Originally produced for the third season. Jeff Conaway, who was no longer a series regular, appears in the episode.
When Elaine comes back to the garage after helping the reclusive artist conquer his fears ,Alex calls her Nurse Ratchett and asks if she left her little cuckoo's nest. Both Danny Devito (Louie) and Christopher Lloyd (Jim) appeared in the film version of "One Flew Over the Cuckoo's Nest."