A Year of Confluential Truth


2014 was the first year that I really began to discover social media.

Looking back, I find it revealing rediscovering which of my Twitter messages and WordPress.com blog posts piqued the most interest in 2014.

As expected, most of my “retweeted tweets” (Try saying that ten times fast!) related to popular issues such as: healthcare reform, our drug abuse epidemic, sports, holidays, and the passing of iconic celebrities.

However, my heart was also warmed by your responses to my attempts at creativity and inspiration. It’s been fun.

I am continually trying to hone my communication skills. And while I don’t always get it right, I always love connecting with you.

You inspire me. And because of you I will do my best to share ideas with substance, purpose and hope.

Thanks for going there with me.

WordPress.com has prepared a 2014 annual report for Confluential Truth. Click here to see the complete report.

And in the comments to this post I have listed my “Top Twenty Retweeted Tweets” of 2014.

See you next year!

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Or if you prefer, here are the links…

The Top Twenty Retweeted Tweets of 2014





4/17/14, 6:10 PM (58 retweets)

It costs your doctor $58 just to process your insurance claim. OUCH! Guess who’s getting well.


4/22/14, 4:49 PM (50 retweets)

An inconvenient truth. Even casual marijuana use causes brain damage. Sorry to be a buzzkill



6/6/14, 12:30 AM (47 retweets)

70 years ago 6:30 am Normandy
“For he today that sheds his blood with me shall be my brother” – Shakespeare #DDay70



5/5/14, 12:20 PM (42 retweets)

Treating pain can be painful
#doctorburnout #painphysician #ChronicPain #painmanagement



7/20/14, 1:18 PM (38 retweets )

Can’t believe #JamesGarner ’s only Oscar nomination was Murphy’s Romance (My personal favorite).
Miss you #Maverick



3/28/14, 1:17 PM (36 retweets)

Hey Cats! Time to go under the knife! #CardNation #BeatUK#MarchMadness #Sweet16 #CardChronicle #CCBM #BBN #L1C4



8/12/14, 12:11 PM (35 retweets)

Good-bye Robin. We ain’t never had a friend like you. #RobinWilliams#CarpeDiem#seizetheday



4/27/14, 11:29 AM (34 retweets)

it is impossible to think about yourself when you are locked into thinking of someone else


11/22/14, 1:40 PM (30 retweets)

Card March South Bend style
@CardChronicle #L1C4 #GoCards #BeatNotreDame #CardNation #UofL #Louisville #GameDay



5/9/14, 11:51 AM (30 retweets)

is not what you
it’s who you



4/26/14, 10:37 AM (28 retweets)

Pain affects more Americans than cancer, heart disease, and diabetes combined. #paincare



8/13/14, 12:27 AM (26 retweets)

Chronic #pain patients have 2X the risk of #suicide
Don’t overlook #depression



5/11/14, 6:30 PM (26 retweets)

Thou art thy mother’s glass and she in thee
– Wm Shakespeare #BringBackOurGirls #MothersDay https://twitter.com/jamespmurphymd/status/465619939022225408/photo/1


7/17/14, 7:50 PM (26 retweets)

I chose TODAY to #giveblood.
Please #ChooseYourDay and save a life.
(800) 448-3543



6/23/14, 10:57 AM (26 retweets)

This does not have to be our default future.
But only if we have physicians willing to lead.



4/21/14, 2:58 PM (26 retweets)

FYI: pain patients are NOT addicts
#addiction is a brain disease



4/17/14, 12:25 PM (25 retweets)

Lunch thought #417: Nuts are like the methadone of dieting – By the time craving stops you’ve probably eaten too many



11/16/14, 12:41 PM (24 retweets)

Life is only offered one semester.
You’d better take it.
~ Nov 16 1978
#premed @WestminsterMO



7/5/14, 10:38 PM (22 retweets)

This was the scene tonight on the border between #Kentucky and #Indiana
#Bigfourbridge #L1C4



5/7/14, 4:04 PM (22 retweets)

need you
to be
this physician
and you
to be
this person
emerge again




‘Twas the Fight in Our Clinic

orange jumpsuit

It was right before clinic and all through morn,
Not a patient was hurting, nor feeling forlorn.
The stocking of meds on the shelves was with care,
In hopes that ridiculous pain would be rare.
The front desk was nestled all snug in their seats,
Collecting the copays while smiling so sweet.
And I in my lab coat, scrub top, and a glove,
Had just settled in for the job that I love.

When out in the hall there arose such a clatter,
I sprang from my chair to see what was the matter.
Away to the window I flew like a flash,
Tore open the shutters and covered the cash.
A man on a quest, who did not like a “no,”
Gave bluster and chaos to our status quo.
When what to my watering eyes did appear?
But my signature forged on a pad that was near.
The villain prescriber had written so quick,
I knew in a moment it must be some trick.
I asked him his name and just why he had come,
But all he could say was he had to be on…

On Morphine, on Codeine, on Oxy, on Contin,
On Soma, on Xanax, and lots of Neurontin!
Don’t stop for the chart. Don’t stop in the hall.

Now right away! Right away! Write for it all !!!

As dry heaves that before a wild emesis fly,
When I met this intruder I thought I could die.
So onto the restroom I coerced him to…
Pee into a cup that might give me a clue.
But then, in his tinkling, I heard through his bleating,
The faucet, the flushing and knew he was cheating.
As I pulled back my hand and was turning around,
Through the window the specimen came with a bound.

I was stressed by his sight, and I thought for a while,
That his clothes were an orangey prisoner style.
A stencil of words were in print on his back,
When I asked him about it he called me a quack.

His lies, how repugnant; how simple his tally –
Prescription pain pills to sell in the back alley !!!

He had a clear package tied up with a bow,
And the powder inside was as white as the snow.
A piece of lead pipe he held tight in his hand,
And he swung it at me as he started to stand.
He had a gaunt face and not much of a belly,
And I shook when he laughed ‘cause his breath was so smelly.
He was stealing prescriptions, I thought to myself,
And I cringed when I saw him reach into the shelf.

A wink of his eye and a poke to my head,
Soon gave me to know I had something to dread.
He said he had come to us straight from his “work,”
And turned ’round to face me and called me a jerk.
He gave me the finger, then fingered my nose,
‘Til both of my nurses, they stomped on his toes.
He sprang to his car when we asked about jail,
And away he did run with the cops on his tail.
But he heard me exclaim, ‘ere he drove out of sight,

No prescriptions for you, because we do it right!

022812 police-chase





While drug diversion is certainly no laughing matter, I couldn’t resist poking a little fun at some of the bumblers who have chosen this “career” path.

Here’s hoping that you have a joyous and pain-free holiday season!

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