Thoth as the outcome card

Thoth appearing in this outcome position would indicate that whatever happens, it happens because it’s part of your karma.
Thoth was also the keeper of the akashic records, the scribe to the gods and the patron of healers.  His appearance in this position of the reading would indicate that your question deals with one of the following matters –  akashic healing,  karma,  healing or health,  the law, or education in all of its forms.
Thoth is the card that would indicate that the issue in question very firmly forms part of your life lessons this time around.  It’s an important part of your life path.
You came to this life ready to experience certain outcomes and learn certain lessons. The result you experience here could very well be a fundamental part of what you’ve come to Earth to learn during this lifetime.
On a different level, Thoth also controls physical healing and health, so if this has been your concern, then here, Thoth would hopefully indicate a positive outcome.