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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing 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 acknowledges that there may be scenarios where patients are unable to communicate, such as being unconscious or too ill. In these cases, the advance directive designates a trusted person—like a spouse, sibling, or friend—whom healthcare providers can consult for decision-making. This ensures that the patient's wishes are respected even when they can't express them directly.