I have an elderly relative who is currently in the late stages of a long degenerative dementia-based disease. It's sort of like Alzheimer's, but the progression is different and less predictable. Let me tell you, this has not been a decade of fun for anybody involved. She has few living relatives, and so a few of us are managing her care together, but it's a lot of work. Now we are having to make a lot of those decisions you hope you never have to make on this person's behalf, and wrestling with all the philosophical, moral, and ethical issues that come along with those sorts of decisions. She has an advance directive that was made when she was still competent to make one, but it is extremely poorly written and open to more different interpretations than a Kubrick film, and is completely inadequate for the kind of disease she has. Protip for you guys: when making healthcare decisions for yourself in advance, BE FUCKING SPECIFIC. You will likely put shit like "terminal disease" and "can't decide for myself" and "extraordinary measures" in yours. That's great. What if you have the kind of terminal disease that will kill you in 12 months, not 12 days? What if you are still capable of answering 'yes' or 'no' to medically-relevant questions like "do you want us to treat this" but you can't understand the question or you answer it inconsistently? What constitutes "extraordinary?" Some things are obvious, like putting you on a ventilator or giving you radical surgery, but some are not, like minor surgeries or putting you on powerful drugs that will extend your life but may have some unpleasant side effects. FOCUS: What is the hardest decision you've ever had to make? How did you make it? Are you happy with it? Would you do it differently if you had the choice?