Doctor Robert MacArthur Interview
This day, we were to conduct an interview with Californian resident orthopedic surgeon, Dr. Rob Mac, in light of various questions about his experiences with wrong site surgery and intraoperative burn, as well as the broader subject of "events that should never occur".
Who is Dr. MacArthur?
Doctor Bobby MacArthur graduated from the Univ of California, Berkeley with a double major in Biochemistry and Physio. In the course of his time at the Univ, Doc Rob MacArthur used to be a renowned athlete, engaging on both the boxing and rugby football squads.
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Afterwards, Doctor Rob Mac enrolled at the Columbia University College of Physicians and Surgeons, and became the president of the Columbia University College of Physicians and Surgeons (Now known as the Vagelos school of medicine). Bobby Mac proceeded to finish his orthopaedic residency at Harbor-UCLA Medical Center.
Dr. Robert MacArthur Addresses the Incidents
Statistically, the incidence of wrong site surgery usually falls within a seldom happening occurrence for every single orthopedic surgeon, but this figure jumps to 4 per career for experts specializing in sports, hand, and spine. Sadly, a lot of of these surgeons commonly do not document these cases, let alone or address them publicly. Doc Mac carries a deep sense of pride and accomplishment about how he dealt with these unfortunate occurrences.
Rather than attempting to hide the situation, Doc MacArthur handled it differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doc Robert MacArthur thoroughly examined the fundamental origins of his 2 events, and published several works describing how to prevent these occurrences
He eventually, earned acclaim as a published expert in the field of accidents that are preventable. He has authored a couple of articles in a prominent orthopedic journal, The Journal of Orthopedic Surgery. In order to helping other doctors prevent upcoming events, the first piece led the reader through the specific errors that happened that led to the wrong site event.
His second publication, authored together with Dr. David Ring, addressed the topic of the "shame and blame game." Taking responsibility for these incidents is seldom, as the tempting course of action is blaming third parties. He stressed that accusations not only deters surgeons from reporting their incidents but also Robert MacArthur diverts from the vital analysis of underlying causes that might prevent future incidents.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When talking about the surgical burn occurrence, Dr. Robert MacArthur demonstrated the same dedicated investigative approach he applied to his research on wrong-site surgeries. As an illustration, he reached out to the maker of the faulty clamp to determine if similar burn events had occurred. The producer notified him that the clamp in question had been "ceased production." You can make your own inferences based on that what you wish.
To avert irregular heating in huge hinged clamps, Doc Mac performed a detailed investigation of the reasons for inconsistent heating in big-hinged clamps.
His research findings suggested that flash sterilization could lead to irregular sterilization. He pointed out that nursing associations recommend strongly against the use of flash sterilization unless an emergency situation arises like disinfecting a fallen instrument. Additional investigation revealed that the hospital at St. Joseph's was frequently using quick sterilization to facilitate back-to-back surgeries without needing to buy extra equipment trays.
In an effort to stop further burns, Doctor MacArthur informed the hospital at St. Joseph's of potential dangers associated with the continued use of this specifically identified clamp and the routine deployment of quick sterilization.
Rather than blaming the clamp, Doctor MacArthur took responsibility and made it clear that he was responsible for a surgical error. He was notified that the clamp had a high temperature, but when he held it, he found the handles to be at a pleasant temperature. Unlike some surgeons who may impatiently use a towel to grip a too-hot clamp, he operated the clamp without pain.
Shame and Blame, Dr. Robert MacArthur's Response
When discussing The perspective of Dr. MacArthur on response on the topic of the "shame and blame game," he emphasizes how the legal and public communities often mix up the "captain of the ship'' concept with identifying the underlying reasons. According to this "captain of the ship" perspective, the surgeon is responsible for any adverse events that occur to a patient under their care. This makes it tempting for many to only blame the surgeon for any wrong site event.
However, Dr. Robert MacArthur emphasizes that this method contradicts the core principles of investigating root causes. This form of analysis strives to thoroughly comprehend what caused a surgical error so as to optimaly stop similar incidents in the future. By turning to blame and shame, not it not just hinder proper analysis of the root causes, but it additionally deters other surgeons from disclosing their own wrong site events, worried about 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 shin area of the patient's leg, it triggered a burn. He was being proctored for surgical privileges at the CHOC Hospital during the incident, and neither the proctor nor Doctor MacArthur were right away aware of the burn.
Not until until after he had dictated the operative report that a nurse in the recovery ward drew attention to a small red area on the anterior aspect of the patient's leg. Even then, he did not at first comprehend the extent of the burn.
Dr. Robert MacArthur references the aviation sector as an model case of successful root cause analysis. From its inception, aviation sector has aimed to thoroughly comprehend the reasons behind each aviation incident rather than merely assigning blame to the pilot. Because of this focus on understanding root causes, aviation sector boasts impressive safety records.
Nonetheless, Doctor MacArthur laments that healthcare field hasn't been successful in fully implementing root cause analysis due to prevailing legal and public perceptions surrounding the "in-command" concept. The unfortunate outcome of this is that the frequency of avoidable medical mistakes remains unchanged, and the careers and reputations of many doctors and healthcare providers are undeservedly tarnished.
The occurrence of wrong site surgery continues at an disturbing rate of a single occurrence per surgeon per career, and as many as four events per surgeon's career for hand, spine and sports subspecialists.
Dr. Robert MacArthur “Sexual Harassment” Allegations
As of 2023, it is feasible to raise false accusations against someone, defame their name and reputation, and have no negative repercussions for the accuser. Irrespective of the accused is innocent or guilty, an accusation alone is enough to bring about long-lasting damage to a professional's reputation.
Doc Rob MacArthur revealed that he elected to leave a workers compensation clinic because of possible unlawful practices on part of. In retaliation, the clinic manager allegedly worked with a client to fabricate a claim, 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 claim over a year after his departure from the clinic, at which point he asserted on undergoing a polygraph examination. The accuser, however, opted not to take such a test.
Doc Rob Mac was later notified that both his polygraph examination results and her refusal to participate would be considered inadmissible in court.
The mediating attorney cautioned him that the jury would likely be composed of "her peers" and not his, meaning a court loss could be potentially catastrophic. Despite the absurdity of the claim, he was counseled to settle for $29,000
Conclusion
The California Medical Board examined the accuser's claims and found them to be "lacking credibility," hinting at an ongoing investigation into the clinic. When we spoke to Dr. MacArthur, he hinted that the clinic was indicted, but he did not confirm this.
In spite of the information provided earlier, Doctor MacArthur found no means to erase the accuser's claims from search engine results. Consequently, despite his clear conscience, the defamatory campaign was achieving its goal.
As the claim does not state that Dr. Robert MacArthur was found guilty, it merely functions as a brief description of a complaint, which continues to be openly accessible to anyone
Doctor MacArthur strongly believes that those who make baseless allegations should be subject to consequences equivalent to the consequences of the falsely claimed event. To illustrate, he thinks that his false accuser should be treated as a sexual predator and felon.
Dr. Robert MacArthur concluded by reflecting on the coexistence of goodness and malevolence in the world, hoping that those who read his account would never encounter with someone capable of such damaging false accusations as he has faced.
Dr. MacArthur: A Renowned Orthopedic Surgeon
Doctor MacArthur is a distinguished orthopedic surgeon known for his expertise in diagnosing accurately,