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.
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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. 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. 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. 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. 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. 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. No one even looks into the ward except the barber. The patients are condemned to see day after day no one but Nikita.
SEVENTY-THREE SHORT STORIES
A rather strange rumour has, however, been circulating in the hospital of late. 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 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.
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 face is surly-looking and covered with blue veins, his eyes are little and his nose is red. 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.
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. 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. 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.
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.http://forum2.quizizz.com/paradiles-estudio-de-ritmica-nivel-bsico.php
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His life was passed like this. 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.
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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.
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.