The Heart of the Matter (Grey's Anatomy)
Encyclopedia
"The Heart of the Matter'" is the 4th episode of the fourth season of the ABC
American Broadcasting Company
The American Broadcasting Company is an American commercial broadcasting television network. Created in 1943 from the former NBC Blue radio network, ABC is owned by The Walt Disney Company and is part of Disney-ABC Television Group. Its first broadcast on television was in 1948...

 series, Grey's Anatomy
Grey's Anatomy
Grey's Anatomy is an American medical drama television series created by Shonda Rhimes. The series premiered on March 27, 2005 on ABC; since then, seven seasons have aired. The series follows the lives of interns, residents and their mentors in the fictional Seattle Grace Mercy West Hospital in...

. The episode was written by Allan Heinberg and was directed by Randy Zisk. The episode originally aired on October 18th, 2007.

Episode Recap

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.

This episode deals with George having told Callie that he slept with Izzie. Although Callie forgives George because he had had a hard year, she wants to talk to Izzie about it, but Izzie and the rest of the medical staff are led to believe that a fight in the cafeteria is going to occur between the two. It ends with Izzie trying to apologize to Callie. Izzie also tells Alex, and he is astounded.

Other things that happen in this episode: Meredith has to clean up after Norman when he mistakenly tells a patient she is going to die because he misread the charts, and Cristina has to reconsider her attitude towards interns and also take charge of the potential flirting between Derek and Lexie. The Chief has to deal with his niece (Camille) being admitted to hospital again for more surgery and her wanting to go home.
The episode ends with Callie deciding and realizing that she doesn't forgive George in the end, going to bed alone that night, Derek professing his love and his wish for a beautiful, long lifetime with Meredith but also saying that he'll wait until she's ready, and Lexie thanking Cristina for saving her in the surgery earlier in the day (but Cristina still calls her "3").

Starring

  • Ellen Pompeo
    Ellen Pompeo
    Ellen Kathleen Pompeo is an American actress, known for playing the title role of Meredith Grey on the ABC medical drama Grey's Anatomy.-Early life:...

     as Dr. Meredith Grey.
  • Sandra Oh
    Sandra Oh
    Sandra Oh is a Canadian actress. She is best known for the role of Dr. Cristina Yang on ABC's Grey's Anatomy, for which she has won a Golden Globe and Screen Actors Guild award. She also played notable roles in the feature films Under the Tuscan Sun and Sideways, and had a supporting role on the...

     as Dr. Christina Yang.
  • Katherine Heigl
    Katherine Heigl
    Katherine Marie Heigl is an American actress and producer. She is possibly best known for her role as Dr. Izzie Stevens on ABC's Grey's Anatomy from 2005 to 2010, for which she won a Primetime Emmy Award for Outstanding Supporting Actress – Drama Series in 2007...

     as Dr. Izzie Stevens.
  • Justin Chambers
    Justin Chambers
    Justin W. Chambers is an American actor and former Calvin Klein male fashion model. As of 2005, he is starring in the ABC drama series Grey's Anatomy as Dr. Alex Karev....

     as Dr. Alex Karev.
  • T.R. Knight as Dr. George O´Malley.
  • Chandra Wilson
    Chandra Wilson
    Chandra Danette Wilson is an American actress and director, best known as Dr. Miranda Bailey in the ABC television drama, Grey's Anatomy.-Early life:...

     as Dr. Miranda Bailey.
  • James Pickens, Jr.
    James Pickens, Jr.
    James Pickens, Jr. is an American actor. He is best known for his starring role as Dr. Richard Webber on the ABC drama television series Grey's Anatomy, and for his supporting role as Deputy Director Alvin Kersh on later seasons of the Fox Network science fiction series The X-Files.- Early life...

     as Dr. Richard Webber.
  • Sara Ramirez
    Sara Ramírez
    Sara Ramírez is a Mexican-American singer/songwriter and actress. She is known for her role as Callie Torres in Grey's Anatomy and as the original Lady of the Lake in the 2005 Broadway musical Spamalot, for which she won the Tony Award for Best Featured Actress in a Musical.-Early life:Ramírez...

     as Dr. Callie Torres.
  • Eric Dane
    Eric Dane
    Eric Dane is an American actor. After appearing in television roles throughout the 1990s and 2000s, he became known for playing Dr...

     as Dr. Mark Sloan.
  • Chyler Leigh
    Chyler Leigh
    Chyler Leigh is an American actress, best known for her portrayal of Dr. Lexie Grey on ABC's Grey's Anatomy. She also portrayed Janey Briggs in Not Another Teen Movie.-Early life:...

     as Dr. Lexie Grey
  • Patrick Dempsey
    Patrick Dempsey
    Patrick Galen Dempsey is an American actor, known for his role as neurosurgeon Dr. Derek Shepherd on the medical drama Grey's Anatomy. Prior to Grey's Anatomy he made several television appearances and was nominated for an Emmy Award...

     as Dr. Derek Shepperd.

Title reference

This episode's title refers to the song The Heart of the Matter by Don Henley
Don Henley
Donald Hugh "Don" Henley is an American singer, songwriter and drummer, best known as a founding member of the Eagles before launching a successful solo career. Henley was the drummer and lead vocalist for the Eagles from 1971–1980, when the band broke up...

.

Music

  • "Sun Comes Up" by John Legend
    John Legend
    John Roger Stephens , better known by his stage name John Legend, is an American singer, musician, and actor. He is the recipient of nine Grammy Awards, and in 2007, he received the special Starlight award from the Songwriters Hall of Fame.Prior to the release of his debut album, Stephens' career...

  • "Hawaii" by Meiko
  • "Better Already" by Northern State
  • "Milk and Honey" by Prince Fatty feat. Hollie Cook
  • "The Absence of Your Company" by Kim Richey
    Kim Richey
    Kimberly Kay "Kim" Richey is an American singer/songwriter. Though her work fits into the general country music category, her sound is not easily categorized. Her songs have been hits on both the country and pop charts...

  • "Rockers to Swallow" by Yeah Yeah Yeahs
    Yeah Yeah Yeahs
    Yeah Yeah Yeahs are an American indie rock band formed in New York City in 2000. The group is composed of vocalist and pianist Karen O, guitarist and keyboardist Nick Zinner, and drummer Brian Chase. They are complemented in live performances by second guitarist David Pajo, who joined as a touring...

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