Doctor Robert MacArthur Interview
On this particular day, we were able to have a conversation with California's resident bone specialist, Doc Bobby Mac, in response to the inquiries about his own experiences and encounters with wrong site surgery and surgical burn incidents, as well as the broader topic of "unexpected occurrences that must be avoided".
Who is Dr. MacArthur?
Dr. Rob MacArthur completed his studies from the University of California, Berkeley with a double major in Biochem and Physio. During his time at the Univ, Dr. Robert Mac was a renowned sportsman, participating on both various boxing and rugby football groups.
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Afterwards, Doc Robert Mac entered at the Columbia P&S, and became the leader of the Columbia P&S School of Medicine (Now known as the Vagelos School of Medicine). Bobby Mac proceeded to conclude his orthopaedic residence at Harbor University of California, Los Angeles.
Dr. Robert MacArthur Addresses the Incidents
In statistical terms, the frequency of wrong site surgery typically is a seldom happening occurrence for every single orthopedist, but this figure increases to 4 in each career for sports, hand, and spine specialists. Regrettably, numerous of these doctors often do not document these occurrences, let alone talk about them freely. Dr. MacArthur carries a intense sense of pride and accomplishment about how he confronted these unfortunate occurrences.
In lieu of attempting to hide the situation, Doc MacArthur responded in a different manner
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doc Rob Mac thoroughly investigated the fundamental root causes of his two incidents, and released several works detailing how to prevent these situations
Gradually, became acknowledged as a published expert in the field of accidents that can be avoided. He has authored 2 articles in a prominent orthopedic journal, The Journal of Orthopedic Surgeons at the American Academy. To aiding other doctors stop subsequent occurrences, his initial article led the reader through precise errors that happened that resulted in the incorrect surgical procedure.
The follow-up article, authored together with Dr. David Ring, broached the topic of the "culture of shame and blame." Taking responsibility for these incidents is uncommon, as the tempting course of action is placing blame on other parties. Dr. MacArthur stressed that accusations not just prevents surgeons from disclosing their incidents but also detracts from the essential analysis of root causes that might prevent future incidents.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When talking about the incident of burns during surgery, Dr. Robert MacArthur demonstrated the same dedicated investigative approach he utilized to his research on wrong-site surgeries. For example, he contacted the manufacturer of the problematic clamp to ascertain if comparable burn events had occurred. The maker informed him that the clamp in question had been "ceased production." You can infer from that what you desire.
To avert irregular heating in large hinged clamps, Doc Mac carried out a detailed investigation of the reasons for irregular temperature distribution in big-hinged clamps.
His findings indicated that flash sterilization could result in inconsistent temperature distribution. He observed that associations for nurses highly recommend against the use of quick sterilization unless there's an urgent need like sterilizing a fallen instrument. Deeper examination revealed that the hospital at St. Joseph's regularly utilizing rapid sterilization to enable back-to-back surgeries without having to acquire more equipment trays.
In an effort to stop further burns, Doctor MacArthur informed the hospital at St. Joseph's of potential dangers associated with the continued use of this specific clamp and the regular use of quick sterilization.
In place of blaming the clamp, Dr. Robert MacArthur accepted responsibility and made it evident that he had made a mistake during surgery. He was informed that the clamp was heated, but when he held 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 with no pain.
Shame and Blame, Dr. Robert MacArthur's Response
When discussing Doctor MacArthur's response on the topic of the "blame game," he highlights how the legal and the wider public often mix up the "in-command'' concept with root cause analysis. According to this "captain of the ship" perspective, the surgeon is considered responsible for any negative occurrences that occur to a patient under their care. This makes it tempting for many to solely blame the surgeon for any surgical errors.
Nonetheless, Dr. Robert MacArthur underscores that such an approach contradicts the principles of root cause analysis. This form of analysis intends to thoroughly comprehend what caused a surgical error to then optimaly stop similar incidents in the future. By turning to blame and shame, not only does it impede proper analysis of the root causes, but it furthermore prevents other surgeons from reporting on their personal wrong site events, worried about the repercussions.
