Locations
Overlake Cardiothoracic Surgery
Bellevue, WA
Office
Yarrow Point, WA
About
Bio
I have a BS and MS in aerospace engineering which gives me a unique perspective to medicine. I attended medical school at Southwestern School of Medicine in Dallas, TX. My general surgery residency was at Indiana University in Indianapolis. I completed my training at the Medical University of South Carolina in Charleston. I practiced for about 9 years in Nashville, TN before moving to the Seattle area. My clinical interests are in adult heart disease and primarily valvular heart disease. I am aggressive in trying to repair valves especially the mitral valve. I have also had a lot of experience in atrial fibrillation surgery and use the Maze procedure in both a minimally invasive approach as well as the classic full Maze procedure. It is important to use the right method for the right patient. Probably because of my engineering background I have an added interest in new technologies and procedures. I helped start the first successful robotic heart surgery program in TN and participated in the training of robotic heart surgeon from all over the world. My preferred method to valve surgery is a minimally invasive approach. I tell my patients that my first goal is to do a good job and take care of their problem. My second goal is to do it as "sexy" as I can, but I will give up sexy in a second to make sure I do a good job. Finally, I believe what makes a good surgeon is not only knowledge and technical skill but also the ability to listen and communicate to the patient. Heart surgery is stressful enough, there is no need to add to it because the surgeon and patient are not on the same page.
SpecialtiesDoctors 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.
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.
Thoracic Surgery
Doctor Q&A
500 Answers
70 Agrees
The number of answers this doctor has agreed with.
A 27-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Can be either: The majority of mitral stenosis is a result of a previous strep infection which cause rheumatic fever. This begins a slowly progressive scarring of he... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Typically yes: The majority of people with mitral valve prolapse have no significant mitral valve regurge. There should be no contraindication for pregnancy in this... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 38-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Probably yes: Mitral valve prolapse without any regurgitation (leaking valve) should not be a problem; however, every organization has certain standards and i would... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 16-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Antibiotics: The majority of mitral stenosis is a result of rheumatic fever-caused by group a strep infection like strep throat. Treating the strep infection can p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 34-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Often little: Mitral valve prolapse is a description of how the valve closes. It can be associated with a leak and does increase your risk of developing a leaking... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 34-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Sign of stenosis: Mitral facies is a description of facial coloration in people with significant mitral stenosis (restricted mitral valve). Because the output flow of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 30-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
See below: Bypass surgery is a method of increasing blood flow to areas of the heart with arterial blockages. It's essentially plumbing. We put in new pipe to go... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 23-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
I doubt it: Mitral valve prolapse is pretty common. It describes the way the two leaflets of the mitral valve meet when it is closed. I have not seen any data tha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 33-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Maybe : Rheumatic heart disease is caused by a strep infection. The use of antibiotics has drastically reduced the incidence in the developed world. A study f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 35-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Yes: Mitral valve prop lapse is a description of how the valves close. If one or both of the leaflets bow up into the left atrium that is prolapse. Not al... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Yes: I am no sure what you are asking. If you are asking if a 5 vessel bypass surgery is possible then the answer is yes. I would guess that the most com... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 24-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Pulmonary HTN: You're correct. Mitral stenosis produces a diastolic rumble or murmur. However, as mitral stenosis worsens patients develop pulmonary hypertension. Th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Not sure of quest: Mitral valve prolapse is a description of how the leaflets come together. This may cause the valve to leak. In most people prolapse is a relatively be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 52-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Usually yes: Most of the time the answer is yes. But it mainly depends on how strong your heart is now. In addition if you are on Coumadin (warfarin) then you woul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
It depends: Life expectancy depends on so many factors. Many people that need bypass surgery have histories of smoking, obesity, and diabetes. All of these affect... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 44-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
More mainstream: With regards to heart surgery i think it is becoming more mainstream. 10 yrs ago very few heart surgeons offered much with regards to minimally invas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 33-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Pain not typical: Heart pain is usually associated with poor blood flow to the muscle of your heart. This can happen because of blocked arteries or thickened heart mus... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Big procedure: The classic operation is started with a breast bone incision and placing the patient on the heart lung machine so the heart can be stopped safely. Ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 35-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Depends: Mitral stenosis caused by previous rheumatic fever typically continues to slowly worsen over time. Left untreated this is very serious and life threa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 38-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
It depends: There are so many causes of valve disease. In the past strep infections like strep throat was the most common cause but with antibiotics this has bec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 32-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
424.1: There is no specific code for aortic stenosis. There is only a code for aortic valve disease.
