Unless of course one uses the reference in a dismissive or demeaning manor.
For example, when mom was being treated for cancer, her first oncologist insisted on calling me "missy" and treated me like I was trying to kill her every time I asked a question. He said she needed 2 separate biopsies, and I asked could they be done at the same time, since she had issues with anesthesia. I got the "I am the doc. I am god" attitude.
Hence the reason he was her FIRST. The new one had a much better attitude.