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Dr. Nicole Safire
Welcome to Wellness on Mass. I'm Dr. Nicole Safire, and this is your weekly rundown. Well, for all of you in the Northeast who had a blizzard earlier this week, hope everyone made it unscathed, didn't have any pipes bursting or any of those consequences that can happen with the freezing temperatures. I personally had a wonderful time because I had all of my family home. My husband was even home. He didn't have to go in for an emergency surgery. My oldest son came over and we just had a family snow day. And it was a lot of cooking. It was a lot of board games. And then we went out and played in the snow. I was happy as can be because my happy place is being home surrounded by my family. And I certainly got that. I hope you were able to get some quality time with your family, too, with the snow or wherever you are. So what's been going on this week? Well, I can tell you one thing that I was keeping my eye on is the Senate confirmation hearing for Dr. Casey means for the role of surgeon general. She is the current President Trump nominee for surgeon general. Quick recap for those not up to date. She is the second nomination, the first nomination for surgeon general. Last year. President Trump withdrew the nomination. That was Dr. Jeanette Neshwat, who I knew is a friend and colleague from Fox News. She's a lovely person inside and out. She does a lot of volunteer work. But her nomination was withdrawn and in her place was put Dr. Casey Means, who is the sister of Cali Means, who is a White House advisor. So I did watch the Senate confirmation hearing. Leading up to the confirmation hearing, there was some buzz. You know, the usual buzz whenever there's a nominee. You know, obviously there's a huge amount of people for her, specifically the Maha crowd. And then of course, you always expect there to be the other side giving the counterpoint as well. So what I have seen, you know, the, the true MAGA crowd, very upset that, you know, she didn't actually practice medicine during COVID and she hasn't spoken out against the COVID vaccines. So they aren't her biggest fans. And they're also the medical professionals. And obviously, as a physician, I can speak to this opinion. Dr. Casey means extremely intelligent individual. She, I don't know. I don't have her CV in front of me, but I think she went to Stanford undergrad or maybe Stanford Medical School. She did well there. She got a head and neck residency, I think somewhere in the Northwest, maybe Oregon. The big criticism, though, is she never completed her residency and she said it was because she didn't want to be a part of traditional medicine and she wanted to go off and I guess focus on metabolic health or I don't even know what her reasons is. To be honest. I haven't followed it that closely. But the problem that medical professionals have is she didn't complete her Residency, she doesn't have an active medical license. And so she's never actually really treated patients in her specialty unsupervised. And so that's the biggest criticism. And while people are like, well, what does that matter? I guess it's kind of like, if you think about it, having an attorney general who never passed the bar exam, it doesn't mean that they're not a brilliant attorney. They can't go and start some billion dollar company or be an entrepreneur or whatever. But to be the nation's lawyer probably should, you know, have the bar exam and active legal license or something. And so that's what they're saying about her and Surgeon General. She doesn't even have an active medical license to practice medicine, didn't complete her training. How can be the quote, unquote, nation's doctor? What's my personal opinion? Listen, I understand. I, I kind of feel the same way about not completing residency. Maybe that ages me. Maybe that makes me sound like a curmudgeon, like, well, why couldn't she have finished residency? I had to finish residency. So I kind of, you know, I kind of feel that way too. But is it that huge of a deal? I don't really know. If you think about this surgeon general role, it's a very important role because it is the nation's doctor. The biggest skill that this person needs is they need to be able to effectively communicate, communicate with the public, public health messaging. But even more important than that, they need the respect of not only the people, the American people that they are communicating to, but they also need the respect of the administration for which they are working together with to get that research and put out the messaging. And also the medical professionals, the medical organizations, they need to make sure that she is a trusted messenger. So I think one of the biggest complaints is again, medical professionals saying we don't really trust her. Watching the hearing today, there were no major moments. There were a few little bickering back and forths there. There weren't any major got you moments in my