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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that allow individuals to specify their medical treatment preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but highlights circumstances where patients may be unable to communicate, such as severe illness or unconsciousness. In such cases, it's crucial for patients to designate a person—be it a spouse, sibling, or friend—who can advise doctors on their behalf. However, the tutorial notes that if a friend is chosen, it's vital to ensure that healthcare providers are aware of this designation.