Morning Call: pick of the papers

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

1. On the topic of political meddling, RBS and the like can shut up (Guardian)

Stephen Hester wanted to turn RBS into a 'normal' bank, but it wasn't his to turn, writes Simon Jenkins. After £45bn, government can do what it wants.

2. Osborne should not have meddled (Financial Times)

The chancellor has interfered in areas better left to managers, writes Jonathan Ford.

3. If only Britain had joined the euro (Guardian)

If Gordon Brown had chosen to join the single currency 10 years ago, both the European Union and Britain would be stronger now, says Will Hutton.

4. Politicians place too much faith in figures (Daily Telegraph)

Data is a useful tool, but over-reliance on it means major problems are too often ignored, says Fraser Nelson. 

5. Why Ofsted is wrong about bright children in comprehensives (Guardian)

Ofsted is playing to Michael Gove's agenda by scaremongering about bright children, writes Peter Wilby. The facts tell a different story.

6. Labour’s addicted to meddling, not spending (Times

The party must stop thinking the state can solve every problem and trust ordinary people to fix their own lives, says Philip Collins. 

7. I’ve got no time for page three, but... (Daily Telegraph)

Glossy magazines jammed with size-zero models are far more worthy of our scorn, writes Isabel Hardman.

8. Government must tread fine balance in building the information economy (Independent)

The opportunities are huge, but so are the risks, writes Vince Cable. 

9. Failure of Leadership (Times

Nick Clegg knew there were serious allegations against Lord Rennard, yet he failed to act in a fair and effective manner, says a Times leader. 

10. Cease this talk of competitiveness (Financial Times)

The word makes much of trade, economic and even foreign policy sound like a zero-sum game, writes Samuel Brittan. 

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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