42 pages • 1-hour read
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Content Warning: This section of the guide includes discussion of gender discrimination and illness.
Shields suffered a grand mal seizure in a neighborhood bistro just days before her one-woman show was to open. She does not remember much about the seizure but does recall waking up in an ambulance with her neighbor—friend and famous actor Bradley Cooper—accompanying her. He was nearby when the medical emergency occurred and supported Shields until her husband arrived at the hospital. The experience was not only frightening but also frustrating because of the way a male physician treated Shields, asking her if she was restricting her salt intake to lose weight and thus implying that she may have caused her seizure. Her sodium levels had simply dropped because of the heat she endured while preparing for the show.
This event was the second health scare that Shields experienced within a few years. She broke her femur in 2021, while working out, and spent a month hospitalized with no visitors because of the COVID-19 pandemic. She also developed a dangerous staph infection while in the hospital, which required further treatment. This experience forced her to confront her mortality, an awareness that her motherhood heightened. She could not be parented while hospitalized because she still had to parent her daughters. This heightened consciousness of one’s mortality, however, simply makes Shields appreciate her life more: “You live more thoughtfully, more fully. You approach relationships with more gratitude. You use your body a bit more intentionally” (69). She no longer works on her body to please others but does so for herself.
The pandemic forced Shields to “slow down” and spend more time with her family, a luxury that she acknowledges not everyone was afforded. The “forced togetherness” also led her to value the time that remains (72). She is determined to focus on what she has rather than lament what she lacks. One study shows that existential stresses plague those in their twenties and thirties, while older people feel that their lives have an inherent value. Shields no longer lives inside “wreckage of the future” but finds contentment in her current life (75).
rocedure could have on her fertility. She only found out from her woman physician years later when she was going through in vitro fertilization. Shields finds the lack of informed consent reprehensible. Eight years later, she faced another unsavory situation with a male doctor who performed additional work without her consent when she underwent a labial reduction procedure: “I struggle to believe it’s a coincidence that both of these really disorienting medical episodes (not to mention the interrogation about my salt intake after my seizure) occurred with men” (84).
Thus, when Shields was later hospitalized with a broken femur, she was prepared to self-advocate. Girls and women are socially conditioned to be polite and deferential, which inhibits them from advocating for themselves for fear of being deemed problematic. Older people, research shows, have more experiences in healthcare settings that lead them to practice self-advocacy more frequently. When an emergency room doctor performed surgery on her broken femur, Shields could tell that something was not right in recovery. This time, she argued for a reassessment, in the face of dismissals, and eventually got a second surgery to correct the first doctor’s mistake. Yet she still “felt bad for him” (89). Women are consistently expected to comfort others, even those who harm them.
She listened to her providers’ conversations while hospitalized, so much so that she was able to ask informed questions about her care, leading one physician to suggest that she had spent too much time on the website WebMD: “We are the experts of our own experiences. And yet as women we are not always encouraged to familiarize ourselves with our own bodies” (92). However, with age comes the knowledge and confidence to self-advocate, even if women should not have to do so.
Women are taught from a young age that they are imperfect and should fix their physical flaws. Shields admits that she played a role in perpetuating “unrealistic beauty standards” as “the cultural norm” when she was a young Calvin Klein model (95). She did not realize that she was contributing to unrealistic expectations at the time, and she was simultaneously a “victim” of the same standards she helped to uphold (95).
Girls begin critiquing their looks around age 12, and this self-criticism continues into adulthood. Shields’s age has not silenced her inner critical voice but has “turned down the volume” (96). Beauty’s definition has become more nuanced with age, moving beyond the physical. The public deemed Shields beautiful when she was a child: “My face was anointed” (98). She modeled, but only in print because she was not thin enough for runway shows. After she appeared in a Calvin Klein ad as a teen, her body became “public domain” (99). Shields believed that her value lay with her looks, which eroded her self-confidence in other areas. Today, the public still lays claim to her face when others criticize her for aging, with some even telling her daughters that their mother “used” to be attractive (99). Shields, however, no longer seeks outside validation because “it doesn’t do much to change how you feel on the inside” (100). In fact, she feels like the same person she was at 20. This self-perception, known as “subjective age,” has a positive impact on mental health, according to research, but can also create a disconnect between what people see in the mirror and how they feel.
Shields’s confidence in her aging body contributed to her motivation in writing her books and the establishment of her hair care line, Commence. She and her middle-aged friends felt overlooked despite their confidence. She wanted to create a platform for women over 40 to share their experiences.
