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Silver Mangos by Dr. Luis Pagan-Carlo

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You’re right to want to protect the life you’ve built.

For families who care deeply about their parents, their children, and the future they’re working so hard to preserve.

If you’re here, it’s because family matters to you.

You want your parents to age with dignity.

You want your children protected from chaos and uncertainty.

You want peace of mind — not just for today, but for the years ahead.

Wanting clarity, preparation, and stability doesn’t make you anxious.

It makes you responsible.

Silver Mangos exists for families who are doing their best to take care of the people they love — and want to keep life steady, connected, and intact as circumstances change.

What most families don’t realize — until they’re forced to.

Life rarely unravels all at once.

It changes suddenly, often during a major medical event.

An unexpected diagnosis.

A fall.

A hospitalization that lasts longer than planned.

In those moments, families often assume the healthcare system will guide them thoughtfully and protect what they value.

But the system is built to move quickly.

It follows protocols.

It makes decisions under pressure.

Unless families are prepared before a crisis, clarity disappears right when it’s needed most.

This isn’t about pessimism.

It’s about understanding how things actually work — before you’re inside them.

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When preparation is missing, the cost isn’t theoretical.

Families rarely expect what comes next.

Decisions are rushed.

Loved ones guess at wishes that were never clearly stated.

Stress replaces calm.

Fear replaces confidence.

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What families lose isn’t just time.

They lose:

  • Financial stability they spent decades building
  • Family unity when disagreements turn into lasting fractures
  • Dignity when care no longer reflects personal values
  • Peace of mind that never fully returns

These outcomes aren’t rare.

They’re common when clarity arrives too late.

And once they begin, they can’t be undone.

Preparation isn’t about fear.
It’s about preserving a good life.

Families who prepare early experience something different.

They stay aligned when decisions matter.

They protect finances from avoidable loss.

They preserve dignity during difficult moments.

They move forward with confidence instead of regret.

Silver Mangos provides families with ongoing guidance — not just documents — so preparation evolves as life does.

This includes:

  • Clear understanding before crisis
  • Continued education and reminders
  • Support as parents age and circumstances change
  • A framework that protects what families value most

This isn’t about planning for the worst.

It’s about keeping the best intact.

Testimonials

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"We didn’t realize how vulnerable we were until we understood what could happen. Preparing early gave us peace, and kept our family unified when things changed."

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"Silver Mangos helped us protect our parents, our finances, and each other. We’re grateful we didn’t wait."

Peace doesn’t come from avoiding hard truths.

It comes from facing them early — together.

Dr. Luis Pagan-Carlo is a best-selling author, board certified cardiologist, and multidisciplinary consultant changing the conversation around end-of-life choices.

Drawing on more than 28 years of clinical experience and his unique Silver Mangos philosophy, Dr. Pagan-Carlo provides the education and tools patients need to create living wills, advance healthcare directives, and more. He empowers patients, partners, and families to plan for their medical directives and financial legacy ahead of time, bringing peace of mind and complete clarity around what they or their loved ones want.

About Luis Pagan

Key Milestones

  • Growing up in a multi-generational household, Dr. Pagan-Carlo saw all stages of life.
  • In his family’s hometown in Puerto Rico, his grandfather was buried under a mango tree, so his grandmother explained death to him as “going to the mango grove.”
  • As a young man, Dr. Pagan-Carlo became the medical proxy for his ailing father, learning about medical decision-making early on.
  • He initially pursued engineering, but felt a calling to study medicine instead, and became a cardiologist.
  • Dr. Pagan-Carlo worked closely with older adults and became known for his compassionate and honest approach to end-of-life choices.
  • He wrote Your Life’s Choices to help patients take charge of how their life’s story ends.
  • Silver Mangos was created to change the conversation about end-of-life, educate patients about making choices in advance, and make estate-planning accessible to all.

Guiding Principles

Honor

Death is a natural part of life that gives life meaning — and end-of-life planning is a way to honor that life. Dr. Pagan-Carlo’s unique philosophy and method have helped patients, partners, and families make decisions ahead of time, with a brave and clear-eyed approach to a difficult subject.

