Troy Nelson Paducah Doc Pleads Not Guilty to Trafficking Charges By The Associated Press • Jun 22, 2012 A McCracken County Circuit Court judge hears a motion today in a drug trafficking case against a Paducah doctor. Dr. Troy Nelson pled not guilty yesterday to 11 drug trafficking charges. Paducah Physician Indicted By Rose Krzton-Presson • Jun 1, 2012 paducahky.gov A McCracken County grand jury returned an 11-count indictment this afternoon against Dr. Troy Nelson of Paducah.