Grey's Anatomy

The Heart of the Matter

Season 4, Ep 4, Aired 10/18/07
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  • Episode Description
  • A face familiar to one of the year-twos shows up and dredges up issues that were never really dealt with. A teen football player needs counseling because of his father and surgery for an injury he sustained while playing the game. The girl who was the reason for the prom at Seattle Grace finds out her cancer is back and she brings her aunt Adele with her.

  • Cast & Crew
  • Ellen Pompeo

    Dr. Meredith Grey

  • Sandra Oh

    Dr. Cristina Yang

  • Katherine Heigl

    Dr. Isobel "Izzie" Stevens

  • Justin Chambers

    Dr. Alex Karev

  • T.R. Knight

    Dr. George O'Malley

  • Fan Reviews (27)
  • This episode had several story lines involving all the major characters. Callie reacts to George's 'mistake'. Derrick wants more than sex from Meredith.

    By franksmama, Oct 21, 2007

  • A really lousy episode, with excellent but brief parts.

    By g_anatomy, Aug 18, 2008

  • Adele brings the chief's niece, Camille to the hospital because her cancer is back. Izzie prepares herself for the showdown with Callie when she finds out George told her about sleeping with Izzie. Derek propositions Meredith.

    By breezy2281, Jan 04, 2008

  • My favorite episode besides the last two, of season 4. I felt for Callie in this episode. Mostly because I've been in her situation before.

    By sibowittz, Oct 03, 2010

  • Loved it. My favourite of the season so far!

    By stewie1423, Oct 21, 2007

  • Trivia & Quotes
  • Quotes (34)

    • Lexie: I just wanted to say thank you for saving my ass in surgery today. Cristina: That's my job, 3.

    • Adele: I already lost one baby, now I have to lose Camille, too. Richard: I am not going to use to Camille to try and make up for the fact that I never gave you children. Adele: I didn't ask you to. I asked you to talk to her, to convince her-- Richard: I can't do that. ... I can't do that Adele. I can give her all the options in the world, but I cannot make her do what I want her to do. I'm her doctor. Adele: I thought being a doctor was about saving lives. After all these years, of choosing your job over your family... The one time that I ask you to do your job to save this family. Richard: Adele, I'm sorry. I'm truly, truly sorry. Adele: So, am I, Richard. (walks away)

    • Mark: I'm writing you both up. Meredith: It wasn't Norman's fault, He's my responsibility, I'm the resident, I'm the only one that you should write up. Mark: That's very noble of you, Dr. Grey. Stupid, but noble. (walks away) Norman: For the record, Dr. Grey, I don't find you stupid at all. I find you quite smart. (Meredith smiles)

    • Izzie: What? Am I invisible now? Alex: What do you want? Izzie: Oh, so you hate me now too? Join the club. Alex: You and O'Malley. O'Malley! Izzie: What? What is it that I did that is so horrifying? (pauses) I fell in love, Alex. Alex: He's married. Izzie: Yeah, so? You're carrying a big ol' torch for Ava. Or Jane Doe. Or whatever it is that you call her and she's married. What gives you the right to judge what I do? Why do you even care? Alex: You told me that you weren't ready yet, after Denny, to be with anyone. And then O'Malley... O'Malley! ... And then you tell me like I'm one of your chick friends, come on! (walks away)

    • Izzie: I'm just saying, I learned how to fight in a trailer park. Where'd she learn how to fight? A boarding school? Not quite the same thing. (Callie enters the cafeteria, Izzie is unaware, Callie walks towards her. Everyone is staring) I'm a street fighter, I got some bad ass in me. I can take a girl down. Callie: Izzie. Alex: Punch with your left, protect your face with your right. Cristina (eating popcorn): No, protect your hands. Your surgeon hands. Your face can heal. Callie (clears her throat): Stevens. Izzie (putting her hair up, and taking out her earrings): Let's do this. Let's go. Let's go. (cracks her neck) Callie: Go... where? Izzie (puts her fists up): You know... Go. Callie: I wanted to talk. Izzie: You wanted to talk? (puts her arms down) You didn't wanna kick my ass? Callie: You thought I was gonna fight you? (scoffs, then realizes everyone is watching and walks out of the cafeteria) Intern: That's a forfeit, Torres forfeits! Izzie (sits back down at the table): Oh my god. Cristina: You were very ghettofabulous. Izzie: Oh, my god. George (runs in): What happened, was there a fight? Alex: No. I guess they realized that they were fighting over nothing.

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    Notes (4)

    • International Episode Titles: Czech Republic: J√°dro pudla (The Heart of the Matter) Slovakia: Jadro veci (The Core of the Matter)

    • Original International Air Dates: Italy: Monday, January 7, 2008 on Foxlife Saudi Arabia: Tuesday, January 22, 2008 on ShowSeries Australia: Sunday, February 18, 2008 on Network 9 Latin America: Monday, March 3, 2008 on Sony Entertainment Television Germany: Wednesday, March 5, 2008 on ProSieben Finland: Wednesday, March 19, 2008 on Nelonen The Netherlands: Monday, March 31, 2008 on Net 5 Croatia: Thursday, April 3, 2008 on RTL TV Israel: Monday, April 7, 2008 on YES Stars 1 Czech Republic: June 1, 2008 on Prima Norway: Tuesday, September 16, 2008 on TV2 Romania: Tuesday, October 28, 2008 on TVR1

    • Music Featured In This Episode: 1. Sun Comes Up by John Legend 2. Hawaii by Meiko 3. Better Already by Northern State 4. Milk and Honey by Prince Fatty feat. Hollie Cook 5. The Absence of Your Company by Kim Richey 6. Rockers to Swallow by Yeah Yeah Yeahs

    • The character Camille, in this episode played by Camille Winbush, was originally presented in season 2 and played by Tessa Thompsson.

    Allusions (1)

    • Episode Title: The Heart of the Matter The title of this episode is a reference song by Don Henley, released in 1989. The Heart of the Matter is also a famous song by soul singer India Arie.

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