Morning Call: pick of the papers

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

1. The worst thing the Tories can do is catch the Ukip bug (Guardian)

Eastleigh punished Cameron for not finishing his modernisation project, says Jonathan Freedland. Now Conservative voters have somewhere else to go.

2. The case of Brussels and banker bonuses (Financial Times)

Europe has found a way to attack the UK that is sure to be favoured by much of the British public, writes Martin Wolf.

3. Two fingers up, but government not down (Times) (£)

The Eastleigh result means Clegg can still work with Cameron, writes Matthew Parris. That’s more important than any UKIP protest vote.

4. I used to argue when people said 'all parties are all the same’. I don’t now (Daily Telegraph)

Voters are punishing politicians who have lost touch with normal human instincts, says Charles Moore.

5. We have a long way to go before our immigration system is fair and simple (Independent)

I support tough controls on immigration, but the government has focused on the wrong end of the stick, says Labour's shadow immigration minister Chris Bryant.

6. Can Cameron prove himself a winner? (Daily Telegraph)

A new path to prosperity is the only means by which the Prime Minister and the Chancellor can return the Tories to favour, says a Telegraph editorial.

7. The west babbles on, and Assad is the winner (Independent)

Talks in Rome did nothing to hide the fact Syria's people have been betrayed, says Robert Fisk.

8. Grotesque myth that Red Ed leads a 'one nation' party (Daily Mail)

This electoral snub proves the party’s complete disconnection from hard-pressed and striving voters in the south of England, says Simon Heffer.

9. Beware of misreading Eastleigh result (Financial Times)

The by-election is a political, not electoral, problem for David Cameron, writes Robert Shrimsley.

10. What Labour could learn from Hollywood (Guardian)

Persona is as important in politics as it is in the movies, writes Marina Hyde. If only Ed Miliband would dump Ed Balls and recast Alistair Darling.

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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