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 Becoming one's own authority
This whole thing about "authority figures" is really an important mid-life shift from my own perspective. That was my first tie in with my own hot flashes I started getting about 6 years before my periods stopped. That would have be around age 46. (Such a kid). But I noticed I got hot flashes when I was having to deal with authority figures (court, etc.) and there was this slow dawning on me that I was now old enough to be an authority and I no longer had to "defer" to them and feel bad about them. I also came to the recognition then that half the people were now younger than me, and the ones that were older than me were getting a bit "senile" and/or out of touch, so that left me as much as a proper authority as anyone. This was very much a shift in thinking and I had to readjust my normal reactions to things. It was pretty neat in the long run.

  I think this authority figure thing with MDs at this age is a troubling aspect for some who feel that to self direct one's own medical care is frightening. It means a loss of a comfortable authority figure who one would like to believe was there in one's best interests, always. But time and time again we have seen that this has not been the case. I know this is a troubling concept for some women, so "changed attitudes about authority figures" most definitely needs to be added to the list of good things. Becoming one's own authority figure can be exhilarating and scary, and then fundamentally sound. J

 I can strongly identify with this, from personal experience (which I will recount in some detail) and what I've seen in my work.  Women should question everything, IMO, and have confidence that they can be experts as far as their body is concerned.

My Experience as a Patient

When I was 42, I started getting episodes of very rapid heart rate. The GP gave me Verapamil tablets, which didn't work, and I ended up in hospital having IV meds after my heart rate had been 180 - 200 for over 6 hours. 

I saw a cardiologist, who completely dismissed my suggestion that there might be a hormonal connection. (I'd noticed it only happened in the week before a period). He said the rapid rhythm was supraventricular tachycardiaI (SVT), short episodes were harmless but prolonged bouts wern't good. If they continued I'd need a "microwave  ablation" to zap the part of the heart that was causing the rhythm disturbance.

This scared me so much that things got worse for a while, and I needed to take cardiac meds which made me feel terrible. I researched cardiac microwave ablations and didn't like what I read.. Then I began to find out about perimeno, and found some (albeit limited) research that linked SVT with reduced estrogen levels.

I began to feel less anxious, and tried out self-help methods. I stopped the meds when I perfected the "Valsalva Manoeuvre" (holding breath and "bearing down"). It  mostly worked, and I could do this fairly unobtrusively in public. But sometimes the only thing that stopped a *resistant* bout was to go somewhere private, lie down completely flat, and do slow abdominal breathing. But it always worked, and I found that exhilarating. I made it a priority, and there were times when I walked out in the middle of meetings, or cut short a group teaching session and inconvenienced a lot of people. But *my* treatments were effective, and after about 2 years the SVT's stopped. And other perimeno signs took their place......

I still feel angry about the way my views were dismissed, and this has coloured my attitude to doctors in general, perhaps unfairly so. I try not to be too antagonistic with the ones I work with because I know they care about their patients and mean well!

But I wonder how many women have had to undergo operations and procedures unnecessarily, because they had more trust in their doctor than themselves? Theresa


But I noticed I got hot flashes when I was having to deal with authority  figures (court, etc) and there was this slow dawning on me that I was now old  enough to be an authority and I no longer had to "defer" to them and feel bad  about them.
Going against the stream would surely be stressful.  If one was used to deferring to those considered to be superior, it's quite a turnaround to suddenly base your actions and decisions on your own knowledge and intuition. Perhaps a bit of guilt until one adjusts to trusting one's own judgement and realising that that is a good thing.
 I also came to the recognition then that half the people were now younger than  me, and the ones that were older than me were getting a bit "senile" and/or  out of touch, so that left me as much as a proper authority as anyone. This  very much was a shift in thinking and I had to readjust my normal reactions  to things. It was pretty neat in the long run.
Age should command some respect, but so should actions and deeds well earned. I'm sure that many women deserve that respect, but are themselves are not feeling that they deserve it.  It's a shame that it takes half of one's life to actually feel that they are worthy contributors to society.
Becoming one's own authority figure can be exhilarating and scary, and then  fundamentally sound.
Yes, taking responsibility for oneself can be frightening, but believing that we are capable is the biggest step. Erika.
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