On the bus home from the convention, Big Ammachi exults that God has called for a hospital and insists it must be in Parambil. Philipose voices caution, but Big Ammachi’s conviction ends the debate. Mariamma, proud of Big Ammachi and noticing Lenin’s sudden maturity, carries mixed feelings from the day.

Mariamma confesses that the line of beggars unsettled her because she finally saw them as people like herself who could become sick. Big Ammachi affirms Mariamma’s compassion, recalls past helplessness with family illnesses and deaths, and explains her urgency for a nearby hospital so their people won’t suffer without care. She reframes Mariamma’s fear as guidance: knowledge dispels fear and shows a path.

The idea of medicine surfaces for Mariamma, who had planned zoology. After their talk, Mariamma feels a deep calm and keeps her thoughts private. Momentum grows beyond Parambil: a Hospital Fund is created from the Maramon fervor, and a donation of 150 acres in Parambil makes the site compelling.

More than a year later, as Mariamma leaves for Alwaye College, she declares her intent to pursue medical school. Philipose is thrilled, saying he wasn’t suited for it but believes Mariamma is. Big Ammachi gives her a gold necklace and cross and reveals she once prayed, after JoJo’s death, that God would send a healer and guide Mariamma toward medicine, promising her enduring presence.