Guest Stars Shane Kinsman as Porter Scavo Zane Huett as Parker Scavo Brent Kinsman as Preston Scavo Shawn Pyfrom as Andrew Van de Kamp Joy Lauren as Danielle Van de Kamp Kathryn Joosten as Karen McCluskey Rachel Fox as Kayla Huntington Dougray Scott as Ian Hainsworth Josh Henderson as Austin McCann Gwendoline Yeo as Xiao-Mei Kiersten Warren as Nora Huntington Valerie Mahaffey as Alma Hodge Terry Bozeman as Dr. Lee Craig Laurie Metcalf as Carolyn Bigsby Vernee Watson as ER Doctor Jeanne Sakata as Li Wang Co Starring Charlie Dell as Older Man Mike Baldridge as Guy #1 Michael Krepack as Boy (Face Paint) Dennis W. Hall as Clown