The newspapers about this time had a good deal to say of the young Heir’s illness—and the most fantastic stories were going round. I only had the truth some time later, and then from Dr. Derevenko himself. The crisis had been brought on by a fall of Alexis Nicolaïevitch at Bielovesa. In trying to get out of a boat he had hit his left thigh on the side, and the blow had caused rather profuse internal hæmorrhage. He was just getting better when some imprudence at Spala suddenly aggravated his condition. A sanguineous tumour formed in the groin and nearly produced a serious infection.
On November 16th it was possible to think of removing the child, without too great danger of relapse but with extreme care, from Spala to Tsarskoïe-Selo, where the Imperial family passed the entire winter.
Alexis Nicolaïevitch’s condition required assiduous and special medical attention. His illness at Spala had left behind it a temporary atrophy of the nerves of the left leg, which remained drawn up and could not be straightened out by the boy himself. Massage and orthopedic appliances were necessary, but in time these measures brought the limb back to its normal position.
It is hardly necessary to say that under these circumstances I could not even think of resuming my work with the Czarevitch. This state of things lasted until the summer holidays of 1913.
I was in the habit of visiting Switzerland every summer. That year the Czarina informed me a few days before I left that on my return she proposed to appoint me tutor to Alexis Nicolaïevitch. The news filled me with a mingled sense of pleasure and apprehension. I was delighted at the confidence shown in me, but nervous of the responsibility it involved. Yet I felt I had no right to try and escape the heavy task assigned to me, as circumstances might enable me to exercise some influence, however slight, on the intellectual development of the boy who would one day be the ruler of one of the mightiest states of Europe.