Morning Call: pick of the papers

The ten must-read comment pieces from this morning's papers.

1. Welcome, Mr Carney – Britain needs you (Financial Times)

The next BoE governor must chart a voyage back to something close to normality, writes Martin Wolf.

2. On Leveson, David Cameron's dilemma is that the press can still ruin careers (Guardian)

Coverage of the Leveson inquiry proves why the press must be reformed – but it also shows the risk involved in doing so, says Peter Wilby.

3. Don’t force the press into politicians’ arms (Times) (£)

Newspapers have forfeited the right to self-regulation, but state regulation is dangerous, argues Times editor James Harding.

4. Tories should take on Nigel Farage, not woo him (Independent)

Cameron knows that an electoral pact would be mad, impracticable, and philosophically incoherent, writes Steve Richards.

5. Obama should end his reticence on rights (Financial Times)

The US president would surely like his foreign policy legacy to be about more than success in a war on terror, says Gideon Rachman.

6. Europe's €50bn bung that enriches landowners and kills wildlife (Guardian)

The EU's farm subsidies are a modern equivalent of feudal aid, writes George Monbiot. As Europe suffers under austerity, it's right to call for reform.

7. It has taken the left years, but finally the press is at its mercy (Daily Telegraph)

Whatever low opinion the country has of its press, it has even less confidence in politicians as invigilators, says Benedict Brogan.

8. Ukip are not closet racists – but we’ve had enough (Daily Telegraph)

The adoption case in Rotherham has become a wake-up call from Ukip to Westminster, writes Nigel Farage.

9. It would make a mockery of justice if foreign judges start to overrule our own institutions (Daily Mail)

It’s time to face up to the issue and pull out of the European Court’s jurisdiction altogether, argues former justice minister Nick Herbert.

10. Binyamin Netanyahu's fig leaf could be back (Guardian)

Retirement might not stop Ehud Barak playing a key role in any Israeli plans to attack Iran, writes Aluf Benn.

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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