He began to avoid people and to seek solitude. His official work had been distasteful to him before: now it became unbearable to him. He was afraid they would somehow get him into trouble, would put a bribe in his pocket unnoticed and then denounce him, or that he would accidentally make a mistake in official papers that would appear to be fraudulent, or would lose other people's money. It is strange that his imagination had never at other times been so agile and inventive as now, when every day he thought of thousands of different reasons for being seriously anxious over his freedom and honour; but, on the other hand, his interest in the outer world, in books in particular, grew sensibly fainter, and his memory began to fail him.
In the spring when the snow melted there were found in the ravine near the cemetery two half-decomposed corpses -- the bodies of an old woman and a boy bearing the traces of death by violence. Nothing was talked of but these bodies and their unknown murderers. That people might not think he had been guilty of the crime, Ivan Dmitritch walked about the streets, smiling, and when he met acquaintances he turned pale, flushed, and began declaring that there was no greater crime than the murder of the weak and defenceless. But this duplicity soon exhausted him, and after some reflection he decided that in his position the best thing to do was to hide in his landlady's cellar. He sat in the cellar all day and then all night, then another day, was fearfully cold, and waiting till dusk, stole secretly like a thief back to his room. He stood in the middle of the room till daybreak, listening without stirring. Very early in the morning, before sunrise, some workmen came into the house. Ivan Dmitritch knew perfectly well that they had come to mend the stove in the kitchen, but terror told him that they were police officers disguised as workmen. He slipped stealthily out of the flat, and, overcome by terror, ran along the street without his cap and coat. Dogs raced after him barking, a peasant shouted somewhere behind him, the wind whistled in his ears, and it seemed to Ivan Dmitritch that the force and violence of the whole world was massed together behind his back and was chasing after him.
He was stopped and brought home, and his landlady sent for a doctor. Doctor Andrey Yefimitch, of whom we shall have more to say hereafter, prescribed cold compresses on his head and laurel drops, shook his head, and went away, telling the landlady he should not come again, as one should not interfere with people who are going out of their minds. As he had not the means to live at home and be nursed, Ivan Dmitritch was soon sent to the hospital, and was there put into the ward for venereal patients. He could not sleep at night, was full of whims and fancies, and disturbed the patients, and was soon afterwards, by Andrey Yefimitch's orders, transferred to Ward No. 6.
Within a year Ivan Dmitritch was completely forgotten in the town, and his books, heaped up by his landlady in a sledge in the shed, were pulled to pieces by boys.
IV
Ivan Dmitritch's neighbour on the left hand is, as I have said already, the Jew Moiseika; his neighbour on the right hand is a peasant so rolling in fat that he is almost spherical, with a blankly stupid face, utterly devoid of thought. This is a motionless, gluttonous, unclean animal who has long ago lost all powers of thought or feeling. An acrid, stifling stench always comes from him.
Nikita, who has to clean up after him, beats him terribly with all his might, not sparing his fists; and what is dreadful is not his being beaten -- that one can get used to -- but the fact that this stupefied creature does not respond to the blows with a sound or a movement, nor by a look in the eyes, but only sways a little like a heavy barrel.
The fifth and last inhabitant of Ward No. 6 is a man of the artisan class who had once been a sorter in the post office, a thinnish, fair little man with a good-natured but rather sly face. To judge from the clear, cheerful look in his calm and intelligent eyes, he has some pleasant idea in his mind, and has some very important and agreeable secret. He has under his pillow and under his mattress something that he never shows anyone, not from fear of its being taken from him and stolen, but from modesty. Sometimes he goes to the window, and turning his back to his companions, puts something on his breast, and bending his head, looks at it; if you go up to him at such a moment, he is overcome with confusion and snatches something off his breast. But it is not difficult to guess his secret.
"Congratulate me," he often says to Ivan Dmitritch; "I have been presented with the Stanislav order of the second degree with the star. The second degree with the star is only given to foreigners, but for some reason they want to make an exception for me," he says with a smile, shrugging his shoulders in perplexity. "That I must confess I did not expect."
"I don't understand anything about that," Ivan Dmitritch replies morosely.
"But do you know what I shall attain to sooner or later?" the former sorter persists, screwing up his eyes slyly. "I shall certainly get the Swedish 'Polar Star.' That's an order it is worth working for, a white cross with a black ribbon. It's very beautiful."
Probably in no other place is life so monotonous as in this ward. In the morning the patients, except the paralytic and the fat peasant, wash in the entry at a big tab and wipe themselves with the skirts of their dressing-gowns; after that they drink tea out of tin mugs which Nikita brings them out of the main building. Everyone is allowed one mugful. At midday they have soup made out of sour cabbage and boiled grain, in the evening their supper consists of grain left from dinner. In the intervals they lie down, sleep, look out of window, and walk from one corner to the other. And so every day. Even the former sorter always talks of the same orders.
Fresh faces are rarely seen in Ward No. 6. The doctor has not taken in any new mental cases for a long time, and the people who are fond of visiting lunatic asylums are few in this world. Once every two months Semyon Lazaritch, the barber, appears in the ward. How he cuts the patients' hair, and how Nikita helps him to do it, and what a trepidation the lunatics are always thrown into by the arrival of the drunken, smiling barber, we will not describe.
