Doctor Robert MacArthur Interview
Today, our group managed to conduct an interview with the located bone specialist, Doctor Rob Mac, in light of various inquiries about his personal experiences with incorrect surgical procedures and burns during surgery, as well as the broader area of "events that should never occur".
Who is Dr. MacArthur?
Doctor Robert Mac graduated from the University of UC Berkeley with a dual degree in Biochem and Physiology. During his time at the Univ, Dr. Rob MacArthur was a renown sportsman, competing on both the boxing and Rugby squads.
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Afterwards, Doc Rob MacArthur registered at the Columbia P&S, and was the chosen leader of the Columbia University College of Physicians and Surgeons (Now known as the Vagelos Medical School). Robert Mac went on to conclude his orthopaedic training at Harbor-UCLA Medical Center.
Dr. Robert MacArthur Addresses the Incidents
In statistical terms, the frequency of incorrect surgical procedures typically is a seldom happening occurrence for each orthopedic surgeon, but this number surges to fourfold per career for specialists in sports, hand surgery, and spine procedures. Unfortunately, many of these doctors often do not report these cases, let alone, not address them openly. Doctor Mac carries a deep sense of pride about how he dealt with these unfortunate occurrences.
Rather than trying to cover up the incident, Doc MacArthur responded in a different manner
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doctor Rob Mac extensively looked into the underlying causal factors of his 2 incidents, and released numerous works describing how to prevent these situations
Gradually, earned acclaim as a recognized specialist in the field of accidents that can be avoided. He's authored 2 articles in the leading orthopedic journal, The Journal of the American Academy of Orthopedic Surgeons. With the aim of assisting other doctors prevent subsequent occurrences, his initial article led the reader through precise errors that took place that led to the wrong site event.
The second paper, authored together with Dr. David Ring, addressed the topic of the "culture of shame and blame." Taking responsibility for these incidents is rare, as the common response is placing blame on other parties. Dr. MacArthur stressed that pointing fingers not just deters surgeons from making reports their incidents but furthermore detracts from the essential analysis of underlying causes that may prevent future incidents.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When discussing the incident of burns during surgery, Dr. Robert Mac demonstrated the same investigative vigor he employed to his research on wrong-site surgeries. As an illustration, he contacted the producer of the troublesome clamp to find out if similar burn events had transpired. The producer informed him that the clamp in question had been "discontinued." You can Dr. Robert MacArthur infer from that what you wish.
And to prevent irregular heating in large hinged clamps, Dr. Mac conducted a detailed investigation of the causes behind inconsistent heating in oversized clamps.
His research findings suggested that rapid sterilization could cause irregular sterilization. He noted that nursing organizations highly recommend against the use of quick sterilization unless an emergency situation arises such as sanitizing a item that has fallen. Further inquiry revealed that St. Joseph's Hospital often employing flash sterilization to enable back-to-back surgeries without needing to purchase additional equipment trays.
In a bid to prevent future burns, Dr. MacArthur notified St Joseph's of potential dangers associated with the continued use of this specific clamp and also the routine deployment of rapid sterilization.
Rather than blaming the clamp, Dr. MacArthur assumed accountability and made it evident that he was responsible for a surgical error. He was notified that the clamp was heated, but when he held it, he found the handles to be at a tolerable temperature. In contrast to some surgeons who might impatiently use a towel to grip a too-hot clamp, he performed surgery the clamp without any pain.
Shame and Blame, Dr. Robert MacArthur's Response
When discussing Doctor MacArthur's response on the topic of the "blame game," he emphasizes how the legal and general public communities often confuse the "in-command'' concept with analyzing the fundamental causes. According to this "captain of the ship" perspective, the surgeon is held accountable for any negative occurrences that happen to a patient under their care. This makes it enticing for many to only blame the surgeon for any surgical errors.
However, Dr. Robert MacArthur emphasizes that this method contradicts the principles of root cause analysis. This form of analysis aims to comprehensively grasp what caused a incorrect surgical procedure so as to ideally avert similar incidents in the future. By resorting to blaming and shaming, not it not only impede proper investigation into the fundamental reasons, but it additionally discourages other surgeons from disclosing their personal wrong site events, afraid of the repercussions.
He did not recognize that the large, walnut-sized hinge of the clamp was noticeably hotter. When he positioned the clamp against the pretibial area of the patient's leg, it triggered a burn injury. He was being proctored for procedural privileges at Children's Hospital of Orange County during the incident, and none of the proctor nor Dr. MacArthur were right away aware of the burn.
Not until only after he had dictated the operative report that an attending nurse in the recovery room noticed a tiny red spot on the anterior aspect of the patient's leg. Even at that point, he did not initially fully grasp the severity of the burn.
Doctor MacArthur references the aviation sector as an exemplary case of successful root cause analysis. From its inception, the industry has aimed to deeply understand the reasons behind each negative aviation occurrence rather than simply attributing blame to the pilot. Because of this focus on understanding root causes, air travel industry boasts remarkable safety records.
Nevertheless, Dr. MacArthur laments that the medical community 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 sad consequence of this is that the frequency of avoidable medical mistakes remains unchanged, and the standing and names of many healthcare practitioners are unfairly tarnished.
The occurrence of surgical errors persists at an disturbing rate of a single occurrence per surgeon per career, and up to four events per surgeon's career for hand, spine and sports subspecialists.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In 2023, it is possible to raise false accusations against someone, defame their name and reputation, and face no negative repercussions for the accuser. Irrespective of the person facing accusations is innocent or guilty, just making an allegation is enough to inflict long-lasting damage to a professional's reputation.
Doc Bobby Mac revealed that he opted to leave a workers compensation clinic because of possible unlawful practices on part of. In retaliation, the manager of the clinic supposedly collaborated with a patient 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 was informed of this claim 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.
Doctor Rob Mac was later advised that both his lie detector test results and the accuser's refusal to participate would be considered 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 Medical Board of California 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 suggested that the clinic was indicted, but he did not verify this.
Despite the previously mentioned details, Dr. Robert MacArthur found no means to remove the accuser's claims from Internet search results. Meaning, despite his innocence, the campaign to tarnish his reputation was successful.
Since 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 available to the public
Dr. Robert MacArthur strongly believes that those who make baseless allegations should receive punishments equivalent to the severity of the event they falsely claim. To illustrate, he thinks that his false accuser should be classified as a predator of a sexual nature and felon.
Dr. Robert MacArthur concluded by thinking about the coexistence of goodness and malevolence in the world, hoping that those who read his account would never cross paths with someone capable of such destructive unfounded claims as he has faced.
Dr. MacArthur: A Renowned Orthopedic Surgeon
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