First he went to work in a country clinic about fifty miles from Prague. He commuted daily by train and came home exhausted. A year later, he managed to find a more advantageous but much inferior position at a clinic on the outskirts of Prague. There, he could no longer practice surgery, and became a general practitioner. The waiting room was jammed, and he had scarcely five minutes for each patient; he told them how much aspirin to take, signed their sick-leave documents, and referred them to specialists. He considered himself more civil servant than doctor.

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