Dr. James Rotchford

Addiction Medicine
Port Townsend, WA
43 years experience male

Locations

OPAS P.C.

Port Townsend, WA

Address

1136 Water Street, Suite 107, Port Townsend, WA, US
Directions

My office hours

Thursday: 9:00am - 5:00pm
Show more

Practice website

Fax

(360) 379-1441

Insurances accepted

Medicare

Office

Port Townsend, WA

About

Bio

My CV is located at www.drrotchford.com I am Board Certified in Addiction Medicine, I formerly was a Diplomate of the American Academy of Pain Management, I am a Fellow of the American Academy of Medical Acupuncture, I am also a Fellow of the American College of Preventive Medicine.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Addiction Medicine

Pain Management

Preventive Medicine

Licenses

United States: Washington

Doctor Q&A

428 Answers
7 Agrees
The number of answers this doctor has agreed with.
A 21-year-old member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
News to me: I would never advise a pregnant mom to continue smoking but i might advise her to use some nicotine replacement rather than go through any unnecessary... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
It depends: The liver can regenerate but if it is too far gone it can prgress to needing a transplant. To determine the best prognosis i think a liver biopsy is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Good question: No obvious answer. Maybe it's an allergy to the gluten or other contents within beer? Some people get migraines when they start to relax. Could t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Debatable: Second hand smoke is very unlikely to cause significant blood levels. Some have even looked at this in a closed environment like a car. Most urin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Yes: It is called ethylglucuronide but it can be positive even if one uses a handwash with alcohol in it. Sometimes if one drinks enough, blood alcohol ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Seek help.: Ask your family doctor for help with getting off alcohol. In addition to helping you with symptoms of withdrawal ask your doctor to prescribe you Nal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
It depends: The biggest factor for risk is the amount of tobacco inhaled?
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
No guarantees: Tobacco addiction can result in smoking again even after years of not smoking. There are many behavioral and medical aids to help one stop smoking. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Just once: The problem with using alcohol for such issues is that it is rarely just once. If you drink regularly have you ever considered that your relationsh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Good question: What do you mean..Health will suffer. Some people live to be in their 90s or further and have smoked their entire lives. Nothing is 100% when it co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old female asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Not likely a problem: A small percentage of patients get stimulated when taking methylprednisolone and might even have problems sleeping as a result. I am not aware of any... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Yes: But talk with doc about why started in first place and all your options.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Hyperventilation?: Keeping tight around your mouth & breath into a paper bag for 10 to 15 mins and if by breathing back in CO2 your symptoms subside the diagnosis of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old female asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
In my experience exam and history commonly do not rule out or in a gall bladder problem. Usually, one needs to do some sort of laboratory and imaging... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Watch out: Serious hepatic pathology can be present despite normal liver function tests. Please seek help to stop any alcohol use or exposure to other liver tox... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Perhaps: Cannabis is quite effective in helping with sleep in patients who have had a major trauma in their lives. There are a host of medical and psychiatri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
I : I agree with you and the other physician that your husband would benefit from prompt medical attention. You would benefit from going to alanon meeti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Perhaps: Alcohol simply is not a good idea for a developing brain and because it can interfere with testosteron levels etc. It might indeed limit height...But ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Well, hard to say: Perhaps a spider fond of rum laced and spicey tasting blood? If both feet involved though i would wonder about something more systemic.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
No simple answer: It is likely genetic or perhaps because of some unusual hormonal deficiency if i were seeing you in my office i would take a family hx. And probably... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
One : One with this history is susceptible to staph and other organisms being resistant even to Clindamycin so it is worthwhile to get cultures in this set ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Understand Principle: Behavioral and chemical addictions have much in common in term of behavioral solutions. 1. As you've done continue to ask for help and outside input... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Continue to ask : Wonderful that you are willing to ask. This, however, is probably not the best place. Talk to anyone you know or lives nearby to find out who mig... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
YES: For someone who is naive to nicotine, using a patch can cause "toxicity." if a patch helps you "cut down" on tobacco it is well worth it and relati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Better question:: The more pragmatic question is whether you will benefit from ongoing nicotine replacement. About a third of patients who are tobacco dependent will... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 70-year-old male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Check serum Ferritin: Low iron can aggravate rls. Also if you have apnea you are likely on CPAP and if on CPAP you could try opiates. Most patients on opiates who have... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Many possibilities: Hard to say for sure but the lungs often start to produce a lot of phlegm because the cilia cells are no longer paralyzed from the tobacco products...... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
