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Moscow and entered medical school. Ten years later he gave an oblique description of the change he went through during this period of his life in a letter to Suvorin (January 7, 1889):
    What aristocratic writers take from nature gratis, the less privileged must pay for with their youth. Try and write a story about a young man—the son of a serf, a former grocer, choirboy, schoolboy and university student, raised on respect for rank, kissing priests’ hands,worshipping the ideas of others, and giving thanks for every piece of bread, receiving frequent whippings, making the rounds as a tutor without galoshes, brawling, torturing animals, enjoying dinners at the houses of rich relatives, needlessly hypocritical before God and man merely to acknowledge his own insignificance— write about how this young man squeezes the slave out of himself drop by drop and how, on waking up one fine morning, he finds that the blood coursing through his veins is no longer the blood of a slave, but that of a real human being.
    To support his medical studies, and his family, Chekhov followed his brother Alexander’s example and began to contribute brief sketches and stories to popular magazines, signing his work in various camouflaged ways, most often with the nickname “Antosha Chekhonte,” bestowed on him by one of his teachers in Taganrog. He finished medical school in 1884, and though he never finally set up as a doctor, he always remained faithful to medicine and acknowledged that he owed a great deal to his study of the natural sciences and his acquaintance with the scientific method. “Both anatomy and belles-lettres are of equally noble descent,” he once wrote to Suvorin, “they have identical goals and an identical enemy—the devil—and there is absolutely no reason for them to fight … Goethe the poet coexisted splendidly with Goethe the naturalist.” During his years in Melikhovo, he organized clinics and gave free treatment to hundreds of peasants from the district. He helped to fight the cholera epidemics of 1891 and 1892, and worked for famine relief during the same period. He also built a school in Melikhovo in 1892, which came out so well that he was asked to build two more in neighboring villages during the next three years. He also built a bell tower for the village church. He donated thousands of books to the library in Taganrog and helped to set up a marine biology station in Yalta, where he livedafter 1898. In practical matters, Chekhov was an enormously active man, and one can sense from his letters the relief he felt in taking up such work. Literature, his mistress, was a more ambiguous affair.
    As early as 1888, he wrote to Suvorin expressing his admiration for men of action, in particular the explorer N. M. Przhevalsky:
    I do infinitely love people like Przhevalsky. Their personality is a living document which shows society that beside the people who argue about optimism and pessimism, who, out of boredom, write trivial stories, unnecessary projects, and cheap dissertations, who lead a depraved existence in the name of denial of life, and who lie for the sake of a hunk of bread—beside the skeptics, mystics, psychopaths, Jesuits, philosophers, liberals, and conservatives—there are still people of another order, people of heroic action, of faith and a clear, conscious goal. *
    It was in this same spirit that Chekhov decided, in 1890, to travel to Sakhalin Island, off the far eastern coast of Russia, to study conditions in this place that had been founded as a penal colony and to take a census of the population. “I owed a debt to medicine,” he explained. The trip took him across the whole of Russia. He spent several months on the island, interviewed hundreds of people, took voluminous notes, and returned by ship via Hong Kong, Singapore, and Ceylon—an experience reflected in the story “Gusev.” ** The result of the trip was the documentary book
Sakhalin Island
(1893), which in turn resulted in