Adriana Smith, a 30-year-old pregnant nurse, is being kept on life support after a medical emergency left her brain dead. Due to restrictive state laws, her family has no say in what happens next. While an advance directive can't change Adriana's heartbreaking situation, her story is a powerful reminder of why these documents matter. This episode of the Plus Mommy Podcast explores what advance directives are, how they work, and why every adult, especially those who are pregnant or parenting, should have one in place. These tools can't stop every crisis, but they can make sure you're not silenced when it matters most.