There is also a code specifically for rheumatic aortic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 42-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Yes: The biggest risk factor for developing lung cancer is smoking. In addition, smoking increases the risks of surgery. But even more important is to no... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 35-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Diagnosis vs Finding: An ASD (atrial septal defect) and vsd (ventricular septal defect) or diagnoses. ASD the hole is between left and right atria. Vsd the hole is betwee... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 31-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Several: They symptoms of left ventricular failure include, shortness of breath (sob) and fatigue and weakness. There can be increased sob with activity. Oth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 45-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Complex : Complex question to answer briefly. Lack of conscience/guilt and manipulation of others, are hallmark features. Many are charming. Psychopaths can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 28-year-old male asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Dead skin cells: Shedded skin cells from the body. For instance dandruff is a form.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 47-year-old female asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Colonoscopy? Yes: I am assuming you are asking about colonoscopy. The answer is yes you should have it. They do not put you to sleep for a colonoscopy. You are given so... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 39-year-old male asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Unlikely to happen: In this age of medicine, patients typically do not get admitted to the hospital for a "workup". Evaluations are done as an outpatient. Admissions ar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 28-year-old female asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Typically yes: If you want your insurance to pay for it you will have to have a need for oxygen verified and an oder for the oxygen from a doctor, nurse practitioner... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 44-year-old female asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Reflux?: Lots of causes of right sided chest pain and back pain. With antacid relief gastric reflux - where stomach acids move backwards up the esophagus - mov... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 29-year-old male asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
3 months & yes: I typically restrict lifting, pushing and pulling for 3 months following heart surgery thru standard incision. 1 month for min invasive approach. I ke... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 35-year-old female asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
No: Chest pain which occurs with exertion needs to evaluated by a doctor. This could be a result of blockage to one or more of the arteries to the heart.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 28-year-old male asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
A tear in the vessel: Arteries are made up of several layers much like an onion. Occaisionally a small tear in the most inner layer can occur. The blood flows through the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
This could be angina: Angina can manifest itself in many forms depending on the patient. Classically it is a squeezing pressure which can radiate into the neck, jaw, shoul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 30-year-old male asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Get a second opinion: I'm sorry you have lost faith in your medical team. If you are unsure then you should look for a second opinion. Find another doctor who you can trust... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 59-year-old female asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Gun : Gun and dental disease is more of a concern with valvular heart disease. This increases the risk of infection spreading to the valves of your heart a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 50-year-old female asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
It really depends: A staph infection can include so many things. This can range from a surgical wound infection, a lung infection (pneumonia), a urine infection, and ev... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Organic molecule: Ketones are a class of organic molecules with a carbon atom double bonded to an oxygen molecule.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 42-year-old male asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Anxiety : Since the symptoms didn't start till you received what you feel is bad news, anxiety associated with news would be most likely. Though i would run th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 47-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Depends: Cardiac arrest is never a good thing. What happens following depends on several things. What was the cause? How fast was the heart restarted and was ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 23-year-old male asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
See a doctor: The chance of heart attack in 23 yr old is low. But an ECG is like a photo. It doesn't always show what happened before it was taken or give you an id... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 47-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Depends: Sternal pain following standard heart surgery definitely impacts the recovery of our patients. Continued boney pain after a reasonable recovery perio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 56-year-old male asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Tough question: As our family members get older questions on how aggressive do we treat medical issues come up - my family, too. I've found often the easiest way to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 37-year-old female asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
I guess possible: A pneumothorax is when air escapes out the lung and pushes the lung away from the chest. I suppose a rib injury during massage could do it. I would as... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 39-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Possible: Teenagers can develop congestive heart failure though it is fortunately not common. It can occur because of a congenital defect of the heart. Also c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 62-year-old female asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Need to watch: Ascending aortic aneurysms typically need to be repaired somewhere between 5 and 6 cm in diameter. Typical growth rate is between 2-6 mm per year. Th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
See a doctor: Atrial fibrillation is the most common irregular rhythm of the heart. In some peiple they are alway in afib, but others go in and out. It can increas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 28-year-old male asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
2 areas: Cervical relates to the first seven vertebra of the spine. It is related it the neck. Also it refers to the muscular opening/exit of the uterus called... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
Yes: Sprinting or interval training is a very good exercise for the body as well as the heart. Sprinting is an anaerobic activity but the body will spend ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 49-year-old member asked:

Dr. Robert Binfordanswered
Thoracic Surgery 40 years experience
It depends: I am assuming you mean congestive heart failure. This can be caused by several things. Treatment will depend on what is the cause of the heart failu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
5
Recommendations
2.5K
Thank you notes
Mar 20, 2013
Great and caring doctor. Up to date with skills.
Feb 6, 2013
I recommend this Physician
HealthTap member
Mar 30, 2015
Dr. Binford is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
I just t sent you the CD file. I look forward to your valuable opinion. Please let me know if any other info is needed as I have done other tests that I can send to you copies.
HealthTap member
This was very helpful. Thanks! Thank you foyor assistance. I do not have a heart murmur, thankfully, but I will discuss this with a specialist immediately.
HealthTap member
Thank you, your answer was very helpful! Hope it's not any tumor or cancer. But if its muscle issue,It would take more than a month to heal?
Education & Training
Medical/Graduate school
University of Texas Southwestern Medical School at Dallas
Graduated 1992MD
Medical/Graduate school
Texas A&M University
Graduated 1986MD
Medical/Graduate school
Texas A&M University
Graduated 1983MD
Residency
Medical University of South Carolina
Residency
Indiana University Hospital
Residency
Indiana University Hospital
Awards
Top Thoracic Surgeon , Third Place, National - Winter
2013
Top Thoracic Surgeon , First Place, Washington - Summer
2013
Top Thoracic Surgeon, First Place, Washington - Spring
2017
Affiliations
Society of Thoracic Surgeons
Southern Thoracic Surgical Association
International Society for Minimally Invasive Cardiothoracic Surgery
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