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Phillip Seaton, Penis Amputation Patient, Loses Lawsuit Against Doctor

Phillip Sexton

First Posted: 08/24/11 03:24 PM ET Updated: 10/24/11 06:12 AM ET

SHELBYVILLE, Ky. (AP) -- A Kentucky truck driver who was wheeled into surgery for a simple circumcision but awoke without part of his penis lost his multimillion-dollar lawsuit Wednesday against the urologist who cut off a cancer-riddled section of the organ.

A six-man, six-woman jury deliberated briefly before saying it didn't agree with 64-year-old Phillip Seaton and his wife, Deborah, that Dr. John Patterson had failed to exercise proper care. Seaton also sued because he said he hadn't consented to the amputation.

The doctor said he decided to amputate less than an inch of the penis after he found potentially deadly cancer during surgery in 2007. The rest of the penis was taken off later by another doctor.

Patterson testified that when he cut the foreskin, the tip of the penis had the appearance of rotten cauliflower, indicating cancer. A pathologist later testified that tests confirmed the diagnosis.

"What I saw was not a penis. What I saw was cancer," Patterson had testified.

His attorney said during the three-day trial in Shelby County Circuit Court that the doctor saved Seaton's life with his decisive action.

Seaton's attorney countered that Patterson should have sewn up his patient and consulted with the couple about such a life-altering surgery and his options to treat the cancer.


"He was mutilated," attorney Kevin George said during closing arguments that took about as long as the jury deliberations. "His manhood was taken."

All jurors, including the forewoman, declined to comment as they filed out of the courthouse after the trial.

Seaton, a former truck driver from Waddy with a long, gray ponytail and gray beard, and his wife of 35 years had been seeking nearly $16 million in damages for "loss of service, love and affection." They declined to comment after the verdict.

George said he planned to appeal on grounds that a doctor is allowed to change a consent for surgery only if there is a danger of imminent death.

"There was no emergency, no reason to do it," George said of the amputation.

Seaton, who has limited reading skills, signed a consent form for the circumcision. The doctor's lawyer said that consent gave Patterson the latitude to deal with unforeseen circumstances during the surgery.

Patterson, who testified twice during the trial, said after the verdict, "I think we're feeling pretty good." He declined to say more about the highly publicized case, calling one reporter who tried to question him "a member of the tabloid press."

"We feel like justice was done," said the doctor's attorney, Clay Robinson.

He said the doctor never wavered in his belief he did nothing wrong, but added: "No doctor ever wins a malpractice action. It's just a matter of how much you lose by."

The key question of the case revolved around whether Patterson should have halted the surgery when he discovered the cancer, then consulted the Seatons before taking further action.

The jury saw graphic photos of Seaton's groin after the surgery.

Seaton suffers from sleep apnea and high blood pressure and received Social Security disability payments after arthritis and bad eyesight forced him to give up his job hauling sand to construction sites, according to court testimony. He never made it past the fifth grade in school, but can write his name and recognize small words, according to his attorney.

Seaton showed little reaction through most of the three days of testimony but said on the witness stand that he was a "bad case" emotionally after hearing the news of the partial amputation and had wanted to run from the hospital.

"I didn't have no say in it," Seaton said. "I wasn't told what had to be done. It was just done."

According to court testimony, Seaton had told his general practitioner during a routine examination that he was experiencing burning when he urinated and was prescribed a cream. When symptoms persisted, the doctor later referred Seaton to Patterson, who recommended a simple circumcision, according to court testimony.

Seaton had testified that he had not been told prior to the surgery that it would be anything but a circumcision, and had even joked with his doctor about the procedure.

The doctor's attorney said Patterson prevented the cancer from spreading, and called the claims of medical malpractice "nothing short of ridiculous."

"Mr. Seaton is here today with his family because that cancer was cured," he said in closing remarks.

George said the ruling could have broad ramifications for patients whisked into surgery.

"If this case stands, you go into a surgery ... whatever you consent for you may end up having something done to you even when there is no emergency," he said.

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SHELBYVILLE, Ky. (AP) -- A Kentucky truck driver who was wheeled into surgery for a simple circumcision but awoke without part of his penis lost his multimillion-dollar lawsuit Wednesday against the u...
SHELBYVILLE, Ky. (AP) -- A Kentucky truck driver who was wheeled into surgery for a simple circumcision but awoke without part of his penis lost his multimillion-dollar lawsuit Wednesday against the u...
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11:43 AM on 09/09/2011
If I get operated anywhere and the doctor sees a localized cancer, I am grateful if he/she cuts it out before it spreads. If it looks like "rotten cauliflower" then the cancer was bad.
Look at the pictures in this article: http://www.circinfo.net/cancer_of_the_penis.html
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one1byke
Easy no Man.
12:24 PM on 09/19/2011
Holy pain in the Balls, dude!