No one even looks into the ward except the barber. The patients are condemned to see day after day no one but Nikita.
A rather strange rumour has, however, been circulating in the hospital of late.
It is rumoured that the doctor has begun to visit Ward No. 6.
V
A strange rumour!
Dr. Andrey Yefimitch Ragin is a strange man in his way. They say that when he was young he was very religious, and prepared himself for a clerical career, and that when he had finished his studies at the high school in 1863 he intended to enter a theological academy, but that his father, a surgeon and doctor of medicine, jeered at him and declared point-blank that he would disown him if he became a priest. How far this is true I don't know, but Andrey Yefimitch himself has more than once confessed that he has never had a natural bent for medicine or science in general.
However that may have been, when he finished his studies in the medical faculty he did not enter the priesthood. He showed no special devoutness, and was no more like a priest at the beginning of his medical career than he is now.
His exterior is heavy -- coarse like a peasant's, his face, his beard, his flat hair, and his coarse, clumsy figure, suggest an overfed, intemperate, and harsh innkeeper on the highroad. His face is surly-looking and covered with blue veins, his eyes are little and his nose is red. With his height and broad shoulders he has huge hands and feet; one would think that a blow from his fist would knock the life out of anyone, but his step is soft, and his walk is cautious and insinuating; when he meets anyone in a narrow passage he is always the first to stop and make way, and to say, not in a bass, as one would expect, but in a high, soft tenor: "I beg your pardon!" He has a little swelling on his neck which prevents him from wearing stiff starched collars, and so he always goes about in soft linen or cotton shirts. Altogether he does not dress like a doctor. He wears the same suit for ten years, and the new clothes, which he usually buys at a Jewish shop, look as shabby and crumpled on him as his old ones; he sees patients and dines and pays visits all in the same
coat; but this is not due to niggardliness, but to complete carelessness about his appearance.
When Andrey Yefimitch came to the town to take up his duties the "institution founded to the glory of God" was in a terrible condition. One could hardly breathe for the stench in the wards, in the passages, and in the courtyards of the hospital. The hospital servants, the nurses, and their children slept in the wards together with the patients. They complained that there was no living for beetles, bugs, and mice. The surgical wards were never free from erysipelas. There were only two scalpels and not one thermometer in the whole hospital; potatoes were kept in the baths. The superintendent, the housekeeper, and the medical assistant robbed the patients, and of the old doctor, Andrey Yefimitch's predecessor, people declared that he secretly sold the hospital alcohol, and that he kept a regular harem consisting of nurses and female patients. These disorderly proceedings were perfectly well known in the town, and were even exaggerated, but people took them calmly; some justified them on the ground that there were only peasants and working men in the hospital, who could not be dissatisfied, since they were much worse off at home than in the hospital -- they couldn't be fed on woodcocks! Others said in excuse that the town alone, without help from the Zemstvo, was not equal to maintaining a good hospital; thank God for having one at all, even a poor one. And the newly formed Zemstvo did not open infirmaries either in the town or the neighbourhood, relying on the fact that the town already had its hospital.
After looking over the hospital Andrey Yefimitch came to the conclusion that it was an immoral institution and extremely prejudicial to the health of the townspeople. In his opinion the most sensible thing that could be done was to let out the patients and close the hospital. But he reflected that his will alone was not enough to do this, and that it would be useless; if physical and moral impurity were driven out of one place, they would only move to another; one must wait for it to wither away of itself Besides, if people open a hospital and put up with having it, it must be because they need it; superstition and all the nastiness and abominations of daily life were necessary, since in process of time they worked out to something sensible, just as manure turns into black earth. There was nothing on earth so good that it had not something nasty about its first origin.
When Andrey Yefimitch undertook his duties he was apparently not greatly concerned about the irregularities at the hospital. He only asked the attendants and nurses not to sleep in the wards, and had two cupboards of instruments put up; the superintendent, the housekeeper, the medical assistant, and the erysipelas remained unchanged.
Andrey Yefimitch loved intelligence and honesty intensely, but he had no strength of will nor belief in his right to organize an intelligent and honest life about him. He was absolutely unable to give orders, to forbid things, and to insist. It seemed as though he had taken a vow never to raise his voice and never to make use of the imperative. It was difficult for him to say. "Fetch" or "Bring"; when he wanted his meals he would cough hesitatingly and say to the cook, "How about tea?. . ." or "How about dinner? . . ." To dismiss the superintendent or to tell him to leave off stealing, or to abolish the unnecessary parasitic post altogether, was absolutely beyond his powers. When Andrey Yefimitch was deceived or flattered, or accounts he knew to be cooked were brought him to sign, he would turn as 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 ear
s 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 The Doctor, of which he always read the last pages first. He would always go on reading for several hours without a break and without being weary. He did not read as rapidly and impulsively as Ivan Dmitritch had done in the past, but slowly and with concentration, often pausing over a passage which he liked or did not find intelligible. Near the books there always stood a decanter of vodka, and a salted cucumber or a pickled apple lay beside it, not on a plate, but on the baize table-cloth. Every half-hour he would pour himself out a glass of vodka and drink it without taking his eyes off the book. Then without looking at it he would feel for the cucumber and bite off a bit.
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.
Selected short stories -1892-1895- translated by Constance Garnett Page 2
