Visible crew/equipment: When Todd says "Why won't any women talk with me?" it cuts to a girl saying "Because you're slimy." You should be able to see the boom mike coming into frame above the clock on the wall.
Visible crew/equipment: You can see the shadow of the camera after Elliot spins around on the close up before Dr. Cox enters. (00:01:05)
Visible crew/equipment: During the scene where JD is fantasizing about dancing with the German patient to "99 Luft Balloons," a crew member's green-sleeved arm is momentarily visible throwing balloons into the shot.
My Overkill - S2-E1
Visible crew/equipment: When JD is thinking to himself while the characters are 'drifting through the halls', you can see the rope and trolley device that is being used to pull Carla along.
Answer: No, it was a fake, they used a stamp.
It is real.