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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 highlights the importance of shared decision-making between doctors and patients. However, there may be circumstances—such as severe illness or unconsciousness—where patients are unable to communicate their desires. In these cases, it's crucial to designate someone (like a spouse, sibling, or friend) to make decisions on their behalf. Dr. Winger emphasizes the significance of having a clear advance directive to guide medical professionals in such situations.