I’m not straining against anything. I correct my patients a dozen times a day when they call me doctor, reminding them I’m a NP. However if someone tells me I haven’t earned the title I’ve earned but choose not to use, I’m still going to remind you I’m a doctor in academic or social settings anytime I want to called one, and there isn’t a thing you can do about it. If you’d ever correct me in a non medical environment you’d be asking for an argument, because you aren’t the arbitrator of my educational achievements, and really no one cares what you think.