Surgical artist
Chapter 443 Unprecedented Huge Reward
Chapter 443 Unprecedented Huge Reward
Academician Qin Minghui affirmed: "Yes, this method is low-cost and easy to promote."
"This kind of patients must undergo a colonoscopy before the operation. During this process, the metal clip marking can be done incidentally, and there will be no additional economic costs for the patient."
"This low-cost, simple and easy-to-use method is the goal that we doctors need to do our best to achieve."
"Medical care should not be exclusive to the rich, but should be made as civilian medical care as possible to benefit the vast majority of people."
Many students nodded.Academician Qin Minghui is conveying his values while teaching them medical skills.The students who go out from here in the future will carry the same values as Academician Qin Minghui.
"Specifically, this preoperative positioning method." Qin Minghui said: "Patients need to pay extra, which is the cost of several metal clips and the cost of taking plain films."
All the students nodded.
Zhao Peiru listened and nodded slightly in his heart.
His affection for Qin Minghui increased greatly.The view of the old academician coincides with his own.
That being the case, Zhao Peiru also helped these students sum up a few more dry things.
"Attention everyone, although the metal clip is simple and easy to use, it is easy to fall off."
"So after clipping, the patient should be placed on his back as soon as possible, and a plain film of the abdomen should be performed to ensure the accuracy of the marking."
"In addition, although metal clips are more accurate in positioning for most patients, they need to be combined with intraoperative sigmoidoscopy for patients with long colons..."
Zhao Peiru told everyone about the precautions about the metal clip in his mind.
These students will be scattered all over the country with these technical concepts and values in the future.
Academician Qin Minghui let the students take away their values and prevent them from going astray.
And Zhao Peiru let the students take away the technical points, so that they can walk more steadily on the right path.
After the body surface marking, all preoperative preparations are completed.
Five hours later, the operation officially began.
Academician Qin Minghui personally performed the surgery, and another research team tested their research results.
This is a verification link in their big project, which is a phased test.
However, this has nothing to do with Zhao Peiru.The part he is responsible for has been completed.
At the stage of resection of "intestinal lesions", Academician Qin Minghui used an ultrasonic scalpel to free the diseased intestine according to the marked points on the patient's body surface, and made an auxiliary incision at the marked points to pull out the diseased intestinal segment.
Carefully palpate the bowel, make precise positioning, confirm the lesion, and perform radical resection.Intestinal anastomosis was completed in vitro, and then the distance between the extraintestinal titanium clip and the center of the lesion was measured again, and verified with the previous markers.
Finally, the surgery is done.
Academician Qin Minghui got off the operating table with a happy and excited look on his face.
"Yes, the results of the two subjects verified today are all successful!"
"This is a good start for our overall big project!"
There were happy smiles on the faces of more than 30 members.
"I am very satisfied with the preoperative positioning method of Director Zhao Peiru in particular!"
Academician Qin Minghui thought for a few seconds: "I even think that the preoperative positioning method proposed by President Zhao should be separated from our big project first, and promoted nationwide as soon as possible, and extended to the entire colon field as soon as possible."
"This is of great benefit to all patients with colonic lesions. It can reduce positioning errors and reduce the probability of converting to laparotomy. It can make patients suffer less."
Everyone was shocked. Academician Qin's evaluation of this technology is so high!
I can't wait to separate it out and do a nationwide promotion first.
"This technology... can indeed reduce the pain of the majority of patients with colon lesions at a negligible cost. The earlier it is promoted, the earlier it will benefit the majority of patients."
At this moment, Zheng Yuan and the others suddenly realized something.
Their plan style of "spend a lot of money and do big things" cannot benefit the general public in the first place.Even if it is hard to promote, the general public cannot afford their treatment plan.
And Zhao Peiru's technology can be called a good medical technology that the common people love.It is the most direct and straightforward way to improve the existing medical level, and the fastest way to benefit all patients.
……
Academician Qin Minghui's office.
There are only Qin Minghui and Zhao Peiru.
"I have already greeted the higher-ups, and I will do my best to promote your pre-operative positioning technology in the field of colon."
This technique is extremely simple, and there is no need for Zhao Peiru to specially record the course. It only needs to produce a guide, accompanied by a graphic explanation.
