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re consultant, they are high-up super-duper doctors, so awesome that to associate them with mere regular doctors is an insult to their superiority. so they go back to Mr./Ms. to show just how awesome they are.
Oh and professor -only really high up teachers in British universities are professors. Not all of them. the rest are just Dr. or Mr/s. such-and-such.
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The most difficult thing is the decision to act, the rest is merely tenacity Amelia Earhart
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