methadone formulaLET’S TALK ABOUT….. METHADONE!methadone bottle of
Methadone has been around since the late 1930’s. It was developed in Germany to address the growing problem of heroin addiction during WWII. Today, methadone is used, not only to help reduce withdrawal symptoms of heroin, but also to treat chronic pain problems.

Heroin use is on the rise. The National Institute of Drug Abuse reports that “….4.2 million Americans aged 12 or older (or 1.6 percent) had used heroin at least once in their lives. It is estimated that about 23 percent of individuals who use heroin become dependent on it.” Heroin is a costly addiction for both the addict and society.


Methadone has become one of the recommended treatments for Heroin addiction.

methadone brainMethadone works in the brain to decrease the sensation of pain by muting the emotional response to pain. It is a long acting drug that helps to block the euphoric rush from narcotics such as heroin. The purpose of prescribing methadone is to detox and wean people from heroin and other opiates.

Methadone is available only through government approved dispensaries and approved treatment clinics. These facilities are highly regulated by local, state, and federal regulations. Medical physicians are required to have a special certification for prescribing methadone.

The Federal government believes Methadone is a cost-measuring budget approach. Research has shown that countries that support the use of methadone to treat heroin addiction have lower crime rates.methadone money

Although methadone has been shown to be successful treating opiate addictions, methadone, itself, can become very addictive. Consequently, methadone, becomes a legal dependency for an illegal dependency—heroin addiction. Tolerance and/or dependence to methadone can happen quickly.

Since methadone doesn’t work the same for everyone, some addicts continue using other illegal drugs while taking methadone. Dual use appears to be part of the treatment.

Although not as severe as withdrawing from heroin, the symptoms of withdrawal from methadone can last longer than withdrawing from heroin. Symptoms of withdrawal from methadone can continue for 2 weeks to 6 months. A medical detox is recommended.


Maintenance treatment is titrated to a dose at which opioid symptoms are prevented for 24 hours. Most commonly, clinical stability is achieved at doses between 80 to 120 mg/day.

Length of time that someone continues to be on “maintenance treatment” varies. Treatment can last for years. I recently met a man that has been taking Methadone for seven yeamethadone other substance graphrs.

I wrote another article about Methadone back in 2010. Why are we talking about it again? I had neglected to mention that our tax dollars are at work paying for the majority of Methadone being dispensed. Yes, Methadone treatment is covered by State Health Care Plans.

money pile

In a time when our medical system is being revamped, Methadone treatment funds continue to be allocated at the cost of reduced alcohol and drug prevention funding.

Everyone needs to be informed about health care changes. Is the present way Methadone is used in the best interest of our health care system?

You will have to decide. Here is a hint to help your research “Follow the money”.

Glad we talked about this. Of course, it is just my opinion. OPINION

methadone other substance graph



You can comment on this article and make suggestions for future columns, at Or, snail mail your topics to Lifestyle Changes, PO Box 1962, Eugene, OR 97440.


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Lifestyle Changes




Benefits of Walking

TOM RUCKMANPresented by Dr. Tom Ruckman

According to the US Surgeon General’s report on physical activity in America, more than half of the US population does not participate in any type of regular exercise. The Surgeon General is now urging Americans to get in shape with at least one-half hour of moderately vigorous activity each day. They recommend walking two miles at a brisk rate of 3 miles per hour, every day. This will not cost you a dollar to get yourself back in shape. Have you heard that our life expectancy rate has recently decreased for the first time in generations? We are now expected to live a shorter life span then our last generation. Why is that happening? What would you guess is the reason for our life span now starting to be shorter? It’s one of the main reasons our health care is so expensive, and that it could possible even bankrupt our health care in this country? In past generations we thought the things that would over whelm our health care system would be things like Super bugs being antibiotic resistant, or HIV, or CA, but now it’s obesity. So, 34% of us are now obese in the USA. What can we do about this? The benefit’s from walking is one solution. The top number #1 “fountain of youth” or way to live longer is known, according to research, and it is called “calorie restriction”. Authorities on Longevity agree about keeping your weight at your ideal level or even below, for your height and bone size is one of the best ways to encourage living a longer life.

