In the moment that Rachel screams, from the way the phrase is written, with the verbs being “screamed” instead of “had screamed”, it is highly likely that she is screaming in the present about remembering her past, the wounds are so fresh it almost physically hurts her to think about it. Also, from Interlude Doggo: “Take care of your fucking child”. And lastly, there is another, quite plausible, reason Rachel might have not included Aisha in her train of thought
Hm, perhaps.
Also, yes, that quote really takes on a bit more meaning with this context.
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