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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 case they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatments align with patients' wishes. However, there may be situations where patients cannot communicate due to severe illness or other emergencies. In such cases, it's crucial to designate a person—like a spouse, sibling, or friend—who can advocate for them. Dr. Winger stresses that without clear directives, doctors may struggle to know whom to consult for decision-making.