The sound when J.D. said "sex buddies" is the same as introduced in season two.
The blue silk shirt worn by Elliot in this episode was also worn in "My Friend With Money".
"Close Your Eyes" by Young Love (Kelso leaves Coffee Bucks)
Elliot: Do you still let that inner voice of yours control you?
J.D.'s narration: This is getting too serious. Kick her, kick her in the head.
J.D.: Not as much.
J.D.: The point is, Elliot, you're a lot stronger than you used to be. I've changed too. I have a beard now.
J.D.: (to Dr. Kelso) Did you know that Elliot's granny panties are actually her Granny's panties?
J.D.'s narration: Now it's time to split before he shares something so personal that we're trapped here forever.
J.D.: We should probably get going.
Dr. Kelso: Last thing I expected was to be an old man with no idea what the hell to do with his life.
Dr. Kelso: I bet you can't wait to call all your friends and tell them how pathetic I am.
J.D.: Actually, sir, we young people are more into texting these days.
Turk: I don't understand. If I'm the best surgeon here, how come you're always looking over my shoulder?
Dr. Cox: Oh give me a break, would you? Saying someone is "the best surgeon" is like saying someone is the smartest cast member of The Hills. Let's face it, it's just not that tough to float to the top of the surgical toilet.
Turk: (talking to his patients) Hello folks, I'm Dr. Christopher Turk. (He looks at Dr. Cox.)
Dr. Cox: You're right so far. Continue.
Elliot: (talking about Turk) How did you know he was hurting. Did you, like, hear it in his voice?
J.D.: With Turk I can always feel it from his soul, like a wave of heat. Are you going to make a joke about how gay that sounds?
Elliot: Definitely. I just don't have the words yet.
J.D.: Well let me know.
Dr. Cox: (to Turk) Look, surgeons always want to slice people open whether it's the best option or not. No disrespect, but you're just not that bright, you have no idea how to do anything else. Unfortunately, sick people are also very, very stupid and almost always agree to anything that a blood-letting corpse carpenter, such as yourself, tells them. I simply stay in the room to make sure they make the right choice.
Original International Air Dates:
Australia: February 19, 2009 on Channel 7
Latin America: May 26, 2009 on Sony Entertainment Television (aka Canal Sony)
Sweden: October 21, 2009 on TV6
Germany: March 23, 2010 on ProSieben
Although credited, Judy Reyes (Nurse Carla Espinoza) does not appear in this episode.
J.D. states to Elliot that he doesn't want to be in one of those relationships where one person runs to the airport to stop the other from leaving, nor does he want to do something to mess up the relationship when he thought they were on a break. These are references to two different episodes of Friends, and Elliot asked J.D. if he watched the Friends marathon on TV the day before.
Dr. Kelso: I'm like Norm in this bit!
This is an allusion to the 1980s sitcom Cheers, about a bar named Cheers. Whenever the character Norm entered the bar, he was greeted by a loud "Norm!"