Using clues from the story, it seems like it was written in the nineteenth century. This is inferred from when the mother says that she payed the physician $3 for the check up. Also, the physician comes to their house which was common during the 1800's.
The story is written in the point of view of the physician. Throughout the story, he does his best to diagnose and treat the little girl. He is a compassionate physician, who, after multiple attempts, gets fed up and decides that he has to use force in order to determine a diagnosis. It seems like the little girl know she may be afflicted with this disease but does not want anyone to know about it. She may not want to accept the fact that having this disease in the time period she was alive inevitably leads to death.
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