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In this video, Dr. Neil Winger discusses advance directives, which are legal documents that specify an individual's wishes regarding medical treatment when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges that there may be circumstances, such as severe illness or unconsciousness, where patients cannot communicate their preferences. In these situations, it’s crucial to designate someone—like a spouse, sibling, or friend—who can make decisions on their behalf. However, it's essential to ensure that medical personnel are aware of this designated individual to facilitate informed decision-making.