Ken waffled back and forth over whether or not to include his surgery in the film.
On the way back from Scranton, Ken and Sandrina hit a freak snow storm on the highway and spun out, needing a tow truck to pull the car from a ditch. Ken's only regret was that the camera wasn't rolling.
Sandrina was ill and vomiting the entire trip to Scranton, but managed to keep it together for the camera.
The "Time" monologue is delivered on a whim by Ken's biological father, Kenneth Harper, during a visit in the hospital during recovery. This was the first time the two had seen each other in several years.