Leland Orser's first appearance as recurring character Dr. Lucien Dubenko.
Shane West used his own guitar for the scene on the roof.
In the NBC airing and initial syndication showings on TNT, there are lines where Dr. Elizabeth Corday calls new surgeon Dr. Lucien Dubenko "cowardly as well as cocky" and says he's a perfect match for Dr. Kerry Weaver's "treachery in ambition". Those lines have been edited out of the repeats of this episode on the cable Pop network; the scene they were part of has Dr. John Carter pleading with Dr. Corday to perform an illegal but life-saving liver transplant between two HIV+ men, which she agrees to (in part because it'll piss off Kerry, whom she's mad at for hiring Dr. Dubenko for reasons that are left unclear).