"In addition, I chatted with the editor-in-chief of "Clinical Medicine". Although your technology is not high-tech, it is of great significance for promotion and inclusiveness. The editor-in-chief plans to publish it in the last edition of the journal. This article...of course, the article has not yet been written."
Zhao Peiru couldn't laugh or cry, the energy of this old academician is really great!The article hasn't been written yet, but it has already reserved a place in the country's top medical journal.
Qin Minghui: "I'll ask Lu Yaoyao to help you with this article. After it's written, put the name of my project at the end of the article, and just point out in the article that this technology is the precursor to our big project. technology.”
Zhao Peiru's heart skipped a beat.
This is academician Qin Minghui planning to promote him again.
His technique is essentially low-tech. Although it can be loved by doctors in grass-roots hospitals, it won't be taken too seriously by high-level experts.
But if you bring the name of the big project in Qin Minghui's hand, this row will go up immediately.The degree of attention will inevitably skyrocket.This is Academician Qin Minghui praising him.
……
Zhao Peiru continued to stay in Nandu for another day.
I wrote the article and sent it to the "Clinical Medicine" magazine.
After that, he set off to leave Nandu.
Before leaving, Qin Minghui, Zheng Yuan, Lu Yaoyao and others all came to see him off.
During this trip to the southern capital, Zhao Peiru met many old academicians and old friends in various fields at the party.Afterwards, in the project team of academician Qin Minghui, the result of "preoperative positioning" was produced, and it will soon be promoted nationwide and be published in the top medical journals in the country.
At the same time, they also got the favor of Zheng Yuan, Lu Yaoyao and other members of the project team.
On the plane back to Jiangnan Province, a new reminder sounded in Zhao Peiru's mind.
[Congratulations, you have completed task three: Propose a new standardization standard for the field of colon. 】
[Rewards obtained: 1 handy and precise permanent card, 1 young card. 】
Zhao Peiru was startled for a moment, but was immediately pleasantly surprised.
This completes the last task?
A few days ago, he was still thinking about how to propose a new standardized standard.
As a result, I accidentally stepped in and came to help academician Qin Minghui once, and proposed a new preoperative positioning method, and the task was completed.
However, it is precisely because of the help of academician Qin Minghui, who spared no effort to help Zhao Peiru to vigorously promote this new technology nationwide, that this "preoperative positioning" can be quickly popularized in the entire field of colon medicine and become a new method. New normative standards.
In this task chain, Zhao Peiru contributed six parts, and academician Qin Minghui contributed four parts.
If there is an opportunity in the future, I have to thank Academician Qin Minghui.
Zhao Peiru looked at the two reward cards.
"use."
After using two cards, the appearance is 1 year younger again.Zhao Peiru has the appearance of 53 years old.His dexterity and precision value also reached 19, which was on par with energy and stamina.
"The tasks in this task chain, the completion... is a bit unexpected."
Two times in a row, it was Zhao Peiru who didn't intend to complete the task, but instead, he did the task chain by the way.
……
The "Technology Promotion" document of the National Medical Association was quickly distributed to hospitals across the country.
A hospital in Southern Metropolis.
"This preoperative positioning method is very useful!"
After only using it once, many doctors in the gastroenterology department are full of praise for this positioning method.
"It didn't add much economic cost to the patient, nor did it increase the operation cost of our surgeon, but it greatly facilitated our operation and relieved a lot of pain for the patient. This technology is too awesome. !"
A deputy director said mysteriously: "I know how this technology was born at that time."
After saying this, everyone gathered around curiously. Could there be a story behind the birth of this technology?
"I heard that the project team of Academician Qin Minghui spent two months and failed to come up with any good solutions. As soon as Director Zhao went, he disbanded the team on the same day and directly took out the preoperative positioning Law!"
"So fierce? Just disband all the research groups?"
"Dean Zhao is really confident in his skills."
The deputy director was also stunned and said: "I heard that everyone in the project team didn't understand it at the time, but in the case test operation the next day, Director Zhao directly and successfully implemented this preoperative positioning method."
Everyone asked themselves, if they were themselves, even if they could come up with a good solution at that time, they would probably need others to help verify and improve it.How could Zhao Peiru be so confident?
……
Zhao Peiru returned to Jiangnan Province, got off the plane, and first came to People's Square next to Jiangxin Hospital.
