Sam Woole said:
When the traveling twin left, he was in his inertia frame. The clock he carried was at rest in his frame. His clock therefore would work exactly like any other clocks in inertia frames such as the one carried by the earthbound twin. Don't you agree?
No, not exactly. (And, let me say that I had the same problem grasping this as you seem to be having. I should also say that I'm not a physicist, so don't take anything I write as being necessarily correct -- of course, I'm sure the mentors will be on top of it. :-))
I've learned to think about it like this. The traveling twin's quartz clock (or his heart, or any oscillator that is traveling with him) will cycle at a different rate (from a previous rate) as the traveling twin accelerates away from the earth-twin system (or inertial frame) and eventually assumes a different uniform velocity relative to the earth-twin system (that is, different from his previous velocity relative to the earth-twin system prior to take off).
The physical reason for this is because the traveling twin is interacting with the physical stuff (wave phenomena and interactions on a level that's not directly amenable to our sensory perception) that is presumed to pervade and permeate the empty (to our normal senses) space surrounding the earth-twin system (Lets assume the traveller doesn't leave our solar system -- which can be viewed as a complex interacting wave system where only the most intense regions -- ponderable bodies -- of interaction are amenable to our senses. Add to this the fact that our solar system is itself part of a local star system, which is part of the Milky Way galactic system, which is part of a galactic group, and so on. And also figuring in whatever is happening to space on a universal scale, eg. expansion due to kinetic energy imparted via the big bang, and there's really quite a lot of wave activity that the traveling oscillators might be influenced by.).
One manifestation of this is that the periods of any oscillators moving with the traveling twin will increase (proportional to length contraction wrt the direction of motion), and therefore the rate at which they accumulate will decrease relative to the traveling twin's previous state of motion at rest wrt the earth-twin system.
To keep things simple just assume that the traveling twin's clock and the earthbound twin's clock keep time at exactly the same rate when they're both on earth. During his round-trip, the traveling twin will count the same number of Earth rotations or earth-sun revolutions as the earthbound twin for the trip interval, but the traveling twin's clock (and his heart and other oscillators moving with him) will accumulate fewer total oscillations for the trip than the earthbound twin's clock -- for the physical reason(s) given above.
The Lorentz time transformation provides a way to calculate the difference between the accumulated cycles of two previously synchronized (or, preferably, equal wrt some common rest frame of reference -- like when they're both on earth) osclillators (clocks) that are moving wrt each other.
Now, admittedly, the rationale that's been offered above is pretty hazy. But, I think it makes sense as a general approach to understanding that the effects of acceleration and velocity relative to a previous state of motion have to do with real physical interactions that produce real physical changes.
When the traveller returns to Earth his oscillators assume the periods that are normal for them in that state of motion (at rest wrt the earth). But, while he is traveling at high speed throughout the solar system they change in proportion to his velocity relative to his earthbound state.
I guess I should add that the calculation might be complicated by how close the traveller gets to the centers of strong gravitational fields. I'm not sure how moving uniformly toward the center of a gravitational field is related to accelerating away from it.