By framing the story in this way, Aza assures the reader that Dr. Singh was right: Aza will, and does, survive. She goes on to challenge her fears and continue treating her mental illness, though she'll always struggle with it. However, by writing her story down, she realizes that she does have agency over her life and how she frames it. Here, she chooses to frame it hopefully. The note about her having children suggests that she eventually moves past her fear of physical intimacy and “containing multitudes,” since in pregnancy women’s bodies literally do grow and contain another organism.