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Helen Salisbury

@helensalisbury

GP, medical educator, writer (BMJ columnist, Dr Helen in 'Take a Break') Independent SAGE, BMA Council.

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Latest posts by Helen Salisbury @helensalisbury

love how we killed the old, frail anti-nuke ayatollah just to have him replaced with his young, healthy son who wants nukes and who just had his father, mother, wife, and child murdered on the same day by his mortal enemy. surely this will bring peace to the region

09.03.2026 02:01 πŸ‘ 19166 πŸ” 4798 πŸ’¬ 229 πŸ“Œ 141
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Brian Allen

🚨 Switzerland just declared US-Israeli attacks on Iran a violation of international law.
Switzerland.

The country that hasn’t taken a side in a conflict since 1815.

An elementary school bombed. A boys’ school. Freshwater desalination plants. Oil refineries blanketed in acid rain.

08.03.2026 22:08 πŸ‘ 196 πŸ” 114 πŸ’¬ 7 πŸ“Œ 6

Argh, I haven't yet. What is your alternative for music and podcasts?

08.03.2026 18:37 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Photo from the early 1970s of a man on horseback negotiating the Birmingham inner ring road at Holloway Head

Photo from the early 1970s of a man on horseback negotiating the Birmingham inner ring road at Holloway Head

I’m searching for the original and/or rights owner of this fabulous picture of Birmingham in the early 1970s. It popped up on my Instagram feed, but I’ve been unable to track it down.

Any leads? I’m really hoping to use it in a book.

(And would much appreciate a RT please)

07.03.2026 11:32 πŸ‘ 218 πŸ” 235 πŸ’¬ 18 πŸ“Œ 10
Article from BMJ. 

Excerpt here:

I recently spotted a LinkedIn post titled, β€œDress how you want to be addressed.” The accompanying image showed someone power dressed to perfection. It made me reflect on my own work attire as a GP. My default is more casual than smart. I know a generation of older doctors who would disapprove: I often hear GP trainers complaining about how casually trainees dress nowadays.

But a recent consultation made me realise that my choice, although subconscious, is in fact deliberate. A patient and her husband described a hospital appointment they attended where they felt talked at, unable to voice their worries. They contrasted this with seeing me, saying that they could talk to me β€œlike you are our friend or family.” That comment stopped me in my tracks. It reminded me that the way we present ourselvesβ€”our words, our body language, and yes, even our clothesβ€”shapes the kind of relationship patients feel able to have with us.

General practice, at its best, is defined by the absence of hierarchy. Yet doctors hold immense power: to label, to reassure, to prescribe, to withhold. Divesting ourselves of that power takes conscious effort. Listening more than talking is one way to do it. Choosing words that frame us as partners is another. And for me, part of that effort is dressing in a way that doesn’t command authority but instead signals approachability.

I try not to look too different from the average patient who walks through my door. My clothes are one signal that I’m accessible. Some of my colleagues use their first names with patients, which works in the same way. I don’t do thatβ€”largely because mine is harder to pronounceβ€”but I admire how it helps to level the playing field. These gestures may seem small, but they can be transformative.

Patients need to feel able to bring their deepest fears to the GP, however minor, without fear of judgment.

Article from BMJ. Excerpt here: I recently spotted a LinkedIn post titled, β€œDress how you want to be addressed.” The accompanying image showed someone power dressed to perfection. It made me reflect on my own work attire as a GP. My default is more casual than smart. I know a generation of older doctors who would disapprove: I often hear GP trainers complaining about how casually trainees dress nowadays. But a recent consultation made me realise that my choice, although subconscious, is in fact deliberate. A patient and her husband described a hospital appointment they attended where they felt talked at, unable to voice their worries. They contrasted this with seeing me, saying that they could talk to me β€œlike you are our friend or family.” That comment stopped me in my tracks. It reminded me that the way we present ourselvesβ€”our words, our body language, and yes, even our clothesβ€”shapes the kind of relationship patients feel able to have with us. General practice, at its best, is defined by the absence of hierarchy. Yet doctors hold immense power: to label, to reassure, to prescribe, to withhold. Divesting ourselves of that power takes conscious effort. Listening more than talking is one way to do it. Choosing words that frame us as partners is another. And for me, part of that effort is dressing in a way that doesn’t command authority but instead signals approachability. I try not to look too different from the average patient who walks through my door. My clothes are one signal that I’m accessible. Some of my colleagues use their first names with patients, which works in the same way. I don’t do thatβ€”largely because mine is harder to pronounceβ€”but I admire how it helps to level the playing field. These gestures may seem small, but they can be transformative. Patients need to feel able to bring their deepest fears to the GP, however minor, without fear of judgment.

As someone who has been a patient recently, and who has written blogs on this topic in the past, I strongly concur with Dr Rammya Matthew that we need to do everything we can to redress the power imbalances in healthcare.

From the @bmj.com.

Link:
www.bmj.com/content/391/...

