Background: Clinicians in neurological practice, particularly surgeons, encounter more deaths than most other specialists.
Objective: This communication reviews the literature on “good death” and extrapolates the observations and inferences to neurological practice. Changes in approaches to “good death” in the COVID-19 era (coronavirus disease 2019) are also discussed.
Materials and Methods: The author, over a 40-year period, has come across 2,500 deaths in a government, trust, and corporate hospital in Chennai, India. Retrospectively, the author questions if, in spite of his conservatism and obsession with quality of life, he should have taken proactive measures to also ensure a good quality of death.
Results and Conclusion: In the background of the lessons learned in a metro, across various socioeconomic groups and with varied access to technology, the author concludes that ensuring “good death” should also fall within the domain of neurologic practice.


中文翻译：

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神经病学实践中的良好死亡


背景：神经病学实践中的临床医生，尤其是外科医生，比大多数其他专家遇到的死亡人数更多。
目的：本次交流回顾了关于“好死”的文献，并将观察和推论外推到神经学实践。还讨论了 COVID-19 时代（2019 年冠状病毒病）中“善终”方法的变化。
材料和方法：作者在 40 年的时间里，在印度钦奈的一家政府、信托和企业医院中遇到了 2,500 人死亡。回想起来，作者质疑，尽管他的保守主义和对生活质量的痴迷，他是否应该采取积极措施来确保良好的死亡质量。
结果和结论：在地铁中汲取的经验教训的背景下，跨越不同的社会经济群体并获得不同的技术，作者得出结论，确保“良好的死亡”也应属于神经病学实践的范畴。