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The young Doctor delivers a self-serving eulogy at a funeral. The Bolsheviks take over. The Young Doctor is required to make a life-changing decision when a train is derailed.
Pelageya is sick with either malaria or typhus as the Young Doctor becomes more fixated with Natasha.
Freshly rehabilitated, the Old Doctor is attacked aboard a train for his morphine addiction. In 1918, the Young Doctor falls in love with a beautiful aristocrat.
It is 1918 and as the Civil War rages through Russia, quiet Mureyvo's Young Doctor is more concerned with hiding his growing morphine addiction from an inspection.