#MedSky

15.11.2025 12:52 πŸ‘ 25 πŸ” 7 πŸ’¬ 3 πŸ“Œ 1
Trump's Plan For Iran - #BrokenNews
Trump's Plan For Iran - #BrokenNews YouTube video by Larry & Paul

⚠️ REVEALED: Trump's Plan For Iran - a #BrokenNews EXCLUSIVE:

youtu.be/ku6N3vZL-mo

07.03.2026 08:39 πŸ‘ 168 πŸ” 54 πŸ’¬ 6 πŸ“Œ 7
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Obama: Every day you wake up to things you just didn’t think were possible. Each day we’re told by those in high office to fear each other. Everywhere we see greed and bigotry being celebrated, and bullying and mockery masquerading as strength.

06.03.2026 20:12 πŸ‘ 3797 πŸ” 1204 πŸ’¬ 99 πŸ“Œ 69

What is it about non-violent protest that the govt fears so much that they have to raid a Quaker Meeting House? Again.
Perhaps having your complete loss of moral direction exposed is too uncomfortable.
Democracy dies without dissent.

06.03.2026 15:28 πŸ‘ 23 πŸ” 12 πŸ’¬ 1 πŸ“Œ 0

I think it may be too late for Labour - many of their core voters are repelled and have switched to a party that values fairness, tolerance, support for those in need, celebration of diversity.

06.03.2026 09:13 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Cruelty to immigrants is not what my party stands for. It’s time for True Labour, not Blue Labour | Stella Creasy We must get back to the party’s roots before it is too late. That means embracing difference, rejecting division – and fighting for opportunities for all, says MP for Walthamstow, Stella Creasy

Good to see this @stellacreasy.bsky.social

06.03.2026 08:41 πŸ‘ 22 πŸ” 5 πŸ’¬ 2 πŸ“Œ 0

For anyone who would like the clip (including George).

06.03.2026 08:21 πŸ‘ 1452 πŸ” 639 πŸ’¬ 52 πŸ“Œ 63

'They went for wealth, not health. They chose to tolerate inequality.'
Healthy life expectancy is falling and govt is looking the other way.

06.03.2026 08:47 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

So far the war in Iran has cost an estimated $5.5 billion.

That's roughly $1 billion per day.

$41,666,667 per hour.

$11,574 per second.

People do not want this.

They want a living wage. They want healthcare. They want to be able to afford a home. They want their basic needs met.

05.03.2026 17:31 πŸ‘ 18752 πŸ” 7310 πŸ’¬ 796 πŸ“Œ 414
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Dubai influencers share near-identical videos with footage of Dubai crown prince | LBC Videos featuring the caption β€˜I know who protects us’ have been circulating on social media

I had no idea until this all started that the UAE licences and pays many influencers to live there and write positively about the regime.

That puts a whole new spin on things.

Propagandists in pocket of regime.

It's why all the messaging is the same.

www.lbc.co.uk/article/duba...

05.03.2026 13:52 πŸ‘ 1006 πŸ” 448 πŸ’¬ 87 πŸ“Œ 20
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Chimpanzees Are Really Into Crystals

"The apes responded with great interest, and the researchers ended up needing to trade large amounts of bananas and yogurt to get back the largest crystal. Others were never retrieved.... They seemed to be experiencing 'something beyond curiosity,' Dr. GarcΓ­a-Ruiz said."

04.03.2026 15:54 πŸ‘ 55 πŸ” 18 πŸ’¬ 4 πŸ“Œ 8
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Raskin: Based on what you know today, were Renee Good and Alex Pretti domestic terrorists?

Noem: What happened was an absolute tragedy.

Raskin: Were they domestic terrorists?

Noem: My condolences to their families

Raskin: You lied about them.

04.03.2026 16:15 πŸ‘ 21480 πŸ” 6392 πŸ’¬ 1068 πŸ“Œ 474

There is just something deeply disturbing and offensive about watching a Labour govt keep kicking the most vulnerable in our society.

05.03.2026 00:31 πŸ‘ 506 πŸ” 148 πŸ’¬ 18 πŸ“Œ 4
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Quietly, calmly and forensically, BBC just dismantled the Trump communications shitshow on Iran.

No hyperbole, just laying out an unprecedented military, diplomatic and reputational shambles.

Worth a watch.

(πŸŽ₯ BBC News/BBC Verify)

05.03.2026 08:46 πŸ‘ 3943 πŸ” 2141 πŸ’¬ 103 πŸ“Œ 191

Migration is part of what makes this country great.

We're not an island of strangers - we're an island of neighbours.

The Green Party will always support fair & managed migration.

05.03.2026 08:29 πŸ‘ 2787 πŸ” 541 πŸ’¬ 58 πŸ“Œ 51

The same technological pinpoint accuracy that was used to slaughter children in Gaza now being used to slaughter children in Iran.

