Very possibly a spur of the moment kind of comic inspired by 16 consecutive game FO:NV game crashes (because of how much of a cunt the creator of the "World of Pain" mod is).
In New Vegas, at the very start of the game you wake up with the first thing you see being this creepy fucking old guy with the appearance and house of a damned molesting pedophile pervert who tells you that he saved your life and is VERY clear about having gone through "your" stuff (which is the really appalling part about the whole thing, seeing as you don't own or start with ANYTHING in the vanilla non-DLC version of the game, everything you find in his house belongs to *him*).
And seeing as you apparently haven't been conscious since you were shot in the head by Benny and that Doc Mitchell claims to have been performing goodness knows how much surgery on you, AND that you wake up stark naked (or at least wearing NOTHING but your standard unequippable underwear) that sort of leaves room for a lot of very awkward implications.
Seriously, I can't fucking possibly be THE only one who thought about it that way, can I?
Day 1 >>>