Caroll Spinney who was best known for his voice of Big Bird only voices Oscar. This is the first time outside the series that Spinney only voices one character.
JD and Turk watch Sesame Street with Izzy at the beginning of the episode. Various Sesame Street characters appear in JD's daydreams throughout the episode.
Cookie Monster and Big Bird are the only Muppets that do not appear as well as Bert and Ernie.