“Yes, yes,” Laptev agreed. “There’s no return of the symptoms, but every day I notice she grows weaker and weaker, and is wasting before my eyes. I don’t understand what’s the matter with her.”

“Oh dear! And how strong she used to be, plump and rosy!” said Yulia Sergeyevna after a moment’s silence. “Every one here used to call her the Moscow lady. How she used to laugh! On holidays she used to dress up like a peasant girl, and it suited her so well.”

Doctor Sergey Borisovitch was at home; he was a stout, red-faced man, wearing a long coat that reached below his knees, and looking as though he had short legs. He was pacing up and down his study, with his hands in his pockets, and humming to himself in an undertone, “Ru-ru-ru-ru.” His grey whiskers looked unkempt, and his hair was unbrushed, as though he had just got out of bed. And his study with pillows on the sofa, with stacks of papers in the corners, and with a dirty invalid poodle lying under the table, produced the same impression of unkemptness and untidiness as himself.

“M. Laptev wants to see you,” his daughter said to him, going into his study.

“Ru-ru-ru-ru,” he hummed louder than ever, and turning into the drawing-room, gave his hand to Laptev, and asked: “What good news have you to tell me?”

It was dark in the drawing-room. Laptev, still standing with his hat in his hand, began apologising for disturbing him; he asked what was to be done to make his sister sleep at night, and why she was growing so thin; and he was embarrassed by the thought that he had asked those very questions at his visit that morning.

“Tell me,” he said, “wouldn’t it be as well to send for some specialist on internal diseases from Moscow? What do you think of it?”

The doctor sighed, shrugged his shoulders, and made a vague gesture with his hands.

It was evident that he was offended. He was a very huffy man, prone to take offence, and always ready to suspect that people did not believe in him, that he was not recognised or properly respected, that his patients exploited him, and that his colleagues showed him ill-will. He was always jeering at himself, saying that fools like him were only made for the public to ride rough-shod over them.

Yulia Sergeyevna lighted the lamp. She was tired out with the service, and that was evident from her pale, exhausted face, and her weary step. She wanted to rest. She sat down on the sofa, put her hands on her lap, and sank into thought. Laptev knew that he was ugly, and now he felt as though he were conscious of his ugliness all over his body. He was short, thin, with ruddy cheeks, and his hair had grown so thin that his head felt cold. In his expression there was none of that refined simplicity which makes even rough, ugly faces attractive; in the society of women, he was awkward, over-talkative, affected. And now he almost despised himself for it. He must talk that Yulia Sergeyevna might not be bored in his company. But what about? About his sister’s illness again?

And he began to talk about medicine, saying what is usually said. He approved of hygiene, and said that he had long ago wanted to found a night-refuge in Moscow—in fact, he had already calculated the cost of it. According to his plan the workmen who came in the evening to the night-refuge were to receive a supper of hot cabbage soup with bread, a warm, dry bed with a rug, and a place for drying their clothes and their boots.

Yulia Sergeyevna was usually silent in his presence, and in a strange way, perhaps by the instinct of a lover, he divined her thoughts and intentions. And now, from the fact that after the evening service she had not gone to her room to change her dress and drink tea, he deduced that she was going to pay some visit elsewhere.