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Dr. James Rotchford

Addiction Medicine
Port Townsend, WA
41 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

528 Answers
10 Agrees
The number of answers this doctor has agreed with.
A 41-year-old member asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
It depends: Most cirrhosis begins and progresses without any apparent signs or symptoms. If you are having pain in the area of your liver, it might be because ... Read More
A 22-year-old male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
It depends: People develop tolerance to alcohol and there are big differences in effects based on sex, age, other substances/food used etc. Alcohol generally is... Read More
A 43-year-old member asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Time to be examined: I think this warrants a physical exam and a diagnosis to be made. A dermatologist is most likely to feel comfortable making the diagnosis.
A 21-year-old male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Likely good: It is rare that blood tests are done to evaluate long term thc abstinence. Urine tests are highly likely to be below the cutoffs of most labs at this... Read More
A 41-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Careful: The answer is basically yes but I am concerned that your relationship with your prescriber is such that you are asking the question here. Xanax (alp... Read More
A 20-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Good to ask for help: While getting to know you and hearing more of the story would be likely helpful, i think going to some alanon meetings could be very helpful. When ... Read More
A 18-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Colon related: The descending part of colon is i think the most common source of left sided abdominal pain without some more apparent etiology. I'm surprised the ... Read More
A 24-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Talk with prescriber: There are many reasons why depression can get worse at the start of therapy. This sort of question really is best addressed one on one with the pres... Read More
A 25-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Good question: To attribute recurrent pleuritis to smoking cigarettes is perhaps problematic. I'm not an expert in recurring pleuritis but i would be looking for o... Read More
A 25-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
It depends: Shy bladders are not uncommon but a thorough discussion/history taking might clarify why you are having these peeing problems. Because your question... Read More
A 35-year-old member asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Not Clear: Of course if it were obvious the drug dealers would be arrested as well as their source if implicated. I think most experts would predict it comes so... Read More
A 48-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Probably not heart: The fact that bending forward makes it worse makes me think it is most likely structural that causes the pain, which in turn increases your anxiety. ... Read More
A female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Perhaps: Well, i'm sorry your new relationship has to be complicated by this sort of problem. I would think that the lining of uterus needs some "hormonal ba... Read More
A 21-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Anxiety likely: Anxiety can cause one to hyperventilate which can cause changes in the blood (ph) which result in feelings of being light headed and even tingling in ... Read More
A 21-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
It depends: People vary in their responses to caffeine similar to differences in responses to other stimulants. Tolerance and genetic factors clearly can play a... Read More
A 19-year-old male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
It depends: Because developing leukoplakia so quickly and at your age would be uncommon i must question the diagnosis. A dentist might know. Otherwise might h... Read More
A 23-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
A question back?: Perhaps a better question is why would one to continue to smoke when they just had sinus surgery. Sinus surgery, even endoscopic, can be painful a... Read More
A 33-year-old male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Unfortunate: There are very few physicians that appreciate that a dose of 130mg of Methadone a day is not unusual in a Methadone clinic. The average dose is 95mg/... Read More
A 20-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Kidney stones: There is generally an answer to explain redurrent utis. Have it checked out. Because you spoke of teas, there are products in teas that might incre... Read More
A 19-year-old male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Hard to say: This is not a common medical complaint so I can only make conjectures. My best guess is because of stool that is in your rectum when you pass gas..w... Read More
A 29-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
It doesn't matter: The active ingred. in Marinol is fat soluble that is why the capsules encapsulate an oil. Expressing the oil will likely not do much to facilitate a... Read More
A 26-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Keep at it!: I have suggestions at www.Opas.Us/handouts. Keep at it, ask for help, and nicotine replacement therapy often quite helpful.
A 21-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Not common: I would start with an x-ray because the clues you gave would want me to rule out a problem with the lungs.
A 27-year-old male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Good to ask for help: Finding knowledgeable pain specialists is a problem throughout the country. You may have to travel to a "tertiary" care center and even then? Mak... Read More
A 20-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
It depends: Without a full medical history it is difficult to advise what you should or should not be taking. Whoever is prescribing the percocets should be ab... Read More
A 48-year-old member asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
