I think that’s somewhat the intentional interpretation…

But then again you didn’t ask me

I doubt that was the main catalyst, but it sure didn’t help.

Sadie Adler in the Epilogue had a similar injury due to that bear attack, which caused her to see triple, same as Dutch after the trolley incident. If we were to use that same moronic logic, then Sadie Adler's personality and behavior was supposed to change in subsequent missions.

Guys, they didn’t ask us. They asked @Levi de Santa let’s not be rude.