Chapter 60 Announcement (3)

"Anatomical variations are not just a topic to be emphasized only in anatomy classes. This is because anatomical variations often have a decisive impact on a patient's prognosis. Among these, the most dramatic case is the variation in the coronary arteries."

Suhyuk continued his presentation exactly as he had practiced.

Not only the content, but also his tone of voice, gestures, and body movements.

Everything was proceeding as he had practiced.

That is, instead of standing still like most residents and professors, he was moving around the stage.

'Look at this guy.'

Naturally, this caught the attention of Professor Kim Kyung-rae, who was chairing the session.

After all, this 'movement' was the best technique used by seasoned speakers.

Just by moving around during the presentation, it was possible to increase the audience's concentration, a fact that had been proven not only by experience but also by research.

Of course, the reason most speakers did not use this method was not because they were unaware of it.

It was simply due to nervousness and the fear of forgetting their content.

'He must have memorized it perfectly.'

But the first-year resident in front of him was moving around the stage with ease.

While capturing the attention of numerous people.

And he was not missing a single word.

"There are various forms of anatomical variations in the coronary arteries. As you can see from the diagram, the form that most affects a patient's prognosis is when both the left and right coronary arteries emerge from a single branch on the left side."

"Hmm."

Because of this, Professor Kim Kyung-rae was now paying attention to the presentation itself, not just Suhyuk.

Initially, he was annoyed by the fact that the presenter was a first-year resident.

But now, he had even forgotten that Suhyuk was a first-year resident.

Suhyuk's perfectly prepared presentation had that much power.

Especially since the audience was cardiologists, it had even more impact.

"Originally, in cases like the one shown, open-heart surgery is preferred over treatment through interventional cardiology. However, because myocardial infarction patients often have difficulty with preoperative examinations, it can be challenging to determine the timing for open-heart surgery after identifying such variations."

At first, it seemed like only his voice and attitude were good.

But the content was truly excellent.

Just by listening to him, one would think he was a master who had dedicated his life to interventional cardiology, not a first-year resident.

No, even if Lee Hyun-jong himself were to speak, it might not sound as natural.

"Therefore, in many cases, interventional procedures are forced. I'm sure some of the teachers here have had such experiences with anatomical variations."

After saying this, Suhyuk took a deep breath.

It wasn't because he was out of breath.

It was just a technique to regain the audience's attention.

And it was quite effective.

"Phew."

Sighs immediately erupted from various places.

It wasn't because they were dissatisfied with the presentation or tired.

It was just that they had been so engrossed in Suhyuk's presentation that they hadn't had a chance to breathe.

After waiting for about 10 seconds, Suhyuk spoke again.

Now, it was almost time for the main point.

"However, in this case, there is only one chance. If it goes wrong, it cannot be undone. In interventional cardiology, 'cannot be undone' means the patient's life could be at risk. Therefore, every cardiologist must be very well-versed in the anatomical variations of the coronary arteries."

Of course, it would be good if doctors from other specialties also knew, but modern medicine had advanced so much.

It had become so specialized that it was impossible for one doctor to know all medical knowledge.

If Suhyuk had Baruda, it would be a different story.

But in this world, there was only one person with Baruda: Suhyuk.

So, it was simply impossible.

"I'm sure all the teachers here think they know about anatomical variations. But I'm confident that at least one type of variation you have never heard of."

At Suhyuk's words, some of the people who had been listening quietly until then tilted their heads.

After all, it had been over a decade since the anatomical variations of the coronary arteries were declared to be fully understood.

While various studies are still ongoing in anatomy classes, it was generally accepted that there was nothing more to research about the anatomical variations of the coronary arteries.

"Here, this case report was published in 1994 by the University of California, Irvine."

However, their doubts did not last long.

While the doubts themselves continued, the expressions of doubt were cut off.

It was presentation time, and Suhyuk was the star of the show.

Moreover, the screen Suhyuk had just brought up was quite interesting.

"The patient came to the emergency room with chest pain and was immediately handed over to the thoracic surgery team for open-heart surgery. At the time of arrival, the patient had already experienced chest pain for 40 minutes and had lost consciousness upon arrival. During the surgery, an unknown coronary artery variation was observed. The following is a schematic diagram of the patient's heart and coronary arteries obtained through an autopsy after the patient's death."

As Suhyuk flipped to the next slide, a drawing appeared.

Not a rough sketch, but a detailed heart drawing by a medical illustrator.

Because it was drawn from multiple angles, the shape of the heart and the path of the blood vessels could be easily understood at a glance.

"As you can see, the coronary arteries emerge from a single branch of the aorta. Up to this point, it is not much different from other anatomical variations observed so far, although it is rare. But what happens if we follow it further?"

Suhyuk turned his head to look at the audience, as if asking them a question.

Although nothing was visible due to the lighting,

At least the audience felt that Suhyuk was making eye contact with them.

