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I’ll be damned if I write to you again. I have written to Abbazzio, to St. Moritz. I have written a dozen times at least, so far you have not sent me one correct address, and so not one of my letters has reached and my long description and lectures about the cholera have been wasted. It’s mortifying. But what is most mortifying is that after a whole series of letters from me about our exertions against the cholera, you all at once write me from gay Biarritz that you envy my leisure! Well, Allah forgive you!

Well, I am alive and in good health. The summer was a splendid one, dry, warm, abounding in the fruits of the earth, but its whole charm was from July onwards, spoilt by news of the cholera. While you were inviting me in your letters first to Vienna, and then to Abbazzio I was already one of the doctors of the Serpuhovo Zemstvo, was trying to catch the cholera by its tail and organizing a new section full steam. In the morning I have to see patients, and in the afternoon drive about. I drive, I give lectures to the natives, treat them, get angry with them, and as the Zemstvo has not granted me a single kopeck for organizing the medical centres I cadge from the wealthy, first from one and then from another. I turn out to be an excellent beggar; thanks to my beggarly eloquence, my section has two excellent barracks with all the necessaries, and five barracks that are not excellent, but horrid. I have saved the Zemstvo from expenditure even on disinfectants. Lime, vitriol, and all sorts of stinking stuff I have begged from the manufacturers for all my twenty-five villages. In fact Kolomin ought to be proud of having been at the same high school with me. My soul is exhausted. I am bored. Not to belong to oneself, to think about nothing but diarrhoea, to start up in the night at a dog’s barking and a knock at the gate (“Haven’t they come for me?”), to drive with disgusting horses along unknown roads; to read about nothing but cholera, and to expect nothing but cholera, and at the same time to be utterly uninterested in that disease, and in the people whom one is serving — that, my good sir, is a hash which wouldn’t agree with anyone. The cholera is already in Moscow and in the Moscow district. One must expect it from hour to hour. Judging from its course in Moscow one must suppose that it is already declining and that the bacillus is losing its strength. One is bound to think, too, that it is powerfully affected by the measures that have been taken in Moscow and among us. The educated classes are working vigorously, sparing neither themselves nor their purses; I see them every day, and am touched, and when I remember how Zhitel and Burenin used to vent their acrid spleen on these same educated people I feel almost suffocated. In Nizhni the doctors and the cultured people generally have done marvels. I was overwhelmed with enthusiasm when I read about the cholera. In the good old times, when people were infected and died by thousands, the amazing conquests that are being made before our eyes could not even be dreamed of. It’s a pity you are not a doctor and cannot share my delight — that is, fully feel and recognize and appreciate all that is being done. But one cannot tell about it briefly.

The treatment of cholera requires of the doctor deliberation before all things — that is, one has to devote to each patient from five to ten hours or even longer. As I mean to employ Kantani’s treatment — that is clysters of tannin and sub-cutaneous injection of a solution of common salt — my position will be worse than foolish; while I am busying myself over one patient, a dozen can fall ill and die. You see I am the only man for twenty-five villages, apart from a feldsher who calls me “your honour,” does not venture to smoke in my presence, and cannot take a step without me. If there are isolated cases I shall be capital; but if there is an epidemic of only five cases a day, then I shall do nothing but be irritable and exhausted and feel myself guilty.

Of course there is no time even to think of literature. I am writing nothing. I refused remuneration so as to preserve some little freedom of action for myself, and so I have not a halfpenny. I am waiting till they have threshed and sold the rye. Until then I shall be living on “The Bear” and mushrooms, of which there are endless masses here. By the way, I have never lived so cheaply as now. We have everything of our own, even our own bread. I believe in a couple of years all my household expenses will not exceed a thousand roubles a year.

When you learn from the newspapers that the cholera is over, you will know that I have gone back to writing again. Don’t think of me as a literary man while I am in the service of the Zemstvo. One can’t do two things at once.

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