I can't stop staring at my right forearm. To be more precise, I can't stop staring at a very faint patch on my forearm, smaller than a silver dollar and way less defined. I have squinted at it, looked away and back again, wondering if that patch of faint pink irritation is really there. I wonder, because its implications could be big.
Sunday was D-Day for our Pampers Dry Max skin reaction test here at ZRecs HQ, and let me tell you, it was an interesting day. Twenty-four hours later, we've been making plans for a second round of testing to attempt to cast greater light on a highly suggestive finding from our eight hours of patch testing. But to explain the results of our testing so far - and why we find them so intriguing - you'll need some details about what we did.
Consumers voted with nearly $300 in donations to ZRecs to help us fund a comparative test of Pampers Dry Max diapers and their pre-redesign predecessors. Three hundred bucks may not seem like a lot, but in an age in which everything offered on the Internet is expected to be free, the fact that our readers - old and new - banded together to meet our project goal and fund our independent research into Dry Max diaper safety speaks volumes to us. It also doesn't surprise us, though - 100+ ZRecs readers searched for Target onesies and sent 14 in to the Center for Environmental Health last year (at their own expense) to provide
actionable evidence of the excessive lead content of a "Green baby" Target onesie. (They have yet to be recalled, but Target issued a stop sale and pulled them from the shelves at the request of the Attorney General of the state of California.) Collective consumer action can be a powerful thing.
The idea
The basic idea behind our Dry Max testing is easy to sum up.
Testing a product's potential to irritate the skin is a matter for experts, which we are not. Adult skin differs from infant skin; extreme conditions are used to test materials, and findings must be interpreted using a lot of expertise and erudition.
But there is one thing we believe even amateurs should be able to prove, and that is whether, in a direct comparison between Pampers Dry Max and Pampers previous diapers, one of them will cause a stronger reaction, or a reaction in a shorter span of time, than the other. This single fact could make the difference between a parent's willingness to trust Dry Max diapers with their child, regardless of how the diapers compare with their competitors, and offers the opportunity to answer the question of whether or not the change in formulation may have had an overall negative impact in a quantifiable and concrete way.
Long story short,
diaper dissections can only take you so far.
Sounds simple, doesn't it?
Preparations
We purchased packages of Pampers Cruisers with Dry Max and Huggies Snug & Dry diapers from our local Target. We arranged with one of several readers who had a stockpile of pre-Dry Max diapers to send us a package through UPS. We purchased two three-ounce bottles of Spectrum Labs "Quick Fix" synthetic urine at $35 apiece, and paid extra for fast shipping, all so I could avoid putting real urine, presumably my own, against my skin and wearing it around for a day. We worked on our patch design, cutting up diapers and trying out different sizes and shapes to see how they'd fit on my arms and, in our initial plan, my chest and back.
Then two things happened that slowed us down a bit.
First, another reader contacted us - this one a parent offering a package of Dry Max diapers. We had already bought some at the store, but what she was offering to send was a pack of diapers that was actually
known to have caused a serious skin reaction in a child. We realized that if Dry Max diapers had been changed at all since their initial "stealth" rollout eighteen months ago, even slight adjustments refining the production process could have unintended consequences. What if parents' inconsistent results with Dry Max diapers wasn't, or wasn't only, based on variations in individual infants' sensitivity? What if some Dry Max diapers caused more rashes than others?
We asked the reader to send them in, despite the fact that this meant a week's delay in our testing. I work outside the home, and wearing dirty diapers to work is not an option. So we shifted our testing date from Memorial Day weekend to Sunday, June 6.
The other unexpected event which dramatically affected our testing protocol was the call back from Pampers that we'd been waiting weeks for. We
interviewed Jodi Allen and grilled Lisa Sanchez, P&G Baby Care's director of R&D. Sanchez gave us a few pointers on creating patch samples and explained P&G's product testing regimen, but the most important thing she said was something we did not want to hear. According to Lisa Sanchez, we were unlikely to get any skin irritation without the use of BM, i.e. poop, in the diaper patches. We weren't sure she was right, but after much discussion we decided that we had better go the full Monty on this testing, or we'd always wonder.
