Be very forceful in communicating whether you want to be notified if there is a change of condition and they'll be transporting your relative somewhere, whether it's day or night. Advance directives are always helpful, but I've seen patients with these and sometimes the dots don't get connected.

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We've been talking about this for a while, but we've finally figured out how to say it.

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So sometimes the patient makes the decision. You have to balance it out.

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