so what's the difference?

 in a dietician vs nutritionist?
I have met with the team of people i need here in Okinawa.
Yesterday i sat down and had a one on one with the Nut. She is a little freaked out about my surgery, and has no clue how to come about helping me.. She was like what am i suppose to help you with? i was like well umm i saw my nut every three months in the states, we would go over my food journal. Making sure i had enough protein, not to many carbs the right about of calories.. 
She was like oh well maybe the dietician is more equiped to help people like you. 
People like me, what? what is wrong with me? she was like umm i've never have dealt with Gastric bypass, i'm not famular with your surgery or what i need to be doing.. 
so now i'm confused on what i'm suppose to be doing. So we called in the Dietican and she is just as lost as the nut.. They are used to dealing with Active duty military with colestoral problems or weight issues.. not someone who had this surgery.. so i'm lost on what they are suppose to be doing. how they are suppose to help me.. What is it they do, and what is the difference between the two fields of Food?  They don't know how much i'm suppose to be eating, nor how many calories. they are so worried about calories when they saw my food log and was like oh that is way way to low for you.. yet i think 800 is to high for 9 months out.. They don't know how much i'm suppose to be eating right now. so i'm lost.. where can i find what it is that they need. when i don't know what it is that they need. Just don't know.. 
Annmarie 

((((AnnMarie)))),

I'm sorry that the staff there is unaware of what they need to do to help you.

You need to have someone who can guide you as to the appropriate dietary and supplementation guidelines for a post bariatric patient who has had RNY. Your needs are different from the general population because you have had a significant portion of your small intesting resected. This causes malabsorbtion of Protien, 

I have a resource that probably can help them help you and help you, help yourself.This should be a good starting place for them any way. The following article should help them help you.

http://www.asbs.org/Newsite07/resources/bgs_final.pdf

This is a detailed article, ASMBS Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient in the September 2008 issue... Volume 4, Issue 5, pages s74 to s108 written by Allied Health Sciences SectionAd Hoc Nutrtion Committe, Linda Aills, R.D. (Chair), Jeanne Blankenship, M.S., R.D., Cynthia Buffington, PhD., Margaret Furtado, M.S., R.D.

As to  your question about the difference between a nutritionist and a dietician... Here's the best I can do to try answer that question:

While there are many good and well-educated Nutritionist, Nutritionists are not licensed by state boards, meaning it is not illegal to advertise yourself as a nutritionist, even with an education. There are reputable Bachelor's programs and colleges that offer formal, and, in many cases, quite good degrees in nutrition. However, there is no oversight or regulation of the term "nutritionist," nor is there a guarantee of any kind of training when you see one. That said, most 'nutritionists' practicing at a hospital have least a bachelor's degree in nutrition and dietetics.

Dieticians are licensed by most states as Registered Dieticians (RD), meaning they require a bachelor's degree as well as post-graduate training in an accredited program. Dieticians (aka registered dietician or R.D.) do an internship that takes about 9 months after attaining their bachelor's degree. They must then pass a licensing exam and keep their license current by completing continuing education classes (CE's) for the entire time they are licensed. They generally have to take a new exam every few years to keep their license. It is illegal to advertise yourself as a "Dietician" without a license.

A nutritionist usually works in government such as a health department and a Registered Dietician can work in hospitals and makes more money than a nutritionist.

I hope this helps some.

 

 I want to tell you thank you so much, every time i post something here on the NC boards you go out of your way to help me out.. I wish i could have met up with you before i left.. 
i think your right though, they know their jobs as far as helping people with nutrion, but they aren't sure how to treat me.. They don't know since they don't deal with them on a daily basis its mostly active duty that they see... ones who have been put on the weightloss program.. 
thanks so much 
Annmarie 

No matter whether it is a nutritionist or a dietician, if they don't know about gastric patients then they will be of next to no help to you.  I would see where people are going for gastric surgery around there, and try to find out who to go to for these questions from them.  I know that here at Bragg,we just had our nutritionist out for a while for maternity leave.  She tried hard to get the other ones here to understand what our needs were as gastric patients, but we still ended up with a lot of pre-op patients getting different info. than any of us post ops had ever gotten, many of our post op appt.s leaving us very unhappy and with more questions than answers.  She just came back, and I think we are all going to inundate her with appointment requests and questions galore!  She may want to go back on leave before you know it, to get a break from all of us LOL.  I also know that nutritionists will give varying info. depending on what the surgeon they work with or the program they work for has decided is "their way" of doing things.  Just be prepared that things may be somewhat different than what you previously had once you do find someone who is trained to deal with post ops like us.