Doctor Robert MacArthur Interview
This day, our team were able to conduct an interview with California's based bone specialist, Dr. Robert Mac, in light of numerous questions about his experiences and encounters with surgical errors and surgical burn incidents, as well as the area of "never should happen events".
Who is Dr. MacArthur?
Dr. Rob Mac graduated from the University of Cal Berkeley with a double major in Biochem and Physio. During his time at the Univ, Doctor Bobby MacArthur used to be a well-known athlete, competing on both various combat sports and Rugby squads.
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Following that, Doctor Bobby MacArthur entered at the Columbia University College of Physicians and Surgeons, and became elected head of the Columbia P&S (Now known as the Vagelos Medical School). Bobby MacArthur went on to conclude his orthopedic residency at Harbor-UCLA Medical Center.
Dr. Robert MacArthur Addresses the Incidents
According to statistics, the frequency of wrong site surgery tends to be a seldom happening occurrence for every single orthopedist, but this number jumps to fourfold for each professional career for specialists in sports, hand surgery, and spine procedures. Regrettably, many of these doctors frequently do not document such instances, let alone address them publicly. Dr. Mac carries a deep sense of pride and satisfaction about how he confronted these harrowing occurrences.
Instead of attempting to hide what happened, Dr. Mac handled it differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Dr. Robert Mac completely investigated the origins Robert MacArthur of his 2 events, and released several works detailing how to stop these situations
Over time, earned acclaim as a renowned authority in the field of accidents that are preventable. He's authored two articles in the foremost orthopedic journal, The Journal of Orthopedic Surgery. To helping other doctors avert future incidents, his first work led the reader through the exact errors that happened that led to the incorrect surgical procedure.
The second paper, authored together with Dr. David Ring, who is also the Chairman of the AAOS, addressed the topic of the "shame and blame game." Taking responsibility for these incidents is rare, as the usual reaction is blaming external factors. Dr. MacArthur stressed that pointing fingers not merely deters surgeons from reporting their incidents but additionally takes away from the essential analysis of primary reasons that could potentially avert upcoming events.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When talking about the surgical burn occurrence, Dr. Robert MacArthur demonstrated the same thorough investigative mindset he applied to his research on wrong-site surgeries. To illustrate, he got in touch with the producer of the faulty clamp to ascertain if comparable burn events had transpired. The manufacturer 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.
And to prevent unequal temperature distribution in huge hinged clamps, Doc MacArthur carried out a detailed investigation of the reasons for irregular temperature distribution in oversized clamps.
The results of his investigation showed that rapid sterilization could result in uneven heating. He noted that nursing associations recommend strongly against the use of flash sterilization unless it's an emergency, such as disinfecting a item that has fallen. Additional investigation revealed that St. Joseph's Hospital often using flash sterilization to ease back-to-back surgeries without having to buy extra equipment trays.
With the aim to prevent future burns, Dr. MacArthur alerted the hospital at St. Joseph's of the risks associated with the continued use of this specifically identified clamp and also the frequent application of quick sterilization.
Instead of blaming the clamp, Dr. Robert MacArthur assumed accountability and made it clear that he had committed a surgical mistake. He was advised that the clamp was hot, but when he took hold of it, he found the handles to be at a tolerable temperature. Unlike some surgeons who may impatiently grab a towel to grip a too-hot clamp, he operated the clamp without uneasiness.
Shame and Blame, Dr. Robert MacArthur's Response
In Doctor MacArthur's response on the topic of the "culture of blame and shame," he spotlights how the legal and general public communities often conflate the "in-command'' concept with analyzing the fundamental causes. 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, Doctor MacArthur stresses that this perspective opposes the fundamental principles of root cause analysis. This form of analysis intends to thoroughly comprehend what caused a surgical error to then optimaly prevent similar incidents in the future. By turning to blame and shame, not only does it impede proper investigation into the fundamental reasons, but it additionally prevents other surgeons from disclosing their personal wrong site events, afraid of the repercussions.
He didn't recognize that the big, walnut-sized hinge of the clamp was noticeably hotter. When he positioned the clamp against the shin area of the patient's leg, it resulted in a skin burn. He was being proctored for surgical privileges at CHOC during the incident, and none of the proctor nor Doctor MacArthur were immediately aware of the burn.
It wasn't only after he had dictated the operative report that an attending nurse in the recovery room noticed a small red area on the anterior aspect of the patient's leg. Even at that point, he did not initially realize the extent of the burn.
Doctor MacArthur cites the air travel industry as an model case of effective root cause analysis. From its inception, air travel industry has strived to comprehensively grasp the reasons behind each negative aviation occurrence rather than just blaming to the pilot. Because of this focus on understanding root causes, aviation sector boasts notable safety records.
Nonetheless, Doctor MacArthur laments that healthcare field hasn't been able to completely embrace root cause analysis due to prevailing legal and public perceptions surrounding the "captain of the ship" concept. The sad consequence of this is that the frequency of avoidable medical mistakes remains unchanged, and the professional careers and reputations of many healthcare practitioners are unfairly tarnished.
The incidence of surgical errors continues at an worrying rate of one event per surgeon per career, and up to four incidents per surgeon's career for specialists in hand, spine, and sports.
Dr. Robert MacArthur “Sexual Harassment” Allegations
As of 2023, it is feasible to raise false accusations against someone, slander their name and reputation, and have no negative repercussions for the accuser. Regardless if the accused is innocent or guilty, an accusation alone is enough to bring about long-lasting damage to a professional's reputation.
Doc Rob Mac revealed that he chose to leave a workers compensation clinic because of suspected illegal behavior on part of. In retaliation, the clinic's manager reportedly collaborated with a patient to create a fictitious complaint, 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 demanded on undergoing a lie detector test. The accuser, however, declined to take such a test.
Doc Robert Mac was later informed that both his lie detector test results and the accuser's refusal to participate would be regarded inadmissible in court.
The lawyer acting as mediator cautioned him that the jury would likely be composed of "people with similar backgrounds and experiences as her" and not his, meaning a court loss could be extremely detrimental. Despite the ludicrousness 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 "non-credible," 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 officially state this.
In spite of the facts presented above, Doctor MacArthur found no means to remove the allegations made by the accuser from search engine results. Consequently, despite his innocence, the slander campaign was successful.
Considering that 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 publicly accessible
Doctor MacArthur strongly believes that people making false claims should receive punishments equivalent to the consequences of the falsely claimed event. To illustrate, he thinks that his false accuser should be treated as a predator of a sexual nature and felon.
Dr. MacArthur concluded by reflecting on the coexistence of goodness and malevolence in the world, hoping that those who read his account would never come into contact with someone capable of such harmful baseless allegations as he has faced.
Dr. MacArthur: A Renowned Orthopedic Surgeon
Dr. MacArthur