Doctor Robert MacArthur Interview
On this particular day, our team were to have a conversation with Californian located orthopedic surgeon, Dr. Bobby MacArthur, addressing the questions about his personal encounters with incorrect surgical procedures and burns during surgery, as well as a area of "never should happen events".
Who is Dr. MacArthur?
Doc Robert Mac completed his studies from the Univ of California, Berkeley with a dual degree in Biochem and Physiology. During his time at the Univ, Dr. Robert Mac used to be a well-known player, participating on both the box and rugby football groups.
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Following that, Doc Robert MacArthur registered at the Columbia University College of Physicians and Surgeons, and got elected as the chosen leader of the Columbia University College of Physicians and Surgeons (Now known as the Vagelos Medical School). Robert MacArthur proceeded to finish his orthopedic residence at Harbor-UCLA Medical Center.
Dr. Robert MacArthur Addresses the Incidents
In statistical terms, the incidence of wrong site surgery usually falls within a once-in-a-career event for every single orthopedic surgeon, but this count surges to fourfold in each career for specialists in sports, hand surgery, and spine procedures. Regrettably, many of these doctors often do not report these cases, let alone, not address them openly. Doc Mac carries a intense sense of pride about how he faced these terrible occurrences.
Rather than attempting to cover up the situation, Doctor Mac reacted differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doctor Bobby MacArthur completely investigated the origins of his dual incidents, and released several works outlining how to avoid these situations
Over time, gained recognition as a renowned authority in the field of accidents that can be avoided. He has penned two articles in a prominent orthopedic journal, The Journal of the American Academy of Orthopedic Surgeons. With the aim of helping other doctors avert upcoming events, the first piece guided the reader through precise errors that happened that caused the incorrect surgical procedure.
The second paper, jointly written with Dr. David Ring, the Chairman of the AAOS, broached the topic of the "culture of shame and blame." Assuming responsibility for these incidents is seldom, as the usual reaction is blaming third parties. He stressed that shifting blame not merely discourages surgeons from reporting their incidents but furthermore diverts from the essential analysis of root causes that could potentially prevent upcoming events.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When discussing the surgical burn occurrence, Dr. MacArthur displayed the same thorough investigative mindset he applied to his wrong site event research. As an illustration, he contacted the producer of the problematic clamp to find out if comparable burn events had happened. The maker informed him that the clamp in question had been "ceased production." You can make your own inferences based on that what you wish.
And to prevent uneven heating in huge hinged clamps, Doctor MacArthur conducted a thorough investigation of the reasons for irregular temperature distribution in large-hinged clamps.
His research findings suggested that flash sterilization could result in inconsistent temperature distribution. He observed that nursing associations strongly advise against the use of quick sterilization unless an emergency situation arises for instance, disinfecting a fallen instrument. Additional investigation revealed that St. Joseph's Hospital often utilizing rapid sterilization to ease back-to-back surgeries without having to buy extra equipment trays.
In an effort to stop further burns, Dr. Robert MacArthur informed St. Joseph's of the hazards associated with ongoing utilization of this specific clamp and the regular use of rapid sterilization.
Instead of blaming the clamp, Dr. MacArthur accepted responsibility and made it evident that he had made a surgical mistake. He was informed that the clamp was heated, but when he grasped it, he found the handles to be at a pleasant temperature. In contrast to some surgeons who could impatiently reach for a towel to grip a too-hot clamp, he performed surgery the clamp without any discomfort.
Shame and Blame, Dr. Robert MacArthur's Response
When discussing The perspective of Dr. MacArthur on response on the topic of the "culture of blame and shame," he emphasizes how the legal and general public communities often confuse the "in-command'' concept with root cause analysis. According to this "in-command" perspective, the surgeon is responsible for any negative occurrences that happen to a patient under their care. This makes it enticing for many to exclusively blame the surgeon for any incorrect surgical procedure.
Nonetheless, Dr. MacArthur underscores that this perspective opposes the core principles of investigating root causes. This form of analysis strives to thoroughly comprehend what caused a surgical error in order to optimaly stop similar incidents in the future. By resorting to blame and shame, not only does it hinder proper root cause analysis, but it furthermore discourages other surgeons from reporting their individual wrong site events, afraid of the repercussions.
He failed to recognize that the large, substantial-sized hinge of the clamp was considerably hotter. When he positioned the clamp against the pretibial area of the patient's leg, it caused a burn. He was being proctored for procedural privileges at the CHOC Hospital during the incident, and none of the proctor nor Dr. Robert MacArthur were promptly aware of the burn.
It wasn't until after he had dictated the operative report that an attending nurse in the recovery room pointed out a small red area on the anterior aspect of the patient's leg. Even then, he did not initially fully grasp the extent of the burn.
Dr. MacArthur cites the airline industry as an exemplary case of efficient root cause analysis. From its inception, the industry has strived to thoroughly comprehend the reasons behind each adverse aviation event rather than simply attributing blame to the pilot. Because of this dedication to understanding root causes, aviation sector boasts remarkable safety records.
However, Dr. MacArthur laments that medical profession hasn't been successful in fully implementing root cause analysis due to prevailing legal and public perceptions surrounding the "captain of the ship" concept. The regrettable result of this is that the frequency of avoidable medical mistakes remains unchanged, and the professional careers and reputations of many medical professionals are undeservedly tarnished.
The incidence of incorrect surgical procedures remains at an worrying rate of a single occurrence per surgeon per career, and as many as four occurrences per surgeon's career for hand, spine and sports subspecialists.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In the year 2023, it is possible to raise false accusations against someone, slander their name and reputation, and experience no negative repercussions for the accuser. Regardless of whether the person facing accusations is innocent or guilty, merely making an accusation is enough to bring about long-lasting damage to a Robert MacArthur professional's reputation.
Dr. Rob Mac disclosed that he elected to leave a clinic specializing in workers' compensation cases because of suspected illegal behavior on part of. In retaliation, the manager of the clinic allegedly conspired with a client to make a false accusation, accusing him of "stripping naked in the middle of the clinic and requesting sex in exchange for a favorable workers comp report.
He got to know of this allegation over a year after his departure from the clinic, at which point he insisted on undergoing a polygraph examination. The accuser, however, refused to take such a test.
Doctor Bobby Mac was later advised that both his lie detector test results and her refusal to participate would be deemed inadmissible in court.
The lawyer acting as mediator cautioned him that the jury would likely be composed of "her peers" and not his, meaning a court loss could be extremely detrimental. Despite the ridiculousness of the claim, he was counseled to settle for $29,000
Conclusion
The Medical Board of California examined the accuser's claims and found them to be "not trustworthy," hinting at an ongoing investigation into the clinic. When we spoke to Dr. MacArthur, he suggested that the clinic was indicted, but he did not officially state this.
In spite of the information provided earlier, Dr. MacArthur found no means to remove the accuser's claims from Internet search results. Consequently, despite his innocence, the slander campaign was successful.
As the claim does not state that Dr. Robert MacArthur was found guilty, it merely serves as a summary of a complaint, which continues to be publicly accessible
Doctor MacArthur strongly believes that those who make baseless allegations should face penalties equivalent to the severity of the event they falsely claim. To illustrate, he thinks that his false accuser should be considered to be a sex offender and felon.
Dr. MacArthur concluded by thinking about the existence of both good and evil in the world, wishing that those who read his account would never come into contact with someone capable of such damaging false accusations as he