Lisa's First Word
Homer's Triple Bypass
Marge vs. the Monorail


  • Homer quotes Friedrich Nietzsche when saying "Whatever doesn't kill me can only make me stronger!" This reference is reused in the Season 16 episode The Heartbroke Kid when an obese Bart says "Whatever can't kill me only makes me stronger!", where he also gets a heart attack.
  • When the X-ray of Homer's heart being taxed by Mr. Burns' stress is shown, during the heart attack the four suits of cards (♣,♠,♦,♥) is shown.
  • Gasso is a parody of Esso.
  • In the beginning a scene from Field of Screams is seen.
  • In this episode Sideshow Mel is shot out of a cannon just like Sideshow Bob in Krusty Gets Busted.
  • Some of the people in the hospital when Homer arrives are: Groundskeeper Willie with arm casts, Jacques with his finger stuck in a bowling ball, Jasper Beardly with his beard stuck between the spokes of a bike, Apu with a bullet wound, Akira with his hand stuck on a wooden board, Sideshow Mel stuck in a cannon and Chief Wiggum with a locked jaw.  
  • During COPS: In Springfield, Chief Wiggum breaks the fourth wall nonverbally saying the man who jumped out of the building and tried to surrender to him is crazy. This is not quite breaking the fourth wall, because it is featured as part of a television show within the world of the Simpsons. Though Wiggum is acknowledging an audience (the viewers of "COPS: In Springfield"), the actual "fourth wall" of the Simpsons universe is never broken.
  • This is the last episode to air in 1992.
  • It is shown that Snake Jailbird lives next door to Rev. Lovejoy.
  • In the audience, when Lisa walks in to watch the surgery, a man can be seen sleeping and a couple can be seen making out with each other.
  • Other episodes where Homer has out-of-body experiences and his ghost comes out of him are Million Dollar Maybe, The Food Wife, Homer Goes to Prep School, and Simprovised.
  • When the Gas Attendant's kid says, "We're going to sell him to Mr. Nikopopolous?" it references the main antagonist in the TV show My Mother the Car.
  • Scenes cut from syndication include Homer being immediately ferried to the emergency room shortly after his heart attack (with a continuation of COPS: In Springfield where Wiggum has to go to the ER due to his jaw locking up and Lou making light of the situation by putting his fist near Wiggum's open jaw betting he could fit it inside, to Wiggum's chagrin) and a followup to Homer's flashback to his birth where he managed to somehow manage to steal and eat an entire pizza slice.
  • This is the first episode to hint at Ned Flanders' elder age, as among the things he was thankful for were Volumes 1, 2, and 4 of Sweating to the Oldies, which are exercise tapes geared towards elderly citizens.
  • This episode aired three years after the series premiere.



  • During the "Bad Cops" section in the start of the episode, the cops are looking for someone living at 742 Evergreen Terrace, which is where the Simpsons family lives (though this episode was part of the early ones in which the Simpsons' address was 1094 Evergreen Terrace).
  • Homer with a tan-brown nose

    In one scene where Homer is eating his bacon and eggs, they change color between shots.
  • In the scene where Dr. Hibbert jokingly pretends to steal Homer's nose, Homer's nose briefly turns tan-brown like his beard, instead of its usual flesh color.
  • Homer had to pay for his operations, but when it comes to life-saving operations, like Homer's bypass surgery, the operation will become free.
  • Lisa gives Dr. Nick instructions on how to perform the bypass surgery, but she gave the instructions while in the medical amphitheatre. The windows of a medical amphitheatre are soundproof.
  • Homer comments to Dr. Hibbert that $40,000 is too expensive and that he ought to just acquire a defibrillator. Owning a defibrillator actually would be more expensive than the $40,000 Dr. Hibbert requests to perform the surgery. In later episodes, Homer is shown with a defibrillator in his house. (They are now about $1500 for an in-home AED/defibrillator.)
  • Krusty claims that his face was permanently blanched by his heart attack. However, in the 1990 episode "Krusty Gets Busted", he is shown with a flesh-colored face in the courtroom, and in "Brush with Greatness", Krusty could easily wipe off the clown make-up on his face.

Connections to future episodes

  • Homer seems to have entirely forgotten about the surgery in Bart Carny. When Marge warns Homer he cannot go on a ride due to his quadruple bypass and nearly died, Homer brushes it off, only to complain of his heart when on the ride.
  • In a later episode, Marge mentions that Bart and Lisa helped Dr. Nick perform heart surgery, referencing this episode, yet Bart did not do anything, and Lisa only pointed out to Nick where to make the incision.
  • The scene with Homer having a heart attack is shown as a flashback in "How the Test Was Won".

Season 3 Season 4 References/Trivia Season 5
Kamp KrustyA Streetcar Named MargeHomer the HereticLisa the Beauty QueenTreehouse of Horror IIIItchy & Scratchy: The MovieMarge Gets a JobNew Kid on the BlockMr. PlowLisa's First WordHomer's Triple BypassMarge vs. the MonorailSelma's ChoiceBrother from the Same PlanetI Love LisaDufflessLast Exit to SpringfieldSo It's Come to This: A Simpsons Clip ShowThe FrontWhacking DayMarge in ChainsKrusty Gets Kancelled
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