Doctor Robert MacArthur Interview
This day, our team were able to interview California's resident orthopedic surgeon, Dr. Robert MacArthur, in light of the questions about his encounters with wrong site surgery and intraoperative burn, as well as the topic of "events that should never occur".
Who is Dr. MacArthur?
Doc Robert Mac graduated from the University of UC Berkeley with a double major in Biochemistry and Physiology. Throughout his time at the Univ, Doctor Rob MacArthur used to be a renown athlete, participating on both various box and rugby football teams.
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Afterwards, Dr. Bobby Mac entered at the Columbia P&S, and got elected as the head of the Columbia P&S School of Medicine (Now known as the Vagelos Medical School). Bobby Mac proceeded to conclude his orthopedic residence at Harbor UCLA.
Dr. Robert MacArthur Addresses the Incidents
According to statistics, the incidence of incorrect surgical procedures typically is a one-time event in a career for every bone specialist, but this number increases to four in each professional career for experts specializing in sports, hand, and spine. Sadly, numerous of these doctors often do not report these cases, let alone or talk about them publicly. Dr. MacArthur carries a deep sense of pride and accomplishment about how he confronted these harrowing occurrences.
Rather than attempting to conceal the incident, Doctor MacArthur responded in a different manner
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doctor Robert Mac thoroughly investigated the origins of his two occurrences, and published numerous works outlining how to prevent such events
Gradually, became acknowledged as a renowned authority in the field of accidents that can be avoided. He has written 2 articles in the foremost orthopedic journal, The Journal of Orthopedic Surgery. With the aim of assisting other doctors avert upcoming events, his initial article led the reader through the specific errors that took place that caused the wrong site event.
The second paper, co-authored with Dr. David Ring, who is also the Chairman of the AAOS, broached the topic of the "shame and blame game." Being accountable for these incidents is uncommon, as the usual reaction is blaming external factors. He stressed that pointing fingers not just discourages surgeons from making reports their incidents but additionally detracts from the vital analysis of primary reasons that could potentially prevent future incidents.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When talking about the surgical burn occurrence, Dr. Robert Mac displayed the same dedicated investigative approach he applied to his wrong site event research. As an illustration, he got in touch with the maker of the faulty clamp to ascertain if like burn events had transpired. The maker informed him that the clamp in question had been "no longer in production." You can make your own inferences based on that what you desire.
To avert irregular heating in huge hinged clamps, Doctor Mac performed a thorough investigation of what led to inconsistent heating in oversized clamps.
His research findings suggested that flash sterilization could result in irregular sterilization. He noted that associations for nurses highly recommend against the use of rapid sterilization unless there's an urgent need such as sanitizing a fallen instrument. Deeper examination revealed that St. Joseph's Hospital often using quick sterilization to enable back-to-back surgeries without the necessity to purchase additional equipment trays.
In a bid to avoid future burn incidents, Doctor MacArthur notified the hospital at St. Joseph's of the hazards associated with the continued use of this particular clamp as well as the frequent application of rapid sterilization.
Rather than blaming the clamp, Dr. Robert MacArthur accepted responsibility and made it clear that he was responsible for a surgical mistake. He was advised that the clamp was heated, but when he held it, he found the handles to be at a tolerable temperature. Differing from some surgeons who could impatiently reach for a towel to manage a too-hot clamp, he operated the clamp without any uneasiness.
Shame and Blame, Dr. Robert MacArthur's Response
In The perspective of Dr. MacArthur on response on the topic of the "blame game," he spotlights how the legal and the wider public often mix up the "in-command'' concept with analyzing the fundamental causes. According to this "captain of the ship" perspective, the surgeon is held accountable 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 surgical errors.
Nonetheless, Doctor MacArthur stresses that such an approach contradicts the fundamental principles of investigating root causes. This form of analysis intends to deeply understand what caused a incorrect surgical procedure to then preferably prevent similar incidents in the future. By turning to shaming and blaming, not only does it impede proper root cause analysis, but it additionally prevents other surgeons from disclosing their individual wrong site events, afraid of the repercussions.
He failed to recognize that the sizeable, substantial-sized hinge of the clamp was noticeably hotter. When he positioned the clamp against the front shin area of the patient's leg, it triggered a burn injury. At the time, he was proctored for case privileges at CHOC during the incident, and none of the proctor nor Dr. MacArthur were immediately aware of the burn.
It was not until after he had dictated the operative report that an attending nurse in the recovery room pointed out a tiny red spot on the anterior aspect of the patient's leg. Even in that moment, he did not at the outset realize the extent of the burn.
Dr. MacArthur references the air travel industry as an model case of successful root cause analysis. From its inception, aviation sector has sought 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, air travel industry boasts impressive safety records.
However, Dr. MacArthur laments that medical profession hasn't been able to completely embrace root cause analysis due to prevailing legal and public perceptions surrounding the "in-command" concept. The unfortunate outcome of this is that the rate of preventable medical errors remains unchanged, and the standing and names of many medical professionals are unfairly tarnished.
The frequency of incorrect surgical procedures persists at an disturbing rate of one incident per surgeon per career, and as many as four occurrences per surgeon's career for specialists in hand, spine, and sports.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In the year 2023, it is feasible to bring forth false accusations against someone, smear their name and reputation, and face no negative repercussions for the accuser. Regardless of whether the individual being accused is innocent or guilty, Robert MacArthur just making an allegation is enough to inflict long-lasting damage to a professional's reputation.
Doctor Bobby MacArthur shared that he chose to leave a clinic specializing in workers' compensation cases because of suspected illegal behavior on part of. In retaliation, the manager of the clinic supposedly collaborated with a individual under treatment 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 was informed of this allegation over a year after his departure from the clinic, at which point he demanded on undergoing a truth verification test. The accuser, however, refused to take such a test.
Doc Rob MacArthur was later advised that both his truth verification test results and the claimant's refusal to participate would be deemed inadmissible in court.
The lawyer acting as mediator cautioned him that the jury would likely be composed of "individuals similar to her" and not his, meaning a court loss could be highly damaging. Despite the ridiculousness of the claim, he was counseled to settle for $29,000
Conclusion
California's Medical Board 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 implied that the clinic was indicted, but he did not verify this.
Despite the facts presented above, Dr. MacArthur found no means to erase the accuser's claims from search engine results. This means, despite his lack of guilt, the slander campaign was achieving its goal.
As the claim does not state that Dr. Robert MacArthur was found guilty, it merely serves as a condensed version of a complaint, which continues to be available to the public
Doctor MacArthur strongly believes that individuals who lodge false accusations should receive punishments equivalent to the consequences of the falsely claimed event. To illustrate, he thinks that his false accuser should be considered to be a sexual predator and felon.
Doctor MacArthur concluded by thinking about the coexistence of goodness and malevolence in the world, wishing 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