As i am on the road of learning Japanese on my own. I learned the hard way that this letter is not pronounced but rather extends the sound of the previous letter. Like in the case of the word hospital in Japanese.
As I have subscribed to many Japanese learning YouTube channels. Gladly got to know about the HA particle used as WA too via YouTube shorts .
It was frustrating trying to pronounce ugh sound when ever this little fella came, broke the rhythm of reading.
As I am not taking any classes any other of such basic rules I should be aware of please ?
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As an absolute beginner you should be shadowing the audio recordings of dialogue and vocab from a textbook like Genki or Irodori to learn proper pronunciation.
You can also follow graded readers with audio like on yomujp.
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The う in びょういん is full sized, not a little ぅ. In fact, the little ぅ is rarely used.
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Extending a vowel sound is pronouncing a kana - short and long vowel sounds are not the same in Japanese.
It does show up (along with the other small vowels) in some katakana constructs which are used to represent the sounds of foreign languages - in such an instance, the ぅ’s sound effectively replaces the vowel sound of the previous kana. For example, トゥ is pronounced “tu” (necessary because Japanese’s usual T+U sound is “tsu”) - it appears in トゥモローランド (i.e. Tokyo Disneyland’s Tomorrowland).
Just to throw in some bonus complexity for maximum confusion. That’s definitely not what’s happening here, though. 
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Maybe he means he realized you don’t pronounce it the same as a regular う
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It’s been so long I forgot that’s true. 
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indeed, listening before reading is the principle, i was refferring to when u are simply exploring new words and this characters puts a break on my rhythm, thanks for pointing out the sources