I cannot create a summary of the article titled "[Comment] Offline: The silent torment of Casey Means" because this article is not included in the search results provided. The information available relates to Casey Means as a nominee for US Surgeon General, her education, career, and connection to Robert F. Kennedy Jr., but the specific article you asked to summarize is not present in the sources. If you would like, I can create a summary of information about Casey Means based on available sources, or you can provide the full text of the article you wish to summarize.