You've started: I think asking for support and help is the beginning and possibly the end. Good for you, keep at it. Have fun exploring all the healthy ways to e... Read More
A 41-year-old member asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Def. of addiction: Continued despite harm/inordinate risk, Compulsion, Cravings/preoccupations out of the ordinary are some of the hallmarks of addictions. But if yo... Read More
A 17-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Lab tests: The most common is to evaluate the urine for presence of white blood cells, blood, and a compound called nitrite. If those are present it is highly ... Read More
A 20-year-old male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Hard to say: I would be concerned about a flat wart but it really needs to be evaluated and even possibly biopsied to know for sure.
A 25-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Not Normal: Coughing up small kight grey chunks in your mucous is not normal..But what is the cause. Sometimes after stopping smoking patients will actually pro... Read More
A 25-year-old male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Worth more evalution: Really bad headaches can sometimes reflect bleeds in the head or infections. Alcohol could have stimulated the a small bleed based on it causing bloo... Read More
A 29-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Ask your doctor: Whoever ordered the test is responsible for interpreting it and helping you understand the implications. It's enough of a worry I'd call them even af... Read More
A 25-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Call the prescriber: Whoever prescribed the cyototec is responsible for being available to address your concerns. I'm not familiar with it so it is a "specialized" conc... Read More
A 38-year-old female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
It depends: Headaches and jitteriness are perhaps the most common symptoms. It is reasonable to gradually reduce the dose rather than stop abruptly. Symptoms c... Read More
A 48-year-old member asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
YES: I am not aware of any toxic breakdown in the patches over time, and there is likely no evidence for this. This does not mean, however, it is entire... Read More
A 34-year-old member asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
It depends: Age, co-morbid psychiatric issues, and a history of other addictions all make a difference. Addiction is a form of learning so the younger or brigh... Read More
A 44-year-old member asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Not good or bad: Methadone saves some people's lives (particularly those who are opioid dependent) and if used improperly can be lethal. A medication is neither good... Read More
A female asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
When : When considering your options for hormone replacement i think it warrants at least one visit to a licensed practitioner to get to know your options an... Read More
A male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
It depends: Strength of herb dilution of urine body fat sensitivity of test etc. All these variable can play a role.. That being said if not a regular use... Read More
A male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
The : The following is a helpful link: http://buprenorphine.samhsa.gov/bwns_locator/ ideally you might want to visit a physician who can assess whether "g... Read More
A 39-year-old male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
No specific remedy: I am not aware of any specific remedy for a headache induced by methamphetamine. Perhaps measures to lower blood pressure could help? Time to get... Read More
A male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Vertigo: There are several causes of vertigo but this is likely your problem. Get it checked out for effective care is available.
A member asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Good question: While certain diets and substances increase the risk for certain cancers, most cases of cancer we really don't know the cause. Besides tobacco, the... Read More
A 29-year-old male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Intolerance: Hard to know what is mixing with what etc.. The good news is that it shouldn't last that long and i would be very surprised if any lasting harm was d... Read More
A male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
It can help: Extra fluids can reduce appetite in some people and i like your idea of cutting out all sodas. Look into a comprehensive plan..The simple ones with ... Read More
A male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Check it out: This reaction is of course not common..It might have induced some other mental disorder. In young people it has been documented to do such. Even if... Read More
A member asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Problem: At my website there is a tab which reviews access problems for patients on opioids for chronic pain. I hope the handouts and references help. Som... Read More
A male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
My opinion: Short acting opiates are not a good option in my opinion for long term pain issues. In some cases, perhaps as much as 1/3 of patients they can actua... Read More
A member asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
I : I like the idea of acupuncture particularly electrical acupuncture particularly given the request was for alternatives. A combination of approaches ... Read More
A 18-year-old male asked:
Dr. James Rotchford
Addiction Medicine 41 years experience
Good question: I'm not a dermatologist. I would expect it is secondary to melanocytes in the dermis. These melanocytes can be reduced in numbers by freezing like t... Read More

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

3
Recommendations
488
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Rotchford is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 30, 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
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less