{"id":958,"date":"2010-01-25T15:53:27","date_gmt":"2010-01-25T14:53:27","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=958"},"modified":"2010-01-25T15:53:27","modified_gmt":"2010-01-25T14:53:27","slug":"tony-delamothe-chekhov-and-the-doctors","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2010\/01\/25\/tony-delamothe-chekhov-and-the-doctors\/","title":{"rendered":"Tony Delamothe: Chekhov and the doctors"},"content":{"rendered":"

\"TonyChekhov published his first short story as a 20 year old medical student. Over the next 24 years, he published nearly 600 more, along with a string of plays including The Seagull, Uncle Vanya, Three Sisters, and The Cherry Orchard. He worked as a doctor until\u00a0 he could support himself from his writing, finally abandoning his \u201cwife\u201d (medicine) for his \u201cmistress\u201d (literature).<\/p>\n

Unsurprisingly, doctors turn up throughout his short stories and plays. My favourite is Astrov, from Uncle Vanya. I\u2019ve already quoted him in the BMJ<\/a>, introducing a series on health and the environment:<\/p>\n

\u201cMan has been endowed with reason, with the power to create, so that he can add to what he’s been given. But up to now he hasn’t been a creator, only a destroyer. Forests keep disappearing, rivers dry up, wild life’s become extinct, the climate’s ruined and the land grows poorer and uglier every day.\u201d<\/p>\n

Astrov is a utopian, but burnt out. Like many of Chekhov\u2019s characters, his life hasn\u2019t turned out the way he wanted it to. Read his big speeches at the beginning of Uncle Vanya<\/a> to see whether he\u2019s for you.<\/p>\n

Astrov turned up recently in a week long \u201cJubilee for Anton Chekhov\u201d at the Hampstead Theatre, London. From the two programmes I attended, I learnt a lot about Chekhov, and Russian medicine.<\/p>\n

Medicine was a good choice for a poor grammar school boy, said\u00a0 Rosamund Bartlett, doyenne of Chekhov scholars. Since the emancipation of the serfs the status of doctors had been steadily increasing. While a student, Chekhov found that short story writing was lucrative enough to support his family after his father\u2019s grocery business\u00a0 had gone bust. For his short stories, he used the pseudonym, Antosha Chekhonte, saving his real name for all the scientific papers he said he was going to write, said Bartlett.<\/p>\n

Novelist William Boyd read out his A-Z of Chekhov, which didn\u2019t include much about medicine, other than the fact that Chekhov named his daschunds Quinine and Bromine. Boyd ascribed great importance to Chekhov\u2019s first serious haemoptysis: from then on he knew the clock was ticking, said Boyd.<\/p>\n

But I wonder. Did a lung haemorrhage always presage galloping consumption\u00a0 and premature death? Did Chekhov, who must have treated dozens of such patients, believe that? He\u2019d watched a brother die of TB, so maybe he did. (There\u2019s a parallel here with John Keats and his brother, Tom, who died before him, from TB.) Knowing that he was under sentence of death may have explained Chekhov\u2019s generosity and sympathy, thought Boyd. But I\u2019m not sure I buy that either – many doctors manage enormous empathy without themselves suffering from a terminal disease.<\/p>\n

Did being a doctor affect Chekhov\u2019s\u00a0 writing? Boyd quoted Chekhov as saying that the writer should have \u201cthe objectivity of a chemist.\u201d And certainly, Chekhov seemed very clear eyed about the world, even if his doctor characters weren\u2019t always. Three of Chekhov\u2019s last four plays all have doctors (the exception being The Cherry Orchard). Actor Michael Pennington detected a sort of running doctor joke throughout the other three: in these plays doctors range from the merely complex to the \u201calmost criminally detached.\u201d<\/p>\n

Actress Eileen Atkins read Ionych, a short story newly translated by Bartlett. It tells of\u00a0 a country doctor who loses his heart very briefly to the only child of well off family, only to quickly recover his composure and go on to grow very fat and rich from his private patients. Ionych had begun his practice as a zemsky doctor. As Boleslav Lichterman\u00a0 explains in his article<\/a> on Ionych, “Zemskaya” medicine emerged after the abolition of serfdom and was based on the principles of free and accessible care and prevention – a sort of proto-NHS. Chekhov was always very supportive of the zemsky doctors, arranging for a production of Uncle Vanya at one of their conferences.<\/p>\n

In 1899, by then Russia\u2019s greatest living writer, Chekhov built a house overlooking the Black Sea, at Yalta. His failing lungs could no longer survive a Russian winter. He died in 1904.<\/p>\n

All the important buildings associated with Chekhov in Russia have been well preserved. Not so his \u201cWhite Dacha\u201d in Yalta. It survived the Russian Revolution, civil war, and Nazi occupation, but Ukrainian independence has proved the toughest challenge, said Bartlett. The Ukrainian government refuses to support it on the grounds of Chekhov\u2019s Russian nationality; Russia isn\u2019t interested because the museum is in the Ukraine. Meanwhile, it\u2019s threatened by subsidence, damp, and general decay. It sounds like a play, but too political to be by Chekhov.<\/p>\n

The week long Chekhov jubilee was to raise funds for its preservation. www.yaltachekhov.org<\/a>
\n
\nTony Delamothe<\/strong> is a deputy editor of the BMJ.<\/em><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Chekhov published his first short story as a 20 year old medical student. Over the next 24 years, he published nearly 600 more, along with a string of plays including […]<\/p>\n

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