Ruth-Ann ( Peg Phillips ) turned 75 in this episode. In reality, Peg Phillips had turned 73 two months prior to the airing of this episode.
Ruth-Ann asks Ed if he's been watching St. Elsewhere (1982) reruns. Joshua Brand and John Falsey were co-creators of the show.
Ruth-Anne tells Ed she started smoking at an early age. Peg Phillips started smoking at age 13, and died of chronic obstructive pulmonary disease in 2002.