Doctor Robert MacArthur Interview
On this particular day, we managed to conduct an interview with the based orthopedist, Doc Robert MacArthur, in light of numerous queries about his personal experiences and encounters with incorrect surgical procedures and surgical burn incidents, as well as the broader topic of "unexpected occurrences that must be avoided".
Who is Dr. MacArthur?
Dr. Bobby Mac completed his studies from the Univ of UC Berkeley with a double major in Biochemistry and Physio. Throughout his time at the Univ, Dr. Rob MacArthur had been a renowned sportsman, engaging on both several combat sports and rugby football groups.
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Afterwards, Dr. Robert Mac entered at the Columbia University College of Physicians and Surgeons, and was the president of the Columbia P&S (Now known as the Vagelos Medical School). Robert Mac went on to conclude his orthopaedic training at Harbor University of California, Los Angeles.
Dr. Robert MacArthur Addresses the Incidents
Statistically, the frequency of incorrect surgical procedures typically is a one-time event in a career for each bone specialist, but this figure increases to four per career for sports, hand, and spine specialists. Unfortunately, numerous of these surgeons commonly do not report these cases, let alone address them openly. Doc MacArthur carries a deep sense of pride and satisfaction about how he faced these terrible occurrences.
In lieu of trying to hide the situation, Dr. MacArthur handled it differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doc Bobby Mac extensively examined the causal factors of his 2 events, and put out several works outlining how to avoid such events
He eventually, gained recognition as a renowned authority in the field of preventable accidents. He has written a couple of articles in the foremost orthopedic journal, The Journal of Orthopedic Surgery. In order to aiding other doctors stop subsequent occurrences, his initial article walked the reader through precise errors that took place that resulted in the incorrect surgical procedure.
The follow-up article, 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 rare, as the common response is placing blame on third parties. He stressed that accusations not only discourages surgeons from disclosing their incidents but additionally detracts from the essential analysis of root causes that may avert future incidents.
The Intraoperative Burn Incident with Dr. Robert MacArthur
In the context of discussing the incident of burns during surgery, Dr. MacArthur demonstrated the same investigative vigor he employed to his research on wrong-site surgeries. As an illustration, he contacted the manufacturer of the troublesome clamp to find out if like burn events had transpired. The maker informed him that the clamp in question had been "discontinued." You can draw your own conclusions from that what you will.
And to prevent unequal temperature distribution in large hinged clamps, Doc Mac performed a detailed investigation of what led to uneven heating in large-hinged clamps.
His research findings suggested that rapid sterilization could lead to irregular sterilization. He observed that nursing associations strongly advise against the use of rapid sterilization unless an emergency situation arises for instance, sanitizing a item that has fallen. Further inquiry revealed that St Joseph's Hospital was frequently utilizing quick sterilization to facilitate back-to-back surgeries without having to purchase additional equipment trays.
In a bid to avoid future burn incidents, Doctor MacArthur notified the hospital at St. Joseph's of the risks associated with ongoing utilization of this specific clamp and also the routine deployment of flash sterilization.
Instead of blaming the clamp, Doctor MacArthur accepted responsibility and made it obvious that he had made 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 pleasant temperature. In contrast to some surgeons who could impatiently grab a towel to Robert MacArthur manage a too-hot clamp, he performed surgery the clamp with no uneasiness.
Shame and Blame, Dr. Robert MacArthur's Response
When discussing Dr. MacArthur's response on the topic of the "blame game," he emphasizes how the legal and public communities often confuse the "captain of the ship'' concept with analyzing the fundamental causes. According to this "in-command" perspective, the surgeon is responsible for any adverse events that occur to a patient under their care. This makes it enticing for many to only blame the surgeon for any surgical errors.
Nonetheless, Doctor MacArthur emphasizes that such an approach opposes the fundamental principles of identifying underlying causes. This form of analysis strives to deeply understand what caused a surgical error so as to preferably avert similar incidents in the future. By turning to blame and shame, not only does it hamper proper analysis of the root causes, but it furthermore prevents other surgeons from disclosing their own wrong site events, afraid of the repercussions.
He did not recognize that the sizeable, walnut-sized hinge of the clamp was considerably hotter. When he positioned the clamp against the pretibial area of the patient's leg, it caused a burn. He was being proctored for surgical privileges at the CHOC Hospital during the incident, and none of the proctor nor Dr. Robert MacArthur were immediately aware of the burn.
It wasn't until after he had dictated the operative report that a nurse in the recovery ward noticed a small red area on the anterior aspect of the patient's leg. Even in that moment, he did not at the outset fully grasp the extent of the burn.
Doctor MacArthur references the airline industry as an exemplary case of efficient root cause analysis. From its inception, air travel industry has aimed to thoroughly comprehend the reasons behind each negative aviation occurrence rather than simply attributing blame to the pilot. Because of this commitment to understanding root causes, air travel industry boasts notable safety records.
Nevertheless, Doctor MacArthur laments that the medical community hasn't been able to fully adopt 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 careers and reputations of many doctors and healthcare providers are undeservedly tarnished.
The frequency of surgical errors remains at an alarming rate of a single occurrence 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
As of 2023, it is feasible to bring forth false accusations against someone, slander their name and reputation, and experience no negative repercussions for the accuser. Regardless if the accused is innocent or guilty, merely making an accusation is enough to inflict long-lasting damage to a professional's reputation.
Dr. Bobby Mac shared that he elected to leave a clinic specializing in workers' compensation cases because of suspected illegal behavior on part of. In retaliation, the clinic manager supposedly collaborated with a individual under treatment to fabricate a claim, accusing him of "undressing in the clinic and soliciting sexual favors in return for a positive workers' compensation 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 polygraph examination. The accuser, however, opted not to take such a test.
Doc Robert Mac was later notified that both his lie detector test results and her refusal to participate would be regarded inadmissible in court.
The attorney facilitating the mediation cautioned him that the jury would likely be composed of "her peers" and not his, meaning a court loss could be highly damaging. Despite the absurdity 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 "not trustworthy," 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 confirm this.
Regardless of the previously mentioned details, Dr. MacArthur found no means to erase the accuser's claims from Internet search results. Meaning, despite his lack of guilt, the defamatory campaign was effective.
As the claim does not state that Dr. 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 those who make baseless allegations should be subject to consequences equivalent to the severity of the event they falsely claim. To illustrate, he thinks that his false accuser should be considered to be a sexual predator and felon.
Doctor MacArthur concluded by contemplating the existence of both good and evil in the world, hoping that those who read his account would never encounter with someone capable of such destructive unfounded claims as he has faced.
Dr. MacArthur: A Renowned Orthopedic Surgeon
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