I do medical transcription remotely for oncologists. I just finished a report that seriously had me cringing. It was for a moderately overweight female patient who is recovering from the treatment for acute myeloid leukemia and has the symptoms of fatigue and lack of appetite. Patient has recently lost 11 pounds but claims that she is eating the same.

The nurse practitioner counseled the patient that not eating is not a good way to lose weight because she will continue to feel fatigue but then counsels the patient to use Boost or Ensure in addition to possibly protein powders. She actually used the words Boost and Ensure in the same sentence as healthy eating.

They recommend Boost or Ensure quite frequently and have also recommended Carnation Instant Breakfast on more than one occasion.

These are really good, well-respected oncologists, too. It just makes me sad that they are so smart about one aspect, but not about the nutrition part of it.