∞So here’s a headcanon that I’ve been meaning to put into words for a long while but have never taken the time to. But I’m going to put it under a cut because it has to do with the details of Stephen’s accident and the medical trauma he survived therein.
This is specifically based off of the 2016 film (which I also think did a spectacular job of justifying the crash, btw - road conditions, model of car, impact points and all), but I’ll toss in a few cents about how comic iterations in previous generations might be different just for shits ad giggles and because I love shit like this.
First and foremost, especially working from the earliest DS comic canon, the cars were of the age and variety of “screaming metal death-trap.” Seatbelts weren’t required by law in the 1960s, and in fact many cars didn’t even come with them from the manufacturers because they weren’t considered a safety requirement. Granted they were made of hard body steel and could take impacts well by virtue of being fucking tanks, but the tire quality and torque ratios were... not made for the speeds they could suddenly get to, which did top out at 80-110 mph (in luxury models) with suspensions that were not clement for sustaining speed and road grip at the same time. It was statistically common that even non-reckless driving could result in horrible injuries under the wrong circumstances, therefore. Add in a 1960s inflated male ego, and frankly it’s amazing Stephen didn’t just die. Which is the entire plot point, I’ll grant. I also headcanon that in that era (and even regarding modern Stephen’s collector’s dream cars) Stephen would likely have been in a Rolls Royce Phantom or a Cadillac Coupe de Ville. He would definitely have his eye on a Jaguar E-Type (still does), but back in the 1960s maintaining one would have been more trouble than it was worth even by his standards and budget.
All that aside, let’s talk about the crash in the 2016 Doctor Strange movie. First and foremost, the overall accident itself is totally feasible for the model of car Stephen was driving. Lamborghini and other luxury super-car manufacturers have exceedingly specific impact testing, which is focused - unfortunately - more for track condition impacts than civilian driving conditions. In essence, super cars are built to handle rolling and lateral shear impacts to frankly insane degrees. They are not, however, well built for head-on collisions by nature of the priority of aerodynamics in the design. This feeds into why the Lamborghini in particular was undoubtedly an active choice on behalf of the producers. What’s notable about the crash is that in spite of the glance off of the side of the other car, the Lamborghini stays relatively solidly on the road surface which is design accurate. (There’s actually an entire other tangent I could get off on about this, but I will refrain.) Where things go haywire, however, is where that glancing blow hit on the vehicle. Now with many super-car companies, they mount the engine in the “trunk” of the vehicle, which improves traction and opens up space for the frankly insanely large engine blocks that, oh, I don’t know, V12s require. This pushes the cabin toward the front of the vehicle, and leaves the “trunk” space on the front end where most standard cars keep the engine. This makes the front light, but because of air intake and drag it maintains traction via the aerodynamics of the front grille. The back also has improved traction from the weight of the engine sitting over the rear axel, which is a big additive benefit because most sports cars are rear-wheel drive, and in front-engine vehicles this makes the back axel lighter and prone to fish-tailing on tight corners. Not so with Stephen’s Lamborghini. In essence, the weight of the vehicle sits on the axel that bears the drivetrain.
That rear traction is precisely what makes everything go wrong for this particular crash. Because the weight of the vehicle and the wheel drive are all centered in the back, having that portion of the vehicle get bumped is like flicking a coin to get it spinning. The front end of the vehicle, which is substantially lighter and only has the steering column and brakes to counter the inertia of that rear engine, is abjectly disadvantaged for regaining control of the vehicle. Even the most experienced racer doesn’t have the reaction time to regain control on a two-lane mountain highway, in the rain, at night, from an accident that realistically takes less than 10 seconds from impact to exit through the guard rail. In essence, there was zero chance of Stephen being able to recover as soon as the front end of the vehicle impacted the rock wall and put the car’s trajectory onto “death frisbee” instead of “manageable swerve.”
This is also the second instance where the super-car design seals Stephen’s fate. So because Lamborghinis have an empty front end - again the “trunk” is where the engine is on most other cars, so essentially empty, un-structured, un-reinforced space - head on collisions absolutely crush the front ends. This also explains and in fact makes viable why Stephen’s hands go through the dash in the compound impacts: the front end is getting folded in like a tin can.
Now we get to the dark and scary medical part of the accident. Obviously the accident was catastrophically bad considering the car careened off of a steep mountain slope and impacted all the way down until it reached the river at the bottom of the ravine. But as we saw from the post-accident scenes, Stephen’s injuries weren’t isolated to his hands only. As was made clear from the state of his face, he definitely had cranial trauma - to the point that it seems very lucky he didn’t lose his left eye - which involved contusions at least to the orbit of his left eye and very probably a concussion, and it seems all but impossible that he didn’t also have thoracic and potentially leg trauma as well. Thoracic either from directly impacting the steering column (which I find very likely), or impacting the door (feasible, and does feed into why I think his left hand is worse off than his right, given from the production stills his left hand has eight - five pins and three plates - of the eleven in his hands). He definitely would have had broken ribs and internal bruising or bleeding from those impacts. The leg injuries are also probable for drivers especially because of impact against the dash and steering column.
Now we start getting to the painful part. Yes, just now. So as Christine mentions after Stephen regains consciousness (probably not for the first time but probably the first time cogently), the “Golden Hours” passed while he was in the car waiting for the mercy flight crew to find him. Now, the Golden Hours is actually the Golden Hour - it’s the span of 60 minutes immediately following intense trauma and injury. So not only was Stephen upside down, in and out of consciousness, alone, half-submerged in a river, in a car that could blow at any moment, for more than an hour, it surpassed the hour that was most vital to his potential for nerve recovery. It’s also frankly astounding that Stephen didn’t die from shock, hypovolemia, or hypothermia during the hours it took for them to find him. I will also just mention in passing that jaws of life situations are touchy enough as is with cars, but with someone as injured as Stephen was, in the exceedingly precarious position his car was in, the emergency responders would have had a hard fucking time getting him out alive at all.
But wait, there’s more! So after all of this, he has to get flown back to New York where the actual work of saving his ass begins. And again, I will emphasize that it’s unavoidable that Stephen - who was canonically on the table for ELEVEN HOURS - was not only in surgery for his hands. As a matter of fact, medically his hands would have been the lesser of many priorities. They would have spent some preliminary time trying to make sure his circulation was intact, but to be frank, amputation is a safer, viable option for hands, and they would have openly made that choice on his behalf and prioritized any cranial or thoracic injury. Hell, even prioritize saving his eye, because the trauma of eye removal/optic nerve disruption has a greater chance for fatality than amputation. So Stephen’s hands didn’t just lose the Golden Hour, but would not have gotten operated on for up to three to five additional hours, and that’s under-estimating the complexity his other, higher priority traumas.
Put it all together and what do you get? A man that, by rights, shouldn’t be alive at all. And who, rather than valuing the life that he got to still have, held it against himself that he could no longer inhabit the life he’d had.
Secondarily, in light of all of the above and the seven consecutive surgeries that Stephen put himself through, you can absolutely bet your lunch money that this man developed an addiction to pain medication. It takes the body up to six months to filter out anesthetic, and given Stephen surely pushed his surgery scheduling to be more quick than advisable for recovery, his endocrine system would have been in free fall. To say nothing of the fact that the only way to deal with that much invasive surgery isn’t just eating healthy and hydrating...
Also please never forget that Stephen’s intern, Billy, was on the phone with him when the crash happened. So Billy was absolutely the one that made the call, and was undoubtedly sitting there, watching the clock as the Golden Hour slipped by and Stephen’s chances of survival dwindled by the second.
Thank you for coming to my Ted Talk.∞