safety. Here is the EWG guide to sunscreens. I recently purchased California Baby’s
While I am on this topic of skin protection a few other notes/ tips to be aware of:
Wear an effective sunscreen, sun proof shirts, and broad rimmed hats that cover your ears, a good way to prevent melanoma, squamous cell carcinoma of the lip, basal cell carcinoma on the ears and face, etc. They sell cool sun proof swim shirts for kids/babies or adults which I highly recommend along with a good hat that covers your child's ears, face and neck. You don’t need to sunbathe for vitamin D; Take a multivitamin!
Wear gloves when dealing with chemicals used for automotive, gardening, construction, health care, etc. Motor oil is a carcinogen, most chemicals are not good for you or your skin. Buy a cheap pair of rubber coated gloves or latex exam gloves at the very least when doing these things. I would also wear gloves when doing housework with chemicals. There are also good alternatives to some chemicals used around the house for cleaners but I don’t feel like writing an article about that topic just Google it.
Use a safe moisturizer following your shower such as olive oil or petroleum jelly (Vaseline).
Is Cancer Preventable?
One end note on cancer. Cancer is the 2nd leading cause of death in the
Check out this quote from Wikipedia on cancer prevention: (I know there are better sources than this but they quoted a study by Danaei G, Vander Hoorn S, Lopez AD, Murray CJ, Ezzati M (2005). "Causes of cancer in the world: comparative risk assessment of nine behavioural and environmental risk factors". Lancet 366 (9499): 1784–93. doi:10.1016/S0140-6736(05)67725-2. PMID 16298215.)
“About a third of the twelve most common cancers worldwide are due to nine potentially modifiable risk factors. Men with cancer are twice as likely as women to have a modifiable risk factor for their disease. The nine risk factors are tobacco smoking, excessive alcohol use, diet low in fruit and vegetables, limited physical exercise, human papillomavirus infection (unsafe sex), urban air pollution, domestic use of solid fuels, and contaminated injections (hepatitis B and C).”
So there you have it 9 things that can be “modified” to prevent cancer. I hope you find this information interesting and helpful. I still don't quite know what the problem is with my hand but I plan on going to the dermatologist soon; hopefully I will get some answers. For now I am self medicating it with over the counter topical hydrocortizone cream which does provide some relief. It may just be eczema but its still a good excuse to use less harsh chemicals that could potentially endanger my family.
8 comments:
hey, do you know any ways to help with tons and tons of exema...(that spelling isn't right, i can't figure it out even though i have spelled it a million times...excema...i don't know) my boys all have it and it is aweful! Are you graduating this semester then??? THat is awesome!!! Are you going to be staying back there or are you going to be headed somewhere else for work/residency???
Well I still want to know what the dermatologist would have me do to treat the eczema. The over the counter topical hydrocortizone seems to help with the itching but I also think you just have to try to use less harsh chemicals and keep your skin hydrated immediately after a shower or bath with a good safe moisturizer like 100% petroleum jelly or a good lotion that has a low toxicity score on the EWG website.
Well I actually still have a year left of dental school but I still can't wait to graduate. A lot of my graduating friends are making me a little envious. I am going to apply for a general practice type of residency soon. They have excellent programs in Utah, Idaho, Colorado, South Carolina, Oregon, to name a few.
Here are some good tips on preventing or managing eczema: Or you can just Google eczema and learn more than you ever wanted to know about it:
http://familydoctor.org/online/famdocen/home/common/skin/disorders/176.printerview.html
thanks trevor... i was given a perscription of elidel to keep on it...but it doesn't seem to do the trick!!! Another question have you heard anything about the latest bottle issue having bpa in it?
Yes I have heard of the BPA (bisphenol A) found in baby bottles. We started using glass bottles when we found out about the BPA. We also be sure to find sippy cups that are not made from that type of plastic. BPA is everywhere canned foods, canned baby formula, baby bottles, Nalgene type water bottles, etc. The expert panel on BPA expressed "Some Concern" for low levels of BPA exposure to cause developmental and neurologic problems in children. I will write an article on BPA soon.
Hi there Trevor. Not sure if you remember me. I was at your house one night for some games. I was a coworker of your wife and Jon Funk at Deloitte in McLean, VA.
