She doesn't "trust" tooling that basically the entire Internet including major security-conscious organizations are using, essentially letting perfect get in the way of good.
I think if she were a less capable engineer she would just set that shit up using the easiest way possible and forget about it like everyone else, and nothing bad would happen. Download nginx proxy manager, click click click, boom I have a wilcard cert, who cares?
I mean, this is her https site, which seems to just be a blog? What type of risk is she mitigating here?
Essentially the author is so skilled that she's letting perfect get in the way of good.
I haven't thought about certificates for years because it's not worth my time. I don't really care about the tooling, it's not my problem, and it's never caused a security issue. Put your shit behind a load balancer and you don't even need to run any ACME software on your own server.