This episode's opening features a guitar in front of the table.
Cindy: You know, you'd be a good person to ask this. Was Liberace really buried with his piano?
Ellen: (Being sarcastic) Yeah. I, I'm not really sure, but tomorrow, when I have lunch with Elton John, I'll ask him!
Peter: Spence, we really have to be more tolerant. "Stiff Wrists" have made huge contributions to society.
Ellen: Yeah. You know there's even a rumor that John F. Kennedy was straight?
Harvey Fierstein introduces this story in a similar style as Rod Serling's introductions of each Twilight Zone episode.
This episode title is parody of the movie, "It's A Mad, Mad, Mad, Mad World!".