We arranged with a local friend who has a five- month-old baby to save Sunday's first dirty diaper for us to collect. Since the supplier had direct experience with Dry Max rashes, her mother was very understanding of our project, and gamely supplied me with a Ziplocked package when I showed up at her house late Sunday morning. (This made the purchase of synthetic urine feel a bit spendy, but can you blame me? Really?)
The test
By 1 p.m., I had four roughly inch-wide horizontal strips of Pampers Cruisers wrapped around each forearm - two on each saturated with synthetic urine, and two more on each arm with smears of baby BM, which is way, way more fragrant than I remembered. On my upper arms, fashionably encircling my blogger biceps, were two dry diaper patches. The twelve samples represented the three conditions - dry, urine-soaked, and BM-containing - for four diaper types - pre-Dry Max Pampers, Dry Max purchased from a store, Dry Max sent by a consumer whose child had reacted to them, and Huggies.
The wide strips cut from the diapers were designed to absorb and hold liquid without their shape getting too distorted as I moved, and to reduce the amount of medical tape that came into contact with my skin; we settled on using my arms only to ensure we weren't introducing an additional variable (skin condition) into the study. We used stickers to mark patch groups, an especially important consideration for our two sources of Dry Max diapers.
Our five-year-old daughter Z helped label the patch samples.

I had tested the tape by itself and had no reaction to it. Now we were using it to close the two long sides of the diaper we'd cut to make our sample; tape held it banded to my arm without making much skin contact, but I used additional tape to seal the sides to my skin and minimize air circulation. Remember, we're doing comparative testing - we want to elicit as much of a reaction as we can, and compare them, rather than to independently measure levels of irritation caused by any individual product.
Z helped affix the synthetic urine-saturated patches and the dry patches to my skin. I would not let her help in any way with the BM - not that she wanted to.

I planned to wear the diapers on my arms until 9 p.m., for a solid eight hours of exposure. (Some comparable skin testing can go as long as a month, but I'm sure they use smaller patches.) After an hour had passed, I was starting to feel uncomfortable. My arms were itching, in part simply from the bands of medical tape running along the edges of each sample. Additionally, my arms had a reasonable objection to having the skin breathability drop to near zero.

By four hours in I was feeling cagey and irritable. I felt like I was wearing dirty casts on my arms but no one would let me scratch around in there with a stick. For some reason I had thought there would be no smell emanating from these diapers, but by a few hours in all I could smell was the diapers' baby powder scent mixed with BM, although I believe the smell for outsiders was faint.
By seven hours I was alternating between two mental states: mild agony and a Zenlike acquiesence to a life of diapered arms, my cartoonishly thick forearms like those of a tragically flawed DC superhero.
At about eight and a half hours (Jenni got tied up getting Zella to sleep, and I needed her to immediately photograph anything we found on my arms, so I had to wait) Jenni took one final set of photographs to document the arm position of each color-coded diaper sample, and I slowly peeled them off one by one.
Results
The skin under all four dry diaper samples showed no reaction, although these, which had been on my upper arms, were among the most maddening to wear. There was a slight rash under only one of the urine-soaked diapers; the other three all looked very clear. I gently washed my arms under water with mild soap and returned for more photographs.
There were rashes under all four of the BM diapers, mostly contained in the area where the BM had made direct contact with the skin. They were difficult to photograph well, especially since the testing concluded at night and we were shooting indoors. I have adjusted the brightness and contrast of these photos to show the areas the rashes occurred.

All four of these locations showed redness and irritation in a oval shape with varying levels of swelling. One had a very slight welty edge, which was raised slightly higher than the surrounding, basically irritation-free skin. In two others, the entirety of the BM oval had slightly raised skin. In one of the four, the irritation seemed to spread slightly from the BM area out into a slightly larger swath of skin. The difference was slight but noticeable, and made the spot stand out from the others. After diagramming the position of each of these reactions and describing them in writing, we used our camera to match up the positions of the different colored samples with the types of diapers that had manned each irritated position on my forearms.