Just now, the Provincial Medical Association called him and said that it was his profile picture, which was posted on the "Most Admired Person" bulletin board in People's Square.
When Zhao Peiru came to People's Square, he saw a total of six bulletin boards around the middle circle of the square, with the portraits and introductions of six people on them.
Every character is the most cutting-edge talent in various fields in Jiangnan Province.
On one of the bulletin boards, Zhao Peiru and his life achievements are written.
Just at this moment, an eight-year-old boy was pulled by his mother to look at the bulletin boards one by one.
The child's mother was still smiling and asked, "Which of these six celebrities do you like best?"
The little boy thought for a while, and pointed to Zhao Peiru's profile picture on the bulletin board: "I like this Grandpa Zhao the most."
Mother of the child: "Why?"
Little boy: "My classmate's grandma has cancer. I will become someone like Grandpa Zhao in the future, and I will be able to help my classmate cure his grandma."
The child's mother encouraged: "Okay, then from now on, can you follow the example of Grandpa Zhao?"
"Okay." The little boy nodded seriously.
In the distance, Zhao Peiru looked at this scene with a smile on his face.
Now, he has become a role model for the new generation of the motherland.
At this moment, a new reminder sounded in Zhao Peiru's mind.
[Congratulations, you have completed the task chain "Please obtain a certain status in the colon field". 】
【You can trigger a new task chain, do you want to trigger it? 】
Zhao Peiru: "Trigger."
He hoped in his heart that a mission chain in the colon field could continue.
【Detecting your current environment...】
[After the test is completed, trigger "get four national funds for a batch of projects". 】
[Task chain name: Get four national funds for a batch of projects. 】
Zhao Peiru was taken aback, a group of four?
This task chain is probably a bit difficult.
Among the funds in the medical field, in addition to the high difficulty of the Natural Science Fund, it is the "four batches" of project national funds that are the most difficult to obtain.
Hospitals with no background are afraid to apply for or compete for this fund.
Zhao Peiru continued to read.
[Task introduction: You have initially set foot in the field of colon, but you lack outstanding achievements.Please complete the Hirschsprung project and get four national funds for a batch of projects.The specific tasks are as follows:]
[Task 1: Set foot in the field of megacolon.Reward: 50 surgical status card, [-] experience card. (undone)】
【Task 2: Improving the technique for children with Hirschsprung's disease.Reward: 60 blank skill cards, [-] experience value cards. (undone)】
[Task 1: Further improve the technique of Hirschsprung's disease in children.Reward: 3 crit card in the surgical state (available for 70 times), experience value card [-]. (undone)】
[Task 80: Get involved in the most difficult field of Hirschsprung's colon.Essence, Qishen permanent card, experience value card [-]. (undone)】
[Task Five: Obtain national funds for four batches of projects. (Unfinished) Reward: Young Card. 】
[Do you accept this task chain? 】
After Zhao Peiru saw the reward, his eyes suddenly became hot!
This reward is really rich!
He has done 50 mission chains, which should be unprecedented, and the one with the highest reward amount!The experience value cards all start at [-] yuan.
As expected of the "four batches" national project fund, the difficulty is high, but the rewards are also generous.
Zhao Peiru took a quick look and chose to accept it.
"This quest chain is basically related to megacolon."
Hirschsprung is a rather difficult problem in the field of colon.
Because it is extremely difficult, it has long troubled domestic experts in the field of colon, so the country has set up a special fund project to support and solve this problem.
Zhao Peiru heard that the two most powerful teams competing for this project are in Kyoto and Haishi.
If he wants to complete this task chain, he must face the two top national teams in Kyoto and Haishi.
At that time, there must be a "life and death" fight, and the two top teams in the country must be crushed.
Take a closer look at each quest chain.
Task [-] is just getting involved, while Task [-] and Task [-] are serial advanced tasks.
Zhao Peiru has done this kind of serial advanced type several times before, and the difficulty increases exponentially, the latter one is much more difficult than the former one.
(End of this chapter)
Academician Qin Minghui affirmed: "Yes, this method is low-cost and easy to promote."
"This kind of patients must undergo a colonoscopy before the operation. During this process, the metal clip marking can be done incidentally, and there will be no additional economic costs for the patient."
"This low-cost, simple and easy-to-use method is the goal that we doctors need to do our best to achieve."
