a bang", he stated: "My original opening for the pilot was Ellen lying naked on the couch. The opening scene of the pilot was Derek and Meredith having just slept together in a one-night stand. We had a very tight lens that was out of focus, going over all the curves of her body. You didn't even really know what it was as the credits were rolling. [Her body] would come into focus as her eyes opened. It was this beautiful description of Grey's Anatomy." Stephen McPherson who was the president of ABC Entertainment division at the time had little faith in the pilot, and hated the title Grey's Anatomy. He requested it be titled Complications at one point. After the producers turned in the pilot, he shut production down. Future showrunner Krista Vernoff (then-staff writer) recalled twelve years later to The Hollywood Reporter: "He hated it. He said to [then ABC executive] Suzanne Patmore Gibbs (1967—2018) at the time, 'This show is going to be the chapter in my book titled "Why I Should Trust Myself or Why I Should Trust People I Hire."' Because she forced that program on the air. And then it was a great big hit, and he got all the credit." However, Shonda Rhimes was able to make a point to production staff member and writer, Eric Buchman that Atul Gawande had written a book named Complications with a similar premise and worried about being accused of "baically stealing his book" as it revolved around a "young doctor working for a hospital for the first time". The network even optioned the book "just so that they could officially use the title," but Rhimes recalled not knowing who made the call to go back to the title Grey's Anatomy. Kate Burton who portrays Ellis Grey remembers that when she was called into audition for the role the working title was Surgeons. Buchman recalled someone pitching the title Miss Diagnosis to him, which Rhimes "just outright hated". Casting Justin Chambers was not included in the original pilot episode filmed in March 2004. Tony Phelan stated: "One of the notes after the pilot test was: "You need a bad boy. You need a male member of the intern class who's not just an asshole, but male". As a result, Phelan stated, "If you go back and watch the pilot, you can see how they surgically put Justin