My Mother had a thing about having to address her doctors as Dr. So-and-so, while they took the liberty of calling her by her first name. After all, she was the doctor's client. What did she do? She called the doctor by his first name, only after he called her by her first name. On occasion, the doctor would then switch, and start addressing her as Mrs., using her surname. You may think this as trivial, but you would be surprised how important it is to some, especially among more mature people.
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