Kirilov is the district doctor. His six-year old son has just this moment died of diphtheria. He stands watching his wife caress the body as the doorbell rings. It is a wealthy stranger (Abogin) who begs the Doctor to come treat his wife who is in great pain. Kirilov says that he cannot possibly leave his wife at this time. Abogin insists, however, claiming that the doctor must know how terrible it is to witness the illness of a loved one and that his home is close-by. Kirilov relents.

But when they arrive at Abogin’s house, his wife is not home. She has pretended to be ill so that her husband would leave the house allowing her to run away with her lover. Abogin is crushed and begins to complain to Kirilov. Kirilov is fiercely angry that he has been dragged from his son’s death-bed to hear Abogin’s love troubles. They scream at one another, and the doctor returns home, with a firm and undying conviction that all those with money deserve his hatred.