April 1, 1897.

The doctors have diagnosed tuberculosis in the upper part of the lungs, and have ordered me to change my manner of life. I understand their diagnosis but I don’t understand their prescription, because it is almost impossible. They tell me I must live in the country, but you know living permanently in the country involves continual worry with peasants, with animals, with elementary forces of all kinds, and to escape from worries and anxieties in the country is as difficult as to escape burns in hell. But still I will try to change my life as far as possible, and have already, through Masha, announced that I shall give up medical practice in the country. This will be at the same time a great relief and a great deprivation to me. I shall drop all public duties in the district, shall buy a dressing-gown, bask in the sun, and eat a great deal. They tell me to eat six times a day and are indignant with me for eating, as they think, very little. I am forbidden to talk much, to swim, and so on, and so on.

Except my lungs, all my organs were found to be healthy. Hitherto I fancied I drank just so much as not to do harm; now it turns out on investigation that I was drinking less than I was entitled to. What a pity!

The author of “Ward No. 6” has been moved from Ward No. 16 to Ward No. 14. There is plenty of room here, two windows, lighting a la Potapenko, three tables. There is very little haemorrhage. After the evening when Tolstoy was here (we talked for a long time) at four o’clock in the morning I had violent haemorrhage again.

Melihovo is a healthy place; it stands exactly on a watershed, on high ground, so that there is never fever or diphtheria in it. They have decided, after general consultation, that I am not to go away anywhere but to go on living at Melihovo. I must only arrange the house somewhat more comfortably....