The Lakewood Grange card changes between scenes. In the first scene, the "q" of the handwritten "queer doctor" is right above the "e" in Lakewood, while the last "r" is above the "r" in Grange. In the next scene, the handwritten part stretches from the "k" in Lakewood to the end of the typed text.
Lucille states that had she and Cyril stayed on their island they would never had met. Cyril is from Guyana, which is not an island but a coastal country in South America.