 Shiban was inspired to write the episode based on an incident that involved his wife's father potentially seeing other beings in a room when he was dying.Shiban was also inspired by the 1975 film "One Flew Over the Cuckoo's Nest".The series sought out a bowling alley for the opening scenes, but many establishments in Vancouver, Canada were reluctant to yield over two-thirds of their space as well as close down for three days.