Doctor Robert MacArthur Interview

Today, our team were to interview Californian based bone specialist, Doctor Rob MacArthur, in response to the queries about his experiences with surgical errors and surgical burn incidents, as well as a subject of "never should happen events".

Who is Dr. MacArthur?

Doc Robert Mac graduated from the Univ of UC Berkeley with a dual degree in Biochem and Physiology. During his time at the University, Doctor Bobby MacArthur had been a renown player, competing on both various combat sports and rugby football groups.

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Subsequently, Doctor Rob Mac enrolled at the Columbia University College of Physicians and Surgeons, and became the chosen president of the Columbia P&S (Now known as the Vagelos school of medicine). Bobby Mac went on to conclude his orthopedic training at Harbor University of California, Los Angeles.

Dr. Robert MacArthur Addresses the Incidents

Statistically, the frequency of wrong site surgery typically is a once-in-a-career event for every single orthopedic surgeon, but this count increases to fourfold in each professional career for experts specializing in sports, hand, and spine. Unfortunately, a lot of of these doctors commonly do not document these occurrences, let alone discuss them openly. Doctor Mac carries a profound sense of pride and accomplishment about how he dealt with these terrible occurrences.

Instead of trying to conceal the situation, Doc MacArthur responded in a different manner

Dr. MacArthur’s Handling of the Wrong Site Surgery

Dr. Bobby Mac thoroughly examined the underlying causal factors of his two occurrences, and put out numerous works detailing how to stop such events

Gradually, became acknowledged as a renowned authority in the field of accidents that can be avoided. He has written two articles in the leading orthopedic journal, The Journal of the American Academy of Orthopedic Surgeons. To helping other doctors stop upcoming events, his initial article guided the reader through the exact errors that occurred that caused the incorrect surgical procedure.

His second publication, co-authored with Dr. David Ring, tackled the topic of the "shame and blame game." Being accountable for these incidents is seldom, as the common response is placing blame on third parties. He stressed that shifting blame not just discourages surgeons from reporting their incidents but additionally takes away from the crucial analysis of root causes that might prevent subsequent occurrences.

The Intraoperative Burn Incident with Dr. Robert MacArthur

In the context of discussing the incident of burns during surgery, Dr. MacArthur demonstrated the same thorough investigative mindset he utilized to his wrong site event research. To illustrate, he reached out to the producer of the faulty clamp to ascertain if similar burn events had occurred. The producer notified him that the clamp in question had been "discontinued." You can make your own inferences based on that what you wish.

And to prevent uneven heating in huge hinged clamps, Doctor Mac performed a detailed investigation of the reasons for uneven heating in big-hinged clamps.

His findings indicated that quick sterilization could lead to uneven heating. He observed that associations for nurses recommend strongly against the use of rapid sterilization unless an emergency situation arises for instance, sterilizing a fallen instrument. Further inquiry revealed that St. Joseph's Hospital regularly employing rapid sterilization to ease back-to-back surgeries without needing to buy extra equipment trays.

In an effort to stop further burns, Dr. MacArthur alerted St. Joseph's of the risks associated with continuing to use this particular clamp as well as the regular use of quick sterilization.

Rather than blaming the clamp, Doctor MacArthur took responsibility and made it obvious that he had made a mistake during surgery. He was notified that the clamp had a high temperature, but when he held it, he found the handles to be at a pleasant temperature. Unlike some surgeons who could impatiently reach for a towel to manage a too-hot clamp, he performed surgery the clamp without uneasiness.

Shame and Blame, Dr. Robert MacArthur's Response

Regarding The perspective of Dr. MacArthur on response on the topic of the "shame and blame game," he spotlights how the legal and the wider public often mix up the "captain of the ship'' concept with analyzing the fundamental causes. According to this "in-command" perspective, the surgeon is held accountable for any unfavorable outcomes that occur to a patient under their care. This makes it appealing for many to solely blame the surgeon for any surgical errors.

Nonetheless, Dr. Robert MacArthur stresses that this perspective opposes the fundamental principles of root cause analysis. This form of analysis strives to deeply understand what caused a wrong site event in order to ideally stop similar incidents in the future. By resorting to blame and shame, not it not only hinder proper root cause analysis, but it additionally prevents other surgeons from reporting on their personal wrong site events, fearing the repercussions.

