Throughout the narrative, Rhoads was faced with numerous emotionally and physically grueling situations, yet she was able to remain stable. Moreover, she was able to grow through these experiences. She observes: “I was completely different. Even my parents didn’t recognize me as the immature little girl who left Albion, New York, just out of nursing school” (p. 1033). In what ways did the narrator change from the beginning of the story to the end? What specific qualities did she need as a nurse in order to endure in her environment?