re: Pretenious responses after getting doctorate?

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Unless it is a medical doctor, but even then, it's still pretty douchey.

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From everything I have heard and read the honorific of doctor went with a PhD long before it was applied to an MD. Remember that in the old days a barber was the one doing surgery on the populace.

Doctor, as a title, originates from the Latin word of the same spelling and meaning.[1] The word is originally an agentive noun of the Latin verb docere [d?'ke?r?] 'to teach'. It has been used as an honored academic title for over a millennium in Europe, where it dates back to the rise of the first universities. This use spread to the Americas, former European colonies, and is now prevalent in most of the world. Contracted "Dr" or "Dr.", it is used as a designation for a person who has obtained a doctorate-level degree. Doctorates may be research doctorates or professional doctorates.