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 Mehcad Brooks as Matthew Applewhite Nashawn Kearse as Caleb Applewhite Harriet Sansom Harris as Felicia Tilman Ryan Carnes as Justin Bob Gunton as Noah Taylor Jay Harrington as Dr. Ron McCready Nick Chinlund as Detective Sullivan John Kapelos as Eugene Beale Bruce Jarchow as Samuel Bormanis Dagney Kerr as Nurse Ruth Ann Heisel Kathryn Harrold as Helen Rowland Deborah Theaker as Rhoda Co Starring Tanner Maguire as 4-Year-Old Zach Tim Monsion as Dr. Cunningham Skip Stellrecht as Booking Sergeant Tracy Burns as Receptionist Garrett Warren as Gangbanger #1