Perhaps I should explain also that he has no dementia, but he clearly has very strong narcissistic tendencies that could explain his behavior. The first time I saw him, he came walking into the room. I sat there as he introduced himself with: "Do you have any idea how lucky you are to be here? Do you know how many patients would want to sit where you are sitting now and be my patient". That was an unexpected introduction.. He will always talk about how other doctors are enthralled by his work, etc. Once when I had a consult with him just ahead of lunchtime, he invited me to stay during lunch and the entire conversation for an hour was about his 'grandeur'. Patients have joked online about his narcissistic tendencies and that he keeps talking and talking about how fantastic he is.
I thought I had dealt with narcissism, but I had seen nothing until I met this man :-/ .
Still somehow this behavior seems a trigger for my transference: it's almost like honey for the bee.