Dr. George Koch
speaker
842 appearances
4 recordings
1 series
first heard Jan 2026
last heard yesterday
Dr. George Koch’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 4 in all, peaking in Sep 2026 with 1.
Appearances
You know, are there things that you want to rule out before you start down a survivorship pathway?
Sorry, I'm stacking questions.
You know, I can repeat them as needed, but go through those for me.
Yeah, I think that is a really good point.
It's something that Dr. Wessels, my fellowship director, used to really emphasize.
hammer when you would see a new patient is like, what are the patient's goals?
And I think in this, you know, in survivorship specifically, you're probably also thinking about for the person who's treating the malignancy or surveilling the malignancy, what are their goals too?
It's kind of a multi-pronged, you know, your job is to align.
You know, you may see two prostate cancer patients who both have an undetectable PSA and have very different goals and very different symptoms probably.
and you mentioned something a second ago about active malignancy you know i think that originally you know when you talked about survivorship you talked about defining survivorship
from the point of diagnosis.
And I think that's really important because there are folks out there who define survivorship by someone hitting no evidence of disease.
So can you talk a little bit about, are you treating patients who still have active malignancies?
Maybe give us an example or how you might treat someone who still has an active malignancy and kind of how that fits with your definition of survivorship.
And I'm sure making sure that they understand as well the difference in some cases between curative versus quality of life surgery.
You know, that's one thing that I've always kind of loved about.
I've heard you give a couple of cancer survivorship talks.
And one of the things that you focus on with that, the survivorship starts at diagnosis, you know, time point.
It gives you the freedom to help some of these people with their quality of life while they are still being treated for their active malignancies.
That's something that isn't common to all reconstructionists or isn't common to all cancer survivorship programs.
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