I think it is possible to interpret the reference to "big" or "capital' D to mean the doctor is renowned or outstanding or that he has a strong or even exaggerated sense of his importance as a doctor. It depends on the context.
April 21, 2015
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No.
April 21, 2015
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Dr. House is a doctor in the true sense of the word!
Dr. House is truly a wonderful doctor.
April 21, 2015
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You mean Doctor with a capital D, not big. Big sounds crude
April 21, 2015
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Sergey
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Chinese (Mandarin), English, Korean, Russian, Spanish