"Medical care should not be exclusive to the rich, but should be made as civilian medical care as possible to benefit the vast majority of people."
Many students nodded.Academician Qin Minghui is conveying his values while teaching them medical skills.The students who go out from here in the future will carry the same values as Academician Qin Minghui.
"Specifically, this preoperative positioning method." Qin Minghui said: "Patients need to pay extra, which is the cost of several metal clips and the cost of taking plain films."
All the students nodded.
Zhao Peiru listened and nodded slightly in his heart.
His affection for Qin Minghui increased greatly.The view of the old academician coincides with his own.
That being the case, Zhao Peiru also helped these students sum up a few more dry things.
"Attention everyone, although the metal clip is simple and easy to use, it is easy to fall off."
"So after clipping, the patient should be placed on his back as soon as possible, and a plain film of the abdomen should be performed to ensure the accuracy of the marking."
"In addition, although metal clips are more accurate in positioning for most patients, they need to be combined with intraoperative sigmoidoscopy for patients with long colons..."
Zhao Peiru told everyone about the precautions about the metal clip in his mind.
These students will be scattered all over the country with these technical concepts and values in the future.
Academician Qin Minghui let the students take away their values and prevent them from going astray.
And Zhao Peiru let the students take away the technical points, so that they can walk more steadily on the right path.
After the body surface marking, all preoperative preparations are completed.
Five hours later, the operation officially began.
Academician Qin Minghui personally performed the surgery, and another research team tested their research results.
This is a verification link in their big project, which is a phased test.
However, this has nothing to do with Zhao Peiru.The part he is responsible for has been completed.
At the stage of resection of "intestinal lesions", Academician Qin Minghui used an ultrasonic scalpel to free the diseased intestine according to the marked points on the patient's body surface, and made an auxiliary incision at the marked points to pull out the diseased intestinal segment.
Carefully palpate the bowel, make precise positioning, confirm the lesion, and perform radical resection.Intestinal anastomosis was completed in vitro, and then the distance between the extraintestinal titanium clip and the center of the lesion was measured again, and verified with the previous markers.
Finally, the surgery is done.
Academician Qin Minghui got off the operating table with a happy and excited look on his face.
"Yes, the results of the two subjects verified today are all successful!"
"This is a good start for our overall big project!"
There were happy smiles on the faces of more than 30 members.
"I am very satisfied with the preoperative positioning method of Director Zhao Peiru in particular!"
Academician Qin Minghui thought for a few seconds: "I even think that the preoperative positioning method proposed by President Zhao should be separated from our big project first, and promoted nationwide as soon as possible, and extended to the entire colon field as soon as possible."
"This is of great benefit to all patients with colonic lesions. It can reduce positioning errors and reduce the probability of converting to laparotomy. It can make patients suffer less."
Everyone was shocked. Academician Qin's evaluation of this technology is so high!
I can't wait to separate it out and do a nationwide promotion first.
"This technology... can indeed reduce the pain of the majority of patients with colon lesions at a negligible cost. The earlier it is promoted, the earlier it will benefit the majority of patients."
At this moment, Zheng Yuan and the others suddenly realized something.
Their plan style of "spend a lot of money and do big things" cannot benefit the general public in the first place.Even if it is hard to promote, the general public cannot afford their treatment plan.
And Zhao Peiru's technology can be called a good medical technology that the common people love.It is the most direct and straightforward way to improve the existing medical level, and the fastest way to benefit all patients.
……
Academician Qin Minghui's office.
There are only Qin Minghui and Zhao Peiru.
"I have already greeted the higher-ups, and I will do my best to promote your pre-operative positioning technology in the field of colon."
This technique is extremely simple, and there is no need for Zhao Peiru to specially record the course. It only needs to produce a guide, accompanied by a graphic explanation.
"In addition, I chatted with the editor-in-chief of "Clinical Medicine". Although your technology is not high-tech, it is of great significance for promotion and inclusiveness. The editor-in-chief plans to publish it in the last edition of the journal. This article...of course, the article has not yet been written."
Zhao Peiru couldn't laugh or cry, the energy of this old academician is really great!The article hasn't been written yet, but it has already reserved a place in the country's top medical journal.
Qin Minghui: "I'll ask Lu Yaoyao to help you with this article. After it's written, put the name of my project at the end of the article, and just point out in the article that this technology is the precursor to our big project. technology.”
