Special Guest Stars Alfre Woodard as Betty Applewhite Guest Stars Doug Savant as Tom Scavo Shane Kinsman as Porter Scavo Brent Kinsman as Preston Scavo Richard Burgi as Karl Mayer Mehcad Brooks as Matthew Applewhite Harriet Sansom Harris as Felicia Tilman Ryan Carnes as Justin Terry Bozeman as Dr. Lee Craig John Newton as Jonathan Lithgow Jolie Jenkins as Deirdre Taylor Co Starring Zane Huett as Parker Scavo Tanner Maguire as 4-Year-Old Zach Shirley Jordan as Nurse Lee Whitaker as Box Boy William Dennis Hunt as Realtor Kevin E. West as Cop Gregory Wagrowski as Prosecutor Steve Tom as Judge