Knowledge

In a crisis, uninformed partners and families can make split-second decisions about their loved one’s care, driven by fear rather than informed by planning — even when these decisions can lead to prolonged suffering or financial ruin. Flaws in the medical system make it so that patients don’t always see the same doctor each time they need care — so a patient’s care team may have no idea what they actually wanted in the end.

Discernment

Important decisions, like whether a patient wanted to be placed on a respirator or revived while being treated for a terminal illness, shouldn’t be made at the spur of the moment or left up to strangers. Without advance directives and living wills, a patient’s wishes can get lost in the chaos.

Guidance

Silver Mangos helps people plan for their futures, with step-by-step guidance that gives you peace of mind and helps you make choices that are right for you and your family.

By planning for the end, even decades ahead of death, you can ensure the dignity and autonomy of yourself and your loved ones.

In the past, estate-planning was carried out primarily by a small and privileged population. Today, Silver Mangos is making end-of-life planning accessible to all. Step-by-step guidance in Your Life’s Choices, patient-education courses, and individual and family coaching can help you make the plans you need.

Learn More About Available Services

'Your Life's Choice'

Your Life’s Choices demystifies end-of-life planning, taking audiences through the steps of end-of-life choices. Grounded in Silver Mangos’s philosophy, Dr. Pagan-Carlo’s workbook helps you start the conversation, and makes planning for the end an empowering act. Sign Up With Your Email and Receive an Excerpt From Your Life’s Choices

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'Your Life's Choice'
by LUIS PAGAN-CARLO, md

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"Dr.Luis Pagan-Carlo Refreshingly compassionate and competent! You can trust that he will be honest with you. Excellent care!"

Rita, HealthGrades

"Dr. Pagan is excellent! He spent a very long time with me and answered all of my questions in a direct, straight forward fashion. His answers were realistic and honest and gave me comfort. He strikes me as a man who is passionate about what he does and is genuinely interested in his patients. He is on top of the current science and technology available to help his patients. He knows what he is talking about."

ShareCare

"Dr. Pagan is thorough, thoughtful, kind and funny! He tells it like it is and is completely straight up. I love that he is academic and down to earth. I honestly believe I have the best cardiologist in the twin cities looking after me. My gosh he is good. He spent a great deal of time with me and answered all of my questions in a clear and easy manner. I can't say enough good things about him!"

Vitals.com

The SilverMangos Toolkit

Learn More About End-of-Life Planning with Dr. Pagan-Carlo

Euthanasia Laws & Ethics Advanced Directives Guide

Euthanasia Laws: Key Takeaways (If We’re Being Completely Human About This) This isn’t about preparing for death. It’s about protecting yourself—your values, your comfort, your…

Advanced Healthcare Directive Setup Guide & The Emotional Journey Behind It

Key Takeaways — In Real, Human Terms Why This Matters — Even If You’re Young, Healthy, or “Not Ready Yet” No one wakes up expecting…

Grieving Process Guide Before, During & After Medical Event

A Few Things to Know Up Front: Grieving Process Guide There’s something uniquely destabilizing about grief that follows a medical event. It might have come…

Advanced Directives for Patients Without Close Family Planning

Advanced Directives for Patients For people without close family, that question doesn’t just tug at the edges of your thoughts — it can sit right…

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Frequently Asked Questions

An advanced healthcare directive is a legal document that explains your medical care preferences if you cannot communicate them yourself.
Planning ensures your healthcare wishes are respected, reduces stress for your family, and helps avoid confusion in emergencies.
Any adult can create one, especially those with chronic illnesses, ongoing medical treatments, or upcoming surgeries.
It typically includes treatment preferences, life-support decisions, and who you choose as your healthcare proxy.
In most places, you do not need a lawyer, but laws vary. Some states require witnesses or notarization.
Review it after major life events such as marriage, illness, or significant medical changes.
If legally valid, your directive should take priority, but family disputes can occur if documents are unclear or outdated.
No, it’s recommended for anyone over 18, as accidents or illnesses can happen at any age.
Doctors may make decisions for you, or state laws may give that power to your closest relatives.
Begin by thinking about your values, discussing your wishes with loved ones, and completing your state’s official forms.

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