Zhao Peiru's heart skipped a beat.
This is academician Qin Minghui planning to promote him again.
His technique is essentially low-tech. Although it can be loved by doctors in grass-roots hospitals, it won't be taken too seriously by high-level experts.
But if you bring the name of the big project in Qin Minghui's hand, this row will go up immediately.The degree of attention will inevitably skyrocket.This is Academician Qin Minghui praising him.
……
Zhao Peiru continued to stay in Nandu for another day.
I wrote the article and sent it to the "Clinical Medicine" magazine.
After that, he set off to leave Nandu.
Before leaving, Qin Minghui, Zheng Yuan, Lu Yaoyao and others all came to see him off.
During this trip to the southern capital, Zhao Peiru met many old academicians and old friends in various fields at the party.Afterwards, in the project team of academician Qin Minghui, the result of "preoperative positioning" was produced, and it will soon be promoted nationwide and be published in the top medical journals in the country.
At the same time, they also got the favor of Zheng Yuan, Lu Yaoyao and other members of the project team.
On the plane back to Jiangnan Province, a new reminder sounded in Zhao Peiru's mind.
[Congratulations, you have completed task three: Propose a new standardization standard for the field of colon. 】
[Rewards obtained: 1 handy and precise permanent card, 1 young card. 】
Zhao Peiru was startled for a moment, but was immediately pleasantly surprised.
This completes the last task?
A few days ago, he was still thinking about how to propose a new standardized standard.
As a result, I accidentally stepped in and came to help academician Qin Minghui once, and proposed a new preoperative positioning method, and the task was completed.
However, it is precisely because of the help of academician Qin Minghui, who spared no effort to help Zhao Peiru to vigorously promote this new technology nationwide, that this "preoperative positioning" can be quickly popularized in the entire field of colon medicine and become a new method. New normative standards.
In this task chain, Zhao Peiru contributed six parts, and academician Qin Minghui contributed four parts.
If there is an opportunity in the future, I have to thank Academician Qin Minghui.
Zhao Peiru looked at the two reward cards.
"use."
After using two cards, the appearance is 1 year younger again.Zhao Peiru has the appearance of 53 years old.His dexterity and precision value also reached 19, which was on par with energy and stamina.
"The tasks in this task chain, the completion... is a bit unexpected."
Two times in a row, it was Zhao Peiru who didn't intend to complete the task, but instead, he did the task chain by the way.
……
The "Technology Promotion" document of the National Medical Association was quickly distributed to hospitals across the country.
A hospital in Southern Metropolis.
"This preoperative positioning method is very useful!"
After only using it once, many doctors in the gastroenterology department are full of praise for this positioning method.
"It didn't add much economic cost to the patient, nor did it increase the operation cost of our surgeon, but it greatly facilitated our operation and relieved a lot of pain for the patient. This technology is too awesome. !"
A deputy director said mysteriously: "I know how this technology was born at that time."
After saying this, everyone gathered around curiously. Could there be a story behind the birth of this technology?
"I heard that the project team of Academician Qin Minghui spent two months and failed to come up with any good solutions. As soon as Director Zhao went, he disbanded the team on the same day and directly took out the preoperative positioning Law!"
"So fierce? Just disband all the research groups?"
"Dean Zhao is really confident in his skills."
The deputy director was also stunned and said: "I heard that everyone in the project team didn't understand it at the time, but in the case test operation the next day, Director Zhao directly and successfully implemented this preoperative positioning method."
Everyone asked themselves, if they were themselves, even if they could come up with a good solution at that time, they would probably need others to help verify and improve it.How could Zhao Peiru be so confident?
……
Zhao Peiru returned to Jiangnan Province, got off the plane, and first came to People's Square next to Jiangxin Hospital.
Just now, the Provincial Medical Association called him and said that it was his profile picture, which was posted on the "Most Admired Person" bulletin board in People's Square.
When Zhao Peiru came to People's Square, he saw a total of six bulletin boards around the middle circle of the square, with the portraits and introductions of six people on them.
Every character is the most cutting-edge talent in various fields in Jiangnan Province.
On one of the bulletin boards, Zhao Peiru and his life achievements are written.
Just at this moment, an eight-year-old boy was pulled by his mother to look at the bulletin boards one by one.
