She still doesn't know which is right. To hide the truth and hurt all or to tell the truth and risk dejection.
She chose the latter ; the consequences are all hers to bear. Alone in the dark, alone in the silence. She shoulders the blame, faces the music alone. Life is tough. She's about to surrender. She doesn't know her meaning, her purpose in life.
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Remember the poem she once wrote, way before such a thing happened to her? It's unfolding right before her very eyes, somewhat similar.
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And here she cries, "Oh birthday wish of two years, why won't you come true?"