[1] In this episode, Jerry struggles to get a hospitalized friend to laugh, George persists in dating a woman he doesn't like to avoid being perceived as unable to commit, and Kramer encourages his friend Mickey Abbott to wear lifts in order to keep his job as a stand-in.
Jerry feels added pressure to be funny after his visit to the hospital coincides with a deterioration in Fulton's condition.
To George's relief, Daphne says that she met another person: Jerry Persach, nicknamed "Pachyderm".
Larry David got the idea for the Mickey Abbott plot when he noticed how many little people worked as stand-ins for child actors (little people are preferred over children as stand-ins because children cannot legally work as many hours a day as adults).
[2] Michael Richards recalled being immediately excited by his work with Danny Woodburn, the actor who plays Mickey, due to the chemistry between their two characters.
[2] In the scene where Mickey attacks a seated Kramer, Richards wore a back brace and padding so that he could take a full fall without injury.