The child's mother was still smiling and asked, "Which of these six celebrities do you like best?"
The little boy thought for a while, and pointed to Zhao Peiru's profile picture on the bulletin board: "I like this Grandpa Zhao the most."
Mother of the child: "Why?"
Little boy: "My classmate's grandma has cancer. I will become someone like Grandpa Zhao in the future, and I will be able to help my classmate cure his grandma."
The child's mother encouraged: "Okay, then from now on, can you follow the example of Grandpa Zhao?"
"Okay." The little boy nodded seriously.
In the distance, Zhao Peiru looked at this scene with a smile on his face.
Now, he has become a role model for the new generation of the motherland.
At this moment, a new reminder sounded in Zhao Peiru's mind.
[Congratulations, you have completed the task chain "Please obtain a certain status in the colon field". 】
【You can trigger a new task chain, do you want to trigger it? 】
Zhao Peiru: "Trigger."
He hoped in his heart that a mission chain in the colon field could continue.
【Detecting your current environment...】
[After the test is completed, trigger "get four national funds for a batch of projects". 】
[Task chain name: Get four national funds for a batch of projects. 】
Zhao Peiru was taken aback, a group of four?
This task chain is probably a bit difficult.
Among the funds in the medical field, in addition to the high difficulty of the Natural Science Fund, it is the "four batches" of project national funds that are the most difficult to obtain.
Hospitals with no background are afraid to apply for or compete for this fund.
Zhao Peiru continued to read.
[Task introduction: You have initially set foot in the field of colon, but you lack outstanding achievements.Please complete the Hirschsprung project and get four national funds for a batch of projects.The specific tasks are as follows:]
[Task 1: Set foot in the field of megacolon.Reward: 50 surgical status card, [-] experience card. (undone)】
【Task 2: Improving the technique for children with Hirschsprung's disease.Reward: 60 blank skill cards, [-] experience value cards. (undone)】
[Task 1: Further improve the technique of Hirschsprung's disease in children.Reward: 3 crit card in the surgical state (available for 70 times), experience value card [-]. (undone)】
[Task 80: Get involved in the most difficult field of Hirschsprung's colon.Essence, Qishen permanent card, experience value card [-]. (undone)】
[Task Five: Obtain national funds for four batches of projects. (Unfinished) Reward: Young Card. 】
[Do you accept this task chain? 】
After Zhao Peiru saw the reward, his eyes suddenly became hot!
This reward is really rich!
He has done 50 mission chains, which should be unprecedented, and the one with the highest reward amount!The experience value cards all start at [-] yuan.
As expected of the "four batches" national project fund, the difficulty is high, but the rewards are also generous.
Zhao Peiru took a quick look and chose to accept it.
"This quest chain is basically related to megacolon."
Hirschsprung is a rather difficult problem in the field of colon.
Because it is extremely difficult, it has long troubled domestic experts in the field of colon, so the country has set up a special fund project to support and solve this problem.
Zhao Peiru heard that the two most powerful teams competing for this project are in Kyoto and Haishi.
If he wants to complete this task chain, he must face the two top national teams in Kyoto and Haishi.
At that time, there must be a "life and death" fight, and the two top teams in the country must be crushed.
Take a closer look at each quest chain.
Task [-] is just getting involved, while Task [-] and Task [-] are serial advanced tasks.
Zhao Peiru has done this kind of serial advanced type several times before, and the difficulty increases exponentially, the latter one is much more difficult than the former one.
(End of this chapter)
You'll Also Like
-
You, a druid, go to practice Taoism?
Chapter 206 10 hours ago -
The magician of the fairy tale world
Chapter 183 11 hours ago -
What if I become a beast?
Chapter 567 11 hours ago -
I am the best in Xiuxian cheating, you guys will bear all the damage
Chapter 170 12 hours ago -
Cultivating Immortality: Taking on the cause and taking over the result, fellow Taoists, help me!
Chapter 99 12 hours ago -
Immortal cultivation starts with copying
Chapter 302 13 hours ago -
Primordial Era: Even the Three Purities Must Call Me Second Uncle
Chapter 246 13 hours ago -
This is what a fairy should be like
Chapter 45 13 hours ago -
Rebirth of India: Superior
Chapter 433 13 hours ago -
Immortality in the Great Qian Dynasty
Chapter 1854 13 hours ago