I just saw your friend's question about eczema and thought I would add a comment. My husband has had eczema pretty bad, and what helped the most was this lotion from a company called Melaleuca (Melaleuca sells a host of "natural" products). (http://www.melaleuca.com/ps/index.cfm?f=ps.productDetail&pid=360&pType=1&sCatId=19)
Not sure if my link will work but it is called "Renew" lotion. He uses it twice daily and the eczema just disappeared. Of course, I think you still have to join their "club" to buy it, which stinks... but just thought I would say something about it.
In other things, I was wondering what you think about the "natural" toothpastes (for example, Tom's of Maine). We started using it in VA because ants were infesting our home to eat the normal Colgate, but they didn't eat the natural toothpastes.
Hi Stephanie!
Thanks for the info on the eczema lotion! I may have to give it a try. I finally was able to get an appointment to see a dermatologist who said that it was in fact eczema. No big surprise, and she prescribed topical Temovate cream which is a steroidal anti-inflammatory. I will give it a try and see if it works.
As far as the natural toothpaste is concerned. I actually think the "natural" toothpastes are good if it has the ADA seal of approval. Tom's of Maine actually has a toothpaste which has enough fluoride to have the ADA seal of approval. The only disadvantage to the TOM's of Maine is that it does not have the Triclosan which is the antibacterial which helps reduce gingivitis in Colgate Total.
However, I would prefer the Tom's of Maine toothpaste over most toothpastes because they tend to use less toxic ingredients. As long as you brush twice per day the right way for a full 2 minutes each time, floss every day, go to your dentist regularly, etc. Then you probably don't need the Triclosan in the Colgate Total anyway. I actually just recently purchased some Tom's of Maine toothpaste for Jace and some for me also. Mr Tom of Main must be doing something right to keep the ants at bay!
Here is an email I wrote to some friends recently on this subject:
The Environmental Working Group's Cosmetics Safety Database website is actually one of my favorite websites. I have been using it for the past 6-7 months trying to buy products that would reduce the eczema I got on my hand when I started working in the clinic full time. I have purchased and am using a lot of the products with the best (lowest) score. For example, we use mostly California Baby products for Jace (my 1.5 year old) when we give him a bath or use sunscreen. I check this website before buying any soaps, lotions, etc. We use the Kiss My Face pure olive oil bar soap which works great and does not have anything bad in it other than pure saponified olive oil. We now only use pure olive oil or 100% fragrance free petroleum jelly for lotion which is very cheap, safe, and effective. The sunscreen portion of the database is awesome because it not only tells you if it is toxic but how effective it is too. I find a lot of the best things can only be bought online with a few exceptions; Some California Baby products are carried at Target.
As far as the oral care products, it has fluoride listed as a toxic substance which it is at high doses if ingested. I think natural toothpaste with less bad chemicals such as SLS (sodium laurel sulfate) are good as long as you still have enough fluoride to be ADA approved. Without the fluoride you will not get the cavity protection most everyone needs from a good fluoridated toothpaste. Tom's of Maine makes a good fluoridated toothpaste that does not have a lot of bad chemicals but it has enough fluoride to be ADA approved. If you look at my other blog article on how to take care of your teeth, I recommended using Colgate Total which gets a bad toxicity score on the cosmetics safety database but studies show is the most effective toothpaste for gingivitis and cavity protection combined because of the Triclosan in it. I explained the details on when I would use the Colgate Total Vs. the Tom's of Maine toothpaste in the comments section my blog article linked above.
Some chemicals are toxic and do not serve any necessary purpose they should be eliminated from the products we use; however, some chemicals like fluoride are essential even though there are some toxicity concerns it is worth the risk. With things like soap, shampoo, lotion, etc it does not really matter what is in it as long as it serves its basic function so I try to use the least toxic product available.
One seemingly obvious concept to be aware of for toothpaste is: DO NOT LET YOUR CHILDREN EAT TOOTHPASTE!!! One full-size tube of toothpaste is enough to kill a small child if they eat the whole thing at once. Keep it up high under lock and key just like you would any other vitamin or drug. My son swallows most of the toothpaste we use on him as we brush his teeth but we put a very, very tiny amount on the toothbrush and we alternate between Xylitol gel and the kids fluoridated toothpaste so he does not get too much fluoride. I try to brush his teeth more than once per day when I am home (and have enough energy). But when I brush his teeth in the morning after breakfast or after lunch I just use water on the toothbrush.
Sorry this was so long but I hope it is helpful.
-Trevor
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