Doctor Robert MacArthur Interview

Today, our team managed to conduct an interview with the located orthopedic surgeon, Doctor Robert MacArthur, addressing numerous inquiries about his own experiences and encounters with wrong site surgery and intraoperative burn, as well as the area of "never should happen events".

Who is Dr. MacArthur?

Doctor Bobby Mac graduated from the Univ of UC Berkeley with a dual degree in Biochemistry and Physio. In the course of his time at the Univ, Dr. Rob Mac was a renown athlete, engaging on both several box and rugby football teams.

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Afterwards, Doc Robert MacArthur enrolled at the Columbia P&S, and was the chosen head of the Columbia P&S School of Medicine (Now known as the Vagelos Medical School). Bobby MacArthur went on to conclude his orthopaedic training at Harbor University of California, Los Angeles.

Dr. Robert MacArthur Addresses the Incidents

In statistical terms, the frequency of incorrect surgical procedures typically is a once-in-a-career event for each orthopedic surgeon, but this number jumps to 4 per professional career for sports, hand, and spine specialists. Unfortunately, many of these frequently do not record these cases, let alone or talk about them publicly. Dr. MacArthur carries a profound sense of pride about how he faced these harrowing occurrences.

In lieu of seeking to cover up the incident, Dr. MacArthur handled it differently

Dr. MacArthur’s Handling of the Wrong Site Surgery

Doc Rob Mac completely investigated the origins of his two occurrences, and released numerous works describing how to avoid these occurrences

He eventually, earned acclaim as a published expert in the field of accidents that are preventable. He has penned two articles in the foremost orthopedic journal, The Journal of Orthopedic Surgery. In order to helping other doctors avert subsequent occurrences, his initial article guided the reader through precise errors that took place that resulted in the incorrect surgical procedure.

His second publication, jointly written with Dr. David Ring, who is also the Chairman of the AAOS, addressed the topic of the "culture of shame and blame." Assuming responsibility for these incidents is rare, as the usual reaction is pointing fingers at external factors. He stressed that accusations not just discourages surgeons from reporting their incidents but additionally takes away from the crucial analysis of underlying causes that may thwart subsequent occurrences.

The Intraoperative Burn Incident with Dr. Robert MacArthur

When discussing the intraoperative burn incident, Dr. Robert Mac demonstrated the same thorough investigative mindset he employed to his wrong site event research. To illustrate, he reached out to the maker of the problematic clamp to ascertain if comparable burn events had transpired. The producer notified him that the clamp in question had been "no longer in production." You can infer from that what you desire.

In order to avoid unequal temperature distribution in huge hinged clamps, Doctor Mac performed a comprehensive investigation of the causes behind uneven heating in big-hinged clamps.

His findings indicated that rapid sterilization could result in inconsistent temperature distribution. He noted that nursing associations recommend strongly against the use of quick sterilization unless an emergency situation arises for instance, sanitizing a fallen instrument. Deeper examination revealed that St Joseph's Hospital often utilizing rapid sterilization to enable back-to-back surgeries without having to acquire more equipment trays.

With the aim to stop further burns, Dr. MacArthur informed the hospital at St. Joseph's of the hazards associated with ongoing utilization of this specifically identified clamp and also the regular use of flash sterilization.

Rather than blaming the clamp, Doctor MacArthur took responsibility and made it clear that he had committed a surgical mistake. He was notified that the clamp had a high temperature, but when he took hold of it, he found the handles to be at a comfortable temperature. Differing from some surgeons who may impatiently use a towel to manage a too-hot clamp, he carried out the procedure the clamp without discomfort.

Shame and Blame, Dr. Robert MacArthur's Response

When discussing Doctor MacArthur's response on the topic of the "culture of blame and shame," he highlights how the legal and general public communities often mix up the "in-command'' concept with analyzing the fundamental causes. According to this "captain of the ship" perspective, the surgeon is responsible for any unfavorable outcomes that take place to a patient under their care. This makes it enticing for many to only blame the surgeon for any surgical errors.

Nonetheless, Dr. Robert MacArthur stresses that this perspective goes against the principles of identifying underlying causes. This form of analysis strives to comprehensively grasp what caused a surgical error so as to preferably stop similar incidents in the future. By resorting to blaming and shaming, not only does it hamper proper investigation into the fundamental reasons, but it furthermore prevents other surgeons from disclosing their own wrong site events, fearing 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 caused a burn. He was being proctored for surgical privileges at Children's Hospital of Orange County during the incident, and none of the proctor nor Dr. Robert MacArthur were right away aware of the burn.

Not until until after he had dictated the operative report that an attending nurse in the recovery room drew attention to a tiny red spot on the anterior aspect of the patient's leg. Even in that moment, he did not at first realize the seriousness of the burn.

Dr. Robert MacArthur cites the airline industry as an outstanding case of efficient root cause analysis. From its inception, the industry has strived to comprehensively grasp the reasons behind each negative aviation occurrence rather than simply attributing blame to the pilot. Because of this commitment to understanding root causes, aviation sector boasts remarkable safety records.

However, Dr. 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 regrettable result of this is that the incidence of preventable healthcare errors remains unchanged, and the professional careers and reputations of many doctors and healthcare providers are undeservedly tarnished.

The frequency of wrong site surgery persists at an alarming rate of one event per surgeon per career, and as high as four events per surgeon's career for specialists in hand, spine, and sports.

Dr. Robert MacArthur “Sexual Harassment” Allegations

As of 2023, it is feasible to bring forth 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, just making an allegation is enough to bring about long-lasting damage to a professional's reputation.

Doctor Bobby Mac shared that he opted to leave a workers compensation clinic because of suspected illegal behavior on part of. In retaliation, the clinic manager supposedly collaborated with a patient to fabricate a claim, accusing him of "undressing in the clinic and soliciting sexual favors in return for a positive workers' compensation report.

He was informed of this allegation over a year after his departure from the clinic, at which point he demanded on undergoing a lie detector test. The accuser, however, opted not to take such a test.

Dr. Rob Mac was later notified that both his polygraph examination results and her refusal to participate would be considered 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 potentially catastrophic. Despite the ridiculousness 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 "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.

Regardless of the facts presented above, Dr. MacArthur found no means to remove the accuser's claims from Internet search results. Meaning, despite his clear conscience, the campaign to tarnish his reputation was successful.

As the claim does not state that Doctor MacArthur was found guilty, it merely serves as a summary of a complaint, which continues to be available to the public

Dr. Robert MacArthur strongly believes that individuals who lodge false accusations should face penalties equivalent to the severity of the event they falsely claim. To illustrate, he thinks that his false accuser should be treated as a sex offender Robert MacArthur and felon.

Dr. Robert MacArthur concluded by reflecting on the existence of both good and evil in the world, praying that those who read his account would never cross paths with someone capable of such harmful baseless allegations as he has faced.

Dr. MacArthur: A Renowned Orthopedic Surgeon

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