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This may help you understand. Say your name is Bartholomew, which is a long name and hard to write out each time. One of the people who works under you decides that your name is too hard to say each time, so they decide to start calling you prick. You tell that person that your name is Bartholomew and that you do not appreciate being called prick. They persist, despite your objection. You say, I am not a prick and it is disrespectful to call me that. Their fellow employees eventually all decide to call you prick because, they agree, it is much easier to say than Bartholomew and it is so much easier to write. So in email and text discussions, you are now "prick." It becomes so accepted that your boss now calls you prick instead of Bartholomew. He acknowledges you are a nice guy deserving of respect, but come on, prick really rolls right off the tongue with such ease. So, now we will all call Bartholomew "prick" because it will make things so much simpler.
We will call you Bartholomew and you call us anesthesiologists. Sorry, that is the best analogy I could come up with on the spur of the moment to illustrate the ire that the term MDA provokes in some anesthesiologists. It is a term of disrespect coined by CRNA's to try to cheapen our practice of medicine.
Outstanding analogy.