I have been taking my dog Luna to UAH and Dr. Koch for 6 plus years. Dr. Koch noticed that my puppy's mouth didn't open as far as it should. She was only 8 weeks old when we got her but she had been bit on the head by an adult dog before we rescued her. We wouldn't have known that her jaw was closing slowly without Dr. Koch being so observant. We had to take her to a surgeon to have the bone and scar tissue removed and she fully recovered. Dr. Koch performed knee surgery on Luna several years ago. He is the best vet we've ever had and we can't recommend him and the staff at UAH enough.