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By the way, I'm just curious. What do you think the average person thought when they were introduced for the first time to Dr. Vascular Surgeon? They may not have said anything out loud, but I bet the average person probably thought
"Why does that doctor go around asking people to address him as Doctor...at a social cocktail party? What happened in his life to make him so insecure? It's so weird." And then they would forget about it and continue mingling.
My guess is most people who knew him casually didn't address him as "Doctor" the next time they saw him in a social context. I know I wouldn't if we were at a cocktail party and I only knew him casually. Seems weird.
Now I could be wrong. Maybe everyone happily called him "Dr. Vascular Surgeon" all the time.
He was in fact a jerk, so I hope most people thought he was one. They never let on that they thought he was, sadly enough. Had a long storied academic career.
I also knew an epidemiologist (PhD) that always went by "doctor" when in a crowd of MDs. I just chalked it up to insecurity on his part.
My favorite was a patient's husband that introduced himself to me as "dr. xyz". I proceeded to talk to him like he was an MD in explaining his wife's condition. He looked a little confused during my 3 minute explanation so I figured something was wrong with my management or her dispo. He then told me he was a PhD in English and needed the lay person's explanation. Not sure what the intended outcome he expected here, but I thought it was funny.