The Pearl

Why does the servant tell Kino that the doctor has gone out "to a serious case"? What does he really mean? How does Kino react?

Chapters 1-2

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The servant tells Kino the doctor has gone out because he has refused to treat Coyotito. Kino then stands at the gate for a long time before punching it in anger (he splits open his knuckles with the force). s

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The Pearl