This episode is a playback of various local problems, as Matsuko was hospitalized due to poor physical condition. The clips included were decorated bicycle team (Ep. 145), a lacklustre penguin show in Hokkaido (Ep. 159), Aomori people who can identify apple varieties (Ep. 149), scary slide from Ep. 221, aging namahage issue (Ep. 192), an ice cream that does not contain the exact items listed on the packaging (Ep. 244), the dubious bears series (Ep. 200 and 244), unusual food menu compilation (Ep. 227, 269), complicated Ishikawa City place name (Ep. 37), a town that does not eat carp (Ep. 268), cannot write Gifu problem (Ep. 231), graffiti temple in Kyoto (Ep. 208), Kagawa people who are not private about their savings (Ep. 200), Shibushi City address issue and Okinawan "Do-re-mi parody" (Ep. 244). For the last segment, they showed a lot of previous dialect problems. (Source: Griffin Seannery at MyDramaList)