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hi Im Neil winger Im a general interest to primary care doc and also I work with the UCLA health ethics center and Im here to talk with you about advance directives whats an advance directive its a legal document that allows you to indicate what kinds of things you would want done if you couldnt make decisions for yourself now why would that happen we know that optimally doctors and patients work together in shared decision-making to make sure that the kinds of treatments that patients receive reflect what patients would want but under unusual circumstances patients cant talk with their physicians about what they would want perhaps theyre too sick or perhaps something horrible happened and theyre not awake under those circumstances who would you want the doctors to turn to to help make decisions for you maybe its a spouse perhaps a sibling maybe even a friend and if it is a friend with the doctors know to turn to that person probably not its for those reasons that people ne