I must stress that all four BM samples had irritation, and differences were not dramatic; Jenni and I were only able to identify slight variations and were hard-pressed to determine their significance. But close examination of these rashes, with all assessments made prior to matching them up with their originating diapers, revealed a surprising coincidence.
First, the
only diaper patch that had caused irritation when soaked with urine and held against my skin for nine hours was the Dry Max diaper that had been sent in by a reader. The other Dry Max diaper showed no irritation, as did the Huggies diaper sample, as did the pre-Dry Max sample. Was it just chance that the consumer-provided Dry Max diaper performed differently than the one we had bought at the store?
We noticed too that the one rash that appeared to spread slightly from its point of BM origin was also the Dry Max sample sent in by a consumer. Again, the Dry Max diaper we had purchased ourselves did not appear to perform any better or worse than the Huggies diaper or the pre-Dry Max Pampers diaper. It was difficult to really assess whether we were seeing something significant; the slightly different rash pattern we saw could have just been a result of a slight variation in the way the BM was spread on the sample, although checking the sample yielded no such clues. Another coincidence?
We went to bed unsettled, unresolved but excited. It looked like we needed to design another test to suss out these results and see if they could be amplified. Longer test durations? Surely we could narrow down the samples? And would we (groan) have to deal with baby BM again?
The next morning, the rashes seemed to have disappeared. The previous day's testing was receding in my mind like an unpleasant dream, one I knew would be recurring in some form in the week ahead. But I was driving at lunch when I noticed something on my forearm.
It was faint, barely visible, so subtle that I wondered if I was imagining it. The slightest blush, combined with an increased roughness of the skin, seemed to persist in one spot, and just one; the rest of my arms had no sign whatsoever of any rashes from the day before. I could not stop looking at that spot all day, with puzzled self-doubt, like when you stare at a printed word and it decouples from its meaning and sounds and looks alien. The initial rashes had been hard enough to photograph; this thing was so faint it was unphotographable and, as I said, so faint as to make me doubt my senses.
As a test, I turned to my daughter, Z, at dinner on Monday. She knew about the project generally but had been privy to none of the details of which patches had been from which diapers, and hadn't been privy to any of our discussion of our findings; she had been asleep when we removed the patches, hadn't seen the photographs, and hadn't even discussed the testing with us. I held my two forearms side by side, their white underbellies turned to catch the light from the window at our table at the delicatessen. "Look at my arms," I said to her, without explanation, background, or any leading pointing or direction. "If you were going to pick out the spot on my two forearms that was more red than any other spot, what spot would you pick?"
She pointed to the spot I had been looking at all day.
"You see it too?" I asked.
She nodded. I explained to her that that was the spot where I'd put the poopy diaper that had been sent in by a reader of our blog.
Z beamed and hugged me. "You solved the problem!" she called out joyfully.
"No," I said, "I did not solve the problem. But we may be on to something."
Next steps
What we have seen so far needs to be seconded with another test, but we will not simply repeat the previous test. Instead, we are going to reduce the number of different diapers (which exactly we'll eliminate we haven't quite decided yet) and do them dry only, or dry and with water. We will use smaller patches so I can wear them throughout my regular activities, and I will wear them for several days. Fewer patches, greater adaptation to my regular schedule, longer periods, and timing so we can end testing during daylight hours and get the best photos possible of the results. We don't need any additional funding; we have plenty of diapers, and although we haven't tallied all our receipts and costs yet, I think we have a little funding to spare.
If there is a difference in skin irritation between the Dry Max diapers currently on shelves (or at least the package we bought locally) and the ones sent in by a reader, we should be able to amplify that difference by making some element of the overall condition more extreme. We're hopeful that dry diapers will cause irritation given enough time, and that we will be able to develop more pronounced results that can offer more dramatic comparisons that either lend further credence to what we've seen so far, or discredit these initial results.
We'll also do dry testing of the elastic leg cuffs and waistband of Dry Max diapers against my skin, and check out the pH of both pre- and post-Dry Max fluff pulp.
Whether we demonstrate that our initial findings are linked to a meaningful difference within batches of Dry Max diapers, or invalidates that theory by providing inconsistent or unreplicated results, remains to be seen.
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