Different for others vs themselves.

Corticosteroid nasal sprays are being used by ent doctors for very long term to treat allergies in people..they claim that topical absorption does not cause systemic side effects and hence new generation nasal sprays don't raise iop. But ophthalmologists on practo are saying that long term use may cause glaucoma. On one hand we say, that use medicines under supervision. But even if under ent supervision, one gets glaucoma , it's too unfortunate because it's not discussed with patient before prescribing. Similarly, an ophthalmologist commented here that Oct must be done before starting ssri. You tell me honestly, how many doctors in government hospital really do that ? You visit a psychiatry department, they easily prescribe ssri to treat depression. you visit doc for sore throat, he never asks if patient is taking adequate sunlight and vit d supplement is needed or not. these days almost everyone havig vit d deficiency. even mbbs knows it but no comprehensive evaluation of patient.