I do a good scrub before and after every patient, before donning gloves, after using the bathroom and sometimes even before. It's no wonder my hands sometimes look raw or like dried husks. I'm only compulsive about it at work, though, and just out of necessity. At home I wash up after the bathroom and before cooking or working with foods that will be eaten by others. Otherwise, meh. I'm one of those people that prefer my nephew to get dirty and get exposed to germs to build up his immune system. What over-sanitizing can due to an immune system, imo, is just as bad as not sanitizing at all. Our bodies need to build resistance and the natural flora we all have needs balance.