Those people lucky enough to keep celebrating birthdays will age. Changes will occur. Everyone should come to reconcile that their futures may look different than their pasts. Once you understand that aging has, and will continue to, change your needs, it will encourage you to strongly consider your future choices rather than repeat what was comfortable or practical in the past. And some inevitable decisions will have no precedents. Because only one thing is certain: everyone will die. And whether one makes choices about the final phase of their life, eventualities occur. I hope to raise awareness about critical decision-making in complex medical situations so that when we make important choices for ourselves or people we love, we can feel comfortable and confident that our decisions informed, valid and beneficial.