The door into the ward was open. Ivan Dmitritch, lying propped on his elbow on the bed, listened in alarm to the unfamiliar voice, and suddenly recognized the doctor. He trembled all over with anger, jumped up, and with a red and wrathful face, with his eyes starting out of his head, ran out into the middle of the road.

“The doctor has come!” he shouted, and broke into a laugh. “At last!” Gentlemen, I congratulate you. The doctor is honouring us with a visit! Cursed reptile!” he shrieked, and stamped in a frenzy such as had never been seen in the ward before. “Kill the reptile! No, killing’s too good. Drown him in the midden-pit!”

Andrey Yefimitch, hearing this, looked into the ward from the entry and asked gently: “What for?”

“What for?” shouted Ivan Dmitritch, going up to him with a menacing air and convulsively wrapping himself in his dressing-gown.

“What for? Thief!” he said with a look of repulsion, moving his lips a though he would spit at him. “Quack! hangman!”

“Calm yourself,” said Andrey Yefimitch, smiling guiltily. “I assure you I have never stolen anything; and as to the rest, most likely you greatly exaggerate. I see you are angry with me. Calm yourself, I beg, if you can, and tell me coolly what are you angry for?”

“What are you keeping me here for?”

“Because you are ill.”

“Yes, I am ill. But you know dozens, hundreds of madmen are walking about in freedom because your ignorance is incapable of distinguishing them from the sane. Why am I and these poor wretches to be shut up here like scapegoats for all the rest? You, your assistant, the superintendent, and all your hospital rabble, are immeasurably inferior to every one of us morally; why then are we shut up and you not? Where’s the logic of it?”

“Morality and logic don’t come in, it all depends on chance. If anyone is shut up he has to stay, and if anyone is not shut up he can walk about, that’s all. There is neither morality nor logic in my being a doctor and your being a mental patient, there is nothing but idle chance.”

“That twaddle I don’t understand…” Ivan Dmitritch brought out in a hollow voice, and he sat down on his bed.

Moiseika, whom Nikita did not venture to search in the presence of the doctor, laid out on his bed pieces of bread, bits of paper, and little bones, and, still shivering with cold, began rapidly in a singsong voice saying something in Yiddish. He most likely imagined that he had opened a shop.

“Let me out,” said Ivan Dmitritch, and his voice quivered.

“I cannot.”

“But why, why?”

“Because it is not in my power. Think, what use will it be to you if I do let you out? Go. The townspeople or the police will detain you or bring you back.”

“Yes, yes, that’s true,” said Ivan Dmitritch, and he rubbed his forehead. “It’s awful! But what am I to do, what?”