I agree with what Stellajane said and also very sorry to hear about your friends Taz.
I understand what you are saying re your specialist but my own personal view (and it is really only this) is that I go on what they said in the latest paper in my earlier post below, and additionally the gynae I saw last week also said he felt the risks were very small, and was happy for me to continue. The research on which the stated risks are based, was carried out using conjugated equine oestrogens and a synthetic progestogen taken orally, so I don't feel they are necessarily applicable to bio-identical HRT taken transdermally, and as you say evidence from other countries is beginning to show that patches are associated with lower risks.
There is a definite need for more research as you say - especially on women over 60 and long term use of HRT, but I doubt that such a study will be funded.
In the meantime - it may well be a gamble and we have to decide this for ourselves. I know I also couldn't work if I didn't use HRT, but will re-visit this when I retire

. I have a friend similarly - who is 2 years older than I am - so now 62 - still taking HRT pills because she has to continue working for a while yet.
I try to keep myself as healthy as possible in other ways to minimise the risks and just have to hope for the best..... I think it's important having made the decision (to stay on HRT), not to worry as I know this can have adverse health impacts.
I understand and sympathise with everything all of you are saying, but the main thing I feel strongly about, is the decision should be ours to make and not the medical profession.
Hurdity x