How does the narrator's viewpoint about Tri-Valley Hospital change over the course of the text? Responses At first the narrator sees the hospital as a checkmark for his résumé, then as a distraction, and finally as a real career option. At first the narrator sees the hospital as a checkmark for his résumé, then as a distraction, and finally as a real career option. Landing a residency at the hospital is the only good thing that has happened to him in his life. Landing a residency at the hospital is the only good thing that has happened to him in his life. He feels the hospital is a good place to volunteer, but later decides it holds too much illness and tragedy to be a career option. He feels the hospital is a good place to volunteer, but later decides it holds too much illness and tragedy to be a career option. The narrator first sees the hospital as a comfortable place, but then feels it has too much urgency, illness, and tragedy.