Anna Karenina by Part 2 Chapter 1 Page 5

The princess went out with a sigh.

When the doctors were left alone, the family doctor began timidly explaining his opinion, that there was a commencement of tuberculous trouble, but...and so on. The celebrated doctor listened to him, and in the middle of his sentence looked at his big gold watch.

“Yes,” said he. “But...”

The family doctor respectfully ceased in the middle of his observations.

“The commencement of the tuberculous process we are not, as you are aware, able to define; till there are cavities, there is nothing definite. But we may suspect it. And there are indications; malnutrition, nervous excitability, and so on. The question stands thus: in presence of indications of tuberculous process, what is to be done to maintain nutrition?”