Oh, jeepers! I blame the education system for that one. I once worked with resident physicians and learned just how much indoctrination occurs in their education. I attended a leadership conference and they were repeatedly told how disrespectful it was if someone addressed them by just their name without including doctor. Even in regular everyday life. Ego inflation appears to be a part of the curriculum. But having her doctor listen is a huge step! And the one that probably matters the most. -Aimee