[Anton Chekhov--a self-deceiver?]

The Russian author and doctor Anton Chekhov (1860-1904) died from tuberculosis in 1904. He had his first haemoptysis in 1884. In spite of continuing symptoms he did not let himself be examined by colleagues until he had a severe haemorrhage in 1897. He was then hospitalized, and extensive bilateral pulmonary tuberculosis was diagnosed. Even after that, he did not take his disease seriously. His attitude has been taken as an example of a doctor's self-deception. Almost 4,500 of Chekhov's letters has been published. In this article, the letters and contemporary memorial literature are used to illustrate the development of his disease and his ambivalence towards it. His self-deception was not that massive; there is a strain of uneasiness in his reports of his symptoms.