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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify the medical treatments a person wishes to receive if they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but notes that unforeseen circumstances may prevent this. In such cases, it's crucial to designate someone—like a spouse, sibling, or friend—who can communicate your wishes to the medical team. He stresses that without a formal advance directive, healthcare providers may not know who to turn to for guidance, highlighting the necessity of this important document.