This part autobiography, part fictional book is a collection of stories from Bulgakov's experiences as a young, inexperienced doctor in pre-revolution rural Russia. As a new graduate, often still mistaken for a younger boy, Bulgakov conveys his neurotic state with a mixture of images and schizophrenic dialogue with himself. It is so difficult to understand the isolation he feels, to imagine being "32 miles from the nearest electric light." and being responsible for the lives of so many people who flood through his doors. A great deal of the narrative takes place during dark nights, howling winds and blizzards. Its purpose is multifarious; it makes the whole setting more dramatic and allows the hospital to be a prick of light surrounded be darkness, a ray of hope for all around. I feel it also intensifies the isolation. The stresses and strains of such a predicament can take their toll on such a green professional can clearly be seen in the tale named "Morphine". I thoroughly enjoyed the book and would firmly recommend it to anyone. I read "A Country Doctor's Notebook" while looking for a book to write an essay on and this was the eventual winner, beating books of all genres - from Banks to Balzac. I can think of no higher praise.