Today, Shields focuses on physical activity for strength and mobility more than for appearance purposes. She also pursues activities based on her enjoyment, and she understands that others’ critiques of her aging reflect the critics’ issues with age: “My getting older is a reminder that they’re getting older, and perhaps they haven’t come to see their forties and fifties as the empowering rite of passage that I do” (107). Shields continues to care for herself so that she can remain active and healthy but is not obsessed with maintaining the body and face of her youth.
Shields experienced her first hot flash while filming in Savannah, Georgia, in 2016. She was unprepared for the experience and did not realize that it was a sign of menopause: “I loved turning forty, but fifty sounded old. I hadn’t yet realized that all my preconceived notions of what that age represented were rooted in myths rather than reality” (110). She feared “going downhill” because of the myths and mystery surrounding menopause (111). Society treats women past the age of fertility as irrelevant and undesirable. Research confirms that most women get little information about menopause from physicians; women who are informed get their knowledge from friends or the internet, and most only get this information after they have entered menopause. Physicians are not well educated on menopause and are ill-equipped to discuss it with their patients. This silence makes the experience more frightening.
Shields only raised the issue of menopause with her gynecologist a couple of years after her first hot flash, as her symptoms progressed. She began hormone therapy, which alleviated her discomfort, but she found the end of her fertility difficult to come to terms with because society perceives women who can no longer procreate as irrelevant. Shields, however, finds freedom in this change and notes that it is less scary than pre-menopausal women perceive it to be. Knowledge and respect for aging are essential to ending negative stigmas surrounding menopause and preparing women to enter a new phase. She asserts that women are more than their bodies.
Shields not only celebrates Empowerment Through Aging but also confronts its challenges, particularly in the realm of health and medical treatment. She critiques the pervasive medical misogyny that often leaves women unheard, misdiagnosed, or subjected to negligent care, using her own experiences as a lens through which to examine these systemic issues. By employing a combination of polemic and personal reflection, she emphasizes the necessity of self-advocacy in navigating both the medical system and the broader cultural narratives surrounding aging.
Shields’s hospitalization after breaking her femur serves as a stark reminder of the physical vulnerabilities that aging can bring. Yet, rather than framing these experiences as signs of inevitable decline, she argues that these experiences are opportunities to assert agency, demand better care, and reclaim control over one’s body and well-being. Her encounters with gendered microaggressions in medical settings highlight the institutionalized biases that undermine women’s health. She recalls being dismissed by a male physician who wrongly attributed her seizure to dieting and another who condescendingly suggested that she had been browsing WebMD when she asked an informed question about her treatment. She explains how she listened to her medical team’s conversations to inform herself and soon felt equipped to ask educated questions:
One of those times, the doctors and specialists and interns were gathered around my bed, discussing my body when I interjected with a question regarding antibiotics and white blood cells. Before responding to my very valid question, the infectious disease specialist turned to me with his most patronizing smile and tilt of his head, and answered my question with a question of his own: ‘Have you been browsing WebMD?’ (92).
Shields, however, responded with the confidence she describes in earlier chapters. These microaggressions devalue the individual on the receiving end and are illustrative of bigger problems, including a lack of education for practitioners on women’s health issues, especially menopause, or medical abuse. Research indicates that gender bias often leads practitioners to dismiss women’s complaints of pain (Cheng, Kate. “Over 80% of Women Have Had Their Pain Dismissed by a Healthcare Professional.” Women’s Health, 15 Oct. 2024). These dismissals delay treatment of sometimes serious conditions, negatively impact women’s mental health, and lead to work absenteeism, thus affecting their careers.
Shields has firsthand experience with both problems. She knew very little about menopause when her symptoms began. Most women have limited knowledge about the condition, and younger women find approaching menopause frightening. Systemic failures in medical education are to blame. Few gynecologists have extensive education on the subject and are ill-equipped to educate their patients. This trend indicates that older women’s health is seen as less important and exemplifies the intersection of ageism and misogyny. Shields fills this knowledge void by sharing her experience with taking hormones and assures her audience that menopause does not have to be a miserable and scary experience.
Perhaps the most harrowing of her medical encounters is the nonconsensual procedure performed on her by a male physician, who, without her permission, surgically altered her body while she was under anesthesia for a labiaplasty. His casual remark—“I tightened you up a little bit!” (82)—exemplifies the entitlement with which some male doctors exert control over women’s bodies. Shields’s inclusion of this deeply personal violation underscores the severity of medical abuse and the long-term impact that it can have on a woman’s physical and emotional well-being.
Because her memoir is also a self-help book, Shields encourages readers, through the lens of her experiences, to self-advocate. Being older is a helpful tool, and she backs this up with research that indicates that older people have more agency in medical decision-making. Yet she also acknowledges her privilege as a celebrity. She is sometimes more likely to be taken seriously because she is Brooke Shields, and this advantage is one to which most women are not privy.



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