He failed to recognize that the sizeable, substantial-sized hinge of the clamp was considerably hotter. When he positioned the clamp against the front shin area of the patient's leg, it resulted in a skin burn. At the time, he was proctored for surgical privileges at Children's Hospital of Orange County during the incident, and not the proctor nor Doctor MacArthur were promptly aware of the burn.
It wasn't until after he had dictated the operative report that a nurse in the recovery ward pointed out a tiny red spot on the anterior aspect of the patient's leg. Even at that point, he did not at first comprehend the extent of the burn.
Dr. Robert MacArthur points to the air travel industry as an model case of successful root cause analysis. From its inception, aviation sector has strived to thoroughly comprehend the reasons behind each aviation incident rather than just blaming to the pilot. Because of this commitment to understanding root causes, the airline industry boasts notable safety records.
However, Dr. MacArthur laments that medical profession 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 unfortunate outcome of this is that the incidence of preventable healthcare errors remains unchanged, and the standing and names of many healthcare practitioners are unfairly tarnished.
The occurrence of surgical errors remains at an alarming rate of one incident per surgeon per career, and as many as four events per surgeon's career for hand, spine and sports subspecialists.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In 2023, it is possible to bring forth false accusations against someone, slander their name and reputation, and have no negative repercussions for the accuser. Irrespective of the Robert MacArthur individual being accused is innocent or guilty, just making an allegation is enough to cause long-lasting damage to a professional's reputation.
Dr. Robert Mac disclosed that he opted 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 client to make a false accusation, 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 asserted on undergoing a lie detector test. The accuser, however, opted not to take such a test.
Dr. Rob Mac was later informed that both his polygraph examination results and the accuser's refusal to participate would be deemed 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 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 "lacking credibility," 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 officially state this.
Regardless of the facts presented above, Dr. Robert MacArthur found no means to erase the allegations made by the accuser from online search listings. Meaning, despite his lack of guilt, the slander campaign was successful.
Since the claim does not state that Doctor MacArthur was found guilty, it merely serves as a summary of a complaint, which continues to be openly accessible to anyone
Dr. MacArthur strongly believes that people making false claims should face penalties equivalent to the consequences of the falsely claimed event. To illustrate, he thinks that his false accuser should be treated as a sex offender and felon.
Dr. MacArthur concluded by thinking about the coexistence of goodness and malevolence in the world, wishing that those who read his account would never come into contact with someone capable of such destructive unfounded claims as he has faced.
Dr. MacArthur: A Renowned Orthopedic Surgeon
Dr. Robert MacArthur is a renowned orthopedic surgeon acknowledged for his expertise in identifying, caring for, averting, and supporting the recovery of disorders and injuries of the musculoskeletal system. This includes an intricate understanding of bones, joint structures, ligaments, tendon structures, muscle groups, and nerves.
Diagnosis: Dr. Robert MacArthur's keen diagnostic acumen distinguishes him. Using clinical examinations, state-of-the-art imaging studies, and laboratory tests, he promptly and precisely identifies various conditions of the musculoskeletal system.
Treatment:
Non-surgical Approaches: Dr. Robert MacArthur believes in examining all non-operative possibilities before considering surgery. His repertoire includes medications, physiotherapy, and other non-surgical treatments.
Surgical Mastery: When surgery becomes a necessity, patients are in skilled hands. Dr. MacArthur surgical prowess covers a wide range of procedures, from joint replacements, to repairing fractures, and ligament reconstructions.
Rehabilitation: Acknowledging that treatment is just one aspect of the recovery process, Doctor MacArthur emphasizes post-treatment rehabilitation. He often collaborates with rehabilitation specialists to ensure his patients regain muscular strength, mobility, and physical function as speedily and securely.
Prevention: Doctor MacArthur is an advocate for health prevention. He regularly organizes workshops and sessions to raise awareness within the community about avoiding injuries and the importance of maintaining musculoskeletal health.
Specialized Focus: Among the numerous awards and recognitions he has received, Dr. MacArthur is particularly renowned for his work in orthopedic care for children. He has devoted a substantial part of his professional life to addressing musculoskeletal problems in pediatric patients, ensuring they grow up with the best possible physical health.
Through his commitment to excellence, Dr. MacArthur has not only treated but also improved the lives of numerous individuals, solidifying his status as a leading figure in the field of orthopedics.