I guess making you do that was a way for her to set boundaries, but he is certainly sending mixed signals by signing his emails that way. It sounds to me like it's ok with him, but she butted in. It annoys me that drs expect to call me by my first name, yet insist on the title for themselves. My dr and I have never discussed it, or called each other any name! I guess it's a given that we know who each other is...weird.