Thoth as a factor to be considered

Thoth covers all forms of learning from simple skills to advance education. He was also the Lord of Time, so all aspects of karma are covered by this card including good fortune if upright, or bad luck if reversed.
Thoth was also the keeper of the akashic records, the scribe to the gods and the patron of healers.  His appearance in this ‘factors to be considered’ position 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. Or at least it should – these are all factors that you should take into consideration when thinking about your next steps.
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 a fundamental part of what you’ve come to Earth to learn during this lifetime.