The lad made a pitiful face, as though he were going to beg for alms, blinked, and said:

“Kindly do something for me, Ivan Mikolaitch!”

“It’s no use saying ‘Ivan Mikolaitch,’ ” the doctor mimicked him. “You were told to come on Monday, and you ought to obey. You are an idiot, and that is all about it.”

The doctor began seeing the patients. He sat in his little room, and called up the patients in turn. Sounds were continually coming from the little room, piercing wails, a child’s crying, or the doctor’s angry words:

“Come, why are you bawling? Am I murdering you, or what? Sit quiet!”

Pashka’s turn came.

“Pavel Galaktionov!” shouted the doctor.

His mother was aghast, as though she had not expected this summons, and taking Pashka by the hand, she led him into the room.

The doctor was sitting at the table, mechanically tapping on a thick book with a little hammer.

“What’s wrong?” he asked, without looking at them.

“The little lad has an ulcer on his elbow, sir,” answered his mother, and her face assumed an expression as though she really were terribly grieved at Pashka’s ulcer.

“Undress him!”

Pashka, panting, unwound the kerchief from his neck, then wiped his nose on his sleeve, and began deliberately pulling off his sheepskin.

“Woman, you have not come here on a visit!” said the doctor angrily. “Why are you dawdling? You are not the only one here.”