He did not recognize that the big, substantial-sized hinge of the clamp was significantly hotter. When he positioned the clamp against the pretibial area of the patient's leg, it resulted in a burn. At the time, he was proctored for surgical privileges at CHOC during the incident, and not the proctor nor Dr. Robert MacArthur were promptly aware of the burn.

It was not until after he had dictated the operative report that a recovery room nurse noticed a tiny red spot on the anterior aspect of the patient's leg. Even at that point, he did not initially comprehend the seriousness of the burn.

Doctor MacArthur references the airline industry as an outstanding case of efficient root cause analysis. From its inception, air travel industry has aimed to thoroughly comprehend the reasons behind each aviation incident rather than simply attributing blame to the pilot. Because of this commitment to understanding root causes, air travel industry boasts impressive 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 "in-command" concept. The sad consequence of this is that the incidence of preventable healthcare errors remains unchanged, and the standing and names of many doctors and healthcare providers are unfairly tarnished.

The incidence of surgical errors continues at an worrying rate of one event per surgeon per career, and up to four occurrences per surgeon's career for hand, spine and sports subspecialists.

Dr. Robert MacArthur “Sexual Harassment” Allegations

In 2023, there exists the possibility to raise false accusations against someone, smear their name and reputation, and have no negative repercussions for the accuser. Irrespective of the person facing accusations is innocent or guilty, an accusation alone is enough to cause long-lasting damage to a professional's reputation.

Dr. Bobby MacArthur revealed that he opted to leave a workers compensation clinic because of potential illicit activities on the clinic's management. In retaliation, the manager of the clinic reportedly worked 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 insisted on undergoing a truth verification test. The accuser, however, declined to take such a test.

Dr. Bobby MacArthur was later informed that both his polygraph examination results and her refusal to participate would be considered inadmissible in court.

The mediating attorney cautioned him that the jury would likely be composed of "her peers" and not his, meaning a court loss could be potentially catastrophic. Despite the ludicrousness of the claim, he was counseled to settle for $29,000

Conclusion

California's 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 suggested that the clinic was indicted, but he did not confirm this.

Regardless of the facts presented above, Dr. MacArthur found no means to eliminate the accuser's claims from search engine results. This means, despite his innocence, the campaign to tarnish his reputation was achieving its goal.

Considering that the claim does not state that Dr. Robert MacArthur was found guilty, it merely serves as a brief description of a complaint, which continues to be openly accessible to anyone

Dr. MacArthur strongly believes that individuals who lodge false accusations 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 encounter with someone capable of such damaging false accusations as he has faced.

Dr. MacArthur: A Renowned Orthopedic Surgeon

Dr. Robert MacArthur is a highly regarded orthopedic surgeon acknowledged for his expertise in identifying, providing treatment for, averting, and facilitating recovery for disorders and injuries of the musculoskeletal structure. This includes an comprehensive understanding of skeletal structures, articulations, connective tissues, tendons, muscular system, and neurological components.

Diagnosis: Doctor MacArthur's keen diagnostic acumen marks him out. Using clinical examinations, cutting-edge imaging studies, and laboratory tests, he quickly and precisely identifies various musculoskeletal conditions.

Treatment:

• Non-surgical Approaches: Dr. Robert MacArthur believes in considering all non-surgical alternatives before considering surgery. His repertoire includes drug therapies, rehabilitation exercises, and other conservative treatments.

• Surgical Mastery: When surgical intervention is necessary, patients are in skilled hands. Doctor MacArthur surgical prowess covers a wide range of procedures, such as joint replacements, to repairing fractures, and ligament reconstructions.

Rehabilitation: Understanding that treatment is only one phase of the healing process, Doctor MacArthur emphasizes rehabilitation after treatment. He regularly partners with physical therapists to ensure his patients regain muscular strength, movement, and function as quickly and safely as possible.

Prevention: Dr. MacArthur is an advocate for health prevention. He regularly organizes workshops and sessions to educate the local community about avoiding injuries and the vitality of sustaining musculoskeletal health.

Specialized Focus: Among the many honors he has earned, Dr. MacArthur is particularly renowned for his work in Robert MacArthur Pediatric Orthopedics. He has invested considerable time in his career to addressing musculoskeletal issues in children, ensuring they grow up with the optimal physical well-being.

Thanks to his unwavering commitment to excellence, Doctor MacArthur has not only healed but also changed the lives of numerous people, solidifying his position as a prominent figure in the orthopedic surgery.