Although this is the episode dedicated to Elliot's internal monologue, it is not her first.
The Todd (Robert Maschio) is wearing a "Free Martha" t-shirt. This is a reference to Martha Stewart being tried, convicted and sentenced in 2004 for felony charges of conspiracy to obstruct, obstruction of an agency proceeding, and making false statements to federal investigators in an insider trading scandal after selling all 3,928 shares of her ImClone Systems stock on December 27, 2001. Her prison sentence started on October 8th, 2004, just two weeks after this episode aired.
Third episode not to have "My" in the title.