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That's possible, and it would probably have been an easier production that way, but I'm guessing the opposite. I think that for director Douglas Heyes to have played fairly with us, he should have had his actors appearing exactly as we eventually see them. As Rod says in another episode, "There was nothing in the dark that wasn't there when the lights were on."

Try studying Dr. Bernardi's features in the scene right after the first commercial break, when he talks with the nurse at levels bordering on treason. Compare them with George's features in "Nervous Man in a $4 Room," since William D. Gordon played both roles. From what we can make out in the shadows, Gordon looks more to me like the doctor we'll see in his full glory than he does the gangster.

By the way, there's a great piece of trivia about that scene in Zicree's DVD notes. It's the only scene where I think the shadows are too conspicuous, and it could be cut without much damage to the story. In fact, this used to be a standard cut when Viacom shortened its syndicated releases around 1985, but Sci Fi re-edited this episode a few years ago.

According to Zicree, once the script was filmed, it turned out to be about two minutes too short. Ordinarily Rod would have expanded his script, but he was unavailable. So Heyes wrote that scene, trying to imitate Rod's style. Rod supposedly was happy with the result after he learned about the incident. Heyes had writing credits outside of TZ, including Night Gallery.