The doctor was extremely dissatisfied with Alexey Alexandrovitch. He found the liver considerably enlarged, and the digestive powers weakened, while the course of mineral waters had been quite without effect. He prescribed more physical exercise as far as possible, and as far as possible less mental strain, and above all no worry⁠—in other words, just what was as much out of Alexey Alexandrovitch’s power as abstaining from breathing. Then he withdrew, leaving in Alexey Alexandrovitch an unpleasant sense that something was wrong with him, and that there was no chance of curing it.

As he was coming away, the doctor chanced to meet on the staircase an acquaintance of his, Sludin, who was secretary of Alexey Alexandrovitch’s department. They had been comrades at the university, and though they rarely met, they thought highly of each other and were excellent friends, and so there was no one to whom the doctor would have given his opinion of a patient so freely as to Sludin.

“How glad I am you’ve been seeing him!” said Sludin. “He’s not well, and I fancy.⁠ ⁠… Well, what do you think of him?”