it is very frustrating when you know what is going on and your team is not listening or taking action on your concerns. it very much sounds like a medication issue to me. either you need meds to fix it or the med may be causing those flashes. i too hate the idea that they want to hospitalize to manage meds. i did argue my way out of it with my pdoc once, saying i could do the same thing at home. (i had an important event that cost 500 dollars non refundable to attend). he agreed to let me, arranging for me to check in with him breifly every day. he know i knew myself and could take care of myself and trusted that. i hope you can get to your appt monday. i learned with pdocs you have to really be assertive in advocating for what you want. i went thru a lot of them at the clinic because i wasnt going to stay on meds that werent working. if they werent going to work with me, i requested a new doc. i finally found a doc that trusted i knew my body/mind and worked with me and we found the right meds to balance me out.