A scene in this episode shows a patient with a miniature horse in the emergency room who claims the horse is her "service animal" and has even been on airplanes with her.. In real life, miniature horses are allowed on flights by the Department of Transportation, however it is up to the discretion of the individual airline. This was illustrated during a United Airlines flight from Chicago to Omaha in 2019 that gained national media attention when a Nebraska woman brought a miniature horse onboard the flight.