This episode marks the first appearance of the minor recurring character Hooch. And the first time someone says 'Hooch is crazy'.
When Carla quotes her mother in Spanish, she is saying "if you know so much about careers, why are you still a counselor?"
The quote Dr. Kelso says to Turk and his patient about the worthwhile things in life not coming easy is similar to Theodore Roosevelt who said "Nothing in the world is worth having or worth doing unless it means effort, pain, difficulty... I have never in my life envied a human being who led an easy life. I have envied a great many people who led difficult lives and led them well."