A major storyline of this episode was Lisa returning to work after losing her baby to a late-term miscarriage. Kiele Sanchez, who plays Lisa, experience this exact scenario in real life. They decided to write it into the script and this episode was her return to the series following her real-life miscarriage. The final scene is a fade out on Lisa, and then the words appear, "For Winter Ash Gilford". That was her son.