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For those of us with atopic dermatitis, 20s of hand washing will absolutely destroy my hands very quickly if i have to do it after every patient. I just use the gel hand sanitizers instead
I use La Roche-Posay Cicaplast Mains Barrier Repairing Cream and try to reapply it after every few pumps. I stick to gel sanitizers and avoid the foam sanitizers as that is more drying.