He drank off a glass of tea, and began in a calmer voice.
"Well, then. My patient kept getting worse and worse. You are not a doctor, my good sir; you cannot understand what passes in a poor fellow's heart, especially at first, when he begins to suspect that the disease is getting the upper hand of him. What becomes of his belief in himself? You suddenly grow so timid; it's indescribable. You fancy then that you have forgotten everything you knew, and that the patient has no faith in you, and that other people begin to notice how distracted you are, and tell you the symptoms with reluctance; that they are looking at you suspiciously, whispering … Ah! it's horrid! There must be a remedy, you think, for this disease, if one could find it. Isn't this it? You try—no, that's not it! You don't allow the medicine the necessary time to do good … You clutch at one thing, then at another. Sometimes you take up a book of medical prescriptions—here it is, you think! Sometimes, by Jove, you pick one out by chance, thinking to leave it to fate. … But meantime a fellow-creature's dying, and another doctor would have saved him. 'We must have a consultation,' you say; 'I will not take the responsibility on myself.' And what a fool you look at such times! Well, in time you learn to bear it; it's nothing to you. A man has died—but it's not your fault; you treated him by the rules. But what's still more torture to you is to see blind faith in you, and to feel yourself that you are not able to be of use. Well, it was just this blind faith that the whole of Aleksandra Andreyevna's family had in me; they had forgotten to think that their daughter was in danger. I, too, on my side assure them that it's nothing, but meantime my heart sinks into my boots. To add to our troubles, the roads were in such a state that the coachman was gone for whole days together to get medicine. And I never left the patient's room; I could not tear myself away; I tell her amusing stories, you know, and play cards with her. I watch by her side at night. The old mother thanks me with tears in her eyes; but I think to myself, 'I don't deserve your gratitude.' I frankly confess to you—there is no object in concealing it now—I was in love with my patient. And Aleksandra Andreyevna had grown fond of me; she would not sometimes let any one be in her room but me. She began to talk to me, to ask me questions; where I had studied, how I lived, who are my people, whom I go to see. I feel that she ought not to talk; but to forbid her to—to forbid her resolutely, you know—I could not. Sometimes I held my head in my hands, and asked myself, "What are you doing, villain?" … And she would take my hand and hold it, give me a long, long look, and turn away, sigh, and say, 'How good you are!' Her hands were so feverish, her eyes so large and languid. … 'Yes,' she says, 'you are a good, kind man; you are not like our neighbours. … No, you are not like that. … Why did I not know you till now!' 'Aleksandra Andreyevna, calm yourself,' I say. … 'I feel, believe me, I don't know how I have gained … but there, calm yourself. … All will be right; you will be well again.' And meanwhile I must tell you," continued the doctor, bending forward and raising his eyebrows, "that they associated very little with the neighbours, because the smaller people were not on their level, and pride hindered them from being friendly with the rich. I tell you, they were an exceptionally cultivated family; so you know it was gratifying for me. She would only take her medicine from my hands … she would lift herself up, poor girl, with my aid, take it, and gaze at me. … My heart felt as if it were bursting. And meanwhile she was growing worse and worse, worse and worse, all the time; she will die, I think to myself; she must die. Believe me, I would sooner have gone to the grave myself; and here were her mother and sisters watching me, looking into my eyes … and their faith in me was wearing away. 'Well? how is she?' 'Oh, all right, all right!' All right, indeed! My mind was failing me. Well, I was sitting one night alone again by my patient. The maid was sitting there too, and snoring away in full swing; I can't find fault with the poor girl, though; she was worn out too. Aleksandra Andreyevna had felt very unwell all the evening; she was very feverish. Until midnight she kept tossing about; at last she seemed to fall asleep; at least, she lay still without stirring. The lamp was burning in the corner before the holy image. I sat there, you know, with my head bent; I even dozed a little. Suddenly it seemed as though some one touched me in the side; I turned round. … Good God! Aleksandra Andreyevna was gazing with intent eyes at me … her lips parted, her cheeks seemed burning. 'What is it?' 'Doctor, shall I die?' 'Merciful Heavens!' 'No, doctor, no; please don't tell me I shall live … don't say so. … If you knew. … Listen! for God's sake don't conceal my real position,' and her breath came so fast. 'If I can know for certain that I must die … then I will tell you all—all!' 'Aleksandra Andreyevna, I beg!' 'Listen; I have not been asleep at all … I have been looking at you a long while. … For God's sake! … I believe in you; you are a good man, an honest man; I entreat you by all that is sacred in the world—tell me the truth! If you knew how important it is for me. … Doctor, for God's sake tell me. … Am I in danger?' 'What can I tell you, Aleksandra Andreyevna, pray?' 'For God's sake, I beseech you!' 'I can't disguise from you,' I say, 'Aleksandra Andreyevna; you are certainly in danger; but God is merciful.' 'I shall die, I shall die.' And it seemed as though she were pleased; her face grew so bright; I was alarmed. 'Don't be afraid, don't be afraid! I am not frightened of death at all.' She suddenly sat up and leaned on her elbow. 'Now … yes, now I can tell you that I thank you with my whole heart … that you are kind and good—that I love you!' I stare at her, like one possessed; it was terrible for me, you know. 'Do you hear, I love you!' 'Aleksandra Andreyevna, how have I deserved{bar|2}}' 'No, no, you don't—you don't understand me.' … And suddenly she stretched out her arms, and taking my head in her hands, she kissed it. … Believe me, I almost screamed aloud. … I threw myself on my knees, and buried my head in the pillow. She did not speak; her fingers trembled in my hair; I listen; she is weeping. I began to soothe her, to assure her. … I really don't know what I did say to her. 'You will wake up the girl,' I say to her; 'Aleksandra Andreyevna, I thank you … believe me … calm yourself.' 'Enough, enough!' she persisted; 'never mind all of them; let them wake, then; let them come in—it does not matter; I am dying, you see. … And what do you fear? why are you afraid? Lift up your head. … Or, perhaps, you don't love me; perhaps I am wrong. … In that case, forgive me.' 'Aleksandra Andreyevna, what are you saying! … I love you, Aleksandra Andreyevna.' She looked straight into my eyes, and opened her arms wide. 'Then take me in your arms.' I tell you frankly, I don't know how it was I did not go mad that night. I feel that my patient is killing herself; I see that she is not fully herself; I understand, too, that if she did not consider herself on the point of death, she would never have thought of me; and, indeed, say what you will, it's hard to die at twenty without having known love; this was what was torturing her; this was why, in despair, she caught at me—do you understand now? But she held me in her arms, and would not let me go. 'Have pity on me, Aleksandra Andreyevna, and have pity on yourself,' I say. 'Why,' she says; 'what is there to think of? You know I must die.' … This she repeated incessantly. … 'If I knew that I should return to life, and be a proper young lady again, I should be ashamed … of course, ashamed … but why now?' 'But who has said you will die?' 'Oh, no, leave off! you will not deceive me; you don't know how to lie—look at your face.' … 'You shall live, Aleksandra Andreyevna; I will cure you; we will ask your mother's blessing … we will be united—we will be happy.' 'No, no, I have your word; I must die … you have promised me … you have told me.' … It was cruel for me—cruel for many reasons. And see what trifling things can do sometimes; it seems nothing at all, but it's painful. It occurred to her to ask me, what is my name; not my surname, but my first name. I must needs be so unlucky as to be called Trifon. Yes, indeed; Trifon Ivanich. Every one in the house called me doctor. However, there's no help for it. I say, 'Trifon, madam.' She frowned, shook her head, and muttered something in French—ah, something unpleasant, of course!—and then she laughed—disagreeably too. Well, I spent the whole night with her in this way. Before morning I went away, feeling as though I were mad. When I went again into her room it was daytime, after morning tea. Good God! I could scarcely recognise her; people are laid in their grave looking better than that. I swear to you, on my honour, I don't understand—I absolutely don't understand—now, how I lived through that experience. Three days and nights my patient still lingered on. And what nights!