Ike J. WHITE III v. David A. BEEKS, M.D
469 S.W.3d 517
| Tenn. | 2015Background
- Plaintiff Ike J. White III (age 19) underwent posterior lumbar fusion in May 2006 performed by Dr. David A. Beeks using the bone‑graft product InFuse; postoperative ectopic bone growth and recurrent radicular pain followed.
- White sued for lack of informed consent, alleging Beeks failed to disclose his intent to use InFuse, how it would be used, and risks associated with its use.
- Plaintiff's expert (Dr. Melvin Law) in pretrial deposition identified multiple InFuse risks (ectopic bone growth, cystic lesions, postoperative radiculitis, fluid collection); at trial the court limited Dr. Law to testifying only about risks that allegedly materialized and caused White injury (ectopic bone growth and inflammatory reactions).
- Beeks and his expert (Dr. Christopher Kauffman) testified Beeks adequately disclosed relevant risks and disputed causation between InFuse and White's neurological symptoms.
- A jury returned a defense verdict. The Court of Appeals affirmed by a divided panel; the Tennessee Supreme Court granted review to decide admissibility of expert testimony about undisclosed, non‑materialized risks and whether exclusion was reversible error.
- The Tennessee Supreme Court held the trial court erred in excluding testimony about undisclosed risks that did not materialize and that the error, more probably than not, affected the verdict; remanded for a new trial on informed consent.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the trial court properly excluded expert testimony about undisclosed risks that did not materialize | White: All significant risks (materialized or not) are relevant to what a prudent person would have decided; expert may describe risks even if they did not occur | Beeks: Non‑occurring risks are irrelevant under Rule 401 and unduly prejudicial under Rule 403; only risks that ripened into injury matter | Court: Exclusion was erroneous — risks that did not materialize are relevant to informed consent and admissible absent Rule 403 exclusion |
| Whether the erroneous exclusion was harmless | White: Exclusion deprived jury of key evidence on what a reasonable patient would have decided; it likely affected verdict | Beeks: Even with excluded testimony, other evidence supported defense verdict; error harmless | Court: Error was not harmless in this close case; more probably than not it influenced the jury; new trial ordered |
Key Cases Cited
- Schloendorff v. Society of N.Y. Hosp., 105 N.E. 92 (N.Y. 1914) (early statement of bodily‑autonomy and consent principle)
- Salgo v. Leland Stanford Jr. Univ. Bd. of Trs., 317 P.2d 170 (Cal. Ct. App. 1957) (articulated modern doctrine of informed consent and full disclosure)
- Canterbury v. Spence, 464 F.2d 772 (D.C. Cir. 1972) (standard for materiality of risks and objective causation inquiry)
- Ray v. Scheibert, 450 S.W.2d 578 (Tenn. 1969) (Tennessee recognition of medical battery/informed consent principles)
- Blanchard v. Kellum, 975 S.W.2d 522 (Tenn. 1998) (distinguishing unauthorized procedure (battery) from failure to disclose (informed consent))
- Ashe v. Radiation Oncology Assocs., 9 S.W.3d 119 (Tenn. 1999) (elements and objective‑patient standard in Tennessee informed consent law)
