The local doctor of German descent who treats Ilyusha for tuberculosis by “[stuffing] him full of medications,” which doesn’t improve the boy’s condition. He is “an old man of seventy, gray-haired and bald, of medium height and sturdy build.” He is “kind and philanthropic,” known for treating poor patients for free. Everyone in town respects him very much, as he is conscientious and pious. He is a lifelong bachelor but views women “as exalted and ideal beings.” However, he is stubborn and is the sort of man who never gives up an idea once he espouses it. Though he speaks perfect Russian, he exhibits an absentmindedness for ordinary words. Dr. Varvinsky is critical of Dr. Herzenstube’s skill in medicine.