It is taken for granted that medical technologies will advance apace in the future, permitting rapid healing and perhaps even shaping of the human body. This submission is to provide possible flavors for that medicine to come in.
A culture has it forbidden to say their rulers name under penalty of death. Anybody in power must be referred to as their title. Comes from the fact that the rule or position can be taken over by anybody from any level in society. To use the title elevates them or brings them down from whatever level they were originally at before they took the position. Respect and authority comes from the position, not from previous life.