2 slices of bread a week max. NO sugar. NO milk. Little wheat and whey.
Plenty of Veggies. Little fruit. And, beware of dirty sex organs.
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Sandra Stipp
04:19 PM on 08/29/2011
Cancer vs. life. Gee, I wonder which one I would take.
roscoewpa
Dont Hate, Appreciate
02:39 AM on 08/29/2011
I dont know about his consent form but, I recently had surgery . On the consent form if there were other problems related to the surgery the surgeon has permission to correct them. Im sure his consent was similar. Seeing how it was pertaining to that organ and the Dr considered it life threating he took the best action in the patients interest. As his organ was removed even further it is apparent that it was aggresive and had spread. I cannot speak for what type of cancer he had I have personally seen cancer spread raipidly in the matter of weeks. As for bringing him out of surgery to tell him it could have adverse affects as he has preexsisting health problems. Futher if he signed the consent he already had the Drs permission. So before you sign a concent be sure to read and understand it. And if you refuse the terms of the concent the Dr can refuse the surgery. Which would mean you'll have to find another Dr who will agree to your terms of surgery.
05:43 PM on 08/30/2011
Good luck finding a doctor who doesn't have a standard form that allows him to do anything he wants to do, and then bill you for it, once you are knocked out.
roscoewpa
Dont Hate, Appreciate
09:09 PM on 08/30/2011
you got that right
07:37 PM on 08/28/2011
And if the doctor hadn't amputated the cancerous portion of his penis during the first surgery, he'd probably have been sued because he didn't. This case smacks of an unscrupulous lawyer talking an uneducated person into a lawsuit he likely would never have thought of on his own. If the lawsuit wins, the attorney gets a big payday. They lose the case, so the lawyer gets no money, but the plaintiff gets his life, justice is served!
10:04 AM on 08/27/2011
I usually stay awake for surgery whenever possible so as to advoid these types of situations. Believe me doctors do this all the time. But with the patient asleep the wife as next of kin should have been consulted to either make the decision to amputate or to wake up the husband and let him decide. They could have numbed the area with a local anesthesia or a saddle block like they give for child birth and woke him up to make the decision for himself without stopping the surgery. This is ridiculous
01:27 AM on 08/27/2011
Well he did'nt get a head in this case, look like the Dr's attorney cut to the point, no hung jury there, no skin off that Dr's back, maybe the victim & Dr will get to meat up again someday ok I'm done
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p c r
Compassionate and Conservative are polar opposites
03:41 PM on 08/26/2011
I went into surgery in 1992 to have an ovarian cyst removed. I woke in in much pain, and was informed that I had been subject to a complete hysterectomy. The uterus, ovaries and tubes were removed because of suspicious nodules. The pathology report said that they were cancerous.

I signed a permit allowing the cystectomy, but also allowing for the physician to do any other needed procedures at his discretion. This is a standard permit. All surgical permits ahve specific areas in which a patient can specify any action they refuse to have taken.

Had my physician not been competent and astute, I would have ended up with cancer mestastacized throughout my abdomen. As it was, I did not even need radiation or chemo, simply close follow up with a GYN Oncologist for seven years.

If the foreskin of the man had been able to be retracted, everyone would have seen the cancerous necrosis. It obviously couldn't be, leading to the need for the circumcision. The fact that the man allowed another physician to remove the rest of the penis at a later time indicates that removing the cancer was more important to the man than the penis.
05:46 PM on 08/30/2011
There is no evidence that people are more likely to be alive in ten years after a cancer diagnosis whether they get chemo , radiation or do nothing.
What type of cancer did you have ?
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p c r
Compassionate and Conservative are polar opposites
07:07 PM on 08/30/2011
An agressive enfometrial. You obviously do not have a medical background.
There are many types of cancers and tumors. Some spread slowly. Some are fiercely aggressive. Some respond to chemotherapy, some to radiation, some to both and some to removal.
There is scads of evidence in blind and double blind studies showing survival rates with different cancers and treatments. Cancer is not a single disease that is the same in every person.A melanoma is not an oat cell, for example.

