When Janeway wakes up in the holodeck for the first time, she perceives what The Doctor is saying to her as nonsense. However, his statement is actually reversed speech that says, "I can't analyze her neural pathways."
Robert Picardo, as the Emergency Medical Hologram, pays homage to the Star Trek (1966) Chief Medical Officer, Dr. Leonard McCoy, when he says, "I'm a doctor, not a bartender."
Prior to this episode's initial airing, rumors circulated, largely based on convention comments from Robert Duncan McNeill and Robert Picardo, that this episode was so bad, it would never be aired.
This installment was one of four that, despite having been written and produced at the end of the first season, were held back by UPN to air in the second season, the other episodes being (in production order) Projections (1995), Elogium (1995), and The 37's (1995). Although this episode had been the third of the four to be produced, the episode was ultimately the last of the four to air, due to the fact that the production team considered this episode to be the worst of the lot.