05.03.2026 08:24 πŸ‘ 799 πŸ” 406 πŸ’¬ 35 πŸ“Œ 17
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This year @rthonwesstreeting.bsky.social imposed a new GP contract

Provided an extra Β£1.50 to uncap the number of calls or requests per day & stand by the phone or computer

And if the job isn’t completed within 24hours the GP will be sanctioned

Job specifications below - can’t see a problemπŸ€·πŸ»β€β™‚οΈ

04.03.2026 13:01 πŸ‘ 47 πŸ” 26 πŸ’¬ 3 πŸ“Œ 3

I imagine the govt might be quite keen as this could staunch the flow of MPs defecting to the Greens - which the latest show of performative cruelty over immigration & asylum must surely prompt (not to mention caving in to Trump). Most Labour MPs are good people who still possess a moral compass.

03.03.2026 21:52 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Only just met this poem by Raymond Carver, and I'm quite blown away

And did you get what
you wanted from this life, even so?
I did.
And what did you want?
To call myself beloved, to feel myself
beloved on the earth.

03.03.2026 19:00 πŸ‘ 14 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Color studio portrait of Marion Downs (1913–2014), renowned American audiologist and pioneer in pediatric audiology. She sits posed against a neutral gray background with a gentle smile. She has short, wavy silver-white hair, warm brown eyes, and light makeup with pink lipstick. She wears a light gray satin blouse with subtle polka dots, small gold earrings, a gold watch, and a wedding ring. Her left hand rests on her hip. She is dressed in a matching gray skirt, exuding poise and accomplishment in this formal seated pose. #WomensHistoryMonth #WHM #audiology

Color studio portrait of Marion Downs (1913–2014), renowned American audiologist and pioneer in pediatric audiology. She sits posed against a neutral gray background with a gentle smile. She has short, wavy silver-white hair, warm brown eyes, and light makeup with pink lipstick. She wears a light gray satin blouse with subtle polka dots, small gold earrings, a gold watch, and a wedding ring. Her left hand rests on her hip. She is dressed in a matching gray skirt, exuding poise and accomplishment in this formal seated pose. #WomensHistoryMonth #WHM #audiology

Before Marion Downs, childhood hearing loss wasn’t caught until age 3+. #WorldHearingDay

The π˜”π˜°π˜΅π˜©π˜¦π˜³ 𝘰𝘧 π˜—π˜¦π˜₯π˜ͺ𝘒𝘡𝘳π˜ͺ𝘀 𝘈𝘢π˜₯π˜ͺ𝘰𝘭𝘰𝘨𝘺 advocated for early detection/intervention & established the first large-scale newborn screening program (1963), proving early intervention is the key to language. #WomenInSTEM

03.03.2026 15:03 πŸ‘ 189 πŸ” 57 πŸ’¬ 2 πŸ“Œ 2

Spain talking sense on senseless war.

Not long ago they were talking sense on immigration too.

European countries Govs need to be more Spain.

03.03.2026 14:43 πŸ‘ 31 πŸ” 10 πŸ’¬ 0 πŸ“Œ 0
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Helen Salisbury: Another imposed GP contract Traditionally, the annual changes to the GP contract have been the product of negotiations between the government and the BMA’s GP Committee for England. However, for four of the past five years no ag...

Yet more promises to patients that your GP will see you right away, yet more barriers to referrals from GPs to hospitals - no wonder the newly imposed contract is not going down well with the profession. (ignore the irrelevant picture)
doi.org/10.1136/bmj....

03.03.2026 12:14 πŸ‘ 8 πŸ” 3 πŸ’¬ 3 πŸ“Œ 0

Green MP Ellie Chowns on the elections bill last night: "It is really quite extraordinary that the Thailand-based crypto investor Christopher Harborne has been allowed to donate Β£9 million to Reform UK. I notice that its Members are still not here" (2/3rds of the way into the debate)

03.03.2026 10:33 πŸ‘ 717 πŸ” 272 πŸ’¬ 5 πŸ“Œ 6
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BJS Academy Welcome back to Dr Paul McCoubrie’s a 'view from the dark side' β€” a series looking at the world of surgery through the lens of a radiologist. _______________________ Every few years a campaign is laun...

It used to be a problem in the private sector only back in the mid 00s. But at least lung cancer screening with CT has now been proven and gone mainstream. And bowel cancer screening too.

Sadly it’s NHS wide now. The thresholds for scanning are nonexistent

www.bjsacademy.com//bjs-academy...

03.03.2026 09:07 πŸ‘ 3 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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This is insane. Insiders profiting off of knowledge about the military is not just insider trading, it's also a threat to national security because our adversaries can certainly monitor these markets!

03.03.2026 06:31 πŸ‘ 684 πŸ” 389 πŸ’¬ 26 πŸ“Œ 26
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CNN put together a montage of the regime's incoherent talking points about Trump's war on Iran

03.03.2026 03:25 πŸ‘ 8597 πŸ” 3417 πŸ’¬ 336 πŸ“Œ 260