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Bump In The Road Podcast shares real, unfiltered stories of resilience, transformation, and personal growth from everyday people who faced major setbacks, identity shifts, and turning points in their lives. This episode explores personal growth that comes from innovation, entrepreneurship and changing the medical status quo. This episode is about using our setbacks to change systems, help people and the personal growth that comes from entrepreneurship. In this episode: Dr. Fred Mirachi’s world is one of advanced directives and medical ethics. As an experienced emergency physician he shares his harrowing experiences during his residency, where he faced critical decisions that not only impacted his patients’ lives but also shaped his perspective on the healthcare system. What if the patient didn’t want to be resuscitated? What if he or she does? What if the family wants no end of life measures taken, but the patient wants to live? The questions and motivations can be complex. How does a physician navigate such mudded waters? Following the patients’ wishes is paramount, Dr. Mirachi says. Better communication between patients and healthcare providers is needed. And Fred has the solution to this. At Mideo Health, Dr. Mirachi is at the forefront of incorporating technology into advanced care planning. He is introducing patient-to-clinician video tools, which allow patients to express their treatment preferences in a more personal and clear manner. This technology not only enhances communication but also ensures that patients’ wishes are accurately interpreted, reducing the risk of end of life medical errors. Fred’s hope is for a shift towards a more patient-centered approach, where technology and human connection work hand in hand to improve patient outcomes. Using QR codes, Mideo Health allows your medical directive to be retrieved in seconds. Doctors can see and hear your wishes immediately, eliminating lost paperwork and ambiguity. And it’s covered by Medicare and most insurance plans. Fred is pushing for a healthcare system that truly respects and prioritizes patient autonomy. This is a fascinating story of how one doctor’s experience is changing the medical system for all of us.