opinion. I've seen a lot of these Senate hearings and trust me, they can get pretty heated. This was not really one of them. You know, there was some back and forth when it came to birth control vaccines. Surprisingly, the COVID vaccine never came up once. I was kind of surprised in that I thought they were going to try and ask her opinion on it. They did not. And, and I think she gave some great answers to some questions, some not so great answers on other questions. Ultimately, I think she's going to get through just fine. I can't really imagine them not voting her in. You know, the Republicans. As long as the Republicans don't deviate, she's going to get in. I think it'll be an uphill battle for the administration if she is in that role, because right now they still have a messaging problem and we're trying to bridge that gap of public health trust. And I'm not sure if she's the person to bridge that G gap. Again, not because, you know, she's very intelligent person. It's just that she's very much aligned with the Maha movement. And I'd really like to see a little bit more reaching across the aisle when it comes to public health. That doesn't mean it has to be some Democratic nominee for surgeon general. Maybe just someone a little less aligned with the Maha movement who, I don't know, finished their residency and has an active medical license. I mean, maybe if you just check those boxes, you'll get the support from some of the critics that we're seeing online. I don't really know. I think she's going to get confirmed. I think she's going to do a good job. She's a new mom. They had to do a little breastfeeding break today, and I kind of love seeing that because you know me, I always promote breastfeeding. So. So bottom line, I anticipate they are going to vote her in. She will be our new surgeon general. And I'll let you know next week. If you follow me on social media, you'll see it before then. But I hope everyone's having a great week and I have an excellent guest for next week's podcast. I can't wait for you to hear it. We're going to break down the State of the Union address, what they were talking about when it came to the healthcare stuff. What's the future of the Affordable Care Act? Are these premiums going to go up? Everyone was saying they're going to. Are they going to actually go up? Talk about the Maha movement? And we're going to talk about potentially the new surgeon General. So tune in next week. I'm Dr. Nicole Safire. This has been Wellness Unmasks, your weekly rundown. Be sure to listen to wellness en masse on iHeartRadio Apple Podcasts. Wherever you get your podcasts, you see it instantly.
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This episode of “Wellness Unmasked” with Dr. Nicole Saphier focuses on analyzing the Senate confirmation hearing for Dr. Casey Means, President Trump’s nominee for Surgeon General. Dr. Saphier offers medical, political, and personal insights on Dr. Means’ qualifications, the controversies surrounding her nomination, and potential implications for public health messaging in the U.S. The episode takes a measured, thoughtful tone while highlighting both the praise and criticism from various corners of the medical and political world.
On Residency and Licensing:
“It’s kind of like...having an attorney general who never passed the bar exam. It doesn’t mean they’re not a brilliant attorney...But to be the nation’s lawyer probably should...have the bar exam and active legal license or something. And so that’s what they’re saying about her and Surgeon General.” — Dr. Nicole Saphier [04:31]
On the Senate Hearing’s Tone:
“Watching the hearing today, there were no major moments...no major got you moments in my opinion....This was not really one of them.” — Dr. Nicole Saphier [06:30]
On Political Alignment and Trust:
“I’m not sure if she’s the person to bridge that gap...She’s very much aligned with the Maha [MAGA] movement, and I’d really like to see a little more reaching across the aisle when it comes to public health.” — Dr. Nicole Saphier [07:42]
On Professional Credentials:
“Maybe just someone a little less aligned with the Maha movement who, I don’t know, finished their residency and has an active medical license...Maybe if you just check those boxes, you’ll get the support from some of the critics.” — Dr. Nicole Saphier [08:10]
Dr. Saphier expects Dr. Means to be confirmed as Surgeon General, but acknowledges skepticism from both political and medical circles regarding her qualifications and ability to restore public trust in public health messaging. The episode wraps with a tease for next week, promising analysis of the State of the Union’s healthcare focus and further discussion about the new Surgeon General’s early impact.
For listeners:
If you’re seeking an informed but balanced look at the debate over Dr. Casey Means as America’s top doctor—including medical, political, and personal perspectives—this episode brings clarity to a heated nomination with both substance and humanity.