I've kind of been avoiding writing this post; it just brings up the feelings of frustration that engulfed me Thursday morning. I'm not quite sure where to start.
I was received promptly, and she knows of course from the referral I'm there for managing my IBS via dietary means; weight, we discussed, will be a secondary focus. One of the *first* things I tell her is that I have a nutrition background, so she doesn't have to "spell things out" for me, per se, like she would for most people. I'm not sure that was well received. She gives me a handout on foods and groups of foods to avoid for people with IBS. I'm thinking in the back of my head, "Why are you giving this to me? I KNOW all of this." But maybe she has to, so I keep my mouth shut and play along. She asked what my food triggers were (she almost seemed surprised that I knew these), medications I'm on and other secondary health issues. Naturally, being a Canadian-certified Dietitian, she was a firm believer in Canada's Food Guide, which she also promptly put in front of me (I'm trying to count how many copies I have of this now). I also have, what I can best presume to be an activity guide (how to get more exercise), but I refuse to look at it seeing as I told her I was active in some form or another 5-7 days a week. Also, expending large amounts of energy is difficult for me per my sugar.
Anyways... she also gave me a handout on foods in different categories and their serving size. I was also given sheets to record, for the next 4 weeks, food intake and subsequent reactions. Basically it's an elimination diet (which I've also done in a light, varying form). Then I was just told to go with said information, follow up in 4 weeks and that's it.
She asked me at the end if all this was "okay" and I spoke up. "No, it's not. I need more guidance than that." Well, at that point it was the end of the appointment. As it was, we went 10 min over. I asked her if she would create an example of a one-week meal plan. She said she usually doesn't do that as people don't often like all the foods on it (really? I think we could work together on that) and people get "stuck". Listen, I can't apply a change of diet without some assistance of application.
I'm frustrated because there was no inquiry or discussion of my lifestyle (which greatly affects how one eats), how often I work, eating habits (telling me to eat a 'balanced dinner' every night is a moot point; I'm not going to eat a full meal at 8pm when I have to be in bed for 9), how to incorporate eating to fit my other health concerns (other than eating "every 2 hours". Yeah, I know that, thanks). Just.. it was a complete fail.
I'm not saying I don't have things to learn from her, but I think she went in with an agenda (a poor one at that, but who am I to judge), I went in with high expectations (an after having witnessed some great dietitians at the hospital) and came out on a low. I'm trying to think of how to best approach her to be more productive. I know dietitians are capable of so much more, so, I don't know.
Anyways, I've gone on enough. That's it.