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.

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.

Pelageya is sick with either malaria or typhus as the Young Doctor becomes more fixated with Natasha.

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.