"Hmm."

Of course, no one could answer immediately.

They could only let out a sigh at the unfamiliar shape of the coronary arteries.

Suhyuk continued his presentation, using their sighs as background music.

"Three coronary arteries branch out from a single branch. There are a few peculiar points. First, the branch heading to the right is very short, and the other two branches form the main arteries. Another peculiarity is that the two branches heading to the left are intertwined. This makes it a very challenging form for interventional cardiology."

As soon as Suhyuk finished speaking, someone raised their hand.

It seemed they had a question, but Suhyuk deliberately ignored them, even though their eyes met.

He knew what the question would be.

Instead of pointing to them, he flipped to the next slide.

"Of course, this peculiar form was not only seen in the 1994 case report. If we consider simple mutations, there are over a dozen case reports."

The professor who had raised his hand earlier quietly lowered it.

Suhyuk, with a look of 'I knew it,' flipped to the next slide.

This time, it was a photo, not a drawing.

It was not a direct photo of the heart.

It was a fluoroscopic image.

"But the same variation was confirmed in this case at Taehwa Medical Center. The photo above is not from 1994 but was taken by Professor Lee Hyun-jong of Taehwa Medical Center."

"Hmm."

Another sigh erupted from the professors.

Because the shape of the heart in the photo was identical to the drawing they had just seen.

Especially the path of the blood vessels was exactly the same.

It was so similar that it could have been the same person's heart.

But that was impossible.

The fluoroscope had only been around for a few years.

No, there was no fluoroscope with such high resolution even now.

So, the heart in the photo had to be someone else's.

"In other words, this variation is not a simple mutation but a very rare anatomical variation. It is a form of variation that has not been confirmed anywhere else, and this presentation will likely be the first official mention."

This also meant that this content would soon be included in textbooks.

Suhyuk's name, a young man standing in front of them, would be etched in textbooks.

It also meant that Professor Lee Hyun-jong, who had already achieved numerous accomplishments, would gain even more fame.

"I will conclude my presentation here. Thank you."

Because of these thoughts, as soon as Suhyuk finished his presentation, questions flooded in.

However, Professor Kim Kyung-rae, who was chairing the session, could not immediately point to the many questioners.

He was lost in his own thoughts.

'How many times in my life have I heard such a clear lecture?'

He couldn't think of more than five.

And such an impressive presentation was given by a first-year resident.

'Hmm...'

Professor Woo Chang-yun shook the chair's shoulder.

"Professor, you need to take questions. We're about to run over time."

"Huh? Oh, oh. Right. Sorry."

Only then did the chair snap out of it and point to someone who had raised their hand at the front.

The professor immediately ran to the standing microphone in the lecture hall and spoke.

"Great presentation."

As always, the beginning was good.

But Suhyuk and Baruda could tell that a sharp question was coming.

The professor's face was so stiff that it was obvious.

[This is Professor Choi Woo-sik from Kyungbu University Hospital. He is known to have a very bad relationship with Professor Lee Hyun-jong.]

Moreover, Baruda had information from prior investigations.

Suhyuk had also heard the name Choi Woo-sik from conversations with Lee Hyun-jong, so he looked at him with a slightly tense face.

"But the presentation is too good, which raises reasonable doubts. Was this research really led by Dr. Suhyuk? Or was it led by Professor Lee Hyun-jong? If the latter, why was Dr. Suhyuk chosen as the presenter?"

Fortunately, or not,

At least, the question was not about the content.

It was a natural reaction.

The presentation was perfect.

If they were going to nitpick, they had to find another angle.

For example, Suhyuk himself.

"Oh, this."

At this, Lee Hyun-jong stood up as if he had been waiting for it.

He was smiling as if he had expected such a question.

He even had a wireless microphone he had prepared in secret.

'He's crazy...'

While Suhyuk shook his head secretly, Lee Hyun-jong laughed and spoke.

"I didn't plan to say this much."

"What do you mean?"

"It was Dr. Suhyuk, right there, who recalled the 1994 report and gave me advice during the patient's interventional procedure. Thanks to him, the patient survived. The idea to write a paper was mine, but everything after that was done by this guy. It took him about 30 minutes, I think."

"30 minutes?"

"That's right. This is all thanks to the excellent education system of Taehwa Medical School and the excellent training environment of Taehwa Medical Center. So, all the residents here, if you want to specialize in a subspecialty, apply to Taehwa Medical Center first. If you come here, you can become like Dr. Suhyuk."

Professor Choi Woo-sik's face turned red at Lee Hyun-jong's words.

He felt an indescribable sense of crisis, but he did not sit down quietly.

"Why is this guy doing hospital promotion here!"

"I'm doing it because I can. Do you have someone like Suhyuk at your hospital? No, right? If not, keep quiet and sit down."

But after hearing the next statement, he had no choice but to sit down.

Because his hospital did not have a genius like Suhyuk.