Preparing or Revising Your Advance Medical Directive - Episode 44 with Gary Duncan

December 7, 2020

You may think you have your life all set, but no matter what age you are you should consider “Preparing or Revising Your Advance Medical Directive”.  In this episode Gary Duncan gives you the “how to” so that you can get it done!

I.  Advance Medical Directives

    A.  Trusts

          State guidelines control

    B.   Items in a trust

          1.  Trust Agreement

          2.  Last Will and Testament

          3.  General Durable Power of Attorney (POA)

          4.  Living Will with Medical Directives

          5.  HIPAA Authorization

          6.  Digital Asset Authorization

          7.  Tangible Personal Property Listing

II.  Cruzan Case

    A.  Started January 11, 1983, with Nancy Cruzan's car accident

    B.  Almost 10 years of court cases about what should/could happen to Nancy

    C.  Concluded in 1991 when Congress passed the Patient Self Determination Act

    D.  All hospitals now offer AMD forms

III.  Co-Vid Pause

    A.  Being on life support with co-vid doesn't necessarily mean person won't have future quality of life

    B.  If I become sick enough to need life support, how do I want to be treated?

         1.  I want it

         2.  I want it unless others need it more and are more likely to live

         3.  I don't want it

              a.  Are you sure?

                   i.  Yes

                   ii.  No, I need more information from doctors and loved ones

IV.  If I don't have a trust, where do I start?

     A.  Internet

          Center for Practical Bioethics

     B.  Your local hospital

     C.  Trust Attorney

     D.  Your personal attorney

     E.  Estate planner

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Dan Chiodo

Passion. Charisma. Results. It’s those values and a desire to see others achieve them for themselves that led Dan to found iMPACT Training & Development, a firm which offers training to guide individuals into a higher level of performance through executive coaching, motivational speaking, staff training and organizational development.


As a Certified Mastermind Executive Coach, Dan teaches courses in leadership development, communication, sales, customer service and time management, with a focus on hands-on learning strategies.


Dan’s experience and interest in time management led to writing his book PerfectTIMING which is available on his website, as well as, Barnes & Noble and other books stores.


Dan also serves as the Senior Associate to Dr. Bill Wallisch, founder of MAIN Point, which is a communications firm that specializes in strategic communication skills for organizations worldwide. Clients include astronauts and cosmonauts of NASA, Coca-Cola, Starbucks, General Mills and the White House. MAINPoint also prepares well-known personalities for appearances on national television programs, such as Today, Nightline, Good Morning America and Meet the Press.


Dan spent a great part of his career in the communications field, having served more than ten years as the President & Publisher of the Joplin (MO) Globe, which is one of the largest newspapers in Community Newspaper Holding’s (CNHI) groups of newspapers in the U.S.

Prior to that, Dan held several management positions with Ottaway Newspapers, the community newspaper division of Dow Jones, Inc. He has also worked at communications companies in Pennsylvania, Kentucky, Minnesota and Missouri.


Dan graduated from East Stroudsburg University in Pennsylvania. He also attended the American Press Institute, Reston, Va., the management studies program at Kellogg University, Chicago, Ill., and Leaderpoint Management Development Institute, Overland Park, Ks. He also taught at the Bloomsburg Journalism Institute, Bloomsburg, Penn., and at Ashland Community College, Ashland, Ky. Dan was an instructor for the Xerox Professional Selling Skills program and administrated it for several Ottaway newspapers.


Dan’s assignments have taken him to countries such as Mexico, Panama, Australia, the UK and Dubai. He has also taught in the U.S. for companies such as General Mills, Nestle, Medtronic, Knutson Construction, the State of Missouri and Freeman Health System hospitals.


Dan is also on the John Maxwell Team of instructors and coaches, working with John to offer his courses throughout the country.

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