I agree with JanewayRulz!
Plus, how can it be egotistical if it's in Janeway's head?
It's never said out loud physically.
There thoughts, unspoken words or ideas.
We are not considered guilty of what goes on in our minds. Janeway was in a coma like state and never said any of was we saw verbally.
The only one who was aware of what Janeway thinks is the alien.