The doctor saw a necrotic cancer. He removed it. If it had not have been removed, the man would have sued him for allowing the cancer to remain and spread and would have blamed that doctor when the rest of the penis had to be removed later-- as it was. General anesthesia is not without risks. Why wake someone up to tell them that you are going to remove the cancer they signed already for you to remove, and them put them under again?
11:43 AM on 08/26/2011
What about radiation? A burnt tool is better than no tool...
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p c r
Compassionate and Conservative are polar opposites
03:43 PM on 08/26/2011
External cancerous nodules do not respond to radiation. Radiation can stop the growth of tumors, and in some case shrink them, but coud not fix black external cancer nodules.
Have you ever heard of treating a melanoma or skin cancer, with radiation? No. They remove external cancers.
Read up on cancer.
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maxout22
07:35 AM on 08/26/2011
" Auld Lang Syne "
08:47 PM on 08/25/2011
Yeah, he probably should have waited for the patient to wake up so he could give consent before he did the surgery for the cancer. I mean, it sounds like the guy had no clue that he was about to lose part of his penis. Any man would want the opportunity to discuss options beforehand and not wake up with his penis already partially cut off.
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Brent Millar
When the going gets weird, the weird turn Pro
05:37 PM on 08/25/2011
But here's the part that stumps me: "A pathologist later testified that tests confirmed the diagnosis"
Um, so with just a best guess scenario, and without a second opinion or lab tests, he just goes ahead and amputates?

This guy has a long list for appeal, and I suspect he'll get it.
So, how did the first two doctors miss this obvious cancer?
This ain't over folks, not by a long shot...
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p c r
Compassionate and Conservative are polar opposites
12:34 AM on 08/26/2011
It is over. A jury ruled. The doctors did not see the head of his penis, in all probability, because the foreskin was adhered to it, which is why a circummcision was recommended. Whe you see tissue that looks like a black cauliflower, you remove it. Read an operative permit. It allows you to treat any unforeseen complications.
The fact that the rest of the penis had to be removed later shows how aggressive the cancer was. This doctor cir off an inch to save his life.
Had he been "using" his penis, the black cauliflower lesions would have been noted by the man or his wife. When my husband does not have an erection, I can't see the head of his penis. If the foreskin doesn't retract, you can't see it.
04:54 PM on 08/25/2011
"According to court testimony, Seaton had told his general practitioner during a routine examination that he was experiencing burning when he urinated and was prescribed a cream. When symptoms persisted, the doctor later referred Seaton to Patterson, who recommended a simple circumcision, according to court testimony."

Let's see.
Mr. Seaton went to his general practitioner.
Did doctor Nr.1 examine his hurting parts, did he see anything wrong? He gave him a cream.

Mr. Seaton was referred to Dr. Patterson.
Did doctor Nr.2 examine Seaton's organ, did he see anything wrong? He recommended a simple circumcision.

"What I saw was not a penis. What I saw was cancer", Patterson had testified.
What was Patterson looking at, during the first visit when he recommended a simple circumcision?
Did he not examine the patient again, before the operation?
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p c r
Compassionate and Conservative are polar opposites
12:35 AM on 08/26/2011
The circumcision was obviously because the foreskin would not retract. You can't see the head of the penis when the foreskin isn't retracted.
ramp613
My micro-bio is no longer empty.
10:36 AM on 08/26/2011
Related articles said the circumcision was because of inflamation that did not respond to antibiotic creme. Inflamation doesn't necessarily mean phimosis.

The doctor(s) did not adequately examine the patient.
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Blackorpheus
the decisive blows are always struck left-handed
03:02 PM on 08/25/2011
Shoot. What are you going to do with a penis in Kentucky anyway?
02:44 PM on 08/25/2011
What is a man this age having a circumcision for? Did I miss something in the story?
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cwebster
predominantly exasperated
02:55 PM on 08/25/2011
According to court testimony, Seaton had told his general practitioner during a routine examination that he was experiencing burning when he urinated and was prescribed a cream. When symptoms persisted, the doctor later referred Seaton to Patterson, who recommended a simple circumcision, according to court testimony.
02:44 PM on 08/25/2011
"Informed consent" is a legal requirement prior to any particular surgery or procedure. The consent he signed was not for "cancer" and not for "penis shortening," but rather, for circumcision. If he can appeal the ruling, he should. He should have had the choice as to how to treat any possible cancer...surgery is only one of the options.
05:52 PM on 08/30/2011
The problem with your conclusion is that most doctors will not do surgery without signed con sent to do anything they deem neccessary once they cut you open.Doctors should not be allowed to demand blanket consent.
11:17 PM on 08/30/2011
I do not think that a "blanket consent" exists. I believe that a consent must be "informed consent," meaning that the patient must be informed about the particular procedure and all possible risks, but in this man's case, he signed a consent for a circumcision, not for cancer, and therefore, he did not give "informed consent" for the procedures the doctor performed. I believe the court erred, and that this man's consent was not a "blanket" consent. I am a little familiar with medical malpractice, but the best person to discuss "informed consent" would be a currently practicing medical malpractice lawyer. Also, one problem the man may have had is finding a doctor willing to testify against another doctor--many avoid this.