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In this video, Dr. Neil Winger discusses advance directives, which are legal documents that outline an individual's preferences for medical treatment in situations where they can’t communicate their wishes. He emphasizes the importance of shared decision-making between doctors and patients, ensuring treatments align with patients' desires. However, there are instances where patients may be unable to express their preferences due to sickness or unconsciousness. In such cases, it's crucial to designate someone—like a spouse, sibling, or friend—whom doctors can consult to make decisions on their behalf. This underscores the need for advance directives to prevent confusion and ensure the patient's wishes are honored.