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After graduation, Bulgakov entered the Medical Faculty of St. Vladimir University, which he finished with special commendation. He became a physician at the Kiev Military Hospital. After serving as a surgeon at Chernovtsy hospital, he was appointed provincial physician to Smolensk province. His life in those days were is reflected in his Notes of a Young Physician. In 1918, Mikhail Bulgakov returned to Kiev where he opened a private practice at his home at no. Andreyevsky Descent. Here he experienced the dreadful years of the Russian Civil War and witnessed ten coups. Several times successive governments drafted the young doctor into their service.

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