Show Hide image

Labour hit Cameron on debates - but the status quo favours Miliband

Labour have released a video attacking David Cameron for ducking out of the debates. But it may well be Ed Miliband who has the most to gain if they don't take place. 

Labour have released a video contrasting the David Cameron of 2009-10 - who thought televised debates were the best thing since sliced bread - with the David Cameron of 2014-5 - who has absolutely no intention in taking part in the debates. 

The party badly needs the issue to stay in the news if they're to have any hope of securing the debate that the Labour leadership believe will allow Ed Miliband to overcome the public's negative perceptions of him. But in the absence of a particularly striking third-day angle for the story, it seems likely that the Prime Minister will get away with sabotaging the debates.

That might not be as bad news for Labour as either Team Miliband or Downing Street suppose. Yes, some of the public opprobium towards Miliband is due to a hostile media. But the some of it is down to Miliband and his team. It wasn't the fault of the Sun that Miliband was unable to name the price of a weekly shop, something that, in the words of one Labour strategist: "I would never let even a council candidate leave the office without that information" or the malice of the Mail that caused Miliband to claim he "feels respect" when he sees a white van.  The danger for Labour in the debates is it is easy to imagine Miliband beating Cameron heavily - but it's equally plausible that he could self-destruct.

As for the Conservative campaign, yes, the messaging is disciplined and the campaign is slick. But the polls don't seem to be moving, their only plausible coalition partner is flatlining, they have realistic hopes of making Labour gains in just five seats, and will certainly lose at least twice that to Labour. A lot of the narrative around the Tory campaign is based on the idea, as I say on this week's podcast, that when the voters see the whites of Miliband's eyes, they will vote Conservative. If that doesn't happen, CCHQ's campaign will go down in history as a bore-a-thon that was too scared of Ed Miliband to take him on directly. 

Stephen Bush is special correspondent at the New Statesman. His daily briefing, Morning Call, provides a quick and essential guide to domestic and global politics.

Getty
Show Hide image

A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear