Once the resolution was made to pursue his studies in a more practical manner, he becomes the house-surgeon of a hospital. But even there a mass of problems disturb him. He sees how dangerous the simplest operations are; he is frightened by the unrestraint of the doctors, who try new methods on the sick, methods the effects of which are not known, methods that result in the patient's being inoculated with more sickness. Medicine cannot progress without direct experimentation, and experience is gained at the expense of the more unfortunate. Nevertheless, Veressayev does not argue against this way of working; he shows the facts, and leaves it to the reader to decide. On the other hand, he does not hide his fear of the common ignorance of all doctors. Every individual differs from his neighbor. How distinguish their idiosyncrasies? Once the scope of a sickness is known, what remedy shall be used? Some say this, others, that. How shall one choose? Veressayev has felt all of this; he has tried to harden himself against the unreasonable ingratitude of some, the scepticism of others; he realizes that patience, resignation, and heroism are needed in order to struggle against and support the mortifications in the career of a doctor. How much easier it would be not to consider medicine as infallible; to study it as an art rather than as a science. But people prefer to believe that doctors know everything. They do not want to see the reality, and this is the reason why sad, and at times tragic conflicts arise between patient and physician. Finally, what could the most perfect medical science and the cleverest doctor do against the enormous mass of sickness and suffering that are the inevitable result of the social evils, of which poverty is the most conspicuous? How can one tell a man that his trade is running him down and that he does not get enough nourishment? How can one order a man to eat better food, to get more sleep and more pure air? First, and most important, is the necessity of curing the social organism. It is easy to see why this book made many enemies for its author. There is too much frankness and conscientiousness in these studies not to anger those who have their greatest interest in concealing the truth! The upright man who sees primarily in medicine a means to relieve human suffering, cannot realize without sadness the many abuses hidden under the name of this science. * * * * *