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
But I think it's certainly really important.
at least an important consideration if not a you know a hard and fast rule
Yeah.
And I think including their survival or their expected survival is probably helpful.
I've got a guy who we did an illiterate for retroperitoneal fibrosis, but it was retroperitoneal fibrosis that we think had some like active neuroendocrine cancer still in it.
So we just did an illiurter as opposed to a ureterolysis.
But, you know, we talked to his medical oncologist.
His medical oncologist said, look, he's a young guy.
He's got, you know, at least five years, we think, on his current therapy.
You know, he's a good surgical candidate otherwise.
You know, he really hates his nephrostomy tube.
This is something that you guys can pursue.
Because we had all that information and worked as a team with the oncology team, we could really lay it out for him and say, you know,
Are you sure you want this big abdominal surgery?
This is what we think your survival is.
And I think it kind of helps prioritize things for patients, too.
Yeah.
I've also had some go in the opposite direction where you lay out a patient's survival.
You talk about their symptoms and you say, look, we've done a similar type of surgery, but
You know, there there maybe aren't as many cases of this particular type of surgery.
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