Come on, Dr. Wu

Chapter 387 First Pass Effect
"So does this patient have to pay for this bottle of glucose as well?"

"Of course I do. I've worked in a hospital before. Let alone a bottle of candy, even a piece of string would have a certain amount. There must be a source of reimbursement."

"This is not good. Look at that era. People didn't take even a single needle or thread from the people. But now, they just take it and drink it."

"What's wrong with drinking? How much is a bottle of glucose worth? No one is paying, so I'll treat Director Wu."

"China's environment has been ruined by you guys. Are you talking about reimbursement for patients? You are criticizing here. What? Do you know everything? Even if we really want patients to be reimbursed, we are willing to do so. What does it have to do with you?"

……

For a while, the matter of a bottle of glucose actually triggered a storm of barrage.

Wu Xiaofu had never expected that drinking a bottle of glucose would lead to so many things. He was tall and heavy, and as a young man, he ate a lot and got hungry quickly. Especially since he worked very hard, sometimes, when he felt uncomfortable with an empty stomach while working in the operating room, he would drink a bottle of glucose.

This glucose really doesn't taste good, but Wu Xiaofu is not picky. It's better than having an empty stomach.

This has slowly become a habit.

During the break between surgeries, he might just open a bottle and finish it. Normally, what happens in the operating room is not known to outsiders, and the people in the operating room would not have nothing to do and would not take pictures and post them randomly, especially the video of Wu Xiaofu.

This time it was only released by the program team, otherwise this segment would not be broadcast at all.

However, whether this was approved by the hospital is still unknown, because the main shot of this section was not here, but at the area where Cheng Shi's stitches were. The corner of the camera happened to capture Wu Xiaofu, and as a result, no one looked at Cheng Shi, and Wu Xiaofu became the protagonist instead.

Was it an unintentional mistake by the program crew, a mistake in the film review at the hospital, or was there something wrong at some point in the process?
Normally, films containing such controversial clips should not be released.

Unless someone wants to deal with Wu Xiaofu, because after such a film is released, no matter how you explain, stubborn people will not listen. They cannot see or hear some professional remarks. The next time they see Wu Xiaofu, they will only have one impression, that is, Wu Xiaofu eats and takes things from patients for free.

Impressions are something that are really hard to erase.

So, at this moment, Wu Xiaofu, looking at all this, couldn't help but frown. The most important thing was that such a big thing happened, but after the show was broadcast last night, no one contacted him.

The show was still going on, and Wu Xiaofu was not in a hurry to do anything. He just watched quietly.

Because the program was broadcast on Donghai Satellite TV, and it was played live, and there were no barrages when watching it on TV. Only when people like Wu Xiaofu watched it using video software would there be barrages. When it was broadcast, Jiang Ruonan and the others could not see these barrages, so, in this clip, everything was so smooth.

It seemed that no one noticed Wu Xiaofu drinking glucose.

Everything seems to be just a coincidence. Only the two factions of arguing and opposing audiences in the barrage indicate that this detail has been infinitely magnified.

"I don't know if you noticed a small detail. That is, when Cheng Shi was doing the suture, Teacher Wu also entered the country."

"Well, is there? We really didn't pay much attention to it, but the surgeon in charge of this operation, Teacher Wu, also entered the country normally. Could it be that something interesting happened?"

Two floating guests were invited to the program this time, one of whom was named "Feng Tong", a popular young actor who had just debuted. When the clips of the interns were almost played, Feng Tong suddenly spoke, and the other guests seemed to have just woken up from a dream. Jiang Ruonan asked a question immediately, which completely brought the topic to this point.

For this reason, the program replayed the clip. Now, everyone can see it clearly.

"Hey, Mr. Wu, it seems like he's drinking glucose?"

Jiang Ruonan said slowly, and the other guests nodded quickly, "They are indeed drinking glucose. It should be that Teacher Wu was too tired during the operation and may have low blood sugar. In order to replenish the sugar in time, they did this. After all, that thing is not delicious. If it is not an emergency, I am afraid no one will drink it."

Bai Xiaoyan took over Jiang Ruonan's words, and everyone was surprised when they heard it.

"Teacher Bai seems to have experience. Could it be that he has also drunk glucose?"

Bai Xiaoyan didn't hide anything after hearing this, and said frankly, "To be honest, I have drunk it before, and that was when I was a teenager. I was sick and was receiving an IV, and I hated the slow infusion. I thought it would take forever to finish, so I just took the bottle off, cut it open with scissors, and drank it.

When my mother found out, I had already taken a big sip, so she quickly snatched it away.

However, even if she didn't snatch it away, I wouldn't drink it anymore. It's really unpalatable. Someone told me before that it was sugar water, and I thought it was the same as drinks, it should be sweet and delicious. But after drinking it, I realized that it was completely different. Not only was the sweetness almost unnoticeable, but it also had a bitter taste, which felt very strange.

It was really weird, so I still remember it vividly.”

What a tiger!
When everyone heard this, they couldn't help but think, after all, although everyone said that losing was too slow and it was better to drink directly, but no one actually drank it directly.

However, it is normal for children to behave like this.

Everyone started to joke around, and the show was very cheerful.

"By the way, speaking of this, I do have a question to ask. Is there really any difference between the effect of this infusion and the effect of drinking it directly?"

Upon hearing this, everyone looked at Lin Wei. After all, she was the only professional guest on the show.

The audience was also a little curious. In their opinion, the effect of infusion seemed to be better than drinking directly. Otherwise, they would just drink it directly and there would be no need to infuse it slowly. However, the reason behind it did not seem to be very clear.

Lin Wei smiled at everyone's gaze.

"Speaking of this issue, we have to mention a term called 'first-pass elimination' or the first-pass effect. I don't know if you have heard of it. It means that some drugs are partially metabolized and inactivated when they first pass through the intestinal mucosa and liver, which reduces the amount of drugs entering the systemic circulation.

For example, the first-pass effect of nitroglycerin is over 90%, so its oral efficacy is very poor.

It’s like collecting tolls. You can obviously earn more, but after being charged layer by layer, you won’t get that much in the end.

The same principle applies to medication. If you drink the liquid directly, the absorption site will be in the stomach and small intestine. There are too many intermediate links from the entrance to here. It is impossible to achieve 100% absorption and utilization. It will also be affected by factors such as whether the stomach is empty, gastrointestinal motility, gastrointestinal pH, drug dissolution and release rate, etc.

Intravenous administration is different. It directly cuts out the middleman and is 100% absorbed. This is the main reason why hospitals choose infusion for treatment. "

(End of this chapter)