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The doctor and the governess were sitting talking while the lady of the house stood motionless at the door, waiting. From the conversation Korolyov learned that the patient was Madame Lyalikov’s only daughter and heiress, a girl of twenty, called Liza; she had been ill for a long time, and had consulted various doctors, and the previous night she had suffered till morning from such violent palpitations of the heart, that no one in the house had slept, and they had been afraid she might die.

“She has been, one may say, ailing from a child,” said Christina Dmitryevna in a sing-song voice, continually wiping her lips with her hand. “The doctors say it is nerves; when she was a little girl she was scrofulous, and the doctors drove it inwards, so I think it may be due to that.”

They went to see the invalid. Fully grown up, big and tall, but ugly like her mother, with the same little eyes and disproportionate breadth of the lower part of the face, lying with her hair in disorder, muffled up to the chin, she made upon Korolyov at the first minute the impression of a poor, destitute creature, sheltered and cared for here out of charity, and he could hardly believe that this was the heiress of the five huge buildings.

“I am the doctor come to see you,” said Korolyov. “Good evening.”

He mentioned his name and pressed her hand, a large, cold, ugly hand; she sat up, and, evidently accustomed to doctors, let herself be sounded, without showing the least concern that her shoulders and chest were uncovered.

“I have palpitations of the heart,” she said, “It was so awful all night. . . . I almost died of fright! Do give me something.”

“I will, I will; don’t worry yourself.”

Korolyov examined her and shrugged his shoulders.

“The heart is all right,” he said; “it’s all going on satisfactorily; everything is in good order. Your nerves must have been playing pranks a little, but that’s so common. The attack is over by now, one must suppose; lie down and go to sleep.”

At that moment a lamp was brought into the bed-room. The patient screwed up her eyes at the light, then suddenly put her hands to her head and broke into sobs. And the impression of a destitute, ugly creature vanished, and Korolyov no longer noticed the little eyes or the heavy development of the lower part of the face. He saw a soft, suffering expression which was intelligent and touching: she seemed to him altogether graceful, feminine, and simple; and he longed to soothe her, not with drugs, not with advice, but with simple, kindly words. Her mother put her arms round her head and hugged her. What despair, what grief was in the old woman’s face! She, her mother, had reared her and brought her up, spared nothing, and devoted her whole life to having her daughter taught French, dancing, music: had engaged a dozen teachers for her; had consulted the best doctors, kept a governess. And now she could not make out the reason of these tears, why there was all this misery, she could not understand, and was bewildered; and she had a guilty, agitated, despairing expression, as though she had omitted something very important, had left something undone, had neglected to call in somebody–and whom, she did not know.

“Lizanka, you are crying again . . . again,” she said, hugging her daughter to her. “My own, my darling, my child, tell me what it is! Have pity on me! Tell me.”

Both wept bitterly. Korolyov sat down on the side of the bed and took Liza’s hand.

“Come, give over; it’s no use crying,” he said kindly. “Why, there is nothing in the world that is worth those tears. Come, we won’t cry; that’s no good. . . .”

And inwardly he thought:

“It’s high time she was married. . . .”

“Our doctor at the factory gave her kalibromati,” said the governess, “but I notice it only makes her worse. I should have thought that if she is given anything for the heart it ought to be drops. . . . I forget the name. . . . Convallaria, isn’t it?”