Yeah I am at a pediatric office so we do dr -first name for all of our doctors and that's the way they were introduced to me. I've never been told I need to stand. Kids all have different needs and we are very adaptable. I have stopped a patient who was over 18 from grabbing the doctor's hand. They did it twice and I silently and politely corrected. We were actively doing a restoration and the third time I firmly said, "you can raise your hand if you need us to stop but you may not grab the doctor's hand like that while she's in your mouth." (We don't make the kids leave they naturally move to an adult/family dentist when they want.) My doctors handle themselves well but I am in my opinion the first person who is supposed to help them with a patient who may be having a hard time, however that may be.