From the expression of his face Yakov saw that it was a bad case, and that no sort of powders would be any help; it was clear to him that Marfa would die very soon, if not to-day, to-morrow. He nudged the assistant's elbow, winked at him, and said in a low voice:
"If you would just cup her, Maxim Nikolaitch."
"I have no time, I have no time, my good fellow. Take your old woman and go in God's name. Goodbye."
"Be so gracious," Yakov besought him. "You know yourself that if, let us say, it were her stomach or her inside that were bad, then powders or drops, but you see she had got a chill! In a chill the first thing is to let blood, Maxim Nikolaitch."
But the assistant had already sent for the next patient, and a peasant woman came into the consulting room with a boy.
"Go along! go along," he said to Yakov, frowning. "It's no use to—"
"In that case put on leeches, anyway! Make us pray for you for ever."
The assistant flew into a rage and shouted:
"You speak to me again! You blockhead. . . ."
Yakov flew into a rage too, and he turned crimson all over, but he did not utter a word. He took Marfa on his arm and led her out of the room. Only when they were sitting in the cart he looked morosely and ironically at the hospital, and said: