I'm not 100% sure on what I think....but here is what I'll say.....
Sophia is the voice you hear at the very end of the movie...the very last 'open your eyes.' The accident is real, and therefore there seem to be only two points that are up for being the sleep point....the accident and the night after the club. Since I began this post I've changed my mind on where it's going to go...I think he may or may not have died in the crash, but that everything after it is a dream. Reason one, the very next scene he sees Sophia in the park and declares that he can never wake up...even the night of the club the nightmare seems to be present when he imagines Sophia and his buddy being together...thus I feel that is part of the dream and is prior to the second option of when his dream world began (and while it could simply be suspicion, I feel it is the nightmare beginning). I think as he's a completely self-righteous guy that's part of the reason in his nigthmare that his face was disfigured...
My thoughts are confused, but I'll leave with this...
He never woke up from the car wreck IMO, but he didn't die either...maybe Sophia was visiting him at the hospital after the crash...a part of the movie that had never come.....???
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