One opinion: It depends on how much wine. If you feel high or giddy it is likely too much for the baby. One small glass of wine might even be good for you and t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Hard to say: The shoulder pain doesn't fit well into the er doc's diagnosis. Ear pain can come from eustachian tube dysfunction due to irritation at the back of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Something else?: Cannabis seeds and the herb has been used to treat constipation. I would expect the constipation was secondary to something else. Of course when o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Time for an exam: I think the description of severe sharp pain didn't illicit many responses because it warrants an exam. And even then the cause might not be apparent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Tobacco's the probl.: Tobaccos the problem! if using nicotine helps you not smoke tobacco go for it. Some highly dependent smokers actually live longer if they use nico... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old female asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Yes: But this sounds like a migraine and taking vicodins or lots of Aspirin for migraines i can't recommend. Look into preventive and more specific remed... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
It depends: Even in liver failure, 2000 mg a day of Acetaminophen is considered safe. Long term use of Acetaminophen has issues, however, with kidney function ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Your : Your boyfriend is right. He has a chronic relapsing disease called opioid dependence. It is not to be ever cured similar to diabetes, asthma, and o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Many possibilities: Good think you are asking for help. Please continue! vitamin deficiencies, anxiety, toxins, are all possibilities. Asking for help with you alc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
It depends: Most of the time after six months or so the lungs basically go back to normal. Emphysema, however, represents permanent damage to the lungs.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Yes: Not commonly appreciated but stimulation of rectal mucosa can create urgency particularly if the bladder already sensitive for whatever reason. Your ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
It depends: The possible effects can't be readily enumerated. I recommend a nicotine patch to minimize withdrawal, wt. Gain etc. Go slowly with cutting the nic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Many possibilities: I think to assume the problem stems from inflammation or irritation of the lining of your stomach is a mistake. I would recommend getting to the bot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
I like the dreams: Well your dreams sound positive! While there are a host of physical, hormonal, and not uncommonly, medical issues with a partner that can contribute ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
It depends: A normally concentrated urine will generally be positive for pcp for only a couple of days. It depends upon cutoffs used and amount used as well as ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Be examined.: You may have a fissure or other problem interfering with normal bm. Not fun but get it checked out.
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Yes: I would be concerned about a staph infection. But I am most concerned that despite some serious xXxX you are not prepared to ask for help in stoppin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
You are fine except: You are young and routine measures to prevent pregnancy are in order if that is the intent. While there is value in the rhythm method I think in thi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Most likely because: In my experience the most likely cause is an opiate use disorder not recognized. Indeed, I would assume so given the doses, duration of care, your a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Hard to say: Most likely, given that it sounds like you have had migraines in the past it is either related to muscle tension in your neck or is a migraine varia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Warrants exam: Excruciating pain warrants a formal evaluation and explanation. Hard to say, Nothing typical comes to mind. I would wonder if it is coming from you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Ignore: Stopping smoking for your health implies stopping tobacco use. Nicotine is relatively safe.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. James Rotchford
Addiction Medicine 43 years experience
Ignore: Nicotine OK, Tobacco kills, be persistent and ask for support. Know you're loved.
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
490
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Rotchford is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Rotchford is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Nov 26, 2015
I am grateful for this doctor this Thanksgiving!
HealthTap member
This made me feel good. Thanks! Thank you for your answer Doctor as it was greatly appreciated. My husband is cutting down on his alcohol and cigarette intake but yes I was extremely concerned with ho...Read More
HealthTap member
This was very helpful. Thanks! I studied GC-MS for 9 days waiting for the call from the MRO that was responsible for evaluating my results. I provided all my docs and the test was reported as NEGATIV...Read More
HealthTap member
Thank you so much doctor! Would you be able to elaborate on the brain damage possibility for another one of my questions - the ones that are concerned with 9 months of low dose use?

Education & Training

Medical/Graduate school

University of Washington School of Medicine, WA
Graduated 1980MD

Residency

Montreal General Hospital - McGill University

Residency

UNIVERSITY OF WASHINGTON MEDICAL CTR

Awards

Jefferson County Heart of Service Award sponsored by the Peninsula Daily News and Rotary Club of Port Townsend. In recognition of outstanding & inspirational public service.
Top Addiction Specialist , First Place, Idaho - Winter
2013
Top Addiction Specialist , Third Place, National - Summer
2013

Affiliations

American Academy Of Pain Management
American Academy Of Addiction Psychiatry
Washington State Medical Association - WSMA
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