There are a pair of female ponies shown in the background standing next to each other at the end of a hallway in the hospital. This is a reference to a famous scene from the horror flick, "The Shining."
Spoiled Rich returns since "Crusaders of the Lost Mark", here revealing she was originally called "Spoiled Milk" before marrying Filthy Rich.
Friendship Report: Applejack learned lying will only make things worse and it's best to just tell the truth.