In those days, he was a doctor in an ordinary hospital — until an accident sent him back half a thousand years, to the time of Tsar Mikhail Romanov.
In this brutal era, when Rus’ hadn’t yet recovered from the Great Troubles, the Poles occupy Smolensk, and татар raids from the Wild Field flood the bloodied borders of Moscow. The “incomer” will have to master a new specialty — a honorable and deadly trade of a gunpowder man (artillery supply).
If the steppe people break down the gates of your city, and the Poles again march to war against the Russian Land — load! aim! FIRE!