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In this video, Dr. Neil Winger discusses advance directives, legal documents that specify your wishes for medical treatment when you can't communicate your preferences. He emphasizes the importance of these documents, as they guide healthcare decisions when patients are unable to engage in shared decision-making due to illness or emergencies. Dr. Winger highlights the need to designate a trusted individual, like a spouse, sibling, or friend, who can make decisions on your behalf. Without an advance directive, doctors may face challenges in knowing whom to consult during critical times, underlining the necessity of having clear directives in place.