TOM energy1. Walking gives you more energy! Have you noticed we age we generally have less energy. Walking will increase your energy. This energy from walking or any exercise will increase your Metabolism Rate. How do you increase your metabolism rate? ……. It’s done by storing more glucose in your muscles. We are building up a storage of energy by walking. That’s what exercise does for you. The more we exercise the more glucose we store in our muscles. So, if you walk you will lose more weight. You will burn off more calories. You will increase your metabolism rate. That will give you more energy. At lunch time head out for a walk, and you will need less food to satisfy you. Get a pedometer and count your steps. Work your way up to 10,000 to 12,000 steps a day. Have fun with walking. Vary your walking, where you go, how fast you go.

2. Walking helps you to sleep better. TOM sleepIn the old days when we worked from sun rise to sun set, we generally slept better. Now we don’t sleep as good. We need to get more active like we once were. IMPORTANT: A while back, the President’s Council on Physical Fitness asked 7 medical experts to rate the sleep-promoting abilities of a whole gamut of physical sports and activities, walking beat them all out, including many of the popular sports such as handball, racketball, basketball, calisthenics, tennis, downhill skiing, softball, golf, and bowling. There is more chance that you will sleep longer and deeper if you walk daily. Walking has a real relaxing effect, helping you to go asleep faster. By the way, taking calcium before bed, I have found helps you to get to sleep faster.

TOM Immune-System3. Walking makes your immune system stronger. Have you ever heard of this? You are not so apt to catch a cold or flu, or even the dreaded shingles if you walk regularly. What do you think lowers your immune system most commonly? ….STRESS. What is the easiest way to raise your immune system making it stronger?….Walking. Stay well and be sick less with daily walking. Walking regularly will lower your risk of arthritis, macular degeneration, and some cancers by an astonishing 50% compared to people who don’t exercise.

4. Walking reduces lower back pain, and tightness. Every cardiologist will tell you TOM back painwalking is the best exercise for your heart. I’m telling you walking is the best exercise for your lower back. We are made for walking. Walking as an exercise that is equal to more than a dozen individual exercises. How is that? Because walking makes your muscles both stronger by toning them up, but also stretches your muscles out to relax you, and lubricates the joints. Don’t underestimate the benefits of walking.

5. Walking is a good stress reliever, and it makes you happier. Walking stimulates the body to produce natural opiates called endorphins which are cousins to morphine which is responsible for the euphoric feeling runners get while they run. They call it a ”runner’s high”. Walking makes other good mood chemicals to combat both depression and anxiety. Walking TOM stressalso stimulates ones’ creativity. () Anyone who has come back from a walk in a different frame of mind then when they started will attest that walking can change their mood. So before you blow up at your boss, or your wife, or your friends, go for a walk. Taking the time to walk will de-stress your mind, so you will have a better mood and make better decisions. A University of Wisconsin study showed walking to be as effective as taking anti-depressants to relieve mild to moderate depression. People with mild to moderate depression after one year of treatment in this study using either walking or taking anti-depressants drugs found that 90% of the group that walked were no longer depressed. The half of the group taking antidepressants still needed these drugs. Remember your grandparents saying, “In our day we did not have the time to be depressed or have anxiety”? Back then, they were generally much more physically active then we are now, and we now are paying the price with increasing use of these anti-depressant drugs on younger ages.

TOM disease6. Walking lowers your risk of major diseases, such as heart disease, cancers, particularly breast and colon cancers, diabetes, osteoporosis, and even having injuries. Why is walking so helpful in preventing breast and colon cancers? Well they are not sure. They believe the reduced risk of breast cancer with people who walk daily may be from the reduction of hormones levels, like estrogen, caused by reduced body fat directly from daily walking. Did you know your fat produces estrogen? People with too much fat have more cancers. Colon cancer risk is lowered they believe in people who walk daily due to the reduced time that your food stays in the intestines. Walking moves the food through the intestines faster than in a person who mainly sits all day. Our number one health disease in America is? ……Heart disease, and is the cause of 50% of all deaths. Studies do show that regular physical activity such as walking will lower your risk of developing heart disease. How does that happen?…. Any exercise that makes you breath harder, will cause you to make more collateral circulation or making more blood vessels in your heart. More blood flowing in different directions in your heart muscle gives you a stronger heart that has more circulation in case you ever form a clot that sticks to the walls plugging your blood flow in your heart, causing a heart attack. That better blood flow causes less heart damage for a milder heart attack. People who walk regularly also seem to recovering faster from heart attacks, and bypass surgery, and walking lowers your risk of suffering a second heart attack. So reducing your risk for heart disease can be a good motivation to get you exercising or walking regularly.

