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hi I'm Neil winger I'm a general interest to primary care doc and also I work with the UCLA health ethics center and I'm here to talk with you about advance directives what's an advance directive it's a legal document that allows you to indicate what kinds of things you would want done if you couldn't 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 can't talk with their physicians about what they would want perhaps they're too sick or perhaps something horrible happened and they're not awake under those circumstances who would you want the doctors to turn to to help make decisions for you maybe it's 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 it's for those reasons that people nee

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