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The episode features several references to the late American actress Lucille Ball and her many television sitcoms starring characters named Lucy.
For example, it is the ghost of Ball that gives Lisa the idea to trick Homer and Bart into thinking they have leprosy.
Ball is portrayed with a cigarette in her hand in that scene, and speaks with a raspy voice.
When Lisa first sees the ghost, she cries out " Lucy?
", to which Ball responds " Lucy McGillicuddy Ricardo Carmichael.
And I think there's some more.
" According to Michael Karol, author of the 2004 book Lucy A to Z, the last names " are those of Ball's characters from I Love Lucy and The Lucy Show.
Left out were Lucy Carter of Here's Lucy and Lucy Barker of Life with Lucy.
" The Simpsons cast member Tress MacNeille provided the voice of Ball in the episode.
Additional references to Ball's work featured in " Little Big Mom " include Homer and Bart watching I Love Lucy with the volume turned up high, disturbing Lisa when is trying to sleep.
An Itchy & Scratchy cartoon that references the " Job Switching " episode of I Love Lucy is also seen in the episode.

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