What they seem to be ignoring is that Casey and Calley Means both began to experiment with psychedelics (psilocybin mushrooms) and have spiritual awakenings or mystical experiences that led them to shift their life paths. People are known to sometimes make radical changes of this type after spiritual awakenings.

Here is an AP story (with establishment bias designed to demean her spiritual exploration with psychedelics): https://apnews.com/article/means-trump-surgeon-general-mushrooms-psychedelic-drugs-72c22ed077409b4bb865214e7ef304a8

Psychedelics can be both powerful aids in facilitating healing shifts AND can be hazardous, people tend to over-focus on either of those sides of the psychedelic phenomena.

: Ignoring the Elephant in the Room. It is a universal problem
: THE TENPENNY REPORT
: https://drtenpenny.com/wednesdaynewsletter/#evidence

: [snip]

: The internet and podcasters have been on fire for the last few
: days, with long diatribes of investigative material, both
: pro and con, regarding the nomination of Dr. Casey Means

: for Surgeon General by the Trump Administration. I’ve
: read endless posts on X and listened to more than a few
: thought-provoking, eyebrow-raising podcasts.

: I listened to a podcast interview with Mary Bowden, MD, Laura
: Loomer’s show, , on Friday night. One of the many things
: Dr. Bowden said that was absolutely correct: when you are
: in the fourth year of a five-year surgical residency, you
: don’t just walk out.

:
:
:

: By that point, you’re enormously committed to your career as
: a surgeon in both time (you are 12 years into your career
: path) and money (you’ve invested at least $350,000). As a
: resident, you earn a sustainable wage while working 80+
: hours per week, and the interest on your school debts
: accrues. When you’re That Close to the finish line, you
: suck it up and finish it, no matter how much you dislike
: your chosen path. You’ve certainly had to “suck it up” and
: “tough it out” many times over the preceding four years of
: college + four years of medical school + the first four
: years of a residency program. You bite your lip, square
: your shoulders, and cross each completed day off the
: calendar that is hanging on your refrigerator door, often
: counting the number of days that remain.
:

:
:

: And when you’re done, when you’re a certified ENT surgeon (or
: whatever specialty you’re in), THAT’S when you say, “This
: isn’t working for me. I want to get people well.” You
: decide to stop pushing prescriptions and doing lucrative
: cosmetic surgeries. You learn truly healing modalities and
: therapies. You open a small office or join an already
: existing practice, and you start to see patients day in and
: day out, talking about nutrition, supplements, and doing
: wellness programs.

: But Casey Means did none of those things. The story just
: doesn’t add up.