TOM brain7. Walking is very good for the mind….reducing your chance of dementias by 40%. Walking helps you to stay sharp. Walking will improve memory recall. Physical activity not only nourishes your muscles, making them stronger, but also stimulates the brain in large areas while coordinating the 650 muscles in the human body. Walking stimulates the production of neurons, which are the nerves that control your body. Vigorous walking or other exercise stimulates new blood vessel production in the brain reducing your chance of strokes. We have all been told that to prevent or slow down dementias we should play more word games, make more puzzles, or learn a new language. This seems to be true, but, when they check our head with brain scans, and MRI’s, they find that more of your brain will “light up” or be “stimulated, with exercise like walking, and other exercises while we move large parts of our body. Walking is one of the best exercise’s. It takes more than 200 muscles moving in the right order just for you to take one step. If you want to stimulate more of your brain….go for a walk.

TOM bone denisty8. Walking increases bone density, and that helps treat osteoporosis. People who walk regularly have stronger bones and less pain of arthritis. They have fewer fractures.

TOM vitamin D9. Walking boosts your Vitamin D levels in your blood stream. Vitamin D builds stronger bones, less osteoporosis, helps prevent dementias, and stimulates the immune system.

TOM strong legs10. Walking strengthens your legs. What one common item will determine whether we can stay independent and stay in our homes, when we are older?……. One factor is what shape our mind is in, but the shape of our legs is another factor determining our ability to stay independent. Walking tones your legs, your bum and your tum. If you pay attention to your posture as you walk, you will also tone your abs, and whittle away on your waist, too.

11. Walking improves your balance. This is a very big item as we get older. The last thing you should ever do as we get older is to stop walking. Why?…… As we age we lose the strength in our legs and our balance becomes weaker. Fear of falling becomes our biggest fear, especially once you have had a fall. Walking will improve your balance. How? Walking stimulates the TOM balanceparts of your brain which coordinates the many muscles needed for balance. Walking also works the nerves that control your balance system located in your inner ear. If you do fall, get back up, and next time walk a shorter distance, but do it 2-4 times a day to help your legs and your balance system get stronger.

TOM diabetes12. Walking reduces your chances of Diabetes. 30 minutes of walking a day makes your muscles more receptive to insulin. That allows your blood sugar, called glucose, to do its work feeding the cells the nutrients they need, and giving energy to those cells, instead of your blood sugar piling up in your bloodstream giving a high glucose reading. Regular walking can lower your blood sugar.

TOM not stopping13. Walking keeps you going! What do we mean by this?….. Walking has the highest compliance rate of any exercise program. That means you are more apt to stay with your walking routine, and gain the benefits as compared to all the other types of exercise. Make your routine of walking bulletproof by getting a buddy to walk with you. Safety in numbers. Drive to places where walking is interesting. Vary your walk to different surroundings. Willamette River trails, City Parks, like Alton Baker, Dorris Ranch, Hendricks Park Walk along the Amazon trails, and Ridgeline trails.

TOM stop smoking14. Walking 30 minutes a day is now one of the main keys to stopping smoking. Even 5 minutes of walking will reduce the craving for nicotine. There are exceptions to many of these ideas we are talking about tonight. You may not be able to walk due to knee problems and need to use other exercises.

TOM Dr. OZ15. How many of you have heard of Dr. Oz? Dr. Oz and Dr. Roizen say: on the benefits of walking, that regular walkers have fewer heart attacks and fewer strokes, and lower blood pressure and higher levels of the good HDL cholesterol then couch sitters do.

GOOD SUGGESTION: For more benefits on healthy ideas and disease prevention, go to Dr. Oz and Dr. Roizen’s web site at: Take the free test there and find out your REAL AGE, not your chronological age. Ideas will be given after you take the test to improve your health and slow your aging process. This information comes from many medical studies that will improve your health. This test can be one of the most valuable things you can do to improve your health. There is no selling of products, but just reliable information. Get healthy living tips for everything from knee pain to diet, weight loss and more. Make your life easier with these “go to guides” for a healthier living. Find out your risk for diseases and learn how to better manage your health from taking this free test.

Thank you for your time reading this and I hope you will try more walking to improve your health.Walking Sign

Learn more about Pioneer Chiropractic Clinic at



  • Walkers-and-Runners-smLET’S TALK ABOUT….WALKING! I gave my car up almost two years ago. I utilize the great LTD transit system in our town. Riding the bus forced me to walk rain or shine. Compared to my peers, I am very well and healthy.

Last week I attended a very informative presentation on walking by Dr. Tom Ruckman, Pioneer Chiropractic, and on feet by Eugene Hnatiw, K.M. Orthotics. In addition to hearing great information, by the end I was in awe of the benefits of this free exercise.

TOM RUCKMANDr. Ruckman referred to a US Surgeon General’s report that says “..more than half of the US population does not participate in any type of regular exercise”—not even walking. Computers, Netflix, and couches have replaced walking shoes, bicycles, and healthy living.

One of the pieces of info that Dr. Ruckman shared was that walking stimulates the immune system. In addition “Walking regularly will lower risk of arthritis, macular degeneration, and some cancer by an astonishing 50% compared to people who don’t exercise.”

Dr. Ruckman’s 15 tips on the benefits of walking have been posted at (copy and paste).  Just go to “Tom Ruckman” on my website listed below. Well worth your time. But, don’t stay too long on the computer. After reading the 15 benefits, you will ask “Why isn’t everyone walking?!”

Following Dr. Ruckman’s presentation, Eugene Hnatiw talked about one of the body mechanisms that allows us to make walking happen—the feet.

I am of that age where the side effects of going barefoot, squeezing into “fashionable” vanity ORTHODICS HEEL PAINshoes, and thinking sandals were good for hiking has caused my feet to rebel. Last summer I developed “plantar fasciitis” on both feet. Plantar fasciitis is an inflammation of the thick tissue on the bottom of the foot.

As soon as my feet hit the floor in the mornings, incredible pain would zip up through my entire body. I started compensating by squeezing my toes together and bending my feet in, which started to turn my knees in. I started to think of all my friends that have had knee and hip surgery too young. I wondered if this is how it starts—that journey to replacing body parts.

ORTHODICS LORNA MCLIESHFortunately I know the rep, Lorna Mcliesh, from Mr. Hnatiw’s orthotics company. She fixed me up with a pair of orthotics made just for my feet. Who could have guessed that these simple ORTHODICS“appliances”—visible only to me (vanity thy name is “MAx”)–could replace pain pills!?

I am so ecstatic about my simple lifestyle changes—walking, foot care, breathing Walking Happybetter—that I have set a personal goal to join Tyler Burgess, Walk-with-Me.comWALK WITH ME, on one of her walking tours: the Sicily/Rome Italy trip might be tempting.


I thank LTD for getting me out of my car and getting my body moving. My intention, as Dr. Ruckman encouraged, is to “keep walking to be healthier and happier.” And, thanks to my new orthotics, my feet are “healthier and happier” already.

mossbacks_bannerAs Oscar and Carmella Swinney of the Mossbacks Walking Club say “Get off the couch and start walking” and Oscar (80+) adds

“and maybe you’ll get to be an old geyser Walking Old Codger                 like me!”


Glad we talked about this. OPINION

Of course, it is just my Opinion.


You can comment on this article and make suggestions for future columns, at Or, snail mail your topics to Lifestyle Changes, PO Box 1962, Eugene, OR 97440.


Springfield TimesAsk MAx” is published weekly in the Springfield Times, Springfield, OR. You can subscribe to the Springfield Times at


Lifestyle Changes
Learn more about MAx Fabry at