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 Lyndsy Fonseca as Dylan Mayfair John Slattery as Victor Lang Nathan Fillion as Adam Mayfair Melora Walters as Sylvia Greene Co Starring Pat Crawford Brown as Ida Greenberg James Luca McBride as Al Kaminsky Lynette DuPree as Nurse Billy Unger as Jeremy McMullin Lee Lourdes as Female News Anchor Barry Nolan as Male News Anchor Brandon Lombardi as Field Reporter Christine Joaquin as Nurse Eric Christie as Orderly Eva Simone Fisher as Mrs. Kowalsky Bob Rusch as Security Guard