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 Josh Henderson as Austin McCann Kiersten Warren as Nora Huntington Ernie Hudson as Detective Ridley Anthony Azizi as Robert Falati Mae Whitman as Sarah Marco Sanchez as Phil Lopez Co Starring Paul Keeley as Dr. McLean Wendy Worthington as Nurse Parker Rick Fitts as Jerry Rick Scarry as Dr. Peters Raf Mauro as Gus Evelina Turen as Trishelle