In his autobiography, Mark Oliver Everett states that Susan "wasn't a crazy girl, a rare exception at the time". Her house was in Pasadena, not a walkable distance from where Everett lived at the time. The song focuses on the problems in the area he walks through as he goes over to visit her. By the time of recording the song, he and Susan had already been apart a few years. Susan is also the subject of the song "Beautiful Freak" from the same album.