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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify a person's preferences for medical treatment when they cannot make decisions themselves. He highlights the importance of shared decision-making between doctors and patients but acknowledges that there are situations where patients may be unable to communicate due to severe illness or injury. In such cases, it's crucial to designate someone, like a spouse, sibling, or friend, who can make decisions on the patient's behalf. He emphasizes that knowing who to consult is key, as doctors may not automatically recognize a friend as a decision-maker. This underscores the necessity of creating advance directives.