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I can't say about children as they know me in and out of school as "Miss-us Awwww-neeee".
I didn't realise those higher up the medical chain in the US stayed Doctors. That makes a difference in the dropping the Doctor in a social setting thing.... I think.
For those unclear about what we've just discussed - consultants and surgeons in the UK are addressed Mr, Mrs Ms as per their preference. They are no longer called Doctor. It's a badge of honour.
As an adult I can't imagine ever using the word Sir. Unless it was to a Judge. No, that's Your Honour. And I certainly can't imagine using Madam or Ma'am. I'm very conventional and polite, I just can't picture appropriate circumstances.
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