red as a crab and feel guilty, but yet he would sign the accounts. When the patients complained to him of being hungry or of the roughness of the nurses, he would be confused and mutter guiltily: 'Very well, very well, I will go into it later. . . . Most likely there is some misunderstanding. . .'
At first Andrey Yefimitch worked very zealously. He saw patients every day from morning till dinner-time, performed operations, and even attended confinements. The ladies said of him that he was attentive and clever at diagnosing diseases, especially those of women and children. But in process of time the work unmistakably wearied him by its monotony and obvious uselessness. To-day one sees thirty patients, and to-morrow they have increased to thirty-five, the next day forty, and so on from day to day, from year to year, while the mortality in the town did not decrease and the patients did not leave off coming. To be any real help to forty patients between morning and dinner was not physically possible, so it could but lead to deception. If twelve thousand patients were seen in a year it meant, if one looked at it simply, that twelve thousand men were deceived. To put those who were seriously ill into wards, and to treat them according to the principles of science, was impossible, too, because though there were principles there was no science; if he were to put aside philosophy and pedantically follow the rules as other doctors did, the things above all necessary were cleanliness and ventilation instead of dirt, wholesome nourishment instead of broth made of stinking, sour cabbage, and good assistants instead of thieves; and, indeed, why hinder people dying if death is the normal and legitimate end of everyone? What is gained if some shop-keeper or clerk lives an extra five or ten years? If the aim of medicine is by drugs to alleviate suffering, the question forces itself on one: why alleviate it? In the first place, they say that suffering leads man to perfection; and in the second, if mankind really learns to alleviate its sufferings with pills and drops, it will completely abandon religion and philosophy, in which it has hitherto found not merely protection from all sorts of trouble, but even happiness. Pushkin suffered terrible agonies before his death, poor Heine lay paralyzed for several years; why, then, should not some Andrey Yefimitch or Matryona Savishna be ill, since their lives had nothing of importance in them, and would have been entirely empty and like the life of an amoeba except for suffering?
Oppressed by such reflections, Andrey Yefimitch relaxed his efforts and gave up visiting the hospital every day.
VI
His life was passed like this. As a rule he got up at eight o'clock in the morning, dressed, and drank his tea. Then he sat down in his study to read, or went to the hospital. At the hospital the out-patients were sitting in the dark, narrow little corridor waiting to be seen by the doctor. The nurses and the attendants, tramping with their boots over the brick floors, ran by them; gaunt-looking patients in dressing-gowns passed; dead bodies and vessels full of filth were carried by; the children were crying, and there was a cold draught. Andrey Yefimitch knew that such surroundings were torture to feverish, consumptive, and impressionable patients; but what could be done? In the consulting-room he was met by his assistant, Sergey Sergeyitch -- a fat little man with a plump, well-washed shaven face, with soft, smooth manners, wearing a new loosely cut suit, and looking more like a senator than a medical assistant. He had an immense practice in the town, wore a white tie, and considered himself more proficient than the doctor, who had no practice. In the corner of the consulting-room there stood a large ikon in a shrine with a heavy lamp in front of it, and near it a candle-stand with a white cover on it. On the walls hung portraits of bishops, a view of the Svyatogorsky Monastery, and wreaths of dried cornflowers. Sergey Sergeyitch was religious, and liked solemnity and decorum. The ikon had been put up at his expense; at his instructions some one of the patients read the hymns of praise in the consulting-room on Sundays, and after the reading Sergey Sergeyitch himself went through the wards with a censer and burned incense.
There were a great many patients, but the time was short, and so the work was confined to the asking of a few brief questions and the administration of some drugs, such as castor-oil or volatile ointment. Andrey Yefimitch would sit with his cheek resting in his hand, lost in thought and asking questions mechanically. Sergey Sergeyitch sat down too, rubbing his hands, and from time to time putting in his word.
'We suffer pain and poverty,' he would say, 'because we do not pray to the merciful God as we should. Yes!'
Andrey Yefimitch never performed any operation when he was seeing patients; he had long ago given up doing so, and the sight of blood upset him. When he had to open a child's mouth in order to look at its throat, and the child cried and tried to defend itself with its little hands, the noise in his ears made his head go round and brought tears to his eyes. He would make haste to prescribe a drug, and motion to the woman to take the child away.
He was soon wearied by the timidity of the patients and their incoherence, by the proximity of the pious Sergey Sergeyitch, by the portraits on the walls, and by his own questions which he had asked over and over again for twenty years. And he would go away after seeing five or six patients. The rest would be seen by his assistant in his absence.
With the agreeable thought that, thank God, he had no private practice now, and that no one would interrupt him, Andrey Yefimitch sat down to the table immediately on reaching home and took up a book. He read a great deal and always with enjoyment. Half his salary went on buying books, and of the six rooms that made up his abode three were heaped up with books and old magazines. He liked best of all works on history and philosophy; the only medical publication to which he subscribed was
At three o'clock he would go cautiously to the kitchen door; cough, and say, 'Daryushka, what about dinner? . .'
After his dinner -- a rather poor and untidily served one -- Andrey Yefimitch would walk up and down his rooms with his arms folded, thinking. The clock would strike four, then five, and still he would be walking up and down thinking. Occasionally the kitchen door would creak, and the red and sleepy face of Daryushka would appear.
'Andrey Yefimitch, isn't it time for you to have your beer?' she would ask anxiously.
'No, it's not time yet . . .' he would answer. 'I'll wait a little. . . . I'll wait a little. . .'
Towards the evening the postmaster, Mihail Averyanitch, the only man in town whose society did not bore Andrey Yefimitch, would come in. Mihail Averyanitch had once been a very rich landowner, and had served in the calvary, but had come to ruin, and was forced by poverty to take a job in the post office late in life. He had a hale and hearty appearance, luxuriant grey whiskers, the manners of a well-bred man, and a loud, pleasant voice. He was good-natured and emotional, but hot-tempered. When anyone in the post office made a protest, expressed disagreement, or even began to argue, Mihail Averyanitch would turn crimson, shake all over, and shout in a voice of thunder, 'Hold your tongue!' so that the post office had long enjoyed the reputation of an institution which it was terrible to visit. Mihail Averyanitch liked and respected Andrey Yefimitch for his culture and the loftiness of his soul; he treated the other inhabitants of the town superciliously, as though they were his subordinates.
'Here I am,' he would say, going in to Andrey Yefimitch. 'Good evening, my dear fellow! I'll be bound, you are getting sick of me, aren't you?'
