What To Discard Tuesdays - Week 16

We are going to switch things up from this week! If you guys want to go back to the 10 questions, we can definitely do that too, but we wanted to implement some situations from real life scenarios!

 
Below is an image of a live game. Photo provider didn’t want their name out, but wanted more opinions on what they "should've” discarded. Give us your opinion in the comments section! We don't know what the point situation was and what rule set, but it doesn’t seem like they were using any point sticks at the time haha

Would you go for San-Shoku? Ittsu?  And What would you discard first? Let see what kind of answers we can get from everyone!