When you are from a place that a TV show or movie decides to use as a location for a storyline, the one thing I believe should be paramount is to not make huge changes to the locale. There is no "Syracuse General" in Syracuse, the only thing close is "Community General" which is actually up the hill pretty far from the downtown/Onondaga Lake area. The main thing that bothered me in this episode though is that at the end of the episode there were people actually JUMPING IN ONONDAGA LAKE! Anyone who knows anything about Central New York knows that Onondaga Lake is dangerously dirty still even though efforts are being made to clean it up, but people definitely are discouraged from getting in the water. I don't know where they actually filmed that last scene, but I hope it was nowhere near Onondaga Lake.