Guest Stars Patrick Dempsey as Dr. Derek Shepherd Jaicy Elliot as Dr. Taryn Helm Stefania Spampinato as Dr. Carina DeLuca Melissa DuPrey as Dr. Sara Ortiz Nikhil Shukla as Dr. Reza Khan Robert I. Mesa as Dr. James Chee Lisa Vidal as Dr. Alma Ortiz Mackenzie Marsh as Val Ashton Kevin Sifuentes as Manoj Joshi Co Starring Ella Faris as Little Ellis Gracie Faris as Little Ellis Sylvia Kwan as Dr. Mabel Tseng Frances Nichols as Nurse Karen Olivia Diane Joseph as Nurse Liv Christopher Alvarenga as Camera Crew Person Uncredited Kathy C. An as Nurse Bokhee