The introductory melody of the song is a variation on a Mozart theme that is present in many children’s songs, such as “Twinkle Twinkle Little Star,” the “Alphabet” song, and “Baa Baa Black Sheep.” This introduces the theme of children and pregnancy.

However, the melody is altered before the full theme is complete; perhaps foreshadowing the rest of the song’s narrative. This song also shares melodic leitmotifs with “Sylvia (An Introduction)” and the concluding track “Epilogue”.

Note that the lyrics do not explicitly refer patient and hospice employee metaphor present in the rest of Hospice. This introduces another level of metaphor within the story: a form of mise en abîme. This literary device can be used to provide another level of abstraction, or to bring the story closer to reality. Silberman intentionally avoids stating how much of the